Other dissociative and conversion disorders
ICD-10 F44.89 is a billable code used to indicate a diagnosis of other dissociative and conversion disorders.
F44.89 encompasses a range of dissociative and conversion disorders that do not fit neatly into other specified categories. These disorders are characterized by a disruption in the normal integration of consciousness, memory, identity, or perception of the environment. Patients may experience symptoms such as altered sense of self, memory loss, or episodes of dissociation that can be triggered by stress or trauma. Unlike anxiety disorders, PTSD, or OCD, which have more defined symptomatology and treatment protocols, dissociative disorders often present with a complex interplay of psychological and physical symptoms. The diagnosis requires careful clinical evaluation to rule out other medical conditions and to understand the patient's psychological history. Treatment typically involves psychotherapy, cognitive behavioral therapy, and sometimes medication to manage associated symptoms. The complexity of these disorders lies in their varied presentations and the need for a comprehensive approach to treatment, which can complicate accurate coding and documentation.
Detailed patient history, symptom description, treatment plans, and response to therapy.
Patients presenting with unexplained neurological symptoms, memory loss, or identity disturbances.
Need for thorough psychological evaluation and consideration of co-morbid conditions.
Neurological assessments, imaging results, and exclusion of organic causes.
Patients with conversion symptoms that mimic neurological disorders but lack a neurological basis.
Collaboration with mental health professionals for comprehensive care.
Used for outpatient therapy sessions addressing dissociative symptoms.
Session notes detailing patient progress and symptom management.
Psychiatrists should document the therapeutic approach and response to treatment.
Key symptoms include memory loss, identity confusion, and episodes of feeling detached from oneself or the environment. These symptoms can significantly impact daily functioning and are often triggered by stress or trauma.
