Find comprehensive information on Anorexia Nervosa diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about Anorexia and its associated eating disorder symptoms, diagnostic criteria, and treatment options. This resource provides valuable information for healthcare professionals, clinicians, and individuals seeking to understand Anorexia Nervosa.
Also known as
Anorexia Nervosa
Eating disorders characterized by abnormal weight loss due to restriction of food intake.
Other Eating Disorders
Atypical anorexia nervosa and other specified feeding or eating disorders.
Anorexia
Lack or loss of appetite for food, not specific to eating disorders.
Behavioral syndromes associated with physiological disturbances and physical factors
Includes various eating and sleeping disorders, nonorganic sexual dysfunction, and psychological/behavioral factors associated with other disorders.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the anorexia due to a medical condition (e.g., cancer, infection)?
Yes
Is the underlying condition documented?
No
Does the patient meet criteria for Anorexia Nervosa?
When to use each related code
| Description |
|---|
| Eating disorder with extreme weight loss fear. |
| Binge eating followed by purging behaviors. |
| Recurring episodes of binge eating, no purging. |
Coding Anorexia without specifying Nervosa type (F50.0 vs F50.1) can lead to inaccurate severity and reimbursement.
Failing to code co-existing conditions like depression or anxiety with Anorexia impacts quality reporting and care plans.
Lack of specific details about the Anorexia diagnosis (e.g., purging, restricting) hinders accurate code assignment and audit defense.
Q: What are the most effective evidence-based interventions for anorexia nervosa in adolescents, considering both psychological and medical stabilization?
A: Effective interventions for adolescent anorexia nervosa require a multidisciplinary approach addressing both psychological and medical needs. Family-based therapy (FBT) is considered the first-line treatment for adolescents, showing strong evidence for weight restoration and improved psychological functioning. Cognitive behavioral therapy (CBT) and its enhanced version, CBT-E, also demonstrate efficacy, particularly in addressing underlying cognitive distortions related to body image and eating behaviors. Medical stabilization is crucial, focusing on restoring weight, electrolyte balance, and addressing any medical complications resulting from malnutrition. Nutritional rehabilitation involves developing a personalized meal plan to ensure adequate caloric intake and promote healthy weight gain. Explore how integrated care models can enhance treatment outcomes by combining psychological, nutritional, and medical interventions. Consider implementing a stepped-care approach, starting with less intensive outpatient treatment and escalating to higher levels of care (e.g., partial hospitalization, residential) based on individual needs and response to treatment.
Q: How can clinicians differentiate between anorexia nervosa restricting type and binge-purge subtype during the diagnostic assessment, and what are the specific treatment considerations for each?
A: Differentiating between anorexia nervosa restricting type and the binge-purge subtype hinges on the presence or absence of compensatory behaviors like self-induced vomiting, misuse of laxatives, diuretics, or excessive exercise. The restricting type involves weight loss achieved solely through dieting, fasting, and/or excessive exercise, while the binge-purge subtype includes episodes of binge eating followed by compensatory behaviors. While both subtypes share core features like intense fear of weight gain and distorted body image, the presence of binge-purge behaviors can signal additional psychological complexities, such as impulsivity and emotional dysregulation. Treatment for both subtypes emphasizes weight restoration and addressing the underlying psychopathology. However, individuals with the binge-purge subtype may benefit from additional interventions targeting emotion regulation skills and interrupting the binge-purge cycle. Learn more about dialectical behavior therapy (DBT) and its effectiveness in addressing these specific challenges. Consider implementing regular monitoring of weight, eating behaviors, and compensatory behaviors to track treatment progress and adjust interventions as needed.
Patient presents with concerns consistent with anorexia nervosa, an eating disorder characterized by significantly low body weight in the context of age, sex, developmental trajectory, and physical health. The patient exhibits a persistent restriction of energy intake, leading to a significantly low body weight. Intense fear of gaining weight or becoming fat, or persistent behavior that interferes with weight gain, is evident despite being underweight. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight is also noted. Differential diagnoses considered include avoidant restrictive food intake disorder, bulimia nervosa, and medical conditions causing weight loss. Assessment includes a thorough review of medical history, physical examination including BMI calculation and vital signs, and mental status evaluation focusing on body image distortion and eating behaviors. Laboratory tests may be ordered to assess for medical complications related to malnutrition, such as electrolyte imbalances and anemia. Initial treatment plan includes nutritional rehabilitation to restore healthy weight, medical stabilization to address any physiological complications, and psychological therapy, specifically cognitive behavioral therapy (CBT) or family-based therapy (FBT), to address underlying psychological issues related to the eating disorder. Patient education regarding healthy eating habits, body image, and coping mechanisms will be provided. Referral to a registered dietitian andor psychiatrist specializing in eating disorders may be warranted. Follow-up appointments will be scheduled to monitor progress and adjust treatment as needed. ICD-10 code F50.0 (Anorexia Nervosa) is used for billing and coding purposes.