ICD-10 Coding for Conversion Disorder(F44.4, F44.5)
Complete ICD-10-CM coding and documentation guide for Conversion Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Conversion Disorder
F44.4-F44.7Primary Range
Dissociative and conversion disorders
This range includes specific types of conversion disorders based on symptomatology such as motor symptoms, pseudoseizures, and sensory deficits.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F44.4 | Conversion disorder with motor symptoms | Use when motor symptoms like paralysis or tremor are present without a neurological basis. |
|
| F44.5 | Conversion disorder with pseudoseizures | Use for seizure-like episodes without EEG abnormalities. |
|
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 conversion disorder
Essential facts and insights about Conversion Disorder
Primary ICD-10-CM Codes for conversion disorder
Decision Criteria
clinical Criteria
- Presence of motor symptoms without neurological basis
Applicable To
- Paralysis
- Tremor
Excludes
- Malingering (Z76.5)
Clinical Validation Requirements
- Hoover’s sign
- Inconsistency with anatomical patterns
Code-Specific Risks
- Misdiagnosis if organic causes are not ruled out
Coding Notes
- Ensure documentation specifies motor symptoms are inconsistent with known neurological patterns.
F44.5 - Conversion disorder with pseudoseizures
Use for seizure-like episodes without EEG abnormalities.
Applicable To
- Non-epileptic seizures
Excludes
- Epileptic seizures (G40.909)
Clinical Validation Requirements
- Normal EEG during episodes
- Preserved awareness
Coding Notes
Document seizure characteristics and absence of EEG abnormalities.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Conversion Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F44.4.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific language in documentation, Include relevant test results
Impact
Reimbursement: May lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure documentation supports specific codes such as F44.5 for pseudoseizures.
Impact
Lack of detailed symptom documentation can trigger audits.
Mitigation Strategy
Ensure all symptoms are documented with specific details and test results.
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 Conversion Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Conversion Disorder
Use these documentation templates to ensure complete and accurate documentation for Conversion Disorder. These templates include all required elements for proper coding and billing.
Conversion disorder with motor symptoms
Specialty: NeurologyRequired Elements
- Patient history
- Symptom description
- Exclusion of neurological causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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