ICD-10 Coding for Combativeness(R46.82, F02.81)
Complete ICD-10-CM coding and documentation guide for Combativeness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Combativeness
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R46.82 | Combative behavior | Use when combativeness is a standalone symptom without a confirmed underlying condition. |
|
| F02.81 | Dementia in other diseases classified elsewhere with behavioral disturbance | Use when combativeness is part of dementia with documented behavioral disturbances. |
|
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 combativeness
Essential facts and insights about Combativeness
Primary ICD-10-CM Codes for combativeness
Decision Criteria
clinical Criteria
- Documented episodes of combativeness without a confirmed underlying condition
coding Criteria
- Use R46.82 only when no specific condition explains the behavior
Applicable To
- Aggressive behavior
- Violent behavior
Clinical Validation Requirements
- Documented episodes of combativeness
- Absence of underlying psychiatric or neurological condition
Code-Specific Risks
- Incorrectly using when a more specific code is available
Coding Notes
- Ensure combativeness is documented as a symptom without a confirmed underlying condition.
F02.81 - Dementia in other diseases classified elsewhere with behavioral disturbance
Use when combativeness is part of dementia with documented behavioral disturbances.
Applicable To
- Dementia with aggressive behavior
Excludes
- Combative behavior without dementia (R46.82)
Clinical Validation Requirements
- Diagnosis of dementia with documented behavioral disturbances
Coding Notes
Ensure dementia with behavioral disturbance is documented.
Differential 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 Combativeness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R46.82.
Impact
Clinical: May lead to incorrect treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on detailed documentation practices, Use standardized templates
Impact
Reimbursement: May affect DRG assignments if incorrect code is used., Compliance: Risk of non-compliance with ICD-10 coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Use F02.81 when combativeness is part of dementia with behavioral disturbances.
Impact
Using R46.82 when F02.81 is more appropriate.
Mitigation Strategy
Regular training and audits of coding practices.
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 Combativeness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Combativeness
Use these documentation templates to ensure complete and accurate documentation for Combativeness. These templates include all required elements for proper coding and billing.
Emergency Department Assessment
Specialty: Emergency MedicineRequired Elements
- Onset and duration of combativeness
- Precipitating factors
- De-escalation methods used
- Injury documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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