2025 ICD-10-CM code F90.2
Attention-deficit/hyperactivity disorder, combined type, characterized by both inattention and hyperactivity/impulsivity symptoms.
Modifiers may be applicable depending on the specific circumstances of the service provided (e.g., place of service, type of visit).
Medical necessity for diagnosis and treatment of ADHD is established based on the presence of significant and persistent symptoms that interfere with daily functioning and meet diagnostic criteria.Documentation should justify the chosen treatment plan, including medication choice and other interventions.
Diagnosis and treatment of ADHD, combined type, involves comprehensive assessment including medical history, behavioral observations, and possibly psychological testing.Treatment planning may involve medication management, behavioral therapy, educational interventions, and family counseling.Ongoing monitoring of symptoms and treatment efficacy are crucial.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- F90-F98 (Behavioral and emotional disorders with onset usually occurring in childhood and adolescence)
In simple words: Combined type ADHD is a condition where a child or adult has trouble paying attention and is also very active and impulsive.These problems affect their home, school, or work life. It's treated with medicine, therapy, and other help.
F90.2, Attention-deficit/hyperactivity disorder (ADHD), combined type, is a neurobehavioral disorder primarily diagnosed in childhood but may persist into adulthood.It is characterized by a persistent pattern of inattention and hyperactivity-impulsivity that interferes with functioning in multiple settings (home, school, work, social).Diagnosis requires the presence of at least six symptoms of inattention and six symptoms of hyperactivity/impulsivity, each persisting for at least six months, to a degree inconsistent with developmental level and negatively impacting daily functioning.Symptoms of inattention may include difficulty sustaining attention, disorganization, forgetfulness, and distractibility. Symptoms of hyperactivity/impulsivity can manifest as excessive fidgeting, interrupting others, difficulty waiting one's turn, and excessive talking. Treatment typically involves a combination of medication (stimulants, nonstimulants, or antidepressants depending on age and presentation), behavioral therapy, and other supportive interventions.
Example 1: A 9-year-old boy presents with significant difficulties in school, including inattention during lessons, disruptive behavior, interrupting classmates frequently, and difficulty completing assignments. He also exhibits hyperactivity, including excessive fidgeting and restlessness. His teacher and parents report similar behavior at home., A 25-year-old adult reports a lifelong history of difficulty focusing at work, impulsivity leading to poor decision-making in finances, and problems with maintaining relationships.They also experience significant restlessness and difficulty relaxing., A 15-year-old girl is referred for evaluation due to academic underachievement, despite average intelligence. She has trouble organizing her work, easily gets sidetracked, and struggles to complete tasks.She exhibits occasional hyperactivity but mainly demonstrates inattentive symptoms.
** This code is used for both clinical documentation and billing purposes.Accurate coding requires a thorough understanding of ADHD subtypes and diagnostic criteria.
- Payment Status: Active
- Specialties:Pediatrics, Psychiatry, Adult Psychiatry, Neurology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home