Are there age restrictions for ICD-10-CM code R62.7?

Yes, this code is restricted to patients between the ages of 15 and 124 years.

Is R62.7 an acceptable principal diagnosis?

No, code R62.7 is identified as an unacceptable principal diagnosis (Edit 113) due to OPPS coding requirements. However, this exclusion is ignored for specific bill types (12x, 22x, 81x, 82x).

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Medical Coding
ICD-10-CM
Chapter 18
R62.7

R62.7 Billable Code

Adult failure to thrive

Effective From: 10/01/2016

Chapter Classification

Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Section Detail

R50-R69 General symptoms and signs (R50-R69)

Code Hierarchy

This code is a child of R62.

OPPS Editing Flags

Age Restrictions Ages 15 to 124

External Cause No

Mental Health No

Manifestation (Edit 89) No

Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No

Unacceptable PDX (Edit 113) Yes

PDX Exclusion Logic

OPPS Required: Yes
Bill Type Override: Yes

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