ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F50.019

Billable / Specific CC

Anorexia nervosa, restricting type, unspecified

F50
Block
0
Synonyms
165
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM F50.019

ICD-10-CM code F50.019 represents Anorexia nervosa, restricting type, unspecified. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F50). The 2026 edition of ICD-10-CM F50.019 became effective on October 1, 2025.

Coding Tips for F50.019

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

F50.019 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Anorexia nervosa, restricting type, unspecified. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for F50.019

Local Coverage Determinations (LCDs) from CMS MACs that list F50.019 as a covered diagnosis.

165 LCDs

Showing top 10 of 165 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 96146 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90839 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90870 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90865 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Outpatient Psychiatry and Psychology Services
Article ID: 57065, Effective: 2025-11-06 00:00:00, 772 covered, 0 non-covered
CPT 90845 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F50.019.

9 policies

1 Cigna

Serum Folate and Red Blood Cell Folate Testing - (0567)
Policy ID: MM_0567

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Partial Hospitalization Programs
Policy ID: ART-56685
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-56850
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56865
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937

CPT Codes Commonly Billed with F50.019

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for F50.019

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 F50.019, Billing FAQ

Is ICD-10 code F50.019 billable? +

Yes, F50.019 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is F50.019 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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