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2025 ICD-10-CM code F43.89

Other reactions to severe stress.

Do not use this code if the patient meets criteria for a more specific diagnosis within the F43 category or other mental health disorders. Ensure that the documentation clearly supports the diagnosis and the impact of the stressor.

Medical necessity for treatment related to F43.89 is established by demonstrating that the stress reaction significantly impairs the patient's daily functioning and requires intervention.

Clinicians, including psychiatrists, psychologists, and other mental health professionals, are responsible for assessing patients, diagnosing the condition, and determining the appropriate code.

IMPORTANT:F43.81 (Prolonged grief disorder) is a related code that should be used when appropriate.Prior to October 1, 2022, F43.8 was used for other reactions to severe stress, but now F43.89 should be used.

In simple words: This code describes a person's reaction to a very stressful event when it doesn't fit into other specific diagnoses.

This code encompasses various reactions to severe stress that are not classified under other specific codes within the F43 category, such as prolonged grief disorder (F43.81).

Example 1: A patient presents with symptoms of anxiety, insomnia, and difficulty concentrating following a natural disaster, but does not meet the criteria for PTSD or acute stress disorder. F43.89 would be appropriate., A patient experiences significant emotional distress after a job loss, exhibiting symptoms like low mood, irritability, and social withdrawal.If the symptoms do not meet the criteria for adjustment disorder, F43.89 may be applicable., An individual experiences intense stress after a car accident, resulting in physical symptoms like headaches and stomach aches.If these symptoms are stress-induced and not explained by another physical condition, F43.89 might be considered.

Documentation should include a detailed history of the stressful event, the patient's symptoms, duration of symptoms, and impact on functioning.It should also rule out other potential diagnoses.

** This code is intended to capture reactions to severe stress that do not meet criteria for other specific disorders. Clinicians should ensure thorough documentation to support the use of F43.89.

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