ICD-10 Coding for Catatonia(F06.1, F20.2)
Complete ICD-10-CM coding and documentation guide for Catatonia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Catatonia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F06.1 | Catatonic disorder due to known physiological condition | Use when catatonia is secondary to a medical condition. |
|
| F20.2 | Catatonic schizophrenia | Use when catatonia is part of schizophrenia. |
|
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 catatonia
Essential facts and insights about Catatonia
Primary ICD-10-CM Codes for catatonia
Decision Criteria
clinical Criteria
- Presence of ≥3 DSM-5 catatonic signs
coding Criteria
- Underlying medical condition must be coded first
Applicable To
- Catatonia due to medical conditions like encephalitis, metabolic disorders
Excludes
- Catatonic schizophrenia (F20.2)
Clinical Validation Requirements
- Documentation of ≥3 DSM-5 catatonic signs
- BFCRS score documentation
- Negative medical workup for other causes
Code-Specific Risks
- Risk of using without specifying the underlying condition
Coding Notes
- Ensure the underlying condition is coded first.
F20.2 - Catatonic schizophrenia
Use when catatonia is part of schizophrenia.
Applicable To
- Schizophrenia with catatonia as a dominant feature
Excludes
- Catatonia due to medical condition (F06.1)
Clinical Validation Requirements
- Documentation of schizophrenia diagnosis
- Presence of catatonic symptoms
Coding Notes
Ensure schizophrenia criteria are met.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Catatonia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F06.1.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure detailed documentation of symptoms and underlying conditions.
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data representation.
Mitigation Strategy
Always code the underlying condition first.
Impact
Failure to code underlying condition first.
Mitigation Strategy
Regular training on ICD-10 sequencing rules.
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 Catatonia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Catatonia
Use these documentation templates to ensure complete and accurate documentation for Catatonia. These templates include all required elements for proper coding and billing.
Catatonia due to medical condition
Specialty: PsychiatryRequired Elements
- Observed catatonic signs
- BFCRS score
- Medical workup results
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Catatonia? Ask your questions below.