Impulsiveness
ICD-10 R45.87 is a billable code used to indicate a diagnosis of impulsiveness.
Impulsiveness is characterized by a tendency to act on whims without considering the consequences, often leading to risky behaviors or decisions. This symptom can manifest in various ways, including sudden urges to engage in activities such as spending sprees, substance use, or reckless driving. Impulsiveness may be observed in various psychiatric conditions, including attention-deficit/hyperactivity disorder (ADHD), borderline personality disorder, and certain mood disorders. Clinically, it can present as difficulty in delaying gratification, a lack of foresight, and an inability to control urges. The underlying mechanisms may involve dysregulation of neurotransmitters such as dopamine and serotonin, which play crucial roles in reward processing and impulse control. Assessment typically involves a thorough clinical interview, standardized questionnaires, and possibly neuropsychological testing to evaluate the extent and impact of impulsive behaviors on daily functioning.
Detailed patient history, including psychosocial factors and any comorbid conditions.
Patients presenting with impulsive behaviors leading to health risks, such as substance abuse or non-adherence to medical advice.
Consider the impact of chronic medical conditions on impulsivity and document any relevant psychosocial stressors.
Acute assessment of impulsive behaviors, including safety evaluations and risk assessments.
Patients presenting after engaging in self-harm or dangerous activities due to impulsiveness.
Document immediate interventions and any psychiatric consultations initiated during the emergency visit.
Used when assessing impulsiveness in a clinical setting.
Document the assessment findings and any recommendations made.
Ensure that the assessment aligns with the diagnosis and treatment plan.
Use R45.87 when documenting impulsiveness as a primary symptom that is not classified elsewhere, ensuring that it is supported by clinical documentation.
