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ICD-10 Coding for Anxiety Attack(F41.0, F41.1, F41.9)

Complete ICD-10-CM coding and documentation guide for Anxiety Attack. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Panic AttackAnxiety Episode

Related ICD-10 Code Ranges

Complete code families applicable to Anxiety Attack

F40-F48Primary Range

Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders

This range includes all anxiety-related disorders, including panic disorder and generalized anxiety disorder.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F41.0Panic disorder [episodic paroxysmal anxiety]Use when the patient experiences recurrent panic attacks with specific symptoms.
  • Recurrent unexpected panic attacks
  • ≥4 symptoms such as palpitations, sweating, trembling
  • Symptoms peak within 10 minutes
F41.1Generalized anxiety disorderUse when anxiety is chronic and impacts multiple life domains.
  • Excessive anxiety occurring more days than not for 6+ months
  • Functional impairment due to anxiety
F41.9Anxiety disorder, unspecifiedUse when anxiety symptoms do not meet criteria for a specific disorder.
  • Anxiety symptoms present but insufficient for specific diagnosis

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 anxiety attack

Essential facts and insights about Anxiety Attack

The ICD-10 code for anxiety attacks is F41.0, which covers panic disorder. Proper documentation of symptoms and duration is essential.

Primary ICD-10-CM Codes for anxiety attack

Panic disorder [episodic paroxysmal anxiety]
Billable Code

Decision Criteria

clinical Criteria

  • Recurrent unexpected panic attacks with specific symptoms

documentation Criteria

  • Documented symptoms and duration

Applicable To

  • Panic attack

Excludes

  • Anxiety disorder, unspecified (F41.9)

Clinical Validation Requirements

  • Recurrent unexpected panic attacks
  • ≥4 symptoms such as palpitations, sweating, trembling
  • Symptoms peak within 10 minutes

Code-Specific Risks

  • Overlapping symptoms with other anxiety disorders
  • Misclassification if not all criteria are met

Coding Notes

  • Ensure documentation includes specific symptoms and duration.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Patient's noncompliance with medical treatment and regimen

Z91.14
Use when noncompliance with anxiety medication is documented.

Social determinants of health

Z55-Z65
Use when social factors impact treatment.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Generalized anxiety disorder

F41.1
Chronic worry over 6 months with ≥3 symptoms like restlessness, fatigue.

Panic disorder

F41.0
Panic attacks with sudden onset and specific symptoms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Anxiety Attack to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.0.

Impact

Clinical: Leads to vague treatment plans., Regulatory: Increases risk of audit failures., Financial: May result in claim denials.

Mitigation Strategy

Ensure all symptoms and durations are documented., Use specific codes whenever possible.

Impact

Reimbursement: Incorrect sequencing can affect reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Leads to inaccurate clinical data.

Mitigation Strategy

Sequence depression codes first if anxiety occurs during depressive episodes.

Impact

High risk of audit if unspecified codes are overused without proper documentation.

Mitigation Strategy

Ensure all symptoms and durations are documented to justify code use.

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 Anxiety Attack, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Anxiety Attack

Use these documentation templates to ensure complete and accurate documentation for Anxiety Attack. These templates include all required elements for proper coding and billing.

Emergency Department Note

Specialty: Emergency Medicine

Required Elements

  • Chief complaint
  • History of present illness
  • Review of systems
  • Assessment
  • Plan

Example Documentation

CC: Chest pain and shaking HPI: 34yo F c/o sudden-onset chest tightness, palpitations, and trembling while watching TV. Symptoms peaked at 8 mins. Denies cardiac history. 3 similar episodes in past 2 weeks. ROS: +nausea, -sob, -syncope Assessment: Recurrent panic attacks (F41.0) Plan: Start SSRI, refer CBT

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient anxious. Will continue current treatment.
Good Documentation Example
Patient reports 4 discrete episodes meeting full DSM-5 panic attack criteria in past month, including palpitations, trembling, and fear of dying. PHQ-9: 15 (moderate), GAD-7: 18 (severe).
Explanation
The good example provides specific symptoms and assessment scores, which are necessary for accurate coding and treatment planning.

Need help with ICD-10 coding for Anxiety Attack? Ask your questions below.

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