ICD-10 Coding for Attention-Deficit/Hyperactivity Disorder(F90.0, F90.1, F90.2)
Complete ICD-10-CM coding and documentation guide for Attention-Deficit/Hyperactivity Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Attention-Deficit/Hyperactivity Disorder
F90.0-F90.9Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes all primary codes for ADHD, covering different presentations such as inattentive, hyperactive, and combined types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F90.0 | Attention-deficit hyperactivity disorder, predominantly inattentive type | Use when the patient exhibits predominantly inattentive symptoms without significant hyperactivity. |
|
| F90.1 | Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive type | Use when the patient exhibits predominantly hyperactive-impulsive symptoms without significant inattention. |
|
| F90.2 | Attention-deficit hyperactivity disorder, combined type | Use when the patient exhibits both inattentive and hyperactive-impulsive symptoms. |
|
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 ADHD
Essential facts and insights about Attention-Deficit/Hyperactivity Disorder
Primary ICD-10-CM Codes for adhd
Decision Criteria
clinical Criteria
- Presence of six or more inattentive symptoms per DSM-5
documentation Criteria
- Symptoms documented in two or more settings
Applicable To
- ADD without hyperactivity
Excludes
- F98.8 (Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence)
Clinical Validation Requirements
- Six or more inattentive symptoms per DSM-5 criteria
- Symptoms present in two or more settings
- Symptoms present before age 12
Code-Specific Risks
- Misclassification if hyperactivity is present
Coding Notes
- Ensure documentation includes specific inattentive symptoms and settings affected.
F90.1 - Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive type
Use when the patient exhibits predominantly hyperactive-impulsive symptoms without significant inattention.
Applicable To
- Hyperactivity without inattention
Excludes
- F98.8 (Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence)
Clinical Validation Requirements
- Six or more hyperactive-impulsive symptoms per DSM-5 criteria
- Symptoms present in two or more settings
- Symptoms present before age 12
Coding Notes
Ensure documentation includes specific hyperactive-impulsive symptoms and settings affected.
F90.2 - Attention-deficit hyperactivity disorder, combined type
Use when the patient exhibits both inattentive and hyperactive-impulsive symptoms.
Applicable To
- Combined type ADHD
Excludes
- F98.8 (Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence)
Clinical Validation Requirements
- Six or more inattentive and six or more hyperactive-impulsive symptoms per DSM-5 criteria
- Symptoms present in two or more settings
- Symptoms present before age 12
Coding Notes
Ensure documentation includes both inattentive and hyperactive-impulsive symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for screening for certain developmental disorders in childhood
Z13.4Other long term (current) drug therapy
Z79.899Personal history of other mental and behavioral disorders
Z86.59Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Anxiety disorder, unspecified
F41.9Major depressive disorder, single episode, unspecified
F32.9Autistic disorder
F84.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Attention-Deficit/Hyperactivity Disorder 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 or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific symptom checklists., Document symptom severity and frequency.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of health records.
Mitigation Strategy
Use the most specific code available based on documented symptoms.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Always use the most specific code available.
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 Attention-Deficit/Hyperactivity Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Attention-Deficit/Hyperactivity Disorder
Use these documentation templates to ensure complete and accurate documentation for Attention-Deficit/Hyperactivity Disorder. These templates include all required elements for proper coding and billing.
Pediatric ADHD follow-up
Specialty: PediatricsRequired Elements
- Symptoms checklist
- Settings affected
- Rating scales
- Functional impact
- Medication response
- Exclusion of other conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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