`F50.24` Bulimia nervosa, extreme

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

Bulimia nervosa with 14 or more episodes of inappropriate compensatory behavior per week

Applies from F50 Eating disorders

Excludes1 (never code together)

anorexia NOS (R63.0)
feeding problems of newborn (P92.-)
polyphagia (R63.2)

Excludes2 (not included here)

feeding difficulties (R63.3-)
feeding disorder in infancy or childhood (F98.2-)

Applies from F50.2 Bulimia nervosa

Applicable to

Bulimia NOS
Hyperorexia nervosa

Excludes1 (never code together)

anorexia nervosa, binge eating/purging type (F50.02-)

Risk adjustment (HCC)

CMS-HCC V28: HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
RxHCC V08: HCC 133 — Anxiety and Other Psychiatric Disorders

MS-DRG index

Defines the logic of DRG(s) 887 in MDC 19.

Code annotations containing back-references to F50.24

Back-references to F50.2

Type 1 Excludes: F50.02 Anorexia nervosa, binge eating/purging type ("bulimia nervosa (F50.2-)")
Type 1 Excludes: R11 Nausea and vomiting ("vomiting associated with bulimia nervosa (F50.2-)")
Type 1 Excludes: R63 Symptoms and signs concerning food and fluid intake ("bulimia NOS (F50.2-)")

Back-references to F50

Type 2 Excludes: F98.2 Other feeding disorders of infancy and childhood ("anorexia nervosa and other eating disorders (F50.-)")
Type 1 Excludes: P92 Feeding problems of newborn ("eating disorders (F50.-)")
Type 2 Excludes: R63.3 Feeding difficulties ("eating disorders (F50.-)")
Type 1 Excludes: Z72.4 Inappropriate diet and eating habits ("eating disorders (F50.-)")

Nearby codes

F50.2 Bulimia nervosa
F50.20 Bulimia nervosa, unspecified
F50.21 Bulimia nervosa, mild
F50.22 Bulimia nervosa, moderate
F50.23 Bulimia nervosa, severe
F50.24 Bulimia nervosa, extreme (this code)
F50.25 Bulimia nervosa, in remission
F50.8 Other eating disorders
F50.81 Binge eating disorder
F50.810 Binge eating disorder, mild
F50.811 Binge eating disorder, moderate