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v1.0.0
ICD-10 Guide
ICD-10 CodesF43.0

F43.0

Billable

Acute stress reaction

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

Code Description

ICD-10 F43.0 is a billable code used to indicate a diagnosis of acute stress reaction.

Key Diagnostic Point:

Acute stress reaction is a psychological response that occurs in the aftermath of a traumatic event, characterized by symptoms such as anxiety, dissociation, and emotional distress. This condition typically arises within hours to days following exposure to a traumatic incident, such as a natural disaster, serious accident, or violent assault. Symptoms may include intrusive thoughts, heightened arousal, avoidance behaviors, and emotional numbing. The duration of these symptoms can vary, but they generally resolve within a few days to weeks. If symptoms persist beyond this period, the diagnosis may shift to post-traumatic stress disorder (PTSD). Acute stress reactions can significantly impair an individual's ability to function in daily life, necessitating timely intervention and support. Treatment often involves psychological first aid, cognitive-behavioral therapy, and, in some cases, pharmacotherapy to manage anxiety and distress. Understanding the nuances of acute stress reactions is crucial for effective diagnosis and treatment, as well as for accurate medical coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute stress reaction and PTSD
  • Variability in symptom presentation among patients
  • Need for thorough documentation of the traumatic event
  • Potential overlap with other anxiety disorders

Audit Risk Factors

  • Inadequate documentation of the traumatic event
  • Failure to specify the duration of symptoms
  • Misclassification of acute stress reaction as PTSD
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including the nature of the traumatic event and symptom onset.

Common Clinical Scenarios

Patients presenting after a natural disaster or violent incident.

Billing Considerations

Consideration of comorbid conditions such as depression or anxiety disorders.

Emergency Medicine

Documentation Requirements

Immediate assessment of symptoms and potential referral for psychiatric evaluation.

Common Clinical Scenarios

Patients presenting to the ER after traumatic events.

Billing Considerations

Rapid assessment and documentation of acute symptoms to facilitate timely intervention.

Coding Guidelines

Inclusion Criteria

Use F43.0 When
  • According to ICD
  • 10 coding guidelines, F43
  • 0 should be used when symptoms arise within a month of a traumatic event and are not better explained by another mental disorder
  • Documentation must clearly link symptoms to the traumatic event

Exclusion Criteria

Do NOT use F43.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for therapy sessions addressing acute stress reactions.

Documentation Requirements

Document the focus of therapy on trauma-related symptoms.

Specialty Considerations

Psychiatrists should ensure that the treatment plan aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acute stress reactions, improving the ability to track and manage these conditions in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acute stress reactions, improving the ability to track and manage these conditions in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of acute stress reactions, improving the ability to track and manage these conditions in clinical practice.

Resources

Clinical References

  • •
    American Psychiatric Association - DSM-5

Coding & Billing References

  • •
    American Psychiatric Association - DSM-5

Frequently Asked Questions

What is the difference between acute stress reaction and PTSD?

Acute stress reaction occurs within days to weeks following a traumatic event, while PTSD is diagnosed when symptoms persist for more than a month.