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ICD-10 Guide
ICD-10 CodesF63.8

F63.8

Billable

Other impulse disorders

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

Code Description

ICD-10 F63.8 is a billable code used to indicate a diagnosis of other impulse disorders.

Key Diagnostic Point:

F63.8 encompasses a variety of impulse control disorders that do not fit neatly into other specified categories. These disorders are characterized by an inability to resist a temptation, urge, or impulse that may harm oneself or others. Individuals may engage in behaviors such as compulsive gambling, stealing, or other maladaptive behaviors that disrupt their daily functioning and relationships. The onset of these disorders can be influenced by personality disorders, where traits such as impulsivity and emotional dysregulation are prevalent. Additionally, gender identity issues may intersect with impulse control disorders, as individuals may struggle with societal pressures and personal identity, leading to maladaptive coping mechanisms. Accurate diagnosis requires a thorough clinical assessment, including a review of the individual's history, behavior patterns, and any co-occurring mental health conditions. Treatment often involves psychotherapy, behavioral interventions, and, in some cases, pharmacotherapy to manage symptoms and improve impulse control.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of behaviors included under the code
  • Overlap with other mental health diagnoses
  • Need for comprehensive documentation of symptoms
  • Potential for co-occurring disorders

Audit Risk Factors

  • Inadequate documentation of the specific impulse control behavior
  • Failure to document co-occurring mental health conditions
  • Lack of evidence for treatment interventions
  • Misclassification of the disorder due to overlapping symptoms

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, symptom assessment, and treatment plans.

Common Clinical Scenarios

Patients presenting with compulsive behaviors, such as gambling or shopping.

Billing Considerations

Consideration of comorbid personality disorders and their impact on treatment.

Psychology

Documentation Requirements

Psychological evaluations, therapy notes, and progress reports.

Common Clinical Scenarios

Therapeutic interventions for maladaptive behaviors and impulse control issues.

Billing Considerations

Focus on behavioral assessments and cognitive-behavioral strategies.

Coding Guidelines

Inclusion Criteria

Use F63.8 When
  • According to ICD
  • 10 guidelines, F63
  • 8 should be used when the impulse control disorder does not fit into more specific categories
  • Coders must ensure that the diagnosis is supported by clinical documentation and that it reflects the patient's current condition

Exclusion Criteria

Do NOT use F63.8 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 impulse control issues.

Documentation Requirements

Session notes detailing patient progress and treatment focus.

Specialty Considerations

Psychiatrists and psychologists should document specific therapeutic techniques used.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of impulse control disorders, improving the ability to track and treat these conditions effectively. F63.8 provides a broader category for disorders that may not fit into more defined classifications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of impulse control disorders, improving the ability to track and treat these conditions effectively. F63.8 provides a broader category for disorders that may not fit into more defined classifications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of impulse control disorders, improving the ability to track and treat these conditions effectively. F63.8 provides a broader category for disorders that may not fit into more defined classifications.

Resources

Clinical References

  • •
    American Psychiatric Association
  • •
    National Institute of Mental Health

Coding & Billing References

  • •
    American Psychiatric Association
  • •
    National Institute of Mental Health

Frequently Asked Questions

What are the common symptoms of impulse control disorders?

Common symptoms include inability to resist urges, engaging in harmful behaviors, and experiencing distress or impairment in daily functioning.

How can impulse control disorders be treated?

Treatment often involves psychotherapy, behavioral interventions, and sometimes medication to help manage symptoms.