Encounter for general psychiatric examination, requested by authority
ICD-10 Z04.6 is a billable code used to indicate a diagnosis of encounter for general psychiatric examination, requested by authority.
Z04.6 is used when an individual is referred for a general psychiatric examination at the request of an authority, such as a court or social services. This encounter is often influenced by social determinants of health, including socioeconomic status, access to healthcare, and community support systems. The examination may be part of a preventive strategy to assess mental health needs, identify potential risks, and ensure the individual receives appropriate care. It is crucial for healthcare providers to document the reasons for the referral, the authority requesting the examination, and any relevant social factors that may impact the individual's mental health. This code is essential for tracking mental health assessments in various settings, including outpatient clinics and community health programs, and plays a role in preventive care by identifying individuals who may benefit from further mental health services.
Documentation should include the reason for the referral, any relevant medical history, and the results of the psychiatric examination.
Routine checkups where mental health assessments are requested by legal authorities or social services.
Consideration of social determinants such as housing stability, employment status, and access to mental health resources.
Documentation should focus on population health data, including the prevalence of mental health issues in specific demographics.
Epidemiological studies assessing mental health trends in communities, often initiated by public health authorities.
Tracking health status and outcomes related to social determinants of health.
Used in conjunction with Z04.6 when a comprehensive psychiatric evaluation is performed.
Documentation must include the reason for the evaluation, findings, and any recommendations.
Primary care providers should ensure they understand the legal implications of the evaluation.
Z04.6 should be used specifically when a psychiatric examination is requested by an authority, distinguishing it from other Z codes that may pertain to voluntary evaluations or screenings.
