R62.51: Failure to thrive (child)
R62.51 is a billable, specific ICD-10-CM code for failure to thrive (child). It is valid for submission on a claim.
Check R62.51 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- failure to thrive in child under 28 days old (P92.6)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Failure to gain weight
- Faltering growth
Excludes1 inherited from the categories above R62.51
A category’s note binds every code beneath it.
Written on R62.5: Other and unspecified lack of expected normal physiological development in childhood
Other codes that can never be billed with R62.51
Their own Excludes1 notes name this code, so the conflict is not listed above.
- P92.6Failure to thrive in newborn
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R62.51 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56679Billing and Coding: Hospice The Adult Failure To Thrive Syndrome
Alphabetic index entries that lead here
- Faltering growth
- Failure, failed›gain weight(child over 28 days old)
- Failure, failed›to thrive(child over 28 days old)
- Lack of›development›failure to thrive(child over 28 days old)
Code history
Unchanged in every release from FY2024 to FY2027.