2025 ICD-10-CM code F43
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Mental, Behavioral, and Neurodevelopmental Disorders - Reaction to severe stress and adjustment disorders Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99) Feed
Reaction to severe stress and adjustment disorders.
Modifiers may be applicable depending on the specific circumstances and the type of services provided.Consult current coding guidelines for details.
Medical necessity for coding F43 is established through the presence of clinically significant symptoms of anxiety, depression, or other behavioral disturbances related to a clearly identified stressful event or situation.The symptoms must impair the patient's social, occupational, or other important areas of functioning and meet criteria outlined in the DSM-5.Documentation must show the direct link between the stressor and the symptoms.
Mental health professionals, such as psychiatrists, psychologists, and other healthcare providers, are responsible for diagnosing and treating individuals with reaction to severe stress and adjustment disorders.This involves comprehensive assessment, diagnosis, and treatment plan development, including medication management and psychotherapy as needed.
- Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99)
- F43: Reaction to severe stress and adjustment disorders
In simple words: This code describes mental health problems caused by difficulty coping with a major life event, such as a death, job loss, or disaster.Symptoms can include trouble sleeping, anxiety, feeling sad, changes in appetite, and avoiding social activities.Doctors diagnose it based on the person's history, symptoms, and a discussion about their life. Treatment may include medication, counseling, and support.
This ICD-10-CM code classifies mental disorders arising from an individual's inability to cope with a significant stressful event or tragedy.These events can include divorce, death, job loss, natural disasters, or combat experiences. The disorder's duration generally aligns with the persistence of the stressors.Diagnosis involves evaluating the patient's medical history, symptoms (such as sleep disturbances, anxiety, withdrawal, and appetite changes), and conducting a thorough personal and social history assessment. Treatment options vary depending on the underlying cause and may involve antidepressants, anxiolytics, psychotherapy (like CBT), and supportive care.
Example 1: A 35-year-old individual experiences a job loss leading to significant anxiety, insomnia, and social withdrawal.They are diagnosed with an adjustment disorder following a thorough assessment., A war veteran exhibits symptoms of PTSD, including nightmares, flashbacks, hypervigilance, and avoidance behaviors.The PTSD is directly related to their past combat experiences., Following a natural disaster, a patient develops significant anxiety and depression, affecting their daily functioning. Their symptoms meet the criteria for an adjustment disorder with mixed anxiety and depressed mood.
Detailed patient history including the specific stressors, onset of symptoms, symptom duration, and impact on daily functioning.Mental status examination findings, including mood, affect, thought process, and insight.Results of any relevant diagnostic tests.Treatment plan, including medication, psychotherapy, or other interventions.Progress notes documenting response to treatment and any changes in symptoms over time.
** This code encompasses a broad range of conditions and requires careful clinical judgment and detailed documentation for accurate coding.Consult official coding guidelines and the DSM-5 for complete criteria.
- Payment Status: Active
- Specialties:Psychiatry, Psychology, General Practice, Family Medicine
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Other Place of Service