R63.5

R63.5: Abnormal weight gain

Billable / specific codeICD-10-CM

R63.5 is a billable, specific ICD-10-CM code for abnormal weight gain. It is valid for submission on a claim.

Check R63.5 with the rest of the claim: free scrubber

Excludes1: never code together

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

excessive weight gain in pregnancy (O26.0-)
obesity (E66.-)

Excludes1 inherited from the categories above R63.5

A category’s note binds every code beneath it.

Written on R63: Symptoms and signs concerning food and fluid intake

bulimia NOS (F50.2-)

Risk adjustment

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

Medicare coverage

R63.5 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55354Billing and Coding: Frequency of Hemodialysis
A55672Billing and Coding: Frequency of Hemodialysis
A55675Billing and Coding: Frequency of Hemodialysis
A55703Billing and Coding: Frequency of Hemodialysis

Alphabetic index entries that lead here

Weight›gain(abnormal) (excessive)
Excess, excessive, excessively›weight›gain

Code history

Unchanged in every release from FY2024 to FY2027.