Diagnosis Overview

What is Hyperactivity?

Essential facts and insights about Hyperactivity

Key Clinical Considerations:

Increased fidgeting or restlessness
Difficulty remaining seated in situations where it is expected
Excessive talking or interrupting others
Impulsivity and difficulty waiting for one's turn
Inattention to details and careless mistakes

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history including onset and duration of symptoms
Behavioral assessments and rating scales
Evidence of symptoms in multiple settings (e.g., home, school)
Specific coding terminology such as 'Attention-Deficit/Hyperactivity Disorder (ADHD)'
Documentation examples include detailed notes on patient behavior and responses to interventions

Coding Guidelines

Usage Guidelines & Examples

Usage guidelines include differentiating between inattentive and hyperactive-impulsive presentations.
Common errors include misclassifying the type of ADHD and failing to document symptoms across settings.

Code Exclusions

Important Exclusions

Excludes conditions such as anxiety disorders, mood disorders, and learning disabilities that may present with similar symptoms.
Alternative codes may include F90.8 for other specified ADHD and F90.9 for unspecified ADHD.

Related ICD-10 Codes

Primary Codes

F90.0

Attention-deficit hyperactivity disorder, predominantly inattentive presentation

F90.1

Attention-deficit hyperactivity disorder, predominantly hyperactive-impulsive presentation

F90.2

Attention-deficit hyperactivity disorder, combined presentation

Ancillary Codes

R41.83

Z55.9

Differential Codes

F90.2

if both hyperactive and inattentive symptoms are present.

F90.1

if hyperactivity is predominant without significant inattention.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Psychiatry

Specialty Applications

Children and adolescents with behavioral concerns
Clinical settings such as outpatient psychiatry, pediatric clinics, and school-based health services

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Comprehensive patient history, behavioral assessments, and evidence of symptoms across multiple settings.

What are the billing considerations?

Ensure accurate coding based on specific presentations and document all relevant assessments.