Find information on poor weight gain diagnosis, including clinical documentation tips, ICD-10 codes (R62.5, F50.8), and SNOMED CT terminology. Learn about evaluating failure to thrive, pediatric underweight, delayed growth, and nutritional deficiencies related to poor weight gain in infants, children, and adults. Explore resources for healthcare professionals on assessing, documenting, and coding poor weight gain for accurate medical records and effective patient care.
Also known as
Feeding difficulties and poor weight gain
Slow or inadequate weight gain in infants and children.
Other eating disorders
Includes atypical eating problems that can contribute to poor weight gain.
Failure to thrive, child, unspecified
General term for inadequate growth, often including poor weight gain.
Malnutrition
Various forms of undernutrition that can cause significant weight loss or poor gain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the poor weight gain due to an underlying medical condition?
When to use each related code
| Description |
|---|
| Poor weight gain in children |
| Failure to thrive (FTT) |
| Feeding difficulties |
Coding poor weight gain without specifying underlying cause or clinical details leads to inaccurate reporting and potential payment errors.
Insufficient documentation of weight trends, dietary intake, and diagnostic workup can cause claim denials and compliance issues.
Discrepancies between documented weight, growth charts, and clinical findings can lead to coding errors and affect quality metrics.
Patient presents with poor weight gain, also documented as failure to thrive, faltering growth, or insufficient weight gain, raising concerns for potential underlying medical conditions. Presenting symptoms include inadequate increase in weight and height percentiles on growth charts, decreased appetite, or feeding difficulties. A comprehensive review of systems was conducted, encompassing dietary intake, feeding patterns, gastrointestinal function, and any history of vomiting, diarrhea, or constipation. Family history regarding growth and developmental milestones was also obtained. Differential diagnosis includes but is not limited to conditions such as gastroesophageal reflux disease (GERD), food allergies or intolerances, celiac disease, cystic fibrosis, congenital heart disease, and metabolic disorders. Further evaluation may include laboratory testing such as complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid function tests, and stool studies as clinically indicated. Nutritional assessment including calorie counts and assessment of macronutrient intake will be performed. Initial treatment plan includes close monitoring of growth parameters, dietary counseling with a focus on increasing caloric density and optimizing nutrition, and addressing any underlying medical conditions. Referral to a pediatric gastroenterologist or registered dietitian may be considered for specialized management of feeding difficulties and nutritional support. Patient and family education regarding appropriate feeding techniques, portion sizes, and recognizing signs of feeding problems is crucial. Follow-up appointments will be scheduled to monitor progress and adjust the treatment plan as needed. ICD-10 code R62.51 (Failure to thrive, child, nonorganic) or other appropriate codes based on specific etiology will be used for billing and coding purposes.