ICD-10 Coding for Adjustment Disorder with Depression and Anxiety(F43.23)
Complete ICD-10-CM coding and documentation guide for Adjustment Disorder with Depression and Anxiety. 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 Depression and Anxiety
F43.2Primary Range
Adjustment disorders
This range includes all adjustment disorders, with F43.23 specifically for mixed anxiety and depressed mood.
Key Information: ICD-10 code for adjustment disorder with depression and anxiety
Essential facts and insights about Adjustment Disorder with Depression and Anxiety
Primary ICD-10-CM Code for adjustment disorder with depression and anxiety
Decision Criteria
clinical Criteria
- Symptoms must be linked to an identifiable stressor and onset within 1 month.
coding Criteria
- Avoid using unspecified codes when mixed symptoms are documented.
documentation Criteria
- Document specific stressor and symptom impact on daily functioning.
Applicable To
- Symptoms of both anxiety and depression linked to a specific stressor
Clinical Validation Requirements
- Symptoms onset within 1 month of identifiable stressor
- ADNM-8 score ≥23.2
- PHQ-9 ≥10 and GAD-7 ≥8
Code-Specific Risks
- Incorrectly using F43.20 (unspecified) when mixed symptoms are documented
Coding Notes
- Always sequence F43.23 first, followed by the appropriate Z code for the stressor.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified problems related to psychosocial circumstances
Z65.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adjustment Disorder with Depression and Anxiety 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 incorrect diagnosis and treatment planning., Regulatory: Non-compliance with ICD-10 documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always ask about recent life changes or stressors., Include stressor details in the clinical notes.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies both anxiety and depressive symptoms to use F43.23.
Impact
Failure to document stressors can lead to audit flags.
Mitigation Strategy
Implement checklist for stressor documentation in patient evaluations.
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 Depression and Anxiety, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adjustment Disorder with Depression and Anxiety
Use these documentation templates to ensure complete and accurate documentation for Adjustment Disorder with Depression and Anxiety. These templates include all required elements for proper coding and billing.
Initial psychiatric evaluation for adjustment disorder
Specialty: PsychiatryRequired Elements
- Stressor identification
- Symptom description
- Functional impact
- Assessment scores
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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