F98.3
Pica of infancy and childhood
Clinical Classification Guidelines
Inclusion Terms
- Pica in infancy or childhood, in remission
Excludes Type 1
- pica in adults (F50.83)
Medical Intelligence & Overview
Pica in infancy and childhood is a condition characterized by the persistent eating of non-food substances. This behavior is more common among young children but can be seen in individuals of any age. When diagnosed, it is important to understand that pica may sometimes be associated with other medical or psychological conditions. The ICD-10 code F98.3 specifically refers to pica in infants and children which is in remission, indicating that the individual previously experienced this behavior but it is currently not active.
Causes & Symptoms
Clinical Causes: Nutritional deficiencies, especially iron or zinc deficiency Developmental disorders, such as autism spectrum disorder Psychological factors, including stress or obsessive-compulsive tendencies Environmental factors, including exposure to certain substances Malnutrition or inadequate dietary intake Cultural practices or beliefs that encourage the ingestion of non-food items
Key Symptoms: Persistent craving for and consumption of non-nutritive, non-food substances like dirt, chalk, paper, or clay Repetitive behavior that interferes with normal development or daily activities Potential physical health issues such as dental damage, intestinal blockages, or poisoning from toxic substances Signs of nutritional deficiencies due to inadequate food intake or poor absorption Behavioral signs including irritability or developmental delays
Diagnostic & Treatment
Diagnosis Path: Diagnosis of pica involves a detailed medical history and physical examination. Healthcare providers may conduct laboratory tests to identify nutritional deficiencies and exclude other medical conditions. Observation of the child's eating behaviors and assessment of their environment are important. In some cases, additional evaluations by specialists such as a nutritionist or psychologist might be recommended to identify underlying causes or co-occurring conditions.
Treatment Protocols: Management of pica typically involves addressing the underlying causes and ensuring the child's safety. Interventions may include nutritional supplementation if deficiencies are identified, behavioral therapies to modify the eating habits, and environmental modifications to limit access to non-food items. In some cases, psychological support may be necessary, especially if pica is related to underlying developmental or mental health conditions. Ongoing monitoring and supportive care are essential to prevent complications and promote healthy development.
Clinical Advice & FAQs
Billing Guidance
Is F98.3 a billable ICD-10 code?
Yes, F98.3 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report F98.3?
Clinical documentation must specify the nature of Pica of infancy and childhood and any associated comorbidities for accurate reporting.
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