ICD-10 Coding for Psychiatric Problem(F33.2)
Complete ICD-10-CM coding and documentation guide for Psychiatric Problem. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Psychiatric Problem
F01-F99Primary Range
Mental, Behavioral and Neurodevelopmental disorders
This range includes all psychiatric disorders, covering conditions like depression, anxiety, and schizophrenia.
Factors influencing health status and contact with health services
This range includes codes for psychosocial factors affecting mental health, such as family issues or social environment.
Key Information: ICD-10 code for major depressive disorder
Essential facts and insights about Psychiatric Problem
Primary ICD-10-CM Code for psychiatric problem
Decision Criteria
clinical Criteria
- Presence of severe depressive symptoms without psychosis
documentation Criteria
- Detailed symptomatology and functional impairment documented
Applicable To
- Recurrent major depression with severe symptoms
Excludes
- Bipolar disorder (F31.-)
Clinical Validation Requirements
- Patient reports 5/9 SIGECAPS symptoms for ≥2 weeks
- PHQ-9 score ≥20
Code-Specific Risks
- Misclassification if psychotic features are present but undocumented
Coding Notes
- Ensure documentation specifies the severity and recurrence of depressive episodes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Problems in relationship with spouse or partner
Z63.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Bipolar disorder, current episode manic severe, without psychotic features
F31.12Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Psychiatric Problem to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.2.
Impact
Clinical: Incomplete understanding of patient's condition, Regulatory: Non-compliance with coding guidelines, Financial: Potential for denied claims
Mitigation Strategy
Include Z codes for psychosocial factors, Use comprehensive assessment tools
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Non-compliance with specificity requirements, Data Quality: Decreases accuracy of health records
Mitigation Strategy
Use F33.2 if recurrent severe symptoms are documented.
Impact
Failure to document severity can lead to incorrect coding.
Mitigation Strategy
Use standardized scales like PHQ-9 for severity assessment.
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 Psychiatric Problem, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Psychiatric Problem
Use these documentation templates to ensure complete and accurate documentation for Psychiatric Problem. These templates include all required elements for proper coding and billing.
Initial Psychiatric Evaluation
Specialty: PsychiatryRequired Elements
- Chief complaint
- History of present illness
- Mental status examination
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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