ICD-10 Coding for Impulse Control Disorder(F63.81, F63.2, F63.9)
Complete ICD-10-CM coding and documentation guide for Impulse Control Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Impulse Control Disorder
F63.0-F63.9Primary Range
Disorders of impulse control
This range includes specific types of impulse control disorders such as kleptomania, pyromania, and intermittent explosive disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F63.81 | Intermittent explosive disorder | Use when the patient exhibits recurrent aggressive outbursts without premeditation. |
|
| F63.2 | Kleptomania | Use when the patient has an irresistible urge to steal items not needed for personal use. |
|
| F63.9 | Impulse disorder, unspecified | Use only when specific subtype cannot be determined after evaluation. |
|
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 impulse control disorder
Essential facts and insights about Impulse Control Disorder
Primary ICD-10-CM Codes for impulse control disorder
Decision Criteria
clinical Criteria
- Aggression is impulsive and not premeditated.
Applicable To
- Recurrent aggressive outbursts
Excludes
- Aggression due to bipolar disorder
Clinical Validation Requirements
- Recurrent episodes of verbal or physical aggression
- Disproportionate to provocation
Code-Specific Risks
- Misclassification with mood disorders
Coding Notes
- Ensure documentation specifies the nature and frequency of aggressive outbursts.
F63.2 - Kleptomania
Use when the patient has an irresistible urge to steal items not needed for personal use.
Applicable To
- Irresistible urge to steal
Excludes
- Stealing motivated by financial need
Clinical Validation Requirements
- Recurrent failure to resist stealing items not needed for personal use
Coding Notes
Document the frequency and context of stealing episodes.
F63.9 - Impulse disorder, unspecified
Use only when specific subtype cannot be determined after evaluation.
Applicable To
- Unspecified impulse control issues
Excludes
- Specific impulse control disorders
Clinical Validation Requirements
- Lack of specific subtype identification
Coding Notes
Avoid using unless absolutely necessary; query for more specific information.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other problems related to lifestyle
Z72.89Differential 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 Impulse Control Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F63.81.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use structured templates for documentation., Ensure detailed descriptions of behaviors and triggers.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audits., Data Quality: Reduces specificity and accuracy of health data.
Mitigation Strategy
Query for specific subtype or state 'unspecified' explicitly.
Impact
Frequent use of F63.9 may trigger audits.
Mitigation Strategy
Encourage detailed documentation to support 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 Impulse Control Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Impulse Control Disorder
Use these documentation templates to ensure complete and accurate documentation for Impulse Control Disorder. These templates include all required elements for proper coding and billing.
Patient with kleptomania
Specialty: PsychiatryRequired Elements
- Frequency of stealing episodes
- Context and triggers
- Patient's emotional state before and after
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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