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v1.0.0
ICD-10 Guide
ICD-10 CodesF43.29

F43.29

Billable

Adjustment disorder with other symptoms

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F43.29 is a billable code used to indicate a diagnosis of adjustment disorder with other symptoms.

Key Diagnostic Point:

Adjustment disorder with other symptoms is a mental health condition that arises in response to a significant life stressor or change, leading to emotional or behavioral symptoms that are out of proportion to the stressor. These symptoms can manifest as anxiety, depression, or other emotional disturbances, but do not meet the criteria for more specific mental health disorders such as anxiety disorders, PTSD, or OCD. The symptoms typically develop within three months of the identifiable stressor and can include feelings of hopelessness, irritability, and difficulty concentrating. The disorder can significantly impair social, occupational, or other important areas of functioning. Treatment often involves psychotherapy, stress management techniques, and, in some cases, medication to alleviate symptoms. It is crucial for healthcare providers to accurately document the nature of the stressor and the specific symptoms exhibited to ensure appropriate coding and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other mental health disorders.
  • Need for precise documentation of the stressor and symptoms.
  • Potential for misdiagnosis with anxiety disorders or PTSD.
  • Variability in treatment approaches based on individual patient needs.

Audit Risk Factors

  • Inadequate documentation of the stressor.
  • Failure to specify the nature of 'other symptoms'.
  • Misalignment between documented symptoms and the diagnosis.
  • Inconsistent treatment plans that do not match the diagnosis.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed notes on patient history, stressors, and symptomatology.

Common Clinical Scenarios

Patients presenting with anxiety or depressive symptoms following a significant life event such as divorce, job loss, or bereavement.

Billing Considerations

Psychiatrists must ensure that the symptoms do not meet criteria for other mental health disorders.

Primary Care

Documentation Requirements

Comprehensive assessment of psychosocial factors and physical health status.

Common Clinical Scenarios

Patients with stress-related symptoms who may not have access to mental health services.

Billing Considerations

Primary care providers should be aware of the potential for comorbid conditions and refer to mental health specialists when necessary.

Coding Guidelines

Inclusion Criteria

Use F43.29 When
  • According to ICD
  • 10 coding guidelines, F43
  • 29 should be used when the symptoms do not meet the criteria for other specific adjustment disorders
  • Documentation must clearly outline the stressor and the nature of the symptoms to justify the use of this code

Exclusion Criteria

Do NOT use F43.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient.

Clinical Scenario

Used for outpatient therapy sessions addressing adjustment disorder symptoms.

Documentation Requirements

Session notes must detail the patient's symptoms, treatment goals, and progress.

Specialty Considerations

Psychiatrists and psychologists should ensure that the treatment aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of adjustment disorders, enabling better tracking of mental health conditions and their treatment. F43.29 provides a distinct code for cases that do not fit neatly into other categories, improving the accuracy of mental health data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of adjustment disorders, enabling better tracking of mental health conditions and their treatment. F43.29 provides a distinct code for cases that do not fit neatly into other categories, improving the accuracy of mental health data.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms associated with F43.29?

Common symptoms include anxiety, irritability, difficulty concentrating, and emotional distress that arise in response to a significant life stressor.

How can I differentiate F43.29 from PTSD?

F43.29 is diagnosed when symptoms arise within three months of a stressor and do not meet the criteria for PTSD, which requires exposure to a traumatic event and specific symptom clusters.