Hypochondriasis
ICD-10 F45.21 is a billable code used to indicate a diagnosis of hypochondriasis.
Hypochondriasis, now referred to as Illness Anxiety Disorder in the DSM-5, is characterized by an excessive preoccupation with having or acquiring a serious illness. Individuals with this condition often misinterpret bodily sensations or minor symptoms as indicative of severe medical conditions, leading to significant distress and impairment in daily functioning. This disorder can manifest in various ways, including frequent medical consultations, excessive health-related research, and avoidance of situations perceived as risky to health. The anxiety associated with hypochondriasis can be debilitating, often co-occurring with other anxiety disorders such as generalized anxiety disorder (GAD), obsessive-compulsive disorder (OCD), or specific phobias. Effective management typically involves cognitive-behavioral therapy (CBT), which helps patients reframe their thoughts about health and illness, and may include medication for anxiety management. Understanding the psychological underpinnings of hypochondriasis is crucial for healthcare providers to offer appropriate support and treatment.
Detailed patient history, symptom assessment, and treatment plan.
Patients presenting with health anxiety, frequent medical visits without clear medical findings.
Documentation should clearly outline the patient's anxiety symptoms and their impact on daily functioning.
Comprehensive health assessments, including mental health screenings.
Patients with multiple complaints and frequent requests for tests despite normal results.
Primary care providers should document the rationale for referrals to mental health specialists.
Used for therapy sessions addressing health anxiety.
Document the focus of therapy on health-related anxiety and coping strategies.
Psychiatrists should ensure that therapy goals are clearly defined.
Hypochondriasis primarily involves anxiety about health without significant somatic symptoms, while somatic symptom disorder includes actual physical symptoms that cause distress.
