ICD-10 Coding for Inattention(F90.0)
Complete ICD-10-CM coding and documentation guide for Inattention. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Inattention
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes ADHD and its subtypes, including the predominantly inattentive presentation.
Key Information: ICD-10 code for inattention
Essential facts and insights about Inattention
Primary ICD-10-CM Code for inattention
Decision Criteria
clinical Criteria
- Patient exhibits six or more DSM-V inattention symptoms.
documentation Criteria
- Symptoms documented in multiple settings.
Applicable To
- ADD without hyperactivity
Excludes
- ADHD with hyperactivity (F90.1)
Clinical Validation Requirements
- Documentation of six or more inattention symptoms for children, five for adults
- Symptoms present for at least six months
- Symptoms present in two or more settings
Code-Specific Risks
- Misclassification if hyperactivity is present
- Insufficient documentation of symptom duration and setting
Coding Notes
- Ensure documentation meets DSM-V criteria for inattention.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cognitive communication deficit
R41.841Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive type
F90.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Inattention to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F90.0.
Impact
Clinical: Inaccurate diagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Include symptom onset and duration in notes, Use checklists for DSM-V criteria
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Use F90.1 or F90.2 if hyperactivity is present.
Impact
Incomplete documentation of DSM-V criteria can lead to audit issues.
Mitigation Strategy
Use comprehensive templates and checklists.
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 Inattention, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Inattention
Use these documentation templates to ensure complete and accurate documentation for Inattention. These templates include all required elements for proper coding and billing.
ADHD Evaluation
Specialty: PsychiatryRequired Elements
- Patient history
- DSM-V criteria checklist
- Functional impact assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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