Persistent mood [affective] disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F34 is a billable code used to indicate a diagnosis of persistent mood [affective] disorders.
Persistent mood disorders, classified under ICD-10 code F34, encompass a range of chronic mood disturbances that significantly affect an individual's emotional state and functioning. These disorders include conditions such as dysthymia (persistent depressive disorder) and cyclothymia, characterized by long-term depressive and hypomanic symptoms, respectively. Patients with persistent mood disorders often experience fluctuations in mood that can lead to difficulties in daily functioning, interpersonal relationships, and overall quality of life. The diagnosis requires a thorough clinical assessment, including a detailed history of mood symptoms, duration, and impact on functioning. Treatment typically involves a combination of psychotherapy and pharmacotherapy, including mood stabilizers and antidepressants. Given the chronic nature of these disorders, ongoing management and monitoring are essential to mitigate risks, including the potential for suicidal ideation and behavior. Regular suicide risk assessments are crucial in this population to ensure patient safety and appropriate intervention.
Detailed clinical notes outlining symptom history, treatment plans, and response to interventions.
Patients presenting with chronic depressive symptoms, treatment-resistant depression, or mood instability.
Psychiatrists must ensure comprehensive assessments are documented to support the chronic nature of the disorder.
Routine screening for mood disorders, documentation of referrals to mental health specialists.
Patients with persistent low mood, fatigue, and functional impairment.
Primary care providers should be vigilant about recognizing signs of persistent mood disorders and documenting any referrals or treatment plans.
Used for ongoing therapy sessions for patients with persistent mood disorders.
Document the duration of the session and the focus of therapy.
Psychiatrists and psychologists should ensure that therapy notes reflect the chronic nature of the mood disorder.
F34 refers to persistent mood disorders that last for at least two years, while F32 is used for major depressive episodes that are acute and may not meet the chronicity requirement.
