ICD-10 Coding for Trichotillomania(F63.3)
Complete ICD-10-CM coding and documentation guide for Trichotillomania. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Trichotillomania
F63-F63.9Primary Range
Disorders of impulse control
This range includes disorders characterized by the inability to resist an impulse, drive, or temptation to perform an act that is harmful to the person or to others.
Key Information: ICD-10 code for trichotillomania
Essential facts and insights about Trichotillomania
Primary ICD-10-CM Code for trichotillomania
Decision Criteria
clinical Criteria
- Presence of recurrent hair pulling leading to noticeable hair loss.
documentation Criteria
- Documented attempts to stop hair pulling and associated distress.
Applicable To
- Habitual hair pulling
Excludes
- Alopecia areata (L63.9)
Clinical Validation Requirements
- Recurrent hair pulling resulting in hair loss
- Repeated attempts to decrease or stop hair pulling
- Clinically significant distress or impairment in social, occupational, or other areas of functioning
Code-Specific Risks
- Misclassification with alopecia areata
- Incorrect use of 'history of' codes when the condition is active
Coding Notes
- Ensure documentation supports the diagnosis with specific examples of hair pulling behavior and its impact.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Alopecia areata
L63.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Trichotillomania to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F63.3.
Impact
Clinical: Leads to inadequate treatment planning., Regulatory: May result in audit issues., Financial: Potential for denied claims.
Mitigation Strategy
Use specific codes that reflect the current condition., Ensure documentation supports the chosen code.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification may result in compliance issues., Data Quality: Affects the accuracy of patient records and data analysis.
Mitigation Strategy
Ensure documentation clearly supports trichotillomania diagnosis with evidence of hair pulling behavior.
Impact
Risk of coding trichotillomania as alopecia areata.
Mitigation Strategy
Ensure trichoscopic findings and patient history support trichotillomania diagnosis.
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 Trichotillomania, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Trichotillomania
Use these documentation templates to ensure complete and accurate documentation for Trichotillomania. These templates include all required elements for proper coding and billing.
Dermatology Evaluation
Specialty: DermatologyRequired Elements
- Location and extent of hair loss
- Trichoscopic findings
- Patient's reported behavior and attempts to stop
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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