Attention-deficit hyperactivity disorder, predominantly hyperactive type
ICD-10 F90.1 is a billable code used to indicate a diagnosis of attention-deficit hyperactivity disorder, predominantly hyperactive type.
Attention-deficit hyperactivity disorder (ADHD), predominantly hyperactive type, is characterized by a persistent pattern of hyperactivity-impulsivity that interferes with functioning or development. This condition is typically diagnosed in childhood and can manifest as excessive fidgeting, difficulty remaining seated, running or climbing in inappropriate situations, and interrupting others. Unlike the combined type of ADHD, individuals with the predominantly hyperactive type may not exhibit significant inattention symptoms. The diagnosis is made based on clinical assessment, including behavioral observations and standardized rating scales. ADHD can co-occur with other behavioral disorders, such as conduct disorder, which may complicate the clinical picture. Early intervention through behavioral therapies, psychoeducation, and, in some cases, medication can significantly improve outcomes for affected children. Understanding the nuances of this diagnosis is crucial for effective treatment planning and management.
Detailed behavioral assessments, parental reports, and school evaluations.
Diagnosis and management of ADHD in children, including referrals for behavioral therapy.
Consideration of developmental milestones and co-existing conditions.
Comprehensive psychiatric evaluations, including mental status exams and history of symptoms.
Management of ADHD with pharmacotherapy and psychotherapy.
Monitoring for side effects of medications and potential comorbid psychiatric disorders.
Used during initial evaluation of ADHD symptoms.
Document the assessment results and any recommendations made.
Pediatricians should ensure parental input is included in assessments.
F90.1 is used for ADHD predominantly hyperactive type, while F90.0 is for predominantly inattentive type. The distinction is based on the primary symptoms exhibited by the patient.
