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ICD-10 Coding for Anxiety with Panic Attacks(F41.0, F41.1)

Complete ICD-10-CM coding and documentation guide for Anxiety with Panic Attacks. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Panic DisorderGeneralized Anxiety Disorder with Panic Attacks

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Related ICD-10 Code Ranges

Complete code families applicable to Anxiety with Panic Attacks

F40-F48Primary Range

Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders

This range includes codes for anxiety disorders, including panic disorder and generalized anxiety disorder.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F41.0Panic disorder [episodic paroxysmal anxiety]Use when panic attacks are recurrent and unexpected, not better explained by another condition.
  • Recurrent, unexpected panic attacks
  • ≥4 symptoms per attack (e.g., palpitations, sweating)
  • Exclusion of medical causes
F41.1Generalized anxiety disorderUse when panic attacks occur within the context of chronic generalized anxiety.
  • Chronic worry lasting ≥6 months
  • Panic attacks occurring within periods of excessive worry

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 anxiety with panic attacks

Essential facts and insights about Anxiety with Panic Attacks

The ICD-10 code for anxiety with panic attacks is F41.0, used for recurrent, unexpected panic attacks.

Primary ICD-10-CM Codes for anxiety with panic attacks

F41.0
Panic disorder [episodic paroxysmal anxiety]
Billable Code

Decision Criteria

clinical Criteria

  • Recurrent, unexpected panic attacks with ≥4 symptoms

Applicable To

  • Recurrent unexpected panic attacks

Excludes

  • Panic disorder with agoraphobia (F40.01)

Clinical Validation Requirements

  • Recurrent, unexpected panic attacks
  • ≥4 symptoms per attack (e.g., palpitations, sweating)
  • Exclusion of medical causes

Code-Specific Risks

  • Overuse of unspecified codes
  • Failure to document exclusion of medical causes

Coding Notes

  • Ensure documentation supports the use of F41.0 by detailing the frequency and nature of panic attacks.
View Full Code Details

Ancillary Codes

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

Anxiety

R45.81
Use for non-disordered anxiety symptoms.

Differential Codes

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

Panic disorder with agoraphobia

F40.01
Use when panic attacks are associated with agoraphobia.

Panic disorder [episodic paroxysmal anxiety]

F41.0
Use when panic attacks are primary and unexpected.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Anxiety with Panic Attacks to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.0.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit failure., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Use structured templates for documentation, Regularly update patient records with detailed symptom descriptions

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Document specific symptoms and use F41.0 or F41.1 as appropriate.

Impact

High risk of audit when unspecified codes are used without justification.

Mitigation Strategy

Ensure detailed documentation supports the use of specific codes.

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 with Panic Attacks, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Anxiety with Panic Attacks

Use these documentation templates to ensure complete and accurate documentation for Anxiety with Panic Attacks. These templates include all required elements for proper coding and billing.

Patient with recurrent panic attacks

Specialty: Psychiatry

Required Elements

  • Frequency of attacks
  • Symptoms per attack
  • Exclusion of medical causes

Example Documentation

Patient reports 3 panic attacks per week, each with palpitations, sweating, and fear of dying. Thyroid panel normal.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has anxiety and panic.
Good Documentation Example
Patient reports 3 unexpected panic attacks weekly with palpitations, trembling, and fear of losing control. TSH 2.0 mIU/L (normal).
Explanation
The good example provides specific details about the frequency and nature of the panic attacks, as well as ruling out medical causes.

Need help with ICD-10 coding for Anxiety with Panic Attacks? Ask your questions below.

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