Post-traumatic stress disorder (PTSD)
ICD-10 F43.1 is a billable code used to indicate a diagnosis of post-traumatic stress disorder (ptsd).
Post-traumatic stress disorder (PTSD) is a mental health condition that can develop after an individual has been exposed to a traumatic event. This may include experiences such as combat exposure, sexual assault, natural disasters, or serious accidents. Symptoms of PTSD can be categorized into four main clusters: intrusive memories (e.g., flashbacks, nightmares), avoidance (e.g., avoiding reminders of the trauma), negative changes in mood and cognition (e.g., persistent negative beliefs, feelings of detachment), and heightened arousal (e.g., hypervigilance, exaggerated startle response). The diagnosis of PTSD requires that symptoms persist for more than one month and cause significant distress or impairment in social, occupational, or other important areas of functioning. Treatment often involves psychotherapy, such as cognitive-behavioral therapy (CBT), and may include medications like SSRIs. Understanding the nuances of PTSD is crucial for accurate coding and effective treatment planning.
Detailed history of trauma, symptom assessment, and treatment plan.
Patients presenting with flashbacks, avoidance behaviors, or severe anxiety following trauma.
Ensure that the documentation reflects the chronicity and severity of symptoms for accurate coding.
Screening for PTSD symptoms, referral notes, and treatment follow-up.
Patients with unexplained physical symptoms or anxiety who may have a history of trauma.
Primary care providers should be aware of the signs of PTSD and document any referrals to mental health specialists.
Used for therapy sessions focused on PTSD treatment.
Document the duration of the session and specific therapeutic techniques used.
Psychiatrists should ensure that the treatment plan aligns with the diagnosis.
PTSD is diagnosed when symptoms persist for more than one month after a traumatic event, while acute stress disorder is diagnosed when symptoms occur within three days to one month.
