R62.7

R62.7: Adult failure to thrive

Billable / specific codeICD-10-CM

R62.7 is a billable, specific ICD-10-CM code for adult failure to thrive. It is valid for submission on a claim.

Check R62.7 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R62.7

A category’s note binds every code beneath it.

Written on R62: Lack of expected normal physiological development in childhood and adults

delayed puberty (E30.0)
gonadal dysgenesis (Q99.1)
hypopituitarism (E23.0)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R62.7 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Alphabetic index entries that lead here

Failure, failed›gain weight›adult
Failure, failed›to thrive›adult
Lack of›development›failure to thrive›adult

Code history

Unchanged in every release from FY2024 to FY2027.