Complete ICD-10-CM coding and documentation guide for Obsessive Compulsive Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Obsessive Compulsive Disorder
Obsessive-Compulsive Disorder
This range includes all primary codes for OCD, covering various subtypes and unspecified forms.
Compare key differences between these codes to ensure accurate selection
Code | Description | When to Use | Key Documentation |
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F42 | Obsessive-Compulsive Disorder | Use when diagnosing general OCD without specifying a subtype. |
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F42.2 | Mixed Obsessional Thoughts and Acts | Use when both obsessions and compulsions are equally present. |
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F42.3 | Hoarding Disorder | Use when hoarding is the primary symptom. |
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F42.9 | Obsessive-Compulsive Disorder, Unspecified | Use when specific subtype cannot be determined. |
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Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Essential facts and insights about Obsessive Compulsive Disorder
Use when both obsessions and compulsions are equally present.
Document the balance between obsessions and compulsions.
Use when hoarding is the primary symptom.
Ensure documentation highlights hoarding as the primary issue.
Use when specific subtype cannot be determined.
Avoid use if more specific codes are applicable.
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Obsessive-Compulsive Personality Disorder
F60.5Avoid these common documentation and coding issues when documenting Obsessive Compulsive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F42.
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increased risk of audit., Financial: Potential for denied claims.
Use specific language to describe symptoms, Include objective measures like Y-BOCS scores
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records.
Ensure documentation specifies obsessions and compulsions for OCD.
Reimbursement: May result in lower reimbursement rates., Compliance: Increased audit risk., Data Quality: Reduces specificity in patient data.
Provide detailed documentation to support the use of unspecified codes.
High use of unspecified codes can trigger audits.
Provide detailed documentation to justify code use.
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.
Common questions about ICD-10 coding for Obsessive Compulsive Disorder, with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Obsessive Compulsive Disorder. These templates include all required elements for proper coding and billing.
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