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ICD-10 Coding for Mixed Anxiety and Depressive Disorder(F41.2)

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

Also known as:

MADDAnxious Depressionanxiety depressionmixed depression and anxiety

Related ICD-10 Code Ranges

Complete code families applicable to Mixed Anxiety and Depressive Disorder

F40-F48Primary Range

Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders

This range includes disorders characterized by anxiety and depression, including MADD.

Key Information: ICD-10 code for mixed anxiety and depressive disorder

Essential facts and insights about Mixed Anxiety and Depressive Disorder

The ICD-10 code for mixed anxiety and depressive disorder is F41.2, used when symptoms of anxiety and depression coexist without clear predominance.

Primary ICD-10-CM Code for mixed anxiety and depressive disorder

Mixed anxiety and depressive disorder
Non-billable Code

Decision Criteria

clinical Criteria

  • Symptoms of anxiety and depression are present but neither predominates.

documentation Criteria

  • Document symptom duration and impact on functioning.

Applicable To

  • Anxiety and depression, mixed

Excludes

  • Major depressive disorder (F32.-)
  • Generalized anxiety disorder (F41.1)

Clinical Validation Requirements

  • Symptoms of both anxiety and depression present
  • Neither symptom predominates
  • Symptoms cause significant distress or impairment

Code-Specific Risks

  • Incorrectly coding when one symptom predominates
  • Lack of documentation on symptom severity

Coding Notes

  • Ensure documentation specifies that neither anxiety nor depression predominates.

Differential Codes

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

Major depressive disorder, single episode, unspecified

F32.9
Use if depressive symptoms are predominant and meet criteria for major depressive disorder.

Anxiety disorder, unspecified

F41.9
Use if anxiety symptoms are predominant and meet criteria for generalized anxiety disorder.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Mixed Anxiety and Depressive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.2.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Use specific symptom descriptors, Document standardized assessment scores

Impact

Reimbursement: May lead to incorrect reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use F32.9 or F41.9 if one symptom clearly predominates.

Impact

Inadequate documentation of symptom severity and duration.

Mitigation Strategy

Implement regular training on documentation standards.

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 Mixed Anxiety and Depressive Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Mixed Anxiety and Depressive Disorder

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

Outpatient psychiatric evaluation

Specialty: Psychiatry

Required Elements

  • Symptom description
  • Duration of symptoms
  • Impact on functioning
  • PHQ-9 and GAD-7 scores

Example Documentation

Patient reports equal levels of anxiety and depression for 3 weeks, impacting work performance. PHQ-9=8, GAD-7=9.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient is anxious and depressed.
Good Documentation Example
Patient reports persistent worry and low mood for 3 weeks, affecting job performance. PHQ-9=8, GAD-7=9.
Explanation
The good example provides specific symptom details, duration, and impact on functioning.

Need help with ICD-10 coding for Mixed Anxiety and Depressive Disorder? Ask your questions below.

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

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