F50.021

Anorexia nervosa, binge eating/purging type, moderate

FY2027Chapter 5: Mental, Behavioral and Neurodevelopmental disorders/F50–F59 Behavioral syndromes associated with physiological disturbances and physical factors

BillableComplete code, valid to report

F50.021 (also written F50021) is a billable ICD-10-CM diagnosis code for anorexia nervosa, binge eating/purging type, moderate. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 30 codes in category F50 (Eating disorders). Its coding notes include 6 Excludes1 entries and 3 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from F50.02 Anorexia nervosa, binge eating/purging type
Inherited from F50.0 Anorexia nervosa
  • loss of appetite (R63.0)
  • psychogenic loss of appetite (F50.89)
Inherited from F50 Eating disorders

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from F50 Eating disorders
  • feeding difficulties (R63.3-)
  • feeding disorder in infancy or childhood (F98.2-)
Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Behavioral Health clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 35 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

IPF Primary

IPF MS-DRG adjustment. A principal diagnosis of this code groups to this MS-DRG:

MS-DRGDescriptionFactor
883Disorders of personality & impulse control1.17
A principal diagnosis that groups to none of the 19 designated MS-DRGs gets no MS-DRG adjustment. Otherwise the claim still receives the federal per diem base rate and the other adjustments.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum A; code lists from the CMS MS-DRG Definitions Manual v44; effective for discharges on or after October 1, 2026

IPF Comorbidity

On the CMS IPF comorbidity list.

Comorbidity categoryFactor
Eating Disorders1.09
It counts as a comorbidity when reported as a secondary diagnosis and actively treated during the stay. An IPF receives only one adjustment within a category and can receive adjustments in more than one category.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum B-3 (comorbidity codes with adjustment factor); effective for discharges on or after October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
  • disorders of psychological development

Inclusion terms

Conditions classified to this code.

This code
  • Anorexia nervosa, binge eating/purging type, with a body mass index of 16.0-16.99 kg/m2