R63.4
R63.4: Abnormal weight loss
Billable / specific codeICD-10-CM
R63.4 is a billable, specific ICD-10-CM code for abnormal weight loss. It is valid for submission on a claim.
Check R63.4 with the rest of the claim: free scrubberOther codes that can never be billed with R63.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R63.4 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56679Billing and Coding: Hospice The Adult Failure To Thrive Syndrome
Alphabetic index entries that lead here
- Loss›weight(abnormal) (cause unknown)
- Weight›loss(abnormal) (cause unknown)
- Abnormal, abnormality, abnormalities›loss of›weight
- Excess, excessive, excessively›weight›loss
Code history
Unchanged in every release from FY2024 to FY2027.