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ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF48

F48

Billable

Other nonpsychotic mental disorders

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

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

Code Description

ICD-10 F48 is a billable code used to indicate a diagnosis of other nonpsychotic mental disorders.

Key Diagnostic Point:

F48 encompasses a range of nonpsychotic mental disorders that do not fit neatly into other specific categories. This includes various anxiety disorders, obsessive-compulsive disorder (OCD), phobias, and post-traumatic stress disorder (PTSD). Patients may experience significant distress and impairment in social, occupational, or other important areas of functioning. Anxiety disorders, characterized by excessive fear or worry, can manifest in various forms, including generalized anxiety disorder, panic disorder, and specific phobias. PTSD arises after exposure to a traumatic event, leading to symptoms such as flashbacks, avoidance behaviors, and hyperarousal. OCD involves recurrent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety. Effective management often includes a combination of psychotherapy, medication, and anxiety management techniques such as cognitive-behavioral therapy (CBT), mindfulness, and relaxation strategies. Accurate coding requires a thorough understanding of the patient's symptoms and the specific nature of their disorder, as well as the impact on their daily life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other mental health conditions
  • Need for detailed documentation to support the diagnosis
  • Potential for co-morbid conditions that complicate coding
  • Variability in treatment approaches and responses

Audit Risk Factors

  • Inadequate documentation of symptoms and their impact
  • Failure to specify the type of anxiety disorder or related condition
  • Misclassification of the disorder leading to incorrect coding
  • Lack of evidence for treatment modalities used

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluations, including history of present illness, mental status examination, and treatment plans.

Common Clinical Scenarios

Patients presenting with anxiety symptoms, PTSD following trauma, or OCD behaviors.

Billing Considerations

Ensure that all symptoms are clearly documented and linked to the diagnosis to support coding.

Primary Care

Documentation Requirements

Detailed patient history, including psychosocial factors and any referrals to mental health specialists.

Common Clinical Scenarios

Patients with anxiety symptoms that may not have been formally diagnosed or treated.

Billing Considerations

Primary care providers should document any screening tools used and referrals made for mental health evaluation.

Coding Guidelines

Inclusion Criteria

Use F48 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include specific details about the patient's symptoms, duration, and impact on functioning

Exclusion Criteria

Do NOT use F48 When
  • Exclude conditions that are better classified under other specific codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for outpatient therapy sessions for anxiety management.

Documentation Requirements

Document the duration of the session and the therapeutic techniques used.

Specialty Considerations

Psychiatrists should ensure that the treatment plan 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 mental health disorders, improving the ability to capture the nuances of conditions like those classified under F48. This specificity aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of mental health disorders, improving the ability to capture the nuances of conditions like those classified under F48. This specificity aids in better treatment planning and resource allocation.

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 types of disorders are included under F48?

F48 includes various nonpsychotic mental disorders such as anxiety disorders, PTSD, OCD, and other related conditions that do not fit into more specific categories.