ICD-10 Codes for Diagnosing Four Common Mood Disorders

ICD-10 Codes for Diagnosing

Four Common Mood Disorders

A mood disorder is a mental health problem that primarily affects a person’s emotional state. The article lists the four common mood disorders and their related ICD-10 codes.

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Everyday life is a roller coaster of emotions and changes in mood can interfere with everyday life. People, in most cases may experience normal fluctuations in mood that may come and go. When your mood starts to have a serious impact on your daily activities and your social, educational and professional relationships, people may experience mood disorder. Regarded as a serious mental health problem, a mood disorder

primarily

affects

a

person’s

emotional

state

wherein

theperson’s mood becomes distorted or incompatible with their circumstances and interferes with their normal ability to function. This is a disorder in which a person experiences long periods of extreme happiness, extreme sadness, or both. Reports suggest that around 20.9 million American adults aged 18 and older have a mood disorder.

It is estimated that females are more likely to be diagnosed with mood disorder than men. In fact, 45 percent of those with a mood disorder will face severe impairment. With appropriate diagnosis, treatment, and support, most people struggling with mood disorders will get better. Therapy, antidepressants, and support and self-care can help treat mood disorders. Psychiatry medical billing and coding can be a challenging task. Psychiatrists, clinical psychologists or other specialists who treat various types of mood disorders need to correctly document the same in patient medical records. Billing and coding services from a reputable medical billing company can help simplify the documentation process.

Many factors contribute to mood disorders. In most cases, they are caused by an imbalance of brain chemicals. On the other hand, major life events (such as stressful life changes) may also contribute to a depressed mood. These life events (losing a job, getting divorced, losing a loved one, death in the family, and financial trouble) coupled www.outsourcestrategies.com

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with stress can bring on feelings of sadness or depression that make a mood disorder difficult to manage. Common risk factors associated with the condition include – family history, previous diagnosis of a mood disorder, trauma, stress or major life changes in the case of depression, physical illness or use of certain medications and changes in brain structure and function. Symptoms of this condition may depend on age and the type of mood disorder a person experiences.

Some of the most common symptoms of a mood disorder include –  Loss of interest in activities the person once enjoyed  Difficulty sleeping or sleeping more than usual  Eating more or less than usual  Suicide tendencies  Problems making decisions  Feelings of anxiety and guilt  Feeling isolated, sad, hopeless, and worthless  Fatigue and crying  Difficulty concentrating With mood disorders, these symptoms are ongoing and eventually start to affect your daily life in a negative way.

Types of Mood Disorders Here are the four common mood disorders and their related diagnosis codes – Depression (major depressive disorder/clinical depression) The American Psychiatric Association (APA) defines depression or major depressive disorder as a common and serious medical illness that negatively affects the way how one feels, thinks and acts. It may www.outsourcestrategies.com

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be described as feelings of sadness, loss, or anger that interfere with a person’s everyday activities. People may experience depression in different ways. The condition may interfere with the daily work, resulting in lost time and lower productivity. It can also influence relationships and some chronic health conditions. Symptoms include – lose of interest in favorite activities, change in sleep patterns, difficulty in concentration, withdrawing from social engagements and thoughts of suicide. Treatment options for depression include administering medications

(such

as

antidepressants

or

other

psychotropic

medications) psychotherapy, cognitive behavioral therapy (CBT) and Electroconvulsive Therapy (ECT).

Related ICD-10 codes for the

condition include – F32 Major depressive disorder, single episode  F32.0 Major depressive disorder, single episode, mild  F32.1 Major depressive disorder, single episode, moderate  F32.2 Major depressive disorder, single episode, severe without psychotic features  F32.3 Major depressive disorder, single episode, severe with psychotic features  F32.4 Major depressive disorder, single episode, in partial remission  F32.5 Major depressive disorder, single episode, in full remission F32.8 Other depressive episodes  F32.81 Premenstrual dysphoric disorder  F32.89 Other specified depressive episodes F32.9 Major depressive disorder, single episode, unspecified www.outsourcestrategies.com

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F33 Major depressive disorder, recurrent  F33.0 Major depressive disorder, recurrent, mild  F33.1 Major depressive disorder, recurrent, moderate  F33.2 Major depressive disorder,

recurrent

severe

without

psychotic features  F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms  F33.4 Major depressive disorder, recurrent, in remission  F33.40 Major depressive disorder,

recurrent,

in remission,

unspecified  F33.41 Major depressive disorder, recurrent, in partial remission  F33.42 Major depressive disorder, recurrent, in full remission F33.8 Other recurrent depressive disorders F33.9 Major depressive disorder, recurrent, unspecified Bipolar disorder - Also called manic depression or bipolar affective disorder, depression that includes alternating times of depression and mania. In other words, it is a disorienting condition that results in extreme shifts in mood. The person may feel like he/she is on top of the world at one time and fall into relentless depression after some time, may be after a few weeks. Symptoms may involve unpredictable changes in mood and behavior, resulting in significant distress and difficulty in life. This condition has a high potential for adverse consequences, especially a risk for suicide. Therefore, it is important to obtain treatment for this condition at the right time. Treatment includes medications, substance abuse treatment and psychotherapy.

