Excessive crying of child, adolescent or adult
ICD-10 R45.83 is a billable code used to indicate a diagnosis of excessive crying of child, adolescent or adult.
Excessive crying is characterized by prolonged and frequent episodes of crying that are disproportionate to the situation or context. This symptom can manifest in children, adolescents, and adults, often indicating underlying emotional distress or psychological issues. In children, excessive crying may be associated with developmental milestones, separation anxiety, or environmental stressors. In adolescents and adults, it may reflect mood disorders, anxiety, or situational stress. Clinical evaluation should consider the duration, frequency, and triggers of crying episodes, as well as any accompanying symptoms such as irritability, changes in sleep patterns, or appetite disturbances. Abnormal clinical findings may include signs of distress or agitation, while laboratory findings are typically not applicable unless underlying medical conditions are suspected. A thorough assessment is crucial to determine the appropriate management and to rule out any serious underlying conditions.
Detailed history of emotional and psychological symptoms, including duration and triggers of crying episodes.
Patients presenting with excessive crying due to stress, anxiety, or depression.
Consideration of comorbid conditions such as depression or anxiety disorders that may contribute to excessive crying.
Acute assessment of the patient's emotional state, including any immediate triggers for crying.
Patients presenting to the emergency department with acute emotional distress or crisis situations.
Rapid assessment of potential underlying medical conditions that may be causing emotional distress.
Used when a patient presents for evaluation of excessive crying and requires moderate complexity medical decision-making.
Document the patient's history, examination findings, and management plan.
Ensure that the visit reflects the complexity of the emotional assessment.
R45.83 should be used when excessive crying is a primary symptom that warrants evaluation and management, particularly when it is disproportionate to the situation and affects the patient's daily functioning.
