Other dissociative and conversion disorders
ICD-10 F44.8 is a billable code used to indicate a diagnosis of other dissociative and conversion disorders.
F44.8 encompasses a range of dissociative and conversion disorders that do not fit neatly into other specified categories. These disorders are characterized by a disruption in the normal integration of consciousness, memory, identity, or perception of the environment. Patients may experience symptoms such as altered sense of self, memory loss, or episodes of dissociation that can manifest as physical symptoms without a clear medical cause. Common presentations include non-epileptic seizures, paralysis, or sensory loss that cannot be explained by neurological or medical conditions. The onset of these disorders is often linked to psychological stressors, trauma, or anxiety, and they may co-occur with anxiety disorders, PTSD, or OCD. Treatment typically involves psychotherapy, cognitive behavioral therapy, and anxiety management techniques to help patients cope with their symptoms and underlying issues. Understanding the nuances of these disorders is crucial for accurate diagnosis and coding, as they can significantly impact a patient's quality of life and require tailored therapeutic approaches.
Thorough documentation of patient history, symptomatology, and treatment response is essential. Detailed notes on the patient's psychological state and any trauma history should be included.
Patients presenting with unexplained neurological symptoms, such as paralysis or seizures, following a traumatic event or significant stress.
Psychiatrists should be aware of the potential for co-morbid anxiety disorders and PTSD, which may require integrated treatment approaches.
Neurologists must document the exclusion of neurological causes for symptoms, including detailed neurological examinations and diagnostic tests.
Patients with non-epileptic seizures or sensory loss that do not correlate with neurological findings.
Collaboration with mental health professionals may be necessary to address the psychological aspects of the patient's condition.
Used for outpatient therapy sessions addressing dissociative symptoms.
Document the patient's symptoms, treatment goals, and progress notes.
Psychiatrists should ensure that therapy is tailored to address both dissociative symptoms and any underlying anxiety or trauma.
Key symptoms include dissociative episodes, altered sense of identity, memory loss, and physical symptoms without a medical explanation. These symptoms often arise in response to psychological stress or trauma.
