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ICD-10 Guide
ICD-10 CodesF44.0

F44.0

Billable

Dissociative amnesia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F44.0 is a billable code used to indicate a diagnosis of dissociative amnesia.

Key Diagnostic Point:

Dissociative amnesia is a psychological condition characterized by an inability to recall important personal information, usually of a traumatic or stressful nature. This memory loss is more extensive than ordinary forgetfulness and is not attributable to a medical condition or substance use. Patients may experience gaps in memory that can last from hours to years, often triggered by traumatic events such as accidents, abuse, or natural disasters. The amnesia can be localized (specific to a certain event), selective (only certain aspects of an event), or generalized (loss of identity and life history). The condition is often associated with other mental health disorders, including anxiety disorders, PTSD, and depression. Treatment typically involves psychotherapy, focusing on trauma processing and memory recovery, and may include cognitive-behavioral techniques to manage anxiety and stress. Understanding the interplay between dissociative amnesia and other anxiety-related disorders is crucial for effective treatment and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between dissociative amnesia and other memory disorders.
  • Understanding the relationship with PTSD and anxiety disorders.
  • Documenting the specific nature and duration of memory loss.
  • Identifying potential comorbid conditions that may affect coding.

Audit Risk Factors

  • Inadequate documentation of the traumatic event leading to amnesia.
  • Failure to specify the type of dissociative amnesia.
  • Lack of evidence for the exclusion of other medical conditions.
  • Insufficient linkage between the diagnosis and treatment provided.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive patient history, including trauma history and memory loss specifics.

Common Clinical Scenarios

Patients presenting with memory loss following traumatic events, often with comorbid anxiety or PTSD.

Billing Considerations

Documenting the patient's mental status and any therapeutic interventions.

Psychology

Documentation Requirements

Detailed psychological assessments and therapy notes that outline the patient's memory issues and treatment progress.

Common Clinical Scenarios

Patients undergoing therapy for trauma-related memory loss.

Billing Considerations

Ensuring that therapy notes reflect the patient's dissociative symptoms and their impact on functioning.

Coding Guidelines

Inclusion Criteria

Use F44.0 When
  • According to ICD
  • 10 guidelines, dissociative amnesia is coded when there is clear evidence of memory loss related to trauma, and other causes of amnesia have been ruled out
  • Documentation must specify the type of amnesia and any associated symptoms

Exclusion Criteria

Do NOT use F44.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for therapy sessions addressing dissociative symptoms.

Documentation Requirements

Therapy notes must detail the patient's symptoms and treatment progress.

Specialty Considerations

Psychiatrists and psychologists should ensure that the therapy aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dissociative disorders, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better understanding and managing the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dissociative disorders, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better understanding and managing the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dissociative disorders, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better understanding and managing the condition.

Resources

Clinical References

  • •
    American Psychiatric Association - DSM-5

Coding & Billing References

  • •
    American Psychiatric Association - DSM-5

Frequently Asked Questions

What is the primary cause of dissociative amnesia?

Dissociative amnesia is primarily caused by traumatic or stressful events that overwhelm the individual's ability to cope, leading to memory loss as a protective mechanism.