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F50.2 vs R63.30

F50.2 (Bulimia nervosa) compared with R63.30 (Feeding difficulties, unspecified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

Yes, when both are documented. F50.2 carries an Excludes2 note covering R63.30: “feeding difficulties (R63.3-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

No — do not report together. R63.30 carries an Excludes1 note covering F50.2: “bulimia NOS (F50.2-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Yes, when both are documented. R63.30 carries an Excludes2 note covering F50.2: “eating disorders (F50.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

F50.2Bulimia nervosaR63.30Feeding difficulties, unspecified
Billing statusNon-billable header

Report instead: F50.20, F50.21, F50.22, F50.23, F50.24

Billable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionBulimia nervosa is a non-billable ICD-10-CM category code (F50.2).Feeding difficulties, unspecified is a billable ICD-10-CM diagnosis code (R63.30).
Includes
Bulimia NOS
Hyperorexia nervosa

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources