ICD-10 Coding for Acute Psychosis(F23.2, F29)
Complete ICD-10-CM coding and documentation guide for Acute Psychosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Psychosis
F20-F29Primary Range
Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
This range includes codes for various psychotic disorders, including acute psychosis.
Mental disorders due to known physiological conditions
Includes psychotic disorders due to medical conditions, relevant for differential diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F23.2 | Acute schizophrenia-like psychotic disorder | Use when symptoms are acute, lasting less than 1 month, with no prior schizophrenia diagnosis. |
|
| F29 | Unspecified psychosis | Use when documentation is insufficient to specify a more precise psychotic disorder. |
|
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 Acute Psychosis
Primary ICD-10-CM Codes for acute psychosis
Decision Criteria
clinical Criteria
- Symptoms resolve within 1 month
documentation Criteria
- No prior schizophrenia diagnosis
Applicable To
- Brief psychotic disorder
Excludes
- Chronic schizophrenia (F20.x)
Clinical Validation Requirements
- Symptoms lasting less than 1 month
- No prior diagnosis of schizophrenia
Code-Specific Risks
- Misclassification if symptoms persist beyond 1 month
Coding Notes
- Ensure documentation specifies symptom duration and absence of prior schizophrenia.
F29 - Unspecified psychosis
Use when documentation is insufficient to specify a more precise psychotic disorder.
Excludes
- Specific psychotic disorders (F20-F28)
Clinical Validation Requirements
- Lack of specific etiology or symptom duration
Coding Notes
Ensure thorough documentation to avoid defaulting to this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Psychotic disorder due to known physiological condition
F06.2Differential 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 Acute Psychosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F23.2.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Increases risk of audit queries., Financial: Potential for incorrect reimbursement.
Mitigation Strategy
Use specific symptom descriptors, Document onset and duration clearly
Impact
Reimbursement: May affect DRG assignment and reimbursement rates., Compliance: Risk of non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Specify symptom duration to justify F23.2.
Impact
Lack of specific symptom documentation can lead to audit queries.
Mitigation Strategy
Ensure detailed documentation of symptoms, duration, and etiology.
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 Acute Psychosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Psychosis
Use these documentation templates to ensure complete and accurate documentation for Acute Psychosis. These templates include all required elements for proper coding and billing.
Acute psychosis in emergency setting
Specialty: PsychiatryRequired Elements
- History of present illness
- Mental status examination
- Symptom duration
- Substance use history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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