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ICD-10 Coding for ADHA Inattentive(F90.0)

Complete ICD-10-CM coding and documentation guide for ADHA Inattentive. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

ADDADHD Inattentive TypeAttention Deficit Disorder

Related ICD-10 Code Ranges

Complete code families applicable to ADHA Inattentive

F90-F98Primary Range

Behavioral and emotional disorders with onset usually occurring in childhood and adolescence

This range includes ADHD and related disorders, with F90.0 specifically for the inattentive type.

Key Information: ICD-10 code for ADD

Essential facts and insights about ADHA Inattentive

The ICD-10 code for ADD, now classified as ADHD predominantly inattentive type, is F90.0.

Primary ICD-10-CM Code for add

Attention-deficit hyperactivity disorder, predominantly inattentive type
Billable Code

Decision Criteria

clinical Criteria

  • Absence of hyperactive symptoms

documentation Criteria

  • Symptoms documented in multiple settings

Applicable To

  • ADD
  • ADHD Inattentive Type

Excludes

  • ADHD, predominantly hyperactive/impulsive type (F90.1)
  • Other specified behavioral/emotional disorders (F98.8)

Clinical Validation Requirements

  • Behavioral assessments such as Vanderbilt Assessment
  • Symptoms present in two or more settings
  • Duration of symptoms for at least 6 months

Code-Specific Risks

  • Misclassification if hyperactivity is present
  • Use of outdated terminology like ADD

Coding Notes

  • Ensure documentation specifies inattentive type and excludes hyperactivity.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Encounter for routine child health examination with abnormal findings

Z00.1
Use for developmental screenings that trigger the diagnosis.

Encounter for screening for certain developmental disorders in childhood

Z13.4
Use when screening for developmental disorders.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

ADHD, predominantly hyperactive/impulsive type

F90.1
Presence of hyperactive symptoms without predominant inattention.

Other specified behavioral/emotional disorders

F98.8
Use when attention issues are secondary to other conditions like anxiety.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting ADHA Inattentive to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.0.

Impact

Clinical: Misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use specific DSM-5 criteria, Document symptoms in multiple settings

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 standards., Data Quality: Inaccurate patient records and statistics.

Mitigation Strategy

Use 'ADHD predominantly inattentive type' and code F90.0

Impact

Coding the wrong subtype of ADHD can lead to audit findings.

Mitigation Strategy

Use detailed templates and checklists for documentation.

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 ADHA Inattentive, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for ADHA Inattentive

Use these documentation templates to ensure complete and accurate documentation for ADHA Inattentive. These templates include all required elements for proper coding and billing.

Pediatric ADHD evaluation

Specialty: Pediatrics

Required Elements

  • Inattention symptoms
  • Duration of symptoms
  • Settings of symptom occurrence
  • Behavioral assessment results

Example Documentation

Patient exhibits 6/9 DSM-5 inattention criteria across school and home environments for 7 months.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has attention issues.
Good Documentation Example
Patient meets criteria for ADHD predominantly inattentive type per Vanderbilt scales.
Explanation
The good example provides specific criteria and assessment results, ensuring accurate coding.

Need help with ICD-10 coding for ADHA Inattentive? Ask your questions below.

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