ICD-10 Coding for Skin Picking(F42.4)
Complete ICD-10-CM coding and documentation guide for Skin Picking. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Skin Picking
F40-F48Primary Range
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
This range includes excoriation disorder, which is primarily a psychological condition.
Diseases of the skin and subcutaneous tissue
This range includes codes for skin conditions that may result from or be related to skin picking.
Key Information: ICD-10 code for skin picking
Essential facts and insights about Skin Picking
Primary ICD-10-CM Code for skin picking
Decision Criteria
clinical Criteria
- Presence of psychological compulsion and DSM-5 criteria
documentation Criteria
- Explicit mention of attempts to stop and resulting distress
Applicable To
- Compulsive skin picking
Clinical Validation Requirements
- Recurrent skin picking resulting in skin lesions
- Repeated attempts to decrease or stop skin picking
- Clinically significant distress or impairment in social, occupational, or other important areas of functioning
Code-Specific Risks
- Misclassification with L98.1 if psychological component is not documented
Coding Notes
- Ensure documentation includes psychological compulsion to differentiate from dermatological conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified disorders of skin and subcutaneous tissue
L98.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Skin Picking 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 as a dermatological condition., Regulatory: Non-compliance with coding guidelines., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Ensure comprehensive psychological assessment is documented., Use DSM-5 criteria as a checklist.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: May result in non-compliance with coding standards., Data Quality: Affects accuracy of patient records and data analysis.
Mitigation Strategy
Ensure documentation clearly states psychological compulsion and DSM-5 criteria.
Impact
Lack of documentation for psychological compulsion can lead to audits.
Mitigation Strategy
Ensure all DSM-5 criteria are documented in patient records.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Skin Picking
Use these documentation templates to ensure complete and accurate documentation for Skin Picking. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for Skin Picking
Specialty: PsychiatryRequired Elements
- Patient history of skin picking
- Attempts to stop
- Impact on daily life
- Psychological evaluation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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