2025 ICD-10-CM code F43.25
Adjustment disorder with mixed disturbance of emotions and conduct. This is a short-term condition where individuals struggle to cope with a significant life stressor, exhibiting a mix of emotional (e.g., depression, anxiety) and behavioral symptoms.
Medical necessity must be established by demonstrating that the symptoms are directly related to the identified stressor, are clinically significant, and impair the patient's ability to function normally.
Diagnosis and treatment are typically managed by mental health professionals or other healthcare providers.Assessment involves evaluating the patient's symptoms, medical history, and the nature of the stressful event.Treatment may include medication (antidepressants, anxiolytics), psychotherapy (CBT), and supportive care.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)
In simple words: This diagnosis means someone is having a tough time coping with a difficult life event, like a divorce or job loss. They might feel sad, anxious, or angry, and they might also be acting out in ways they wouldn't normally. This is a temporary condition, and it usually gets better once the stressful situation is resolved or the person learns how to cope with it.
Adjustment disorder with mixed disturbance of emotions and conduct is characterized by mood swings including depression, anxiety, and/or anger, coupled with inappropriate behaviors disproportionate to the stressor.Symptoms typically emerge within three months of the stressful event and last no longer than six months after the stressor or its consequences cease.This condition can affect individuals of any age and is diagnosed based on DSM criteria, medical history, and a thorough assessment of the individual's behaviors and emotional responses.
Example 1: A 15-year-old experiencing difficulty adjusting to parental divorce displays mood swings, anger outbursts, and declining school performance., An adult recently laid off from their job develops anxiety, insomnia, and engages in reckless driving., A child following a natural disaster experiences nightmares, clinginess, and exhibits regressive behaviors like bedwetting.
Documentation should include the nature of the stressor, the onset and duration of symptoms, the severity of emotional and behavioral disturbances, and how these impact the patient's functioning in various areas of life. Diagnostic criteria from DSM should be referenced.
- Payment Status: Billable
- Specialties:Psychiatry, Psychology, Family Medicine, Pediatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Federally Qualified Health Center, Community Mental Health Center,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home