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ICD-10 Guide
ICD-10 CodesF25.8

F25.8

Billable

Other schizoaffective disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F25.8 is a billable code used to indicate a diagnosis of other schizoaffective disorders.

Key Diagnostic Point:

Other schizoaffective disorders encompass a range of mental health conditions characterized by the presence of mood disorder symptoms alongside psychotic features, such as hallucinations or delusions. Unlike schizoaffective disorder, bipolar type or depressive type, which have specific mood components, this code is used when the schizoaffective symptoms do not fit neatly into those categories. Patients may experience significant functional impairment, affecting their ability to work, maintain relationships, and perform daily activities. The diagnosis requires careful clinical assessment to differentiate it from other schizophrenia spectrum and psychotic disorders, as well as mood disorders. Treatment typically involves a combination of antipsychotic medications, mood stabilizers, and psychotherapy, tailored to the individual's specific symptoms and needs. Clinicians must document the severity and duration of symptoms, as well as any functional impairments, to support the diagnosis and treatment plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating from other mood disorders and schizophrenia spectrum disorders
  • Variability in symptom presentation among patients
  • Need for comprehensive documentation of functional impairment
  • Potential overlap with other psychiatric diagnoses

Audit Risk Factors

  • Inadequate documentation of symptom duration and severity
  • Failure to differentiate from other psychotic disorders
  • Lack of evidence for functional impairment
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed clinical notes on symptomatology, treatment response, and functional status.

Common Clinical Scenarios

Patients presenting with mixed symptoms of mood disorders and psychosis.

Billing Considerations

Ensure comprehensive assessment of mood symptoms and psychotic features to support accurate coding.

Psychology

Documentation Requirements

Psychological evaluations and assessments detailing cognitive and emotional functioning.

Common Clinical Scenarios

Patients undergoing therapy for mood and psychotic symptoms.

Billing Considerations

Document psychological testing results and treatment progress to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use F25.8 When
  • According to ICD
  • 10 guidelines, F25
  • 8 should be used when the symptoms do not meet the criteria for other specified schizoaffective disorders
  • Documentation must clearly outline the presence of both mood and psychotic symptoms, as well as their impact on functioning

Exclusion Criteria

Do NOT use F25.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90837CPT Code

Psychotherapy, 60 minutes with patient

Clinical Scenario

Used for patients with schizoaffective disorders requiring intensive therapy.

Documentation Requirements

Document the duration and focus of therapy sessions.

Specialty Considerations

Psychiatrists may need to provide additional notes on medication management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of schizoaffective disorders, improving the ability to capture the complexity of these conditions and their treatment needs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of schizoaffective disorders, improving the ability to capture the complexity of these conditions and their treatment needs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of schizoaffective disorders, improving the ability to capture the complexity of these conditions and their treatment needs.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What distinguishes F25.8 from other schizoaffective disorders?

F25.8 is used when the schizoaffective symptoms do not fit into the bipolar or depressive types, requiring careful clinical assessment to ensure accurate coding.