ICD-10 Coding for Depression Screening(Z13.31, G0444)
Complete ICD-10-CM coding and documentation guide for Depression Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Depression Screening
Z13.3Primary Range
Encounter for screening for mental health and behavioral disorders
This range includes codes for screening encounters specifically for mental health conditions, including depression.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z13.31 | Encounter for screening for depression | Use when the primary reason for the encounter is to screen for depression. |
|
| G0444 | Annual depression screening, 15 minutes | Use for Medicare patients during annual wellness visits. |
|
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 depression screening
Essential facts and insights about Depression Screening
Primary ICD-10-CM Codes for depression screening
Decision Criteria
clinical Criteria
- Screening tool result indicating depression
documentation Criteria
- Documented use of a standardized screening tool
Applicable To
- Routine depression screening
Excludes
- Screening for other mental health disorders
Clinical Validation Requirements
- Use of standardized screening tool (e.g., PHQ-9)
- Documentation of screening result
Code-Specific Risks
- Incorrectly using this code for patients with a known depression diagnosis.
Coding Notes
- Ensure documentation includes the name of the screening tool and the result.
G0444 - Annual depression screening, 15 minutes
Use for Medicare patients during annual wellness visits.
Applicable To
- Medicare annual depression screening
Excludes
- Screening not meeting time requirement
Clinical Validation Requirements
- Face-to-face time of at least 15 minutes
- Use of a validated screening tool
Coding Notes
Document the time spent and the tool used.
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 Depression Screening to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z13.31.
Impact
Clinical: Lack of evidence for screening performed., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for tool documentation., Educate staff on documentation requirements.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use F32.x or F33.x for diagnosed depression.
Impact
Failure to document the tool used can lead to audit findings.
Mitigation Strategy
Use standardized templates that include tool documentation.
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 Depression Screening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Depression Screening
Use these documentation templates to ensure complete and accurate documentation for Depression Screening. These templates include all required elements for proper coding and billing.
Routine depression screening during annual wellness visit
Specialty: Primary CareRequired Elements
- Screening tool name
- Screening result
- Follow-up plan if positive
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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