ICD-10 Coding for Anxiety About Health(F45.21)
Complete ICD-10-CM coding and documentation guide for Anxiety About Health. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anxiety About Health
F45.21Primary Range
Illness Anxiety Disorder
This code is used for patients preoccupied with having a serious illness despite minimal or no somatic symptoms.
Other Anxiety Disorders
These codes are used for anxiety disorders that may overlap with or need differentiation from illness anxiety.
Key Information: ICD-10 code for anxiety about health
Essential facts and insights about Anxiety About Health
Primary ICD-10-CM Code for anxiety about health
Decision Criteria
clinical Criteria
- Preoccupation with having a serious illness for at least 6 months
documentation Criteria
- Document absence of significant somatic symptoms
Applicable To
- Hypochondriasis
Excludes
- Somatic Symptom Disorder (F45.1)
Clinical Validation Requirements
- Preoccupation with having a serious illness for at least 6 months
- Minimal or no somatic symptoms
- Excessive health-related behaviors or maladaptive avoidance
Code-Specific Risks
- Misclassification with generalized anxiety disorder
- Overlooking somatic symptom disorder
Coding Notes
- Ensure documentation specifies the absence of significant somatic symptoms and the duration of preoccupation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Health Counseling
Z71.1Differential 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 Anxiety About Health to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F45.21.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Could trigger audits for insufficient documentation., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use structured templates to capture required details., Ensure documentation specifies the duration and focus of anxiety.
Impact
Reimbursement: May lead to incorrect DRG assignment and affect payment., Compliance: Could result in audit flags for incorrect coding., Data Quality: Impacts the accuracy of health records and data analytics.
Mitigation Strategy
Ensure documentation supports the specific focus on health-related anxiety.
Impact
Using unspecified codes when specific criteria for illness anxiety are met.
Mitigation Strategy
Educate clinicians on documentation requirements for F45.21.
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 Anxiety About Health, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anxiety About Health
Use these documentation templates to ensure complete and accurate documentation for Anxiety About Health. These templates include all required elements for proper coding and billing.
Patient with persistent health anxiety
Specialty: PsychiatryRequired Elements
- Chief Complaint
- History of Present Illness
- Review of Systems
- Physical Exam
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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