ICD-10 Coding for Generalized Anxiety Disorder with Panic Attacks(F41.1, F41.0)
Complete ICD-10-CM coding and documentation guide for Generalized Anxiety Disorder with Panic Attacks. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Generalized Anxiety Disorder with Panic Attacks
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes codes for anxiety disorders, including generalized anxiety disorder and panic disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F41.1 | Generalized anxiety disorder | Use when the primary condition is generalized anxiety disorder with panic attacks occurring in the context of GAD-related worries. |
|
| F41.0 | Panic disorder [episodic paroxysmal anxiety] | Use when panic attacks are the primary concern and are not associated with GAD-related worries. |
|
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 generalized anxiety disorder with panic attacks
Essential facts and insights about Generalized Anxiety Disorder with Panic Attacks
Primary ICD-10-CM Codes for generalized anxiety disorder with panic attacks
Decision Criteria
clinical Criteria
- Presence of excessive worry for more than 6 months with physical symptoms.
coding Criteria
- Panic attacks occur in the context of GAD-related worries.
Applicable To
- Anxiety disorder, generalized
Excludes
- Panic disorder (F41.0)
Clinical Validation Requirements
- Excessive worry for more days than not for at least 6 months
- Presence of at least 3 physical symptoms (e.g., muscle tension, insomnia)
Code-Specific Risks
- Incorrectly coding as unspecified anxiety disorder (F41.9) when criteria for GAD are met.
Coding Notes
- Ensure documentation specifies the duration and context of anxiety and panic symptoms.
F41.0 - Panic disorder [episodic paroxysmal anxiety]
Use when panic attacks are the primary concern and are not associated with GAD-related worries.
Applicable To
- Panic disorder without agoraphobia
Excludes
- Generalized anxiety disorder (F41.1)
Clinical Validation Requirements
- Recurrent unexpected panic attacks
- At least 1 month of persistent concern about additional attacks
Coding Notes
Document the unexpected nature of panic attacks and any behavioral changes.
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 Generalized Anxiety Disorder with Panic Attacks to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.1.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use structured templates for documentation., Include specific symptom descriptions and durations.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit failure., Data Quality: Leads to inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation supports the specific diagnosis of GAD or panic disorder.
Impact
Using unspecified codes when specific criteria are met.
Mitigation Strategy
Regular training on ICD-10 criteria for anxiety disorders.
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 Generalized Anxiety Disorder with Panic Attacks, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Generalized Anxiety Disorder with Panic Attacks
Use these documentation templates to ensure complete and accurate documentation for Generalized Anxiety Disorder with Panic Attacks. These templates include all required elements for proper coding and billing.
Outpatient assessment for GAD with panic attacks
Specialty: PsychiatryRequired Elements
- Patient history
- Symptom duration
- Physical examination findings
- GAD-7 score
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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