Psychological and behavioral factors associated with disorders or diseases classified elsewhere
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F54 is a billable code used to indicate a diagnosis of psychological and behavioral factors associated with disorders or diseases classified elsewhere.
F54 is used to classify psychological and behavioral factors that are associated with physical disorders or diseases that are classified in other sections of the ICD-10. This code is particularly relevant in cases where psychological issues contribute to the onset, exacerbation, or maintenance of physical health conditions. For instance, in eating disorders, psychological factors such as anxiety or depression may lead to conditions like anorexia nervosa or bulimia. Similarly, sleep disorders can be influenced by psychological stressors, leading to insomnia or sleep apnea. Sexual dysfunction may also have psychological underpinnings, where anxiety or depression affects sexual performance or desire. Behavioral syndromes, such as those related to stress or adjustment disorders, can manifest in physical symptoms, necessitating the use of F54 to capture the psychological aspect of these conditions. Accurate coding requires a thorough understanding of the interplay between psychological factors and physical health, ensuring that the underlying issues are appropriately documented and coded.
Detailed psychological assessments and treatment plans that outline the relationship between psychological factors and physical health.
Patients with eating disorders where anxiety or depression is a contributing factor.
Ensure that psychological evaluations are comprehensive and clearly documented.
Clinical notes that document the impact of psychological factors on physical health conditions.
Patients presenting with sleep disorders linked to stress or anxiety.
Documentation should include both physical and psychological evaluations.
Used when treating a patient whose psychological factors are impacting their physical health.
Document the duration of the session and the specific psychological issues addressed.
Psychiatrists should ensure that the link between psychological treatment and physical health is clear.
Use F54 when there are documented psychological or behavioral factors that are influencing a physical disorder. Ensure that the documentation clearly establishes this connection.
