ICD-10 Coding for Erratic Behavior(R46.2)
Complete ICD-10-CM coding and documentation guide for Erratic Behavior. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Erratic Behavior
R40-R46Primary Range
Symptoms and signs involving cognition, perception, emotional state and behavior
This range includes codes for behavioral symptoms when no specific psychiatric diagnosis is confirmed.
Mood [affective] disorders
Includes codes for mood disorders that may present with erratic behavior, such as bipolar disorder.
Key Information: ICD-10 code for erratic behavior
Essential facts and insights about Erratic Behavior
Primary ICD-10-CM Code for erratic behavior
Decision Criteria
clinical Criteria
- Behavior is unexplained and not linked to a psychiatric diagnosis
documentation Criteria
- Detailed description of behavior, context, and duration
Applicable To
- Unexplained behavioral changes
Excludes
- Behavioral symptoms due to confirmed psychiatric disorders
Clinical Validation Requirements
- Observable behavioral changes without a confirmed psychiatric diagnosis
- Negative results for substance use
Code-Specific Risks
- Misuse when a psychiatric diagnosis is present
- Under-documentation of specific behaviors
Coding Notes
- Ensure documentation clearly indicates the absence of a specific psychiatric diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bipolar disorder
F31.xxDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Erratic Behavior to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R46.2.
Impact
Clinical: Inadequate clinical understanding, Regulatory: Increased audit risk, Financial: Potential reimbursement issues
Mitigation Strategy
Use specific, detailed descriptions, Include context and duration
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement, Compliance: Potential for audit due to incorrect coding, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use the specific psychiatric diagnosis code as primary and R46.2 as secondary if needed.
Impact
Using R46.2 when a psychiatric diagnosis is present
Mitigation Strategy
Ensure thorough documentation and correct code sequencing.
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 Erratic Behavior, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Erratic Behavior
Use these documentation templates to ensure complete and accurate documentation for Erratic Behavior. These templates include all required elements for proper coding and billing.
Documenting unexplained erratic behavior
Specialty: PsychiatryRequired Elements
- Specific behavior description
- Frequency and duration
- Context and triggers
- Interventions attempted
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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