ICD-10 Code F41.0
Panic disorder (episodic paroxysmal anxiety) without agoraphobia
What is the code F41.0?
F41.0 is the ICD-10-CM code for panic disorder (episodic paroxysmal anxiety) without agoraphobia. This code is used to classify a mental health condition characterized by recurrent and unexpected panic attacks, which are sudden periods of intense fear or discomfort that peak within minutes.
Detailed description of F41.0
Panic disorder, categorized under F41.0, involves sudden and repeated episodes of intense fear. These episodes often include physical symptoms such as chest pain, heart palpitations, shortness of breath, dizziness, or abdominal distress. Unlike other anxiety disorders, the panic attacks in panic disorder are not triggered by any specific situation or object and occur unexpectedly.
Symptoms commonly associated with F41.0
The symptoms of panic disorder include:
- Rapid heartbeat or palpitations
- Sweating
- Trembling or shaking
- Sensations of shortness of breath or smothering
- Feelings of choking
- Chest pain or discomfort
- Nausea or abdominal distress
- Dizziness, light-headedness, or faintness
- Chills or heat sensations
- Numbness or tingling sensations
- Feelings of unreality or detachment from oneself
- Fear of losing control or "going crazy"
- Fear of dying
Related and similar ICD-10 codes
- F41.1: Generalized anxiety disorder
- F41.8: Other specified anxiety disorders
- F41.9: Anxiety disorder, unspecified
- F40.01: Agoraphobia with panic disorder
- F40.10: Social phobia, unspecified
Appropriate usage of F41.0 for billing
The F41.0 code should be used when a patient is diagnosed with panic disorder without agoraphobia. It is important to ensure that the diagnosis is included in the provider’s assessment portion of the note. This code is used for billing purposes to reflect the specific mental health condition being treated.
Instructional guidelines for coding F41.0
When using F41.0, it's important to:
- Document the frequency, duration, and severity of panic attacks.
- Exclude other potential causes of the symptoms, such as medical conditions or substance use.
- Review the code notes in the tabular listing for additional diagnosis synonyms.
Additional instructional notes for F41.0 may include:
- Differentiate panic disorder from other anxiety disorders and medical conditions.
- Consider comorbid conditions that may impact the diagnosis and treatment.
Common pitfalls in coding with F41.0
- Misdiagnosing panic disorder when the symptoms are due to another condition.
- Inadequate documentation of the frequency and severity of panic attacks.
- Using F41.0 for transient or situational anxiety that does not meet the criteria for panic disorder.
Key resources for F41.0 coding
- CMS ICD-10 Homepage: Provides official resources and guidelines on ICD-10-CM coding.
- WHO ICD-10 Online Browser: Useful for verifying the definitions and relationships between different ICD-10-CM codes.
- American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
- National Institute of Mental Health (NIMH)
- Clinical practice guidelines for the management of panic disorder
Conclusion
F41.0 is the ICD-10-CM code for panic disorder without agoraphobia, a condition marked by recurrent, unexpected panic attacks. Accurate coding for F41.0 requires thorough documentation of the patient's symptoms, exclusion of other conditions, and adherence to coding guidelines. Proper use of this code ensures appropriate billing and effective management of the disorder.
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