2022 ICD-10-CM Diagnosis Code R63.32

Pediatric feeding disorder, chronic

    2022 - New Code Billable/Specific Code Pediatric Dx (0-17 years)
  • R63.32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • ICD-10-CM R63.32 is a new 2022 ICD-10-CM code that became effective on October 1, 2021.
  • This is the American ICD-10-CM version of R63.32 - other international versions of ICD-10 R63.32 may differ.
ICD-10-CM Coding Rules
  • R63.32 is applicable to pediatric patients aged 0 - 17 years inclusive.
Applicable To
  • Pediatric feeding dysfunction, chronic
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • , if applicable, associated conditions such as:
  • aspiration pneumonia (
    ICD-10-CM Diagnosis Code J69.0

    Pneumonitis due to inhalation of food and vomit

      2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code
    Applicable To
    • Aspiration pneumonia NOS
    • Aspiration pneumonia (due to) food (regurgitated)
    • Aspiration pneumonia (due to) gastric secretions
    • Aspiration pneumonia (due to) milk
    • Aspiration pneumonia (due to) vomit
    Code Also
    • any associated foreign body in respiratory tract (T17.-)
    Type 1 Excludes
    • chemical pneumonitis due to anesthesia (J95.4)
    • obstetric aspiration pneumonitis (O74.0)
    J69.0
    )
  • dysphagia (
    ICD-10-CM Diagnosis Code R13.1

    Dysphagia

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Code First
    • , if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)
    Type 1 Excludes
    • psychogenic dysphagia (F45.8)
    R13.1-
    )
  • gastro-esophageal reflux disease (
    ICD-10-CM Diagnosis Code K21
    • K21 Gastro-esophageal reflux disease
      • K21.0 Gastro-esophageal reflux disease with esophag...
        • K21.00 Gastro-esophageal reflux disease with esophag...
        • K21.01 Gastro-esophageal reflux disease with esophag...
      • K21.9 Gastro-esophageal reflux disease without esop...
    K21.-
    )
  • malnutrition (E40-E46
    ICD-10-CM Range E40-E46

    Malnutrition

    Type 1 Excludes
    • intestinal malabsorption (K90.-)
    • sequelae of protein-calorie malnutrition (E64.0)
    Type 2 Excludes
    • E40 Kwashiorkor
    • E41 Nutritional marasmus
    • E42 Marasmic kwashiorkor
    • E43 Unspecified severe protein-calorie malnu...
    • E44 Protein-calorie malnutrition of moderate...
    • E45 Retarded development following protein-c...
    • E46 Unspecified protein-calorie malnutrition
    )
The following code(s) above R63.32 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R63.32:
  • R00-R99
    2022 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R63
    ICD-10-CM Diagnosis Code R63

    Symptoms and signs concerning food and fluid intake

      2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Symptoms and signs concerning food and fluid intake
  • R63.3
    ICD-10-CM Diagnosis Code R63.3

    Feeding difficulties

      2022 - Converted to Parent Code Non-Billable/Non-Specific Code
    Type 2 Excludes
    • eating disorders (F50.-)
    • feeding problems of newborn (P92.-)
    • infant feeding disorder of nonorganic origin (F98.2-)
    Feeding difficulties
ICD-10-CM R63.32 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
  • 640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
  • 641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
Code History
  • 2022 (effective 10/1/2021): New code

Diagnosis Index entries containing back-references to R63.32:

ICD-10-CM Codes Adjacent To R63.32
R62.52 Short stature (child)
R62.59 Other lack of expected normal physiological development in childhood
R62.7 Adult failure to thrive
R63 Symptoms and signs concerning food and fluid intake
R63.0 Anorexia
R63.1 Polydipsia
R63.2 Polyphagia
R63.3 Feeding difficulties
R63.30 …… unspecified
R63.31 Pediatric feeding disorder, acute
R63.32 Pediatric feeding disorder, chronic
R63.39 Other feeding difficulties
R63.4 Abnormal weight loss
R63.5 Abnormal weight gain
R63.6 Underweight
R63.8 Other symptoms and signs concerning food and fluid intake
R64 Cachexia
R65 Symptoms and signs specifically associated with systemic inflammation and infection
R65.1 Systemic inflammatory response syndrome (SIRS) of non-infectious origin
R65.10 …… without acute organ dysfunction
R65.11 …… with acute organ dysfunction

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.