2025 ICD-10-CM code F29
Unspecified psychosis not due to a substance or known physiological condition. This diagnosis is used when a patient exhibits psychotic symptoms but doesn't meet the criteria for other specific psychotic disorders.
Medical necessity for services related to F29 must be established by demonstrating that the psychotic symptoms significantly impair the individual's functioning in daily life. Documentation should explicitly link the symptoms to difficulties in areas such as work, social interactions, self-care, and overall well-being. The need for ongoing treatment, such as medication management or therapy, should be justified based on the severity and persistence of symptoms.
Diagnosis and management of this condition falls under the purview of mental health professionals, including psychiatrists, psychologists, and psychiatric nurse practitioners. They conduct thorough assessments, including patient history, mental status examination, and possibly psychological testing, to arrive at a diagnosis and develop a treatment plan.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29)
In simple words: This refers to a mental health condition where a person experiences psychosis (loss of contact with reality, often with hallucinations or delusions) but the specific cause or type of psychosis isn't clear.It's diagnosed when the symptoms don't fit neatly into other categories of psychotic disorders.
Unspecified psychosis not due to a substance or known physiological condition is characterized by the presence of psychotic symptoms, such as hallucinations, delusions, disorganized thinking, or disorganized behavior, that do not meet the full criteria for any specific psychotic disorder like schizophrenia or delusional disorder. This code is used when there is insufficient information to make a more specific diagnosis or when the symptoms don't clearly fit into another category.It's crucial to distinguish this condition from psychosis due to substance use or known physiological conditions.
Example 1: A patient presents with disorganized speech, illogical thinking, and reports hearing voices. However, they do not exhibit other symptoms characteristic of schizophrenia or other specified psychotic disorders. After ruling out substance-induced psychosis and other medical causes, the clinician diagnoses the patient with F29., An individual experiences a brief psychotic episode following a significant stressor but returns to their baseline functioning relatively quickly.The symptoms do not meet the duration criteria for a brief psychotic disorder, thus F29 is used., A patient has persistent delusions but lacks other psychotic symptoms. The delusions do not fit the specific criteria for a delusional disorder.Therefore, the clinician opts for the more general diagnosis of F29.
Documentation should include detailed descriptions of the patient's presenting symptoms (e.g., hallucinations, delusions, disorganized behavior), the duration and severity of these symptoms, the results of the mental status examination, any relevant psychosocial stressors, and the clinician's rationale for ruling out other specific psychotic disorders. It's essential to document the absence of substance use or medical conditions contributing to the psychosis.
- Specialties:Psychiatry, Psychology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Psychiatric Facility-Partial Hospitalization, Community Mental Health Center, Residential Substance Abuse Treatment Facility,Psychiatric Residential Treatment Center,Non-residential Substance Abuse Treatment Facility, Non-residential Opioid Treatment Facility