ICD-10 Coding for Acute Psychotic Disorder(F23.2, F23.0)
Complete ICD-10-CM coding and documentation guide for Acute Psychotic Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Psychotic Disorder
F23Primary Range
Acute and transient psychotic disorders
This range includes all acute psychotic disorders with various subtypes based on specific clinical presentations.
Psychotic disorder with known physiological condition
Used when psychosis is secondary to a medical condition, requiring the medical condition to be coded first.
Unspecified psychosis not due to a substance or known physiological condition
Used when the psychosis cannot be classified under more specific codes like F23.
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 the patient presents with acute psychotic symptoms resembling schizophrenia, lasting less than a month. |
|
| F23.0 | Acute polymorphic psychotic disorder without symptoms of schizophrenia | Use for new-onset acute psychosis without prior history. |
|
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 psychotic disorder
Essential facts and insights about Acute Psychotic Disorder
Primary ICD-10-CM Codes for acute psychotic disorder
Decision Criteria
clinical Criteria
- Symptoms onset within 2 weeks and last less than 1 month.
documentation Criteria
- Exclusion of substance-induced or medical causes.
Applicable To
- Acute psychosis with schizophrenia-like features
Excludes
- Chronic schizophrenia (F20)
Clinical Validation Requirements
- Rapid onset of symptoms within 2 weeks
- Duration less than 1 month
- Exclusion of substance-induced or medical causes
Code-Specific Risks
- Risk of misclassification if duration exceeds one month.
Coding Notes
- Ensure documentation specifies the acute nature and excludes other causes.
F23.0 - Acute polymorphic psychotic disorder without symptoms of schizophrenia
Use for new-onset acute psychosis without prior history.
Applicable To
- First episode of acute psychosis
Excludes
- Chronic schizophrenia (F20)
Clinical Validation Requirements
- No prior psychotic episodes
- Abrupt behavioral changes
Coding Notes
Document the absence of prior episodes and abrupt onset.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Psychotic disorder with known physiological condition
F06.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Psychotic Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F23.2.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Include negative toxicology screen results., Document absence of substance use.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Leads to inaccurate clinical data reporting.
Mitigation Strategy
Ensure documentation specifies the type and duration of psychosis.
Impact
Using unspecified codes when specific codes apply.
Mitigation Strategy
Ensure documentation supports specific code selection.
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 Psychotic Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Psychotic Disorder
Use these documentation templates to ensure complete and accurate documentation for Acute Psychotic Disorder. These templates include all required elements for proper coding and billing.
Emergency Department Assessment
Specialty: PsychiatryRequired Elements
- Chief Complaint
- History of Present Illness
- Mental Status Exam
- Assessment and Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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