Panic disorder [episodic paroxysmal anxiety]
ICD-10 F41.0 is a billable code used to indicate a diagnosis of panic disorder [episodic paroxysmal anxiety].
Panic disorder is characterized by recurrent and unexpected panic attacks, which are sudden surges of intense fear or discomfort that peak within minutes. Symptoms may include palpitations, sweating, trembling, shortness of breath, feelings of choking, chest pain, nausea, dizziness, chills, or hot flashes. Patients may also experience feelings of unreality or detachment from themselves, fear of losing control, or fear of dying. The disorder can lead to significant distress and impairment in social, occupational, or other important areas of functioning. Panic disorder may occur with or without agoraphobia, which is the fear of being in situations where escape might be difficult or help unavailable in the event of a panic attack. The episodic nature of the disorder can lead to anticipatory anxiety, where individuals worry about the possibility of future attacks, further complicating their mental health status. Treatment often includes cognitive-behavioral therapy (CBT), medication, or a combination of both, focusing on anxiety management techniques to help patients cope with their symptoms.
Detailed patient history, including frequency and triggers of panic attacks, and any comorbid conditions.
Patients presenting with recurrent panic attacks, often accompanied by anxiety about future attacks.
Consideration of medication side effects and interactions with other psychiatric medications.
Comprehensive assessment of anxiety symptoms and their impact on daily functioning.
Patients with undiagnosed panic disorder presenting with physical symptoms like chest pain or shortness of breath.
Coordination with mental health specialists for comprehensive care.
Used for therapy sessions addressing panic disorder symptoms.
Session notes must detail the focus on panic disorder management.
Psychiatrists should document the therapeutic techniques used.
Panic disorder is characterized by recurrent, unexpected panic attacks, while generalized anxiety disorder involves excessive worry about various aspects of life without the episodic nature of panic attacks.
