ICD-10 Coding for Hyperactivity(F90.1, F90.2)
Complete ICD-10-CM coding and documentation guide for Hyperactivity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperactivity
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes ADHD and its subtypes, which are primary conditions associated with 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 type | Use when hyperactivity is the predominant symptom without significant inattention. |
|
| F90.2 | Attention-deficit hyperactivity disorder, combined type | Use when both hyperactive and inattentive 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
Essential facts and insights about Hyperactivity
Primary ICD-10-CM Codes for hyperactivity
Decision Criteria
clinical Criteria
- Presence of 6 or more hyperactive symptoms
documentation Criteria
- Symptoms documented in multiple settings
Applicable To
- Predominantly hyperactive-impulsive presentation
Excludes
- Anxiety disorders (F40-F41)
Clinical Validation Requirements
- Documented evidence of hyperactive-impulsive symptoms
- Symptoms present for at least 6 months
- Impairment in social, academic, or occupational functioning
Code-Specific Risks
- Misclassification if inattention symptoms are present
- Potential denial if documentation is insufficient
Coding Notes
- Ensure documentation specifies the number of hyperactive symptoms and their impact.
F90.2 - Attention-deficit hyperactivity disorder, combined type
Use when both hyperactive and inattentive symptoms are present.
Applicable To
- Combined presentation of ADHD
Excludes
- Pervasive developmental disorders (F84.-)
Clinical Validation Requirements
- Documented evidence of both hyperactive and inattentive symptoms
- Symptoms present for at least 6 months
- Impairment in social, academic, or occupational functioning
Coding Notes
Ensure documentation specifies the number of symptoms for both hyperactivity and inattention.
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 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.1.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Include symptom duration in all assessments, Use standardized templates
Impact
Reimbursement: Unspecified codes may lead to claim denials., Compliance: Non-compliance with coding specificity requirements., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure specific subtype is documented and coded (e.g., F90.1 or F90.2).
Impact
Lack of specific symptom documentation can lead to audit findings.
Mitigation Strategy
Use detailed templates and checklists for symptom documentation.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperactivity
Use these documentation templates to ensure complete and accurate documentation for Hyperactivity. These templates include all required elements for proper coding and billing.
Adult ADHD Evaluation
Specialty: PsychiatryRequired Elements
- Symptom checklist
- Duration of symptoms
- Impact on occupational and social functioning
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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