ICD-10 Coding for Separation Anxiety Disorder(F93.0)
Complete ICD-10-CM coding and documentation guide for Separation Anxiety Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Separation Anxiety Disorder
F93-F93.9Primary Range
Emotional disorders with onset specific to childhood
This range includes separation anxiety disorder, which is primarily diagnosed in children but can also apply to adults with specific criteria.
Key Information: ICD-10 code for separation anxiety disorder
Essential facts and insights about Separation Anxiety Disorder
Primary ICD-10-CM Code for separation anxiety disorder
Decision Criteria
clinical Criteria
- Symptoms must be developmentally inappropriate and cause significant distress.
coding Criteria
- Do not use with mood disorders or other phobias due to Excludes2 notes.
Applicable To
- Excessive fear or anxiety concerning separation from attachment figures
Clinical Validation Requirements
- Symptoms must last at least 4 weeks in children and 6 months in adults
- Must meet at least 3 DSM-5 criteria for separation anxiety disorder
Code-Specific Risks
- Misdiagnosing as generalized anxiety disorder
- Using unspecified anxiety codes without justification
Coding Notes
- Ensure documentation includes specific DSM-5 criteria and duration of symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adjustment disorder with anxiety
F43.22Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Separation Anxiety Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F93.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use structured templates., Ensure documentation includes specific DSM-5 criteria.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure documentation supports the use of F93.0 by meeting DSM-5 criteria.
Impact
Failure to document specific criteria can lead to audit findings.
Mitigation Strategy
Use structured templates and ensure thorough documentation.
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 Separation Anxiety Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Separation Anxiety Disorder
Use these documentation templates to ensure complete and accurate documentation for Separation Anxiety Disorder. These templates include all required elements for proper coding and billing.
Pediatric separation anxiety with school refusal
Specialty: PediatricsRequired Elements
- Duration of symptoms
- Specific DSM-5 criteria
- Impact on daily functioning
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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