ICD-10 Coding for Adjustment Disorder with Anxiety and Depression(F43.23)
Complete ICD-10-CM coding and documentation guide for Adjustment Disorder with Anxiety and Depression. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adjustment Disorder with Anxiety and Depression
F43.2Primary Range
Adjustment disorders
This range includes all adjustment disorders, with F43.23 specifically for mixed anxiety and depression.
Key Information: ICD-10 code for adjustment disorder with anxiety and depression
Essential facts and insights about Adjustment Disorder with Anxiety and Depression
Primary ICD-10-CM Code for adjustment disorder with anxiety and depression
Decision Criteria
clinical Criteria
- Symptoms must be a direct response to a stressor.
documentation Criteria
- Document both anxiety and depression symptoms.
Applicable To
- Symptoms of both anxiety and depression in response to a stressor
Clinical Validation Requirements
- Symptoms begin within 3 months of stressor
- Symptoms do not persist beyond 6 months after stressor ends
- Functional impairment is documented
Code-Specific Risks
- Incorrectly coding as unspecified adjustment disorder
- Failing to document the stressor
Coding Notes
- Ensure documentation links symptoms to the stressor and includes symptom duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Problems in relationship with spouse or partner
Z63.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adjustment Disorder with Anxiety and Depression to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F43.23.
Impact
Clinical: May lead to misdiagnosis, Regulatory: Increases audit risk, Financial: Potential claim denials
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failure., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Always use F43.23 when both anxiety and depression symptoms are present.
Impact
Lack of detailed stressor documentation can trigger audits.
Mitigation Strategy
Implement mandatory fields for stressor details in EHRs.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Adjustment Disorder with Anxiety and Depression, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adjustment Disorder with Anxiety and Depression
Use these documentation templates to ensure complete and accurate documentation for Adjustment Disorder with Anxiety and Depression. These templates include all required elements for proper coding and billing.
Patient with recent job loss presenting with anxiety and depression
Specialty: PsychiatryRequired Elements
- Stressor description
- Symptom onset and duration
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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