ICD-10 Coding for Attention Deficit Disorder(F90.0, F90.9)
Complete ICD-10-CM coding and documentation guide for Attention Deficit 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 Disorder
F90.0-F90.9Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes all ADHD subtypes, with F90.0 specifically for predominantly inattentive type.
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. |
|
| F90.9 | Attention-deficit hyperactivity disorder, unspecified type | Use when the subtype of ADHD cannot be determined after evaluation. |
|
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 attention deficit disorder
Essential facts and insights about Attention Deficit Disorder
Primary ICD-10-CM Codes for attention deficit disorder
Decision Criteria
clinical Criteria
- Patient exhibits 6 or more inattentive symptoms for at least 6 months.
documentation Criteria
- Symptoms documented in multiple settings with significant impairment.
Clinical Validation Requirements
- 6 or more inattentive symptoms for at least 6 months
- Symptoms present in two or more settings
- Significant impairment in social, academic, or occupational functioning
Code-Specific Risks
- Incorrectly using F90.9 when inattentive type is documented
Coding Notes
- Ensure documentation specifies inattentive type to avoid using unspecified codes.
F90.9 - Attention-deficit hyperactivity disorder, unspecified type
Use when the subtype of ADHD cannot be determined after evaluation.
Excludes
- Specific subtypes of ADHD (F90.0-F90.2)
Clinical Validation Requirements
- Symptoms of ADHD present but subtype not specified
Coding Notes
Avoid using if subtype can be specified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified anxiety disorders
F41.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive type
F90.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Attention Deficit 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: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Ensure symptom duration is documented as per DSM-5 criteria., Use standardized assessment tools.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies inattentive type to use F90.0.
Impact
Risk of audits due to unspecified ADHD coding.
Mitigation Strategy
Ensure documentation supports specific subtype coding.
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 Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Attention Deficit Disorder
Use these documentation templates to ensure complete and accurate documentation for Attention Deficit Disorder. These templates include all required elements for proper coding and billing.
Initial ADHD Evaluation
Specialty: PsychiatryRequired Elements
- Symptom history
- Duration and onset
- Impact on daily functioning
- Differential diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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