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ICD-10 Coding for Conduct Disorder(F91.1, F91.2)

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

Also known as:

Behavioral DisorderChildhood Conduct Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Conduct Disorder

F91.0-F91.9Primary Range

Conduct disorders

This range includes all types of conduct disorders, categorized by onset and context.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F91.1Conduct disorder, childhood-onset typeUse when conduct disorder symptoms appear before age 10.
  • Symptoms present before age 10
  • Aggression, deceitfulness, or rule violations
F91.2Conduct disorder, adolescent-onset typeUse when conduct disorder symptoms appear after age 10.
  • Symptoms appear after age 10
  • Aggression, deceitfulness, or rule violations

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 conduct disorder

Essential facts and insights about Conduct Disorder

The ICD-10 code for conduct disorder varies by onset type: F91.1 for childhood-onset and F91.2 for adolescent-onset.

Primary ICD-10-CM Codes for conduct disorder

Conduct disorder, childhood-onset type
Billable Code

Decision Criteria

clinical Criteria

  • Symptoms must appear before age 10.

Applicable To

  • Childhood-onset conduct disorder

Excludes

  • Antisocial behavior (Z72.81)
  • Antisocial personality disorder (F60.2)

Clinical Validation Requirements

  • Symptoms present before age 10
  • Aggression, deceitfulness, or rule violations

Code-Specific Risks

  • Misclassification with adolescent-onset type

Coding Notes

  • Ensure documentation specifies onset age.

Ancillary Codes

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

Attention-deficit hyperactivity disorders

F90.x
Use if ADHD is comorbid with conduct disorder.

Differential Codes

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

Conduct disorder, adolescent-onset type

F91.2
Symptoms appear after age 10.

Conduct disorder, childhood-onset type

F91.1
Symptoms appear before age 10.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Conduct Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F91.1.

Impact

Clinical: Leads to misdiagnosis of conduct disorder type., Regulatory: May result in coding audits., Financial: Incorrect DRG assignment affects reimbursement.

Mitigation Strategy

Train staff on documentation standards, Use templates that prompt for onset age

Impact

Reimbursement: Incorrect coding can affect DRG assignment., Compliance: May lead to audit issues., Data Quality: Impacts accuracy of patient records.

Mitigation Strategy

Ensure documentation specifies harm to others or property for conduct disorder.

Impact

Risk of incorrect coding due to lack of specificity in documentation.

Mitigation Strategy

Implement regular training and audits.

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

Documentation Templates for Conduct Disorder

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

Conduct disorder in a psychiatric setting

Specialty: Psychiatry

Required Elements

  • Behavioral incidents
  • Interventions
  • Patient response
  • Future plan

Example Documentation

Patient initiated 3 physical fights at school, stole $200 from parents, onset of symptoms at age 9.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has behavioral problems.
Good Documentation Example
Patient initiated 3 physical fights at school in past month, stole $200 from parents, onset of symptoms at age 9.
Explanation
The good example provides specific incidents and onset age, which are necessary for accurate coding.

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

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