ICD-10 Coding for Panic Disorder(F41.0, F40.01)
Complete ICD-10-CM coding and documentation guide for Panic Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Panic Disorder
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes codes for various anxiety disorders, including 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 |
|---|---|---|---|
| F41.0 | Panic disorder [episodic paroxysmal anxiety] without agoraphobia | Use when panic attacks occur without agoraphobic avoidance. |
|
| F40.01 | Panic disorder with agoraphobia | Use when panic attacks are accompanied by agoraphobic avoidance. |
|
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 panic disorder
Essential facts and insights about Panic Disorder
Primary ICD-10-CM Codes for panic disorder
Decision Criteria
clinical Criteria
- Documented recurrent panic attacks without agoraphobic avoidance.
Applicable To
- Recurrent panic attacks without avoidance behaviors
Excludes
- Panic disorder with agoraphobia (F40.01)
Clinical Validation Requirements
- ≥2 unexpected panic attacks
- ≥1 month of persistent concern about additional attacks
Code-Specific Risks
- Overuse of unspecified codes like F41.9
Coding Notes
- Ensure documentation specifies the absence of agoraphobic avoidance.
F40.01 - Panic disorder with agoraphobia
Use when panic attacks are accompanied by agoraphobic avoidance.
Applicable To
- Panic attacks with avoidance of situations due to fear of panic
Excludes
- Panic disorder without agoraphobia (F41.0)
Clinical Validation Requirements
- Panic attacks with documented avoidance of ≥2 agoraphobic situations
Coding Notes
Document specific situations avoided due to panic.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified anxiety disorders
F41.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Panic Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.0.
Impact
Clinical: Inadequate treatment planning, Regulatory: Potential audit issues, Financial: Claim denials due to unspecified coding
Mitigation Strategy
Use specific symptom descriptors, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F40.01 if attacks are situationally predisposed.
Impact
Frequent use of F41.9 can trigger audits.
Mitigation Strategy
Ensure thorough documentation to support specific coding.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Panic Disorder
Use these documentation templates to ensure complete and accurate documentation for Panic Disorder. These templates include all required elements for proper coding and billing.
Recurrent Panic Attacks
Specialty: PsychiatryRequired Elements
- Frequency of attacks
- Duration of symptoms
- Triggers and avoidance behaviors
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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