Pediatric Feeding Disorder Among New ICD-10 Codes Effective October 1

In the 2022 ICD10-CM, there is a new category of codes for pediatric feeding disorder. The term encompasses feeding difficulties associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction. This article from the American Academy of Pediatrics provides vignettes for the codes.

To choose the appropriate code, practitioners need to be aware of the differences between acute and chronic. Acute pediatric feeding disorder is defined as fewer than 3 months duration while chronic is more than 3 months.

Excludes2: eating disorders (F50.-)

• feeding problems of newborn (P92.-)
• infant feeding disorder of nonorganic origin (F98.2-)

R63.30  Feeding difficulties, unspecified 

Code also, if applicable, associated conditions such as:

• aspiration pneumonia (J69.0)
• dysphagia (R13.1-)
• gastro-esophageal reflux disease (K21.-)
• malnutrition (E40-E46)

Code also, if applicable, associated conditions such as:

• aspiration pneumonia (J69.0)
• dysphagia (R13.1-)
• gastro-esophageal reflux disease (K21.-)
• malnutrition (E40-E46)

R63.39 Other feeding difficulties 

• Feeding problem (elderly) (infant) NOS
• Picky eater

With this change, note that R63.3 feeding difficulties is no longer a valid code for 2022. The unspecified code will be reported as R63.30.

Webinar on Pediatric Feeding Disorder: Applying the Consensus Definition to Practice

AOTA will be hosting a webinar, entitled Pediatric Feeding Disorder: Applying the Consensus Definition to Practice, on October 19, 2021, to provide further guidance on the clinical application of this new code to occupational therapy practice. You can register for the live event or listen on demand.

Low Back Pain

Additional codes have been added for the diagnosis of low back pain. Note that M54.5 is no longer a valid code. The unspecified code will be reported with M54.50.

Excludes1: low back strain (S39.012)

• lumbago due to intervertebral disc displacement (M51.2-)
• lumbago with sciatica (M54.4-)

M54.50 Low back pain, unspecified

M54.51 Vertebrogenic low back pain

M54.59 Other low back pain

Post COVID-19 Condition

An additional code has been added to describe resolved COVID cases that result in related conditions. Do not use this code for an active COVID case. This code will be used in addition to the code for the related condition.

Note: This code enables establishment of a link with COVID-19. This code is not to be used in cases that are still presenting with active COVID-19. However, an exception is made in cases of re-infection with COVID-19, occurring with a condition related to previous COVID-19.

Code first the specific condition related to COVID-19 if known, such as:

• chronic respiratory failure (J96.1-)
• loss of smell (R43.8)
• loss of taste (R43.8)
• multisystem inflammatory syndrome (M35.81)
• pulmonary embolism (I26.-)
• pulmonary fibrosis (J84.10)