Nervousness
ICD-10 R45.0 is a billable code used to indicate a diagnosis of nervousness.
Nervousness is characterized by feelings of unease, apprehension, or anxiety that can manifest physically and psychologically. Patients may report symptoms such as restlessness, increased heart rate, sweating, trembling, and difficulty concentrating. This condition can arise from various sources, including stress, anxiety disorders, or situational factors such as public speaking or exams. It is important to differentiate nervousness from more severe anxiety disorders, as the latter may require different treatment approaches. Clinical evaluation often includes a thorough history and physical examination, focusing on the duration and context of symptoms. Laboratory tests may be warranted to rule out underlying medical conditions that could contribute to anxiety-like symptoms, such as thyroid dysfunction or electrolyte imbalances. Understanding the context of nervousness is crucial for appropriate management and coding, as it can significantly impact patient care and treatment outcomes.
Detailed patient history, including psychosocial factors and any relevant medical history.
Patients presenting with nervousness due to chronic illness, stress from work or family issues.
Consideration of comorbid conditions such as depression or chronic pain that may exacerbate symptoms.
Acute assessment of symptoms, including vital signs and any immediate interventions.
Patients presenting with acute nervousness during a panic attack or following a traumatic event.
Rapid assessment is crucial; documentation should reflect the acute nature of symptoms and any immediate treatment provided.
Used when a patient presents with nervousness and requires evaluation and management.
Document the patient's history, examination findings, and any treatment provided.
Internal medicine may require more detailed psychosocial history.
Use R45.0 when nervousness is the primary symptom and not part of a diagnosed anxiety disorder. Ensure that documentation supports the use of this code.
