ICD-10 Coding for Adult ADHD(F90.0, F90.2)
Complete ICD-10-CM coding and documentation guide for Adult ADHD. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adult ADHD
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes ADHD and related behavioral disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F90.0 | Attention-deficit hyperactivity disorder, predominantly inattentive type | Use when patient exhibits predominantly inattentive symptoms without hyperactivity. |
|
| F90.2 | Attention-deficit hyperactivity disorder, combined type | Use when both inattentive and hyperactive symptoms are present. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for adult ADHD
Essential facts and insights about Adult ADHD
Primary ICD-10-CM Codes for adult adhd
Decision Criteria
clinical Criteria
- Predominantly inattentive symptoms without hyperactivity
F90.2 - Attention-deficit hyperactivity disorder, combined type
Use when both inattentive and hyperactive symptoms are present.
Excludes
- F41.1
- F34.1
Clinical Validation Requirements
- ≥5 DSM-5 inattentive and hyperactive symptoms present ≥6 months
- Symptoms cause impairment in ≥2 settings
Coding Notes
Ensure documentation supports combined type criteria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of other medications
Z79.899Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adult ADHD to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.0.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use structured templates, Include DSM-5 criteria
Impact
Reimbursement: May lead to denied claims, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate patient records
Mitigation Strategy
Use F90.0 or F90.2 based on documented symptoms
Impact
Using unspecified codes when specific types are documented
Mitigation Strategy
Educate providers on specific coding requirements
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 Adult ADHD, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adult ADHD
Use these documentation templates to ensure complete and accurate documentation for Adult ADHD. These templates include all required elements for proper coding and billing.
Adult ADHD Evaluation
Specialty: PsychiatryRequired Elements
- DSM-5 criteria
- Symptom examples
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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