Catatonic disorder due to known physiological condition
ICD-10 F06.1 is a billable code used to indicate a diagnosis of catatonic disorder due to known physiological condition.
Catatonic disorder due to known physiological condition is characterized by the presence of catatonic symptoms that arise as a direct result of a physiological condition. These symptoms may include stupor, catalepsy, waxy flexibility, mutism, and echolalia or echopraxia. The physiological conditions that can lead to catatonia include metabolic disorders, neurological diseases, and certain infections. The diagnosis requires a thorough evaluation to rule out primary psychiatric disorders and to establish a clear link between the catatonic symptoms and the underlying medical condition. Treatment typically focuses on addressing the underlying physiological issue, which may involve pharmacological interventions, supportive care, and in some cases, electroconvulsive therapy (ECT) if the condition is severe and unresponsive to other treatments. Accurate diagnosis and coding are crucial for appropriate management and reimbursement.
Detailed psychiatric evaluation and history, including mental status examination and assessment of catatonic symptoms.
Patients presenting with acute catatonia in the context of a known medical condition, such as severe metabolic imbalance or neurological disorder.
Psychiatrists must collaborate with other specialists to ensure comprehensive care and accurate coding.
Neurological assessment, imaging studies, and laboratory tests to identify underlying conditions.
Patients with catatonia secondary to neurological disorders like encephalitis or Parkinson's disease.
Neurologists should document the relationship between neurological findings and catatonic symptoms clearly.
Used when treating catatonia secondary to a physiological condition.
Document the rationale for medication choice and monitoring of symptoms.
Psychiatrists should ensure that the physiological condition is addressed in treatment plans.
Common physiological conditions include metabolic disorders (like hypothyroidism), neurological diseases (such as Parkinson's disease), infections (like encephalitis), and severe dehydration.
