ICD-10 Coding for Attention Deficit Disorder Without Hyperactivity(F90.0)
Complete ICD-10-CM coding and documentation guide for Attention Deficit Disorder Without Hyperactivity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Attention Deficit Disorder Without Hyperactivity
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes ADHD and related behavioral disorders, with F90.0 specifically for the inattentive type.
Key Information: ICD-10 code for attention deficit disorder without hyperactivity
Essential facts and insights about Attention Deficit Disorder Without Hyperactivity
Primary ICD-10-CM Code for attention deficit disorder without hyperactivity
Decision Criteria
clinical Criteria
- Inattentive symptoms without hyperactivity
documentation Criteria
- Symptoms documented in multiple settings
Applicable To
- ADD without hyperactivity
Clinical Validation Requirements
- Presence of ≥6 inattentive symptoms in children (≥5 in adults) for at least 6 months
- Symptoms present in two or more settings (e.g., home, school)
- No significant hyperactivity or impulsivity
Code-Specific Risks
- Confusion with F90.9 (ADHD, unspecified type)
- Incorrect use for cases with hyperactivity
Coding Notes
- Ensure documentation specifies inattentive symptoms and excludes hyperactivity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for general adult medical examination without abnormal findings
Z00.1Differential 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 Attention Deficit Disorder Without Hyperactivity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use structured templates., Include symptom duration and setting.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases specificity of clinical data.
Mitigation Strategy
Clarify with provider to use F90.0 if inattentive type is confirmed.
Impact
Risk of using unspecified codes when specific subtypes are documented.
Mitigation Strategy
Ensure thorough documentation of symptoms and subtype.
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 Attention Deficit Disorder Without Hyperactivity, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Attention Deficit Disorder Without Hyperactivity
Use these documentation templates to ensure complete and accurate documentation for Attention Deficit Disorder Without Hyperactivity. These templates include all required elements for proper coding and billing.
Pediatric ADHD Evaluation
Specialty: PediatricsRequired Elements
- Subjective: Parent and teacher reports
- Objective: Symptom scales
- Assessment: DSM-5 criteria
- Plan: Treatment and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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