ICD-10 Coding for Panic Disorder Without Agoraphobia(F41.0)
Complete ICD-10-CM coding and documentation guide for Panic Disorder Without Agoraphobia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Panic Disorder Without Agoraphobia
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes various anxiety disorders, with F41.0 specifically addressing panic disorder without agoraphobia.
Key Information: ICD-10 code for panic disorder without agoraphobia
Essential facts and insights about Panic Disorder Without Agoraphobia
Primary ICD-10-CM Code for panic disorder without agoraphobia
Decision Criteria
clinical Criteria
- Recurrent unexpected panic attacks with no avoidance behavior
documentation Criteria
- Detailed description of panic attacks and absence of agoraphobia
Applicable To
- Recurrent unexpected panic attacks
- Persistent concern about additional attacks
Clinical Validation Requirements
- Recurrent unexpected panic attacks
- Persistent worry about attacks for at least one month
- Absence of agoraphobia
Code-Specific Risks
- Misclassification with F41.9 due to incomplete documentation
- Failure to document absence of agoraphobia
Coding Notes
- Ensure documentation clearly differentiates from agoraphobia and other anxiety disorders.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Generalized anxiety disorder
F41.1Differential 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 Panic Disorder Without Agoraphobia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Increases audit risk., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates for documentation., Include specific details about each attack.
Impact
Reimbursement: Incorrect DRG assignment may reduce reimbursement., Compliance: Increases risk of audit failures., Data Quality: Leads to inaccurate clinical data recording.
Mitigation Strategy
Ensure documentation specifies unexpected panic attacks and absence of agoraphobia.
Impact
Inadequate documentation may lead to audit failures.
Mitigation Strategy
Ensure comprehensive documentation of symptoms and absence of agoraphobia.
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 Panic Disorder Without Agoraphobia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Panic Disorder Without Agoraphobia
Use these documentation templates to ensure complete and accurate documentation for Panic Disorder Without Agoraphobia. These templates include all required elements for proper coding and billing.
Patient with recurrent panic attacks
Specialty: PsychiatryRequired Elements
- Frequency of attacks
- Symptoms experienced
- Impact on daily life
- Absence of agoraphobia
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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