Skip to main content
ICD-10/R63.32

R63.32 ICD-10-CM Code: Pediatric feeding disorder, chronic

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 640 — MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC (MDC 10)
  • MS-DRG 641 — MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC (MDC 10)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Pediatric feeding disorder, chronic is a billable ICD-10-CM diagnosis code (R63.32).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for R63.32 in the official ICD-10-CM tabular list.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Pediatric feeding dysfunction, chronic

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Code Also

Additional codes that may be required to fully describe the encounter.

  • Code also, if applicable, associated conditions such as:
  • aspiration pneumonia (J69.0)
  • dysphagia (R13.1-)
  • gastro-esophageal reflux disease (K21.-)
  • malnutrition (E40-E46)

Change history

  • FY2022 — 2021-10-01
    Added to the code set
    Pediatric feeding disorder, chronic
    FY2022 changes

Verify Before Coding

  • Billable — reportable as written.
  • Age-restricted: the Medicare Code Editor lists this as a pediatric (age 0-17) diagnosis; other ages are presumed incorrect.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of R63.32 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • R63.3 — Feeding difficulties [Hierarchy]

Code Also

  • E40 — Kwashiorkor [Code Also]: “malnutrition (E40-E46)”
  • E46 — Unspecified protein-calorie malnutrition [Code Also]: “malnutrition (E40-E46)”
  • J69.0 — Pneumonitis due to inhalation of food and vomit [Code Also]: “aspiration pneumonia (J69.0)”
  • K21 — Gastro-esophageal reflux disease [Code Also]: “gastro-esophageal reflux disease (K21.-)”
  • R13.1 — Dysphagia [Code Also]: “dysphagia (R13.1-)”

Referenced by Excludes2 notes

  • F50 — Eating disorders [Excludes2](via R63.3.-): “feeding difficulties (R63.3-)”
  • F98.2 — Other feeding disorders of infancy and childhood [Excludes2](via R63.3.-): “feeding difficulties (R63.3-)”
  • P92 — Feeding problems of newborn [Excludes2](via R63.3.-): “feeding problems in child over 28 days old (R63.3-)”

Clinical classification (CCSR)

  • SYM016 — Other general signs and symptoms [CCSR]

Potential MS-DRG

  • DRG 640 — MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC [MS-DRG]: “MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC (MDC 10)”
  • DRG 641 — MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC [MS-DRG]: “MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC (MDC 10)”

Index entries

  • Disorder (of), feeding (inf… — Disorder (of), feeding (infant or child), pediatric, chronic [Index term]
  • Dysfunction, feeding, pedia… — Dysfunction, feeding, pediatric, chronic [Index term]

Nearest codes (12)

  • R63 — Symptoms and signs concerning food and fluid intake [Sibling]
  • R63.0 — Anorexia [Sibling]
  • R63.1 — Polydipsia [Sibling]
  • R63.2 — Polyphagia [Sibling]
  • R63.3 — Feeding difficulties [Sibling]
  • R63.30 — Feeding difficulties, unspecified [Sibling]
  • R63.31 — Pediatric feeding disorder, acute [Sibling]
  • R63.39 — Other feeding difficulties [Sibling]
  • and 4 more

Change history

  • FY2022 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):SYM016 — Other general signs and symptoms (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 640 (MDC 10), DRG 641 (MDC 10).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name R63.32 or its code family.

3 Excludes2 notes across 2 chapters: F50 (via R63.3.-), F98.2 (via R63.3.-), P92 (via R63.3.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to R63.32 in its code family, with their registry titles.

  • R63.1 — Polydipsia
  • R63.2 — Polyphagia
  • R63.3 — Feeding difficulties
  • R63.30 — Feeding difficulties, unspecified
  • R63.31 — Pediatric feeding disorder, acute
  • 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

View all codes in the R63 family

Indexed Clinical Terms (2)

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.

  • Disorder (of), feeding (infant or child), pediatric, chronic
  • Dysfunction, feeding, pediatric, chronic