ICD-10 Coding for Psychosis Disorder(F23, F29)
Complete ICD-10-CM coding and documentation guide for Psychosis Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Psychosis Disorder
F20-F29Primary Range
Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
This range includes all primary codes for psychosis disorders, including schizophrenia and acute psychotic episodes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F23 | Acute and transient psychotic disorders | Use for sudden onset psychotic episodes lasting less than 3 months. |
|
| F29 | Unspecified psychosis not due to a substance or known physiological condition | Use when specific psychotic disorder cannot be determined. |
|
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 acute psychosis
Essential facts and insights about Psychosis Disorder
Primary ICD-10-CM Codes for psychosis disorder
Decision Criteria
clinical Criteria
- Symptoms must have a sudden onset and last less than 3 months.
Applicable To
- Acute polymorphic psychotic disorder
- Brief psychotic disorder
Excludes
- Substance-induced psychotic disorder
- Psychotic disorder due to a medical condition
Clinical Validation Requirements
- Sudden onset of symptoms
- Duration less than 3 months
- Exclusion of substance-induced causes
Code-Specific Risks
- Misclassification if duration exceeds 3 months
- Failure to document acute onset
Coding Notes
- Ensure documentation specifies acute onset and short duration.
F29 - Unspecified psychosis not due to a substance or known physiological condition
Use when specific psychotic disorder cannot be determined.
Applicable To
- Psychosis NOS
Excludes
- Schizophrenia
- Schizoaffective disorder
Clinical Validation Requirements
- Lack of specific diagnosis
- Exclusion of other psychotic disorders
Coding Notes
Document reasons for uncertainty in diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Psychosis Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F23.
Impact
Clinical: Misdiagnosis risk, Regulatory: Increased audit likelihood, Financial: Potential reimbursement issues
Mitigation Strategy
Use specific language in documentation, Detail symptom onset and duration
Impact
Reimbursement: Potential lower reimbursement, Compliance: Increased audit risk, Data Quality: Decreased specificity in data
Mitigation Strategy
Ensure documentation supports acute onset and duration for F23.
Impact
Frequent use of F29 without supporting documentation.
Mitigation Strategy
Ensure documentation justifies use of unspecified codes.
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 Psychosis Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Psychosis Disorder
Use these documentation templates to ensure complete and accurate documentation for Psychosis Disorder. These templates include all required elements for proper coding and billing.
Acute psychotic episode
Specialty: PsychiatryRequired Elements
- Onset date
- Duration of symptoms
- Exclusion of substance use
- Detailed symptom description
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Psychosis Disorder? Ask your questions below.