Attention-deficit hyperactivity disorder, combined type
ICD-10 F90.2 is a billable code used to indicate a diagnosis of attention-deficit hyperactivity disorder, combined type.
Attention-deficit hyperactivity disorder (ADHD), combined type, is characterized by a persistent pattern of inattention and hyperactivity-impulsivity that interferes with functioning or development. This diagnosis is typically made in childhood, with symptoms often manifesting before the age of 12. Children with combined type ADHD exhibit both inattentive and hyperactive-impulsive symptoms, which can lead to difficulties in academic performance, social interactions, and family dynamics. Symptoms of inattention may include difficulty sustaining attention, failure to follow through on tasks, and forgetfulness in daily activities. Hyperactive-impulsive symptoms may involve fidgeting, excessive talking, and difficulty waiting for one's turn. The diagnosis requires that symptoms be present in multiple settings (e.g., home, school) and that they cause significant impairment. Early intervention through behavioral therapy, educational support, and, in some cases, medication, is crucial for managing symptoms and improving outcomes.
Detailed history of symptoms, including onset, duration, and impact on functioning.
Evaluating a child with academic difficulties and behavioral issues in school.
Consideration of co-occurring conditions such as anxiety or learning disabilities.
Comprehensive psychiatric evaluation, including family history and psychosocial factors.
Assessing a child with behavioral problems and family stressors.
Need for ongoing monitoring and adjustment of treatment plans.
Used during initial evaluation of ADHD symptoms.
Document the assessment tools used and the results.
Pediatricians should ensure developmental milestones are also assessed.
Key symptoms include a combination of inattention (e.g., difficulty sustaining attention, careless mistakes) and hyperactivity-impulsivity (e.g., fidgeting, interrupting others).
Diagnosis is based on a comprehensive evaluation that includes clinical interviews, behavioral assessments, and input from multiple settings (e.g., home, school).
Treatment options include behavioral therapy, psychoeducation, and medication management, tailored to the individual needs of the child.
