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Home/Diagnosis/ICD-10 Coding for Schizoaffective Disorder

ICD-10 Coding for Schizoaffective Disorder

F25.0
F25.1
F25.8

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

Also Known as:
Schizoaffective Psychosis
Schizoaffective Syndrome
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Key Information: ICD-10 Coding for Schizoaffective Disorder

Essential facts and insights about ICD-10 Coding for Schizoaffective Disorder

Use ICD-10 code F25.0 for schizoaffective disorder, bipolar type, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Schizoaffective disorder, bipolar type

Billable Code
F25.0
Billable

Diagnostic Criteria

  • • Psychotic symptoms persist beyond mood episode

Applicable To

  • • Cyclic schizophrenia
  • • Mania with psychotic symptoms

Important Notes

  • • Ensure documentation specifies the bipolar type and duration of psychotic symptoms.

Schizoaffective disorder, depressive type

Billable Code
F25.1
Billable

Diagnostic Criteria

  • • Use when a major depressive episode occurs with psychotic symptoms.

Applicable To

  • • Depressive psychosis with hallucinations

Important Notes

  • • Document the depressive type and ensure psychotic symptoms are independent of mood episodes.

Other schizoaffective disorders

Billable Code
F25.8
Billable

Diagnostic Criteria

  • • Use for rare subtypes not classified under F25.0 or F25.1.

Applicable To

  • • Rare subtypes like seasonal pattern

Important Notes

  • • Ensure documentation clearly specifies the atypical nature of the disorder.

Schizoaffective disorder, unspecified

Billable Code
F25.9
Billable

Diagnostic Criteria

  • • Use when documentation does not specify bipolar or depressive type.

Important Notes

  • • Encourage detailed documentation to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

F06.1

Catatonia associated with a mental disorder

Use when catatonic symptoms are present.

Z65.8

Other specified problems related to psychosocial circumstances

Use to document social determinants affecting the disorder.

Frequently Asked Questions

What is the ICD-10 code for schizoaffective disorder?

The ICD-10 code for schizoaffective disorder includes F25.0 for bipolar type and F25.1 for depressive type. These codes require specific documentation of mood and psychotic symptoms.

How do you differentiate schizoaffective disorder from schizophrenia?

Schizoaffective disorder requires concurrent mood and psychotic symptoms, whereas schizophrenia involves psychosis without mood episodes.

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