2025 ICD-10-CM code F90.1

Attention-deficit hyperactivity disorder, predominantly hyperactive type.Characterized by impulsivity and hyperactivity that significantly impacts an individual's home, school, and social life.

Use this code when the predominant symptom presentation is hyperactivity-impulsivity, even if some inattentive symptoms are present.

Medical necessity is established by demonstrating the significant impact of ADHD symptoms on the individual's functioning in various aspects of life.Documentation should support the need for intervention and treatment to improve the individual's quality of life.

Providers diagnose this condition based on medical history, clinical assessment, and interviews with parents, teachers, and others involved in the child's life. Treatment plans may involve medication, behavioral therapy, family/group therapy, skills training, and stress management techniques, tailored to individual needs.

In simple words: Predominantly hyperactive-impulsive type of attention deficit hyperactivity disorder (ADHD) is a mental health condition, mainly present in children, marked by excessive activity and impulsiveness for over six months. This impacts their daily routines at home, school, and social interactions.Kids with this type of ADHD have trouble sitting still, interrupting, and paying attention. While no cure exists, treatments like medication and therapy can help manage symptoms.

This condition, primarily affecting children, involves excessive hyperactivity and impulsivity lasting more than six months. Symptoms include impatience, fidgeting, inability to play quietly, excessive talking, difficulty focusing, disorganization, forgetfulness, interrupting others, and intrusiveness. Diagnosis requires meeting specific criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders. Treatment can include medication (stimulants, non-stimulants, or antidepressants), behavioral therapy, family/group therapy, skills training, and stress management.

Example 1: A 7-year-old boy constantly fidgets in class, interrupts the teacher, and has difficulty completing tasks. He struggles to wait his turn and often acts impulsively., A 10-year-old girl talks excessively, has difficulty playing quietly, and frequently leaves her seat during class. She struggles with organization and forgetfulness., An adult diagnosed with ADHD in childhood continues to experience hyperactivity and impulsivity, impacting their work and relationships.

Documentation should include detailed observations of the individual's behavior at home, school, and social settings.It should also describe the duration and severity of symptoms, impact on daily life, and any previous interventions. Medical history, clinical assessments, and interviews with parents, teachers, and other relevant individuals should also be documented.

** It's important to distinguish F90.1 from other subtypes of ADHD, such as predominantly inattentive type (F90.0) and combined type (F90.2).The predominantly hyperactive-impulsive presentation is characterized by a more pronounced display of hyperactivity and impulsivity, with less emphasis on inattention symptoms.

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