ICD-10 Coding for Hyperactive ADHD(F90.1, F90.2)
Complete ICD-10-CM coding and documentation guide for Hyperactive ADHD. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperactive ADHD
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes all ADHD subtypes, including hyperactive, inattentive, and combined presentations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F90.1 | Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive type | Use when hyperactive-impulsive symptoms are predominant and meet DSM-5 criteria. |
|
| F90.2 | Attention-deficit hyperactivity disorder, combined type | Use when both symptom clusters are equally present and impairing. |
|
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 hyperactive ADHD
Essential facts and insights about Hyperactive ADHD
Primary ICD-10-CM Codes for hyperactive
Decision Criteria
clinical Criteria
- Predominantly hyperactive-impulsive symptoms present
documentation Criteria
- Symptoms documented in multiple settings
Applicable To
- ADHD with predominant hyperactive-impulsive symptoms
Clinical Validation Requirements
- ≥6 hyperactive-impulsive symptoms (≥5 in adults) persisting ≥6 months
- Symptoms present in 2 or more settings
- Significant impairment in social, academic, or occupational functioning
Code-Specific Risks
- Misclassification if inattentive symptoms are also significant
- Potential audit if documentation lacks specificity
Coding Notes
- Ensure documentation includes specific DSM-5 criteria and settings.
F90.2 - Attention-deficit hyperactivity disorder, combined type
Use when both symptom clusters are equally present and impairing.
Applicable To
- ADHD with both inattentive and hyperactive-impulsive symptoms
Excludes
- F90.0 (Predominantly inattentive type)
- F90.1 (Predominantly hyperactive-impulsive type)
Clinical Validation Requirements
- Both inattentive and hyperactive-impulsive symptoms present
- Symptoms meet DSM-5 criteria for both subtypes
Coding Notes
Document equal presence of both symptom clusters.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Restlessness and agitation
R45.1Differential 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 Hyperactive ADHD to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.1.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit due to non-compliance., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Use specific DSM-5 criteria language, Document in multiple settings, Include symptom duration
Impact
Reimbursement: Incorrect coding can lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines may result in audits., Data Quality: Impacts the accuracy of patient records and data analysis.
Mitigation Strategy
Ensure documentation specifies the subtype to use F90.1 or F90.2 appropriately.
Impact
Risk of audit if ADHD subtype is not clearly documented.
Mitigation Strategy
Ensure documentation includes specific DSM-5 criteria and subtype.
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 Hyperactive ADHD, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperactive ADHD
Use these documentation templates to ensure complete and accurate documentation for Hyperactive ADHD. These templates include all required elements for proper coding and billing.
Pediatric ADHD evaluation
Specialty: PediatricsRequired Elements
- Symptom description
- Duration and setting
- Functional impact
- DSM-5 criteria
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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