ICD-10 Coding for Skin Picking Disorder(F42.4)
Complete ICD-10-CM coding and documentation guide for Skin Picking Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Skin Picking Disorder
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
Includes obsessive-compulsive and related disorders, under which excoriation disorder is categorized.
Diseases of the skin and subcutaneous tissue
Includes dermatological conditions that may be confused with or result from skin picking.
Key Information: ICD-10 code for skin picking disorder
Essential facts and insights about Skin Picking Disorder
Primary ICD-10-CM Code for skin picking disorder
Decision Criteria
clinical Criteria
- Patient reports urges to pick skin and resultant lesions.
documentation Criteria
- Documented attempts to stop picking and associated distress.
Applicable To
- Recurrent skin picking resulting in skin lesions
Clinical Validation Requirements
- Recurrent skin picking causing lesions
- Repeated attempts to decrease or stop skin picking
- Clinically significant distress or impairment
Code-Specific Risks
- Misclassification with dermatological conditions
- Omission of psychological component
Coding Notes
- Ensure documentation includes DSM-5 criteria for excoriation disorder.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Skin Picking Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F42.4.
Impact
Clinical: Misdiagnosis of dermatological condition., Regulatory: Non-compliance with psychiatric coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure comprehensive psychiatric evaluation., Include DSM-5 criteria in notes.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.
Mitigation Strategy
Ensure documentation specifies psychological component.
Impact
Using dermatological codes without psychiatric context.
Mitigation Strategy
Ensure documentation includes DSM-5 criteria.
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 Skin Picking Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Skin Picking Disorder
Use these documentation templates to ensure complete and accurate documentation for Skin Picking Disorder. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation
Specialty: PsychiatryRequired Elements
- History of skin picking behavior
- Attempts to stop
- Impact on daily functioning
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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