ICD-10 Coding for Oppositional Defiant Disorder(F91.3)
Complete ICD-10-CM coding and documentation guide for Oppositional Defiant Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Oppositional Defiant Disorder
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes disorders like ODD that typically manifest in childhood and adolescence.
Key Information: ICD-10 code for Oppositional Defiant Disorder
Essential facts and insights about Oppositional Defiant Disorder
Primary ICD-10-CM Code for odd
Decision Criteria
clinical Criteria
- Presence of ≥4 DSM-5 symptoms for ≥6 months
coding Criteria
- Do not code with Conduct Disorder codes if CD criteria are met
documentation Criteria
- Document symptoms and their impact on functioning
Applicable To
- Persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness
Clinical Validation Requirements
- ≥4 DSM-5 symptoms
- Duration ≥6 months
- Impairment in ≥1 setting (home/school)
Code-Specific Risks
- Misdiagnosing when Conduct Disorder is present
- Not documenting symptom duration
Coding Notes
- Ensure documentation includes specific DSM-5 criteria and duration.
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 Oppositional Defiant Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F91.3.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Use DSM-5 criteria, Detail symptom impact
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use Conduct Disorder codes if criteria are met, exclude ODD.
Impact
Lack of detailed symptom documentation can trigger audits.
Mitigation Strategy
Ensure all DSM-5 criteria are documented.
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 Oppositional Defiant Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Oppositional Defiant Disorder
Use these documentation templates to ensure complete and accurate documentation for Oppositional Defiant Disorder. These templates include all required elements for proper coding and billing.
Child with persistent defiant behavior
Specialty: PediatricsRequired Elements
- Symptom frequency
- Duration
- Functional impairment
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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