
F90.2 ICD-10 Code: Attention-Deficit Hyperactivity Disorder

Key Takeaways
- What ICD-10 Code F90.2 Covers: This code specifically identifies Attention-Deficit Hyperactivity Disorder (ADHD), Combined Type, which includes symptoms of both inattention and hyperactivity-impulsivity. It is essential for accurate diagnosis and treatment planning.
- Session duration requirements: Typically, a minimum session length of 45-60 minutes is recommended for thorough assessment and treatment of ADHD, allowing for detailed discussion of symptoms and management strategies.
- Who can use the code: Healthcare providers such as psychiatrists, psychologists, pediatricians, and licensed clinical social workers can use this code when diagnosing and treating patients with ADHD, Combined Type.
- Best practice for proper use: Ensure comprehensive documentation of patient history, symptoms, and treatment plans. Consistent and clear records help support the use of the code and its appropriateness for billing purposes.
- Example of actual usage: A pediatrician diagnosing a 10-year-old with ADHD, Combined Type would document the patient’s history of inattentive behaviors and impulsivity, applying the F90.2 code for billing and treatment purposes.
What is ICD-10 Code F90.2?
ICD‑10 Code F90.2 refers to Attention‑Deficit Hyperactivity Disorder, Combined Type. This classification is crucial as it encompasses both the inattentive and hyperactive‑impulsive symptoms that characterize ADHD. A diagnosis of this nature often requires careful evaluation and assessment, typically involving standardized behavioral checklists and clinical interviews to accurately capture the patient's condition.
The significance of this code lies in its ability to inform treatment decisions and facilitate appropriate resource allocation. Understanding the nuances of ADHD, Combined Type allows healthcare professionals to create targeted management plans that may include behavioral therapy, medication, and educational support. Precise coding ensures that patients receive the necessary interventions while also allowing for tracking and research into ADHD prevalence and treatment outcomes.
Services Covered Under ICD-10 Code F90.2
This section outlines the various services that can be billed under ICD‑10 Code F90.2. Below is a detailed table of services typically covered:
Service | Description |
---|---|
Psychiatric Evaluation | A thorough assessment performed by a psychiatrist to evaluate ADHD symptoms and related issues. |
Behavioral Therapy | Structured sessions focusing on modifying specific behaviors associated with ADHD. |
Medication Management | Monitoring and adjusting medication regimens for managing ADHD symptoms. |
Parent Training | Programs designed to help parents develop effective strategies for managing their child's ADHD. |
Who Can Use the F90.2 ICD-10 Code?
Various healthcare professionals are qualified to use this specific code in their practice. These include:
- Pediatricians: Often the first point of contact for children showing signs of ADHD, they can diagnose and initiate treatment.
- Psychiatrists: Specialists in mental health, they provide comprehensive evaluations and treatment plans for ADHD.
- Clinical Psychologists: Conduct detailed assessments and offer therapeutic interventions for ADHD symptoms.
- Licensed Clinical Social Workers: Provide support and therapy to children and families dealing with ADHD challenges.
How to Use ICD-10 Code F90.2?
Using this code correctly is vital for accurate billing and treatment documentation. