Pervasive developmental disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F84 is a billable code used to indicate a diagnosis of pervasive developmental disorders.
Pervasive developmental disorders (PDD) encompass a group of conditions characterized by delays in the development of socialization and communication skills. The most recognized of these disorders is Autism Spectrum Disorder (ASD), which includes a range of symptoms and levels of impairment. Individuals with PDD may exhibit difficulties in social interaction, communication challenges, and restricted or repetitive behaviors. The onset of symptoms typically occurs in early childhood, and while the exact etiology remains unclear, genetic and environmental factors are believed to play a role. Diagnosis is based on clinical observation and standardized assessment tools, focusing on developmental history and behavioral patterns. Treatment often involves a multidisciplinary approach, including behavioral therapies, educational interventions, and sometimes pharmacological management to address associated symptoms such as anxiety or hyperactivity. Early intervention is crucial for improving outcomes, and ongoing support is often necessary throughout the individual's life.
Detailed developmental history, behavioral assessments, and parental input.
Evaluating a child with delayed speech and social skills, assessing a child with repetitive behaviors.
Consideration of age-appropriate developmental milestones and the impact of cultural factors on behavior.
Comprehensive psychiatric evaluation, including mental status examination and history of present illness.
Diagnosing an adolescent with social anxiety and communication difficulties, managing a patient with co-occurring ADHD.
Differentiating between PDD and other psychiatric disorders such as mood disorders or anxiety disorders.
Used during routine pediatric visits to assess developmental milestones.
Document the screening tool used and results.
Pediatricians should ensure developmental screenings are age-appropriate.
Conducted when there are concerns about developmental delays.
Include details of the tests performed and findings.
Psychiatrists may use this code for comprehensive evaluations.
Autism Spectrum Disorder (ASD) is a specific diagnosis within the broader category of Pervasive Developmental Disorders (PDD). PDD includes several disorders characterized by delays in socialization and communication, with ASD being the most recognized. The DSM-5 has consolidated many of the previous PDD diagnoses into the ASD category.
Documentation should include a detailed developmental history, behavioral observations, and results from standardized assessments. It is essential to specify the type of PDD and any co-occurring conditions to ensure accurate coding.
