ǿ

Neurology & Pain Management Coding Alert

Neurology & Pain Management Coding:

Look for Dominant Element When Choosing ADHD Dx

Question: Encounter notes indicate that the patient suffers from attention deficit hyperactivity disorder (ADHD); the neurologist notes that the patient is “predominantly inattentive.” Does this matter when choosing an ICD-10-CM code?

New Mexico Subscriber

Answer: Yes, it does matter that the patient’s ADHD is predominantly inattentive, as it will help you choose your diagnosis code: F90.0 (Attention-deficit hyperactivity disorder, predominantly inattentive type).

The ICD-10-CM code book divides ADHD diagnoses by which, if any, ADHD symptom is predominant. Here’s a look at the ADHD diagnoses in F90.- (Attention-deficit hyperactivity disorders):

  • F90.0: For patients with “predominantly inattentive presentation,” per ICD-10-CM
  • F90.1 (Attention-deficit hyperactivity disorder, predominantly hyperactive type): For patients with “predominantly hyperactive impulsive presentation,” according to ICD-10-CM
  • F90.2 (Attention-deficit hyperactivity disorder, combined type): For patients that present with no discernable predominant ADHD element
  • F90.8 (Attention-deficit hyperactivity disorder, other type): For patients that present with a named type of ADHD that is not listed in F90.-
  • F90.9 (Attention-deficit hyperactivity disorder, unspecified type): For patients that present with ADHD that is not specified.

Chris Boucher, MS, CPC, Senior Development Editor, AAPC