Is R62.5 a billable ICD-10-CM code?

No. R62.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R62.5 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).

What cannot be coded together with R62.5?

R62.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R62.5

R62.5 — Other and unspecified lack of expected normal physiological development in childhood

Non-billable headerICD-10-CM

R62.5 is a non-billable header ICD-10-CM code for other and unspecified lack of expected normal physiological development in childhood. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

HIV disease resulting in failure to thrive (B20)
physical retardation due to malnutrition (E45)

Other codes that can never be billed with R62.5

These codes carry an Excludes1 note pointing at R62.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R62.5 alone.

P92.6Failure to thrive in newborn
E34.3Short stature due to endocrine disorder

Risk adjustment

R62.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R62.5

4 child codes. Green means billable.

Related codes at this level

Codes that share R62. If R62.5 is not quite right, the correct code is usually one of these.

Questions about R62.5

Is R62.5 a billable ICD-10-CM code?: No. R62.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R62.5 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).
What cannot be coded together with R62.5?: R62.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.