Associated ICD-10 codes include –

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F31 Bipolar disorder  F31.0 Bipolar disorder, current episode hypomanic  F31.1 Bipolar disorder, current episode manic without psychotic features  F31.2 Bipolar disorder, current episode manic severe with psychotic features  F31.3 Bipolar disorder, current episode depressed, mild or moderate severity  F31.4 Bipolar disorder, current episode depressed, severe, without psychotic features  F31.5 Bipolar disorder, current episode depressed, severe, with psychotic features  F31.6 Bipolar disorder, current episode mixed  F31.7 Bipolar disorder, currently in remission  F31.8 Other bipolar disorders  F31.9 Bipolar disorder, unspecified Dysthymia - Also called persistent depressive disorder (PDD), this condition is a form of chronic depression which causes continuous feelings of deep sadness and hopelessness. These feelings can affect your mood and behavior as well as physical functions (including appetite and sleep). As a result, people with the disorder often lose interest in activities they once enjoyed and have difficulty finishing daily tasks. The symptoms of PDD are similar to those of depression.

However, the key difference is that PDD is chronic, with symptoms occurring on most days for at least two years. Common symptoms include – persistent feelings of sadness and hopelessness, a negative attitude, avoidance of social activities, indecisiveness, sleep problems www.outsourcestrategies.com

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and lack of concentration. Treatment for PDD consists of medication and talk therapy. ICD-10 codes for diagnosing PDD include – F34 Persistent mood [affective] disorders  F34.0 Cyclothymic disorder  F34.1 Dysthymic disorder  F34.8 Other persistent mood [affective] disorders  F34.81 Disruptive mood dysregulation disorder  F34.89 Other specified persistent mood disorders  F34.9 Persistent mood [affective] disorder, unspecified Substance-induced Mood Disorder – Substance-induced mood disorder is a kind of depression that is caused by using alcohol, drugs, or medications. Substance/medication-induced depressive disorder is the diagnostic name for alcohol or drug-induced depression.

This disorder manifests as a change in the way you think, feel, or act, caused by taking or stopping a drug. These changes in your mood can last days or weeks. People may experience symptoms of depression or mania, or may have symptoms of both at different times. The symptoms may start while a person consumes the drugs or within a few days after they stop consumption. ICD-10 codes include – F19 Other psychoactive substance related disorders  F19.1 Other psychoactive substance abuse  F19.10 Other psychoactive substance abuse, uncomplicated  F19.11 Other psychoactive substance abuse, in remission  F19.12 Other psychoactive substance abuse with intoxication

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 F19.14

Other

psychoactive

substance

abuse,

with

abuse,

with

psychoactive substance-induced mood disorder  F19.15

Other

psychoactive

substance

psychoactive substance-induced psychotic disorder  F19.16

Other

psychoactive

substance

abuse,

with

psychoactive substance-induced persisting amnestic disorder  F19.17

Other

psychoactive

substance

abuse,

with

psychoactive substance-induced persisting dementia  F19.18 Other psychoactive substance abuse, with other psychoactive substance-induced disorders  F19.19 Other psychoactive substance abuse, with unspecified psychoactive substance-induced disorder  F19.2 Other psychoactive substance dependence  F19.20

Other

psychoactive

substance

dependence,

uncomplicated  F19.21 Other psychoactive substance dependence, in remission  F19.22

Other

psychoactive

substance

dependence

with

psychoactive

substance

dependence

with

psychoactive

substance

dependence,

with

intoxication  F19.23

Other

withdrawal  F19.24

Other

psychoactive substance-induced mood disorder  F19.25

Other

psychoactive

substance

dependence

with

psychoactive substance-induced psychotic disorder  F19.26

Other

psychoactive

substance

dependence

with

psychoactive substance-induced persisting amnestic disorder

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 F19.27

Other

psychoactive

substance

dependence

with

psychoactive substance-induced persisting dementia  F19.28 Other psychoactive substance dependence with other psychoactive substance-induced disorders  F19.29

Other

psychoactive

substance

dependence,

with

unspecified psychoactive substance-induced disorder  F19.9 Other psychoactive substance use, unspecified  F19.90

Other

psychoactive

substance

use,

unspecified,

uncomplicated  F19.92 Other psychoactive substance use, unspecified with intoxication  F19.93 Other psychoactive substance use, unspecified with withdrawal  F19.94 Other psychoactive substance use, unspecified, with psychoactive substance-induced mood disorder  F19.95 Other psychoactive substance use, unspecified, with psychoactive substance-induced  F19.96 Other psychoactive substance use, unspecified, with psychoactive substance-induced persisting amnestic disorder  F19.97 Other psychoactive substance use, unspecified, with psychoactive substance-induced persisting dementia  F19.98 Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders  F19.99 Other psychoactive substance use, unspecified, with unspecified psychoactive substance-induced disorder

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Mood disorders may recur or be ongoing and therefore may require long-term or lifetime treatment. For most people, mood disorders can be successfully treated with medications psychotherapy, also known as talk therapy which help regulate the chemical imbalances in the brain.

A combination of psychotherapy and medication is often the best course of action.After starting the medications, it may take two to six weeks before patients begin to notice considerable changes in their symptoms. Physicians advise patients to never stop their medications, even if they begin to feel better.

Knowing the specific ICD-10 codes related to different mood disorders is important for providers. Partnering with an experienced psychiatric insurance verification company is a practical option for physicians to ensure accurate and timely claim submissions.

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