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Home/Diagnosis/ICD-10 Coding for Behavioral Problem

ICD-10 Coding for Behavioral Problem

F91.3
F43.24

Complete ICD-10-CM coding and documentation guide for icd-10 coding for behavioral problem includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Behavioral Issues
Conduct Problems
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Key Information: ICD-10 Coding for Behavioral Problem

Essential facts and insights about ICD-10 Coding for Behavioral Problem

Use ICD-10 code F91.3 for oppositional defiant disorder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Oppositional defiant disorder

Billable Code
F91.3
Billable

Diagnostic Criteria

clinical:
  • Presence of ≥4 DSM-5 criteria for ODD
documentation:
  • Behavior observed in multiple settings

Applicable To

  • • Recurrent pattern of angry/irritable mood
  • • Argumentative/defiant behavior

Important Notes

  • • Ensure documentation includes specific DSM-5 criteria met by the patient.

Adjustment disorder with mixed disturbance of emotions and conduct

Billable Code
F43.24
Billable

Diagnostic Criteria

clinical:
  • Symptom onset within 3 months of identifiable stressor
documentation:
  • No prior psychiatric history

Applicable To

  • • Clinically significant distress
  • • Impairment in social/occupational functioning

Important Notes

  • • Document the specific stressor and the timeline of symptom onset.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z55.8

Problems related to education and literacy

Use to provide context for academic underachievement related to behavioral issues.

R45.6

Violent behavior

Use to document specific behavioral manifestations.

Frequently Asked Questions

What is the ICD-10 code for oppositional defiant disorder?

The ICD-10 code for oppositional defiant disorder is F91.3. It is used when a patient exhibits persistent oppositional behavior that meets DSM-5 criteria.

How do you code adjustment disorder with mixed disturbance?

Adjustment disorder with mixed disturbance of emotions and conduct is coded as F43.24. It requires documentation of a specific stressor and symptom onset within 3 months.

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