Irritability and anger
ICD-10 R45.4 is a billable code used to indicate a diagnosis of irritability and anger.
Irritability and anger are emotional responses characterized by heightened sensitivity, frustration, and aggressive behavior. These symptoms can manifest in various clinical contexts, often indicating underlying psychological or physiological issues. Irritability may present as a persistent state of annoyance or agitation, while anger can range from mild frustration to intense rage. Common causes include stress, anxiety disorders, mood disorders, hormonal changes, and substance abuse. Clinically, these symptoms may be assessed through patient interviews, psychological evaluations, and observation of behavior. Laboratory findings may not directly correlate with irritability and anger but can help rule out physiological causes such as thyroid dysfunction or electrolyte imbalances. Accurate diagnosis requires a comprehensive understanding of the patient's history, current stressors, and any co-existing mental health conditions.
Detailed patient history, including psychosocial factors and any relevant medical history.
Patients presenting with chronic stress, anxiety, or depression-related symptoms.
Consideration of physical health conditions that may contribute to irritability.
Acute assessment of emotional state, including any immediate triggers or stressors.
Patients presenting with acute anger or irritability due to situational stress or substance use.
Rapid assessment and documentation of any potential safety concerns.
Used when a patient presents with irritability and requires evaluation and management.
Document the patient's history, examination findings, and treatment plan.
Internal medicine may require more detailed psychosocial assessments.
Use R45.4 when a patient presents with irritability and anger that cannot be attributed to a specific mental health diagnosis or when it is a symptom of a broader condition.
