ICD-10 Coding for Adjustment Disorder with Mixed Anxiety and Depressed Mood(F43.23)
Complete ICD-10-CM coding and documentation guide for Adjustment Disorder with Mixed Anxiety and Depressed Mood. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adjustment Disorder with Mixed Anxiety and Depressed Mood
F43.2Primary Range
Adjustment disorders
This range includes all adjustment disorders, with F43.23 specifically for mixed anxiety and depressed mood.
Key Information: ICD-10 code for adjustment disorder with mixed anxiety and depressed mood
Essential facts and insights about Adjustment Disorder with Mixed Anxiety and Depressed Mood
Primary ICD-10-CM Code for adjustment disorder with mixed anxiety and depressed mood
Decision Criteria
clinical Criteria
- Presence of both anxiety and depression symptoms
documentation Criteria
- Stressor identified within 3 months of symptom onset
Applicable To
- Adjustment disorder with both anxiety and depression symptoms
Clinical Validation Requirements
- Symptoms of both anxiety and depression present
- Symptoms occur within 3 months of identifiable stressor
- Symptoms do not meet criteria for major depressive disorder or generalized anxiety disorder
Code-Specific Risks
- Misclassification as major depressive disorder or generalized anxiety disorder
- Omitting the stressor in documentation
Coding Notes
- Ensure documentation specifies the stressor and symptom duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adjustment Disorder with Mixed Anxiety and Depressed Mood to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F43.23.
Impact
Clinical: Leads to incomplete diagnosis., Regulatory: Increases risk of audit., Financial: May result in claim denials.
Mitigation Strategy
Always document the stressor in patient records., Use Z codes to specify the stressor.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: May trigger audits due to lack of specificity., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Use F43.23 when both anxiety and depression symptoms are present.
Impact
Lack of specific stressor documentation can trigger audits.
Mitigation Strategy
Ensure all documentation includes specific stressor details and symptom descriptions.
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 Adjustment Disorder with Mixed Anxiety and Depressed Mood, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adjustment Disorder with Mixed Anxiety and Depressed Mood
Use these documentation templates to ensure complete and accurate documentation for Adjustment Disorder with Mixed Anxiety and Depressed Mood. These templates include all required elements for proper coding and billing.
Patient presenting with mixed anxiety and depression symptoms after a recent divorce.
Specialty: PsychiatryRequired Elements
- Stressor identification
- Symptom description
- Functional impairment
- Differential diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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