2025 ICD-10-CM code F48
Other nonpsychotic mental disorders.
Medical necessity is established by the presence of clinically significant distress or impairment in social, occupational, or other important areas of functioning due to the nonpsychotic mental disorder.
Diagnosis involves patient history, signs and symptoms, behavioral assessment, and physical examination. Additional tools include DSM criteria, Dissociative Experiences Scale (DES), and neuroimaging (e.g., MRI).
In simple words: This code represents other mental disorders that are not psychotic (meaning they don't involve a break from reality). Examples include feeling detached from yourself or your surroundings, and having sudden, uncontrollable outbursts of laughing or crying.
This code encompasses nonpsychotic mental disorders not classified elsewhere, including conditions like depersonalization-derealization syndrome and pseudobulbar affect. These disorders affect feelings, thoughts, and behaviors without losing touch with reality.
Example 1: A patient experiences frequent episodes of feeling detached from their body and surroundings, meeting the criteria for depersonalization-derealization syndrome., An individual displays uncontrollable laughing and crying episodes inconsistent with their emotional state, suggesting pseudobulbar affect., A patient presents with significant anxiety and distress not attributable to another specific anxiety disorder, warranting a diagnosis under this code.
Documentation should detail the patient's symptoms, history, mental status examination, and diagnostic assessment results. Include details of functional impairment and any related psychological factors.
** This code excludes symptoms and signs found elsewhere in the ICD-10-CM classification (R00-R99).
- Specialties:Psychiatry, Psychology, Neurology, Primary Care
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Psychiatric Facility-Partial Hospitalization, Community Mental Health Center,Residential Substance Abuse Treatment Facility