ICD-10 Coding for Aripiprazole(F20.0, F31.12)
Complete ICD-10-CM coding and documentation guide for Aripiprazole. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aripiprazole
F20-F29Primary Range
Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
Aripiprazole is primarily used to treat schizophrenia, which falls under this code range.
Mood [affective] disorders
Aripiprazole is also used for bipolar disorder, which is included in this range.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F20.0 | Paranoid schizophrenia | Use when patient exhibits symptoms of paranoid schizophrenia. |
|
| F31.12 | Bipolar disorder, current episode manic severe, without psychotic features | Use for patients with severe manic episodes without psychotic features. |
|
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 aripiprazole
Essential facts and insights about Aripiprazole
Primary ICD-10-CM Codes for aripiprazole
Decision Criteria
clinical Criteria
- Presence of paranoid delusions and hallucinations
Applicable To
- Delusions
- Hallucinations
- Disorganized speech
Excludes
- Schizoaffective disorders (F25.-)
Clinical Validation Requirements
- Documented acute exacerbation
- Presence of delusions or hallucinations
Code-Specific Risks
- Risk of using unspecified codes when specific symptoms are documented.
Coding Notes
- Ensure specific symptoms are documented to avoid unspecified codes.
F31.12 - Bipolar disorder, current episode manic severe, without psychotic features
Use for patients with severe manic episodes without psychotic features.
Applicable To
- Elevated mood
- Decreased need for sleep
- Impulsivity
Excludes
- Bipolar disorder with psychotic features (F31.2)
Clinical Validation Requirements
- Documented manic episode
- Functional impairment
Coding Notes
Document specific manic symptoms to avoid unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of other medications
Z79.899Differential 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 Aripiprazole to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F20.0.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on documentation standards., Use templates to ensure completeness.
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure documentation includes specific symptoms like delusions or hallucinations.
Impact
Claims for injectable aripiprazole without prior oral tolerability documentation.
Mitigation Strategy
Include statements of oral tolerability in patient records.
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 Aripiprazole, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aripiprazole
Use these documentation templates to ensure complete and accurate documentation for Aripiprazole. These templates include all required elements for proper coding and billing.
Schizophrenia with acute exacerbation
Specialty: PsychiatryRequired Elements
- Patient history
- Current symptoms
- Medication details
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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