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v1.0.0
ICD-10 Guide
DiagnosesIntermittent Explosive Disorder

Intermittent Explosive Disorder

ICD-10 Coding for Intermittent Explosive Disorder(F63.81)

PRIMARY SPECIALTYPsychiatry
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Intermittent Explosive Disorder?
Essential facts and insights about Intermittent Explosive Disorder

Key Clinical Considerations:

  • Recurrent aggressive outbursts representing a failure to control aggressive impulses.
  • Verbal or physical aggression occurring twice weekly on average for a period of 3 months.
  • The magnitude of aggressiveness is grossly out of proportion to the provocation or any precipitating psychosocial stressors.

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of aggressive outbursts and their frequency.
  • Assessment of triggers and context of aggressive episodes.
  • Documentation of any co-occurring mental health disorders.

Coding Guidelines

Usage Guidelines & Examples

  • Follow usage guidelines for accurate coding based on clinical presentation.
  • Common errors include misdiagnosing as other impulse control disorders.

Code Exclusions

Important Exclusions

  • Mood disorders, anxiety disorders, and personality disorders.
  • Alternative codes include those for other impulse control disorders.

Related ICD-10 Codes

Primary Codes
313.81
Intermittent Explosive Disorder
Ancillary Codes
F90.2
Differential Codes
F91.3

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Psychiatry

Specialty Applications

  • Adults and adolescents exhibiting aggressive behavior.
  • Psychiatric clinics and emergency departments.

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?

Document the frequency, duration, and context of aggressive outbursts.

What are the billing considerations?

Ensure accurate coding and documentation to support the diagnosis for reimbursement.