ICD-10 Coding for ADHD Predominantly Inattentive Type(F90.0)
Complete ICD-10-CM coding and documentation guide for ADHD Predominantly Inattentive Type. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ADHD Predominantly Inattentive Type
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes all ADHD subtypes, including predominantly inattentive type.
Key Information: ICD-10 code for ADHD predominantly inattentive type
Essential facts and insights about ADHD Predominantly Inattentive Type
Primary ICD-10-CM Code for adhd predominantly inattentive type
Decision Criteria
clinical Criteria
- Patient exhibits ≥6 inattentive symptoms without hyperactivity.
documentation Criteria
- Symptoms documented in multiple settings with functional impairment.
Clinical Validation Requirements
- ≥6 inattentive symptoms in children or ≥5 in adults
- Symptoms persist for ≥6 months
- Symptoms present in ≥2 settings
Code-Specific Risks
- Incorrectly coding when hyperactivity is present
- Using without sufficient documentation of symptoms
Coding Notes
- Ensure documentation supports the absence of hyperactivity and meets DSM-5 criteria.
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.
Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive type
F90.1Attention-deficit hyperactivity disorder, combined type
F90.2Anxiety disorder, unspecified
F41.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting ADHD Predominantly Inattentive Type 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 misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific DSM-5 criteria, Include symptom duration and settings
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify symptom criteria and use F90.2 if both inattentive and hyperactive symptoms are present.
Impact
Lack of specific symptom documentation can trigger audits.
Mitigation Strategy
Ensure all DSM-5 criteria are documented with examples.
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 Predominantly Inattentive Type, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ADHD Predominantly Inattentive Type
Use these documentation templates to ensure complete and accurate documentation for ADHD Predominantly Inattentive Type. These templates include all required elements for proper coding and billing.
Pediatric ADHD-I diagnosis
Specialty: PediatricsRequired Elements
- History of Present Illness
- Symptoms
- Functional Impairment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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