ICD-10 Coding for Intermittent Explosive Disorder(F63.81)
Complete ICD-10-CM coding and documentation guide for Intermittent Explosive Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intermittent Explosive Disorder
F63.81Primary Range
Disorders of impulse control not elsewhere classified
This range includes specific codes for impulse control disorders, with F63.81 being the primary code for Intermittent Explosive Disorder.
Key Information: ICD-10 code for Intermittent Explosive Disorder
Essential facts and insights about Intermittent Explosive Disorder
Primary ICD-10-CM Code for intermittent explosive disorder
Decision Criteria
clinical Criteria
- Patient exhibits recurrent aggressive outbursts disproportionate to stressors.
documentation Criteria
- Documented frequency of outbursts meets DSM-5 criteria.
Applicable To
- Recurrent aggressive outbursts
Clinical Validation Requirements
- Recurrent outbursts of verbal or physical aggression
- Outbursts grossly disproportionate to stressors
- Frequency: ≥2 times weekly for 3 months or ≥3 episodes in a year
Code-Specific Risks
- Misclassification with other impulse control disorders
- Inadequate documentation of frequency and disproportionality
Coding Notes
- Ensure documentation includes specific details about the nature and frequency of outbursts.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Attention-Deficit Hyperactivity Disorder, Combined Type
F90.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Oppositional Defiant Disorder
F91.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Intermittent Explosive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F63.81.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with DSM-5 criteria., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Use DSM-5 criteria as a checklist during evaluations., Train staff on specific documentation requirements for IED.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation Strategy
Ensure documentation supports the specific use of F63.81 by detailing the frequency and nature of outbursts.
Impact
Inadequate documentation of the frequency of outbursts can lead to audit issues.
Mitigation Strategy
Implement standardized templates for documenting frequency and context of episodes.
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 Intermittent Explosive Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intermittent Explosive Disorder
Use these documentation templates to ensure complete and accurate documentation for Intermittent Explosive Disorder. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for IED
Specialty: PsychiatryRequired Elements
- History of aggressive outbursts
- Triggers and stressors
- Functional impact
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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