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ICD-10 Coding for Dysthymic Disorder(F34.1)

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

Also known as:

Persistent Depressive Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Dysthymic Disorder

F30-F39Primary Range

Mood [affective] disorders

This range includes all mood disorders, with F34.1 specifically for dysthymic disorder.

Key Information: ICD-10 code for dysthymic disorder

Essential facts and insights about Dysthymic Disorder

The ICD-10 code for dysthymic disorder is F34.1, used for chronic low-grade depression lasting at least two years in adults.

Primary ICD-10-CM Code for dysthymic disorder

Dysthymic disorder
Billable Code

Decision Criteria

clinical Criteria

  • Chronic depressed mood with specific symptoms for at least two years

documentation Criteria

  • Documented history of symptoms without remission longer than two months

Applicable To

  • Chronic depression
  • Neurotic depression

Excludes

  • Major depressive disorder (F32.-, F33.-)

Clinical Validation Requirements

  • Chronic depressed mood for at least two years in adults
  • Presence of at least two symptoms such as poor appetite, insomnia, low energy, low self-esteem, poor concentration, or hopelessness

Code-Specific Risks

  • Confusion with major depressive disorder codes
  • Inadequate documentation of symptom duration

Coding Notes

  • Ensure documentation specifies duration and symptoms to differentiate from major depressive disorder.

Ancillary Codes

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

Other specified anxiety disorders

F41.8
Use when anxiety symptoms are documented alongside dysthymic disorder.

Differential Codes

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

Major depressive disorder, single episode, unspecified

F32.9
Acute onset with five or more symptoms of major depression lasting less than two years.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dysthymic Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F34.1.

Impact

Clinical: Misdiagnosis risk, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials

Mitigation Strategy

Use standardized assessment tools, Document specific symptoms and duration

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient care.

Mitigation Strategy

Use F32.x or F33.x for major depressive disorder episodes.

Impact

Inadequate documentation of symptom duration and severity.

Mitigation Strategy

Use templates and standardized scales for documentation.

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 Dysthymic Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Dysthymic Disorder

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

Chronic depression management

Specialty: Psychiatry

Required Elements

  • Symptom duration
  • Symptom severity
  • Treatment history
  • Functional impact

Example Documentation

Patient reports persistent low mood and fatigue for over two years, with no remission longer than two months. PHQ-9 score: 14.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has chronic depression.
Good Documentation Example
Patient reports low mood and fatigue for 2.5 years, PHQ-9 score: 14, no remission >2 months.
Explanation
The good example provides specific duration and symptom details, meeting documentation requirements.

Need help with ICD-10 coding for Dysthymic Disorder? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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