ICD-10 Coding for ADHD Combined Type(F90.2)
Complete ICD-10-CM coding and documentation guide for ADHD Combined Type. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ADHD Combined Type
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes all ADHD subtypes, with F90.2 specifically for the combined type.
Key Information: ICD-10 code for ADHD combined type
Essential facts and insights about ADHD Combined Type
Primary ICD-10-CM Code for adhd combined type
Decision Criteria
clinical Criteria
- Presence of both inattentive and hyperactive-impulsive symptoms
documentation Criteria
- Symptoms documented in at least two different settings
Applicable To
- ADHD with both inattentive and hyperactive-impulsive symptoms
Clinical Validation Requirements
- Documentation of ≥6 symptoms of inattention and ≥6 symptoms of hyperactivity-impulsivity
- Symptoms present in ≥2 settings (e.g., school, home)
- Symptoms present before age 12
Code-Specific Risks
- Risk of using unspecified codes when specific symptoms are documented
- Audit risks from insufficient documentation
Coding Notes
- Ensure documentation supports the presence of symptoms in multiple settings and rule out other conditions.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting ADHD Combined Type to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.2.
Impact
Clinical: May lead to misdiagnosis, Regulatory: Non-compliance with DSM-5 criteria, Financial: Potential claim denials
Mitigation Strategy
Review patient history thoroughly, Include historical records from school or pediatric visits
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Increases risk of audit failures, Data Quality: Reduces accuracy of patient records
Mitigation Strategy
Ensure documentation clearly supports the use of F90.2 by detailing both symptom categories.
Impact
Lack of detailed symptom documentation can lead to audit failures.
Mitigation Strategy
Ensure comprehensive documentation of symptoms and settings.
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 ADHD Combined Type, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ADHD Combined Type
Use these documentation templates to ensure complete and accurate documentation for ADHD Combined Type. These templates include all required elements for proper coding and billing.
Pediatric ADHD Evaluation
Specialty: PediatricsRequired Elements
- Patient history
- Symptom checklist
- Behavioral assessment results
- Physical examination findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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