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ICD-10 Coding for Brief Psychotic Disorder(F23)

Complete ICD-10-CM coding and documentation guide for Brief Psychotic Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Acute Psychotic EpisodeTransient Psychotic Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Brief Psychotic Disorder

F20-F29Primary Range

Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders

This range includes brief psychotic disorder and other related psychotic disorders.

Key Information: ICD-10 code for brief psychotic disorder

Essential facts and insights about Brief Psychotic Disorder

The ICD-10 code for brief psychotic disorder is F23, applicable for episodes lasting less than one month.

Primary ICD-10-CM Code for brief psychotic disorder

Brief psychotic disorder
Billable Code

Decision Criteria

clinical Criteria

  • Symptoms must resolve within 1 month.

documentation Criteria

  • Document exact symptom duration and absence of other psychotic disorders.

Applicable To

  • Acute psychotic episode
  • Brief reactive psychosis

Excludes

  • Schizophrenia (F20.-)
  • Schizoaffective disorder (F25.-)

Clinical Validation Requirements

  • Sudden onset of psychotic symptoms
  • Duration less than 1 month
  • Full recovery to baseline functioning

Code-Specific Risks

  • Confusion with longer-lasting psychotic disorders
  • Inadequate documentation of symptom duration

Coding Notes

  • Ensure documentation specifies the acute onset and short duration of symptoms.

Ancillary Codes

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

Acute stress reaction

F43.0
Use when psychotic symptoms are triggered by a specific stressor.

Differential Codes

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

Schizophrenia

F20
Duration of symptoms exceeds 6 months with persistent functional decline.

Schizoaffective disorder

F25
Presence of mood disorder symptoms concurrent with psychotic symptoms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Brief Psychotic Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F23.

Impact

Clinical: Misdiagnosis of the condition., Regulatory: Potential for audit due to lack of specificity., Financial: Denial of claims due to incorrect coding.

Mitigation Strategy

Ensure detailed documentation of symptom onset and duration., Exclude other psychotic disorders.

Impact

Reimbursement: Incorrect DRG assignment leading to potential denials., Compliance: Increased risk of audits due to incorrect coding., Data Quality: Misrepresentation of patient data affecting clinical outcomes.

Mitigation Strategy

Use F29 for unspecified psychosis if duration exceeds 1 month.

Impact

Lack of detailed documentation can lead to audits.

Mitigation Strategy

Ensure all documentation includes specific symptom duration and exclusion of other conditions.

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 Brief Psychotic Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Brief Psychotic Disorder

Use these documentation templates to ensure complete and accurate documentation for Brief Psychotic Disorder. These templates include all required elements for proper coding and billing.

Emergency Department Presentation

Specialty: Psychiatry

Required Elements

  • Chief Complaint
  • History of Present Illness
  • Mental Status Exam
  • Treatment Plan

Example Documentation

Patient presents with acute hallucinations and delusions 3 days after a traumatic event. Symptoms resolved within 2 weeks.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has psychosis.
Good Documentation Example
Patient developed acute paranoid delusions and disorganized speech 4 days post-divorce, lasting 14 days. No prior psychiatric history. UDS negative.
Explanation
The good example provides specific symptom onset, duration, and exclusion of other causes.

Need help with ICD-10 coding for Brief Psychotic Disorder? Ask your questions below.

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