ICD-10 Coding for Hyperactivity Disorder(F90.1, F90.2)
Complete ICD-10-CM coding and documentation guide for Hyperactivity Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperactivity Disorder
F90Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes all primary codes for ADHD, including different subtypes based on symptom presentation.
Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence
Includes codes for conditions related to ADHD, such as ADD without hyperactivity.
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 hyperactivity is the predominant symptom and persists in multiple settings. |
|
| F90.2 | Attention-deficit hyperactivity disorder, combined type | Use when both inattentive and hyperactive symptoms are present. |
|
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 hyperactivity disorder
Essential facts and insights about Hyperactivity Disorder
Primary ICD-10-CM Codes for hyperactivity disorder
Decision Criteria
clinical Criteria
- Presence of hyperactive symptoms in multiple settings
documentation Criteria
- Use of validated rating scales to confirm symptoms
Applicable To
- Predominantly hyperactive-impulsive presentation
Excludes
- ADD without hyperactivity (F98.8)
Clinical Validation Requirements
- Symptoms present in at least two settings (e.g., home and school)
- Impairment documented via rating scales
- Developmental history confirms onset before age 12
Code-Specific Risks
- Incorrectly coding as unspecified ADHD (F90.9) can lead to denials.
Coding Notes
- Ensure documentation supports the presence of hyperactivity across multiple settings.
F90.2 - Attention-deficit hyperactivity disorder, combined type
Use when both inattentive and hyperactive symptoms are present.
Applicable To
- Combined presentation
Excludes
- ADD without hyperactivity (F98.8)
Clinical Validation Requirements
- Both inattentive and hyperactive symptoms present
- Symptoms documented in multiple settings
- Developmental history confirms onset before age 12
Coding Notes
Ensure both inattentive and hyperactive symptoms are well-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 Hyperactivity Disorder 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: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Use specific examples of behavior., Include rating scale results.
Impact
Reimbursement: May lead to claim denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on ADHD prevalence and treatment.
Mitigation Strategy
Use F98.8 for ADD without hyperactivity.
Impact
Using unspecified codes can trigger audits.
Mitigation Strategy
Ensure detailed documentation supports specific coding.
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 Hyperactivity Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperactivity Disorder
Use these documentation templates to ensure complete and accurate documentation for Hyperactivity Disorder. These templates include all required elements for proper coding and billing.
Initial ADHD Diagnosis
Specialty: PediatricsRequired Elements
- Symptoms in multiple settings
- Rating scale results
- Developmental history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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