ICD-10 Coding for ADD without Hyperactivity(F90.0)
Complete ICD-10-CM coding and documentation guide for ADD without Hyperactivity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ADD without Hyperactivity
F90.0-F90.9Primary Range
Attention-deficit hyperactivity disorders
This range includes all ADHD presentations, with F90.0 specifically for the inattentive type without hyperactivity.
Key Information: ICD-10 code for ADD without hyperactivity
Essential facts and insights about ADD without Hyperactivity
Primary ICD-10-CM Code for add without hyperactivity
Decision Criteria
clinical Criteria
- Document ≥6 inattentive symptoms for ≥6 months with no hyperactivity.
coding Criteria
- Use F90.0 for inattentive type without hyperactivity.
documentation Criteria
- Include examples of inattention and absence of hyperactivity.
Applicable To
- ADD without hyperactivity
Clinical Validation Requirements
- ≥6 inattentive symptoms for ≥6 months
- Symptoms present before age 12
- Impairment in ≥2 settings (e.g., school, home)
- No significant hyperactivity
Code-Specific Risks
- Misclassification with F90.9 if specificity is not documented
- Confusion with F90.2 if hyperactivity is present
Coding Notes
- Ensure documentation explicitly states the absence of hyperactivity to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for general adult medical examination without abnormal findings
Z00.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting ADD without Hyperactivity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.0.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with ICD-10 coding guidelines., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Include explicit statements negating hyperactivity., Use templates that prompt for all required elements.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding specificity requirements., Data Quality: Inaccurate healthcare data and statistics.
Mitigation Strategy
Query provider for specificity and use F90.0 if inattentive type is confirmed.
Impact
Risk of audits due to non-specific ADHD coding.
Mitigation Strategy
Ensure detailed documentation of inattentive symptoms and absence of hyperactivity.
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 ADD without Hyperactivity, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ADD without Hyperactivity
Use these documentation templates to ensure complete and accurate documentation for ADD without Hyperactivity. These templates include all required elements for proper coding and billing.
Pediatric ADHD Evaluation
Specialty: PediatricsRequired Elements
- Patient age and symptom onset
- Inattentive symptoms with duration
- Settings affected
- Exclusion of hyperactivity
- Rating scales used
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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