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ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF91

F91

Non-billable

Conduct disorders

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

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

Code Description

ICD-10 F91 is a used to indicate a diagnosis of conduct disorders.

Key Diagnostic Point:

Conduct disorders (ICD-10 code F91) encompass a range of behavioral issues characterized by a persistent pattern of violating societal norms and the rights of others. This category includes various conditions such as oppositional defiant disorder, aggressive behavior, and antisocial behavior, which can manifest in children and adolescents. Clinically, these disorders are significant as they can lead to severe impairments in social, academic, and family functioning. Early identification and intervention are crucial to mitigate long-term consequences, including potential criminal behavior and difficulties in adult life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms
  • Need for comprehensive assessment
  • Potential comorbidities

Audit Risk Factors

  • Inadequate documentation
  • Misdiagnosis
  • Failure to specify subtype

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Pediatrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the F91 code category is significant, as it plays a crucial role in identifying and managing youth with conduct disorders. Accurate coding can influence quality measures and population health initiatives aimed at reducing behavioral issues in children and adolescents. Furthermore, understanding the trends associated with conduct disorders can help healthcare providers develop targeted interventions and preventive strategies, ultimately improving outcomes for affected individuals and their families.

ICD-9 vs ICD-10

The clinical and administrative impact of the F91 code category is significant, as it plays a crucial role in identifying and managing youth with conduct disorders. Accurate coding can influence quality measures and population health initiatives aimed at reducing behavioral issues in children and adolescents. Furthermore, understanding the trends associated with conduct disorders can help healthcare providers develop targeted interventions and preventive strategies, ultimately improving outcomes for affected individuals and their families.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the specific treatment modalities used, such as psychotherapy or medication management. It is essential to use appropriate CPT codes that correspond with the services provided to ensure accurate billing and reimbursement.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for F91

Coding & Billing References

  • •
    Official ICD-10 Guidelines for F91

Frequently Asked Questions

What conditions are included in F91?

F91 includes conduct disorder, oppositional defiant disorder, and other related behavioral issues that involve a pattern of violating rules, norms, or the rights of others.

When should I use F91 codes?

F91 codes should be used when a patient exhibits a consistent pattern of behavior that includes aggression, deceitfulness, or serious violations of rules, particularly when these behaviors are disruptive to their social or academic functioning.

What documentation is required for F91?

Documentation for F91 should include a thorough clinical assessment, history of behavior patterns, any comorbid conditions, and evidence of the impact on the patient's daily functioning.