- #Coding for pica eating disorder manual
- #Coding for pica eating disorder full
- #Coding for pica eating disorder code
#Coding for pica eating disorder full
In full remission: After full criteria for anorexia nervosa were previously met, none of the criteria have been met for a sustained period of time. In partial remission: After full criteria for anorexia nervosa were previously met, Criterion A (low body weight) has not been met for a sustained period, but either Criterion B (intense fear of gaining weight or becoming fat or behavior that interferes with weight gain) or Criterion C (disturbances in self-perception of weight and shape) is still met. (F50.02): Binge-eating/purging type: During the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas). This subtype describes presentations in which weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise. (F50.01): Restricting type: During the last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas).
#Coding for pica eating disorder code
The ICD-10-CM code depends on the subtype (see below). Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.Ĭoding note: The ICD-9-CM code for anorexia nervosa is 307.1, which is assigned regardless of the subtype. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight.Ĭ. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected.ī. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Most patients with bulimia nervosa benefit from psychotherapy such as cognitive behavior therapy and/or treatment with a selective serotonin reuptake inhibitor.Īntipsychotic medications are generally not effective in the treatment of eating disorders.Ī. In patients with eating disorders, assess for psychiatric comorbidities, including depression and suicide risk, anxiety disorders, and substance use disorders.Īn interdisciplinary team approach is needed for the treatment of eating disorders, and often includes a family physician, a psychotherapist or psychiatrist, a dietitian, an eating disorder specialist, and school personnel.Ī minimum weight restoration target for patients with anorexia nervosa is 90% of the average weight expected for the patient's age, height, and sex.įamily-based treatment (the Maudsley method) is effective for treating anorexia nervosa in adolescents. Initial evaluation of patients with eating disorders requires assessing medical stability and whether hospitalization is required. Treatment is most effective when it includes a multidisciplinary, team-based approach. The use of psychotropic medications is limited for anorexia nervosa, whereas treatment studies have shown a benefit of antidepressant medications for patients with bulimia nervosa. Family-based treatment is helpful for adolescents with anorexia nervosa, whereas short-term psychotherapy, such as cognitive behavior therapy, is effective for most patients with bulimia nervosa.
In patients with frequent purging or laxative abuse, the presence of electrolyte abnormalities requires prompt intervention. For low-weight patients with anorexia nervosa, virtually all physiologic systems are affected, ranging from hypotension and osteopenia to life-threatening arrhythmias, often requiring emergent assessment and hospitalization for metabolic stabilization. Anorexia nervosa and bulimia nervosa occur most often in adolescent females and are often accompanied by depression and other comorbid psychiatric disorders. In addition to the role of environmental triggers and societal expectations of body size and shape, research has suggested that genes and discrete biochemical signals contribute to the development of eating disorders.
#Coding for pica eating disorder manual
The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ed., includes updated diagnostic criteria for anorexia nervosa (e.g., elimination of amenorrhea as a diagnostic criterion) and for bulimia nervosa (e.g., criterion for frequency of binge episodes decreased to an average of once per week). Eating disorders are life-threatening conditions that are challenging to address however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention.
0 kommentar(er)
