Hoarding disorder
ICD-10 F42.3 is a billable code used to indicate a diagnosis of hoarding disorder.
Hoarding disorder is characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value. This behavior results in the accumulation of items that congest and clutter active living areas, significantly impairing the individual’s ability to use those spaces. The disorder often coexists with other mental health conditions, such as anxiety disorders, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD). Individuals with hoarding disorder may experience significant distress or impairment in social, occupational, or other important areas of functioning. The condition can lead to unsafe living conditions, social isolation, and increased risk of fire hazards. Treatment typically involves cognitive-behavioral therapy (CBT) focused on reducing the urge to hoard and improving decision-making skills regarding possessions. Medications may also be prescribed to address co-occurring anxiety or mood disorders. Accurate diagnosis and coding are essential for effective treatment and insurance reimbursement.
Detailed patient history, including onset, duration, and impact of hoarding behavior on daily life.
Patients presenting with severe clutter in living spaces, social withdrawal, and distress related to possessions.
Consideration of co-morbid conditions such as anxiety disorders and the need for a multidisciplinary approach to treatment.
Comprehensive psychological assessments and treatment plans that address cognitive-behavioral strategies.
Patients seeking therapy for anxiety related to discarding items or experiencing distress from clutter.
Focus on therapeutic interventions and the need for regular progress evaluations.
Used for therapy sessions addressing hoarding behaviors.
Document the focus of therapy on hoarding behaviors and progress made.
Psychiatrists and psychologists should ensure treatment plans are tailored to address hoarding specifically.
The primary treatment for hoarding disorder is cognitive-behavioral therapy (CBT), which focuses on changing the thought patterns and behaviors associated with hoarding. In some cases, medications may also be prescribed to help manage co-occurring anxiety or mood disorders.
