ICD-10 Coding for History of Anxiety(F41.1, Z86.59)
Complete ICD-10-CM coding and documentation guide for History of Anxiety. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Anxiety
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes all anxiety-related disorders, including generalized anxiety disorder, panic disorder, and social anxiety disorder.
Personal history of certain other diseases
This range is used for documenting a history of mental and behavioral disorders, including anxiety.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F41.1 | Generalized anxiety disorder | Use when the patient meets DSM-5 criteria for generalized anxiety disorder. |
|
| Z86.59 | Personal history of other mental and behavioral disorders | Use when documenting a resolved anxiety disorder that impacts current care. |
|
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 history of anxiety
Essential facts and insights about History of Anxiety
Primary ICD-10-CM Codes for history of anxiety
Decision Criteria
clinical Criteria
- Presence of chronic anxiety symptoms for more than 6 months
documentation Criteria
- Detailed notes on symptom duration and impact on daily life
Applicable To
- Chronic anxiety
- Free-floating anxiety
Excludes
- Anxiety disorder due to known physiological condition (F06.4)
Clinical Validation Requirements
- Excessive anxiety and worry occurring more days than not for at least 6 months
- Difficulty controlling the worry
- Presence of three or more symptoms such as restlessness, fatigue, concentration issues, irritability, muscle tension, sleep disturbance
Code-Specific Risks
- Overuse without proper documentation of duration and symptoms
- Misclassification if symptoms are due to another medical condition
Coding Notes
- Ensure documentation includes specific symptoms and duration to support the diagnosis.
Z86.59 - Personal history of other mental and behavioral disorders
Use when documenting a resolved anxiety disorder that impacts current care.
Applicable To
- History of anxiety disorder
Excludes
- Current anxiety disorder (F41.1)
Clinical Validation Requirements
- Documented history of anxiety disorder that is no longer active
- Impact on current care or treatment plan
Coding Notes
Ensure historical context is clear and current impact on care is documented.
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 History of Anxiety to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F41.1.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use standardized assessment tools, Train staff on DSM-5 criteria
Impact
Reimbursement: May lead to denied claims if used incorrectly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient history.
Mitigation Strategy
Use F41.1 for active anxiety and Z86.59 for historical context.
Impact
Using Z86.59 for active anxiety conditions.
Mitigation Strategy
Regular training on code updates and documentation requirements.
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 History of Anxiety, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Anxiety
Use these documentation templates to ensure complete and accurate documentation for History of Anxiety. These templates include all required elements for proper coding and billing.
Chronic anxiety management
Specialty: PsychiatryRequired Elements
- Subjective report of symptoms
- Objective assessment scores
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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