2026 ICD-10-CM Diagnosis Code R63.6Underweight

ICD-10-CM CodesR00–R99R50-R69R63

ICD-10-CM R63.6
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R63.6 is a billable ICD-10-CM diagnosis code for underweight. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 640 through 641. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other general signs and symptoms.

Code Identity

ICD-10-CM Code
R63.6
Billable Status
Yes — Valid for Submission
Code Describes
Underweight
Short Description
Underweight
Same as the full description in the CMS dataset.
Parent Code
Symptoms and signs concerning food and fluid intake

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR50-R69General symptoms and signs
CategoryR63Symptoms and signs concerning food and fluid intake
This CodeR63.6Underweight

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anorexia nervosa
  • Anorexia nervosa co-occurrent with dangerously low body weight
  • Anorexia nervosa co-occurrent with significantly low body weight
  • Anorexia nervosa, binge-eating purging type
  • Anorexia nervosa, restricting type
  • Dangerously low body weight co-occurrent and due to anorexia nervosa of binge-eating purging type
  • Dangerously low body weight co-occurrent and due to anorexia nervosa of restricting type
  • Mild thinness in adulthood
  • Moderate thinness in adulthood
  • Severe thinness in adulthood
  • Significantly low body weight co-occurrent and due to anorexia nervosa of binge-eating purging type
  • Significantly low body weight co-occurrent and due to anorexia nervosa of restricting type
  • Thin build
  • Thin build in adult
  • Underweight
  • Underweight in adolescence
  • Underweight in childhood
  • Underweight in infancy

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Use Additional Code

  • code to identify body mass index BMI, if known Z68

Type 1 Excludes

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Underweight

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM016
Other general signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Anorexia Nervosa

    an eating disorder that is characterized by the lack or loss of appetite, known as anorexia. other features include excess fear of becoming overweight; body image disturbance; significant weight loss; refusal to maintain minimal normal weight; and amenorrhea. this disorder occurs most frequently in adolescent females. (apa, thesaurus of psychological index terms, 1994)

Patient EducationClinical

Body Weight

Body weight is the total mass of your body. Keeping track of your weight is one way to check for changes in your health, but it can't tell you the whole story. That's because your weight includes muscle, bone, fat, and water. Also, everyday factors can play a role in your weight, such as your:

The full article covers:

  • What is body weight?
  • What factors help determine a healthy body weight?
  • What are body weight ranges?
  • What if I have a sudden gain or loss of weight?
  • How can I maintain a healthy body weight?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R63.6 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
783.22 Underweight
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R63.6Overview

Is R63.6 (Symptoms and signs concerning food and fluid intake) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report underweight on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R63.6 group to?

When underweight is the principal diagnosis on an inpatient stay, it groups to MS-DRG 640, 641, with relative weights from 0.7782 to 1.3356 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R63.6 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the underweight is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R63.6?

Under the General Equivalence Mappings, underweight converts to ICD-9-CM 783.22 (underweight). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.