2025 ICD-10-CM code F42
Obsessive-compulsive disorder
Medical necessity for OCD treatment is established when the symptoms significantly impair the individual's ability to function in daily life.Documentation should demonstrate the severity of symptoms, failed attempts to manage symptoms independently, and the need for professional intervention to improve functioning.
Diagnosis of OCD is typically made by mental health professionals, including psychiatrists, psychologists, and therapists. They assess symptoms, their impact on daily life, and rule out other conditions.Treatment often involves a combination of psychotherapy, specifically Cognitive Behavioral Therapy (CBT) with Exposure and Response Prevention (ERP), and medication, such as Selective Serotonin Reuptake Inhibitors (SSRIs).
- 6 (Mental, Behavioral and Neurodevelopmental Disorders)
- F40-F48 (Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders)
In simple words: OCD involves having uncontrollable, recurring thoughts and urges (obsessions) that cause anxiety. To relieve this anxiety, individuals with OCD engage in repetitive behaviors (compulsions).These actions offer temporary relief, but the cycle continues, impacting daily activities and quality of life.
Obsessive-compulsive disorder (OCD) is a chronic mental health condition characterized by persistent, unwanted thoughts (obsessions) that cause significant anxiety, leading to repetitive behaviors (compulsions) performed to alleviate the anxiety.These obsessions and compulsions can significantly interfere with daily life.
Example 1: A patient experiences intrusive thoughts about contamination and washes their hands excessively, sometimes until they bleed, to alleviate the anxiety. This significantly impacts their ability to work and socialize., A patient has recurring doubts about whether they locked their door or turned off the stove, leading them to repeatedly check these things, consuming hours each day., A patient experiences unwanted, intrusive thoughts of a violent or sexual nature, causing them extreme distress, despite recognizing these thoughts are not in line with their values.They might engage in mental rituals, such as counting or repeating phrases, to neutralize these thoughts.
Documentation should include a detailed description of the patient's obsessions and compulsions, their frequency, duration, and interference with daily functioning.The impact on social, occupational, and personal activities should be noted.Relevant past treatments, including therapy and medications, should also be documented.Any associated mental or physical health conditions should be recorded.
** Excludes2: obsessive-compulsive personality (disorder) (F60.5), obsessive-compulsive symptoms occurring in depression (F32-F33), obsessive-compulsive symptoms occurring in schizophrenia (F20.-).
- Payment Status: Active
- Specialties:Psychiatry, Psychology, Clinical Social Work, Mental Health Counseling
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Community Mental Health Center, Psychiatric Facility-Partial Hospitalization,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home