ICD-10 Coding for History of Depression(Z86.59)
Complete ICD-10-CM coding and documentation guide for History of Depression. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Depression
Z86.5-Z86.59Primary Range
Personal history of mental and behavioral disorders
This range includes codes for documenting a patient's history of mental and behavioral disorders, including depression.
Depressive disorders
These codes are used for current depressive episodes and should be used instead of history codes if the depression is active.
Key Information: ICD-10 code for history of depression
Essential facts and insights about History of Depression
Primary ICD-10-CM Code for history of depression
Decision Criteria
clinical Criteria
- Patient has no depressive symptoms and is not on active treatment.
documentation Criteria
- Record must state 'history of depression' or similar phrasing.
Applicable To
- History of major depressive disorder
- History of recurrent depressive disorder
Excludes
- Current depressive episodes (F32-F33)
Clinical Validation Requirements
- Documented resolution of depressive symptoms
- No current treatment for depression
- Patient reports no depressive symptoms for at least 2 months
Code-Specific Risks
- Incorrectly coding active depression as historical
- Failing to document the resolution of symptoms
Coding Notes
- Ensure documentation clearly states the depression is historical and resolved.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other long term (current) drug therapy
Z79.899Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Depression to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.59.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use clear language indicating history, Regularly update patient records
Impact
Reimbursement: Incorrect coding may lead to improper reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use F32 or F33 codes for active depressive episodes.
Impact
Risk of audits due to non-specific documentation of depression history.
Mitigation Strategy
Ensure detailed documentation of past episodes and current status.
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 Depression, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Depression
Use these documentation templates to ensure complete and accurate documentation for History of Depression. These templates include all required elements for proper coding and billing.
Routine follow-up for a patient with a history of depression
Specialty: PsychiatryRequired Elements
- Onset and duration of past depressive episodes
- Treatment history and outcomes
- Current symptom status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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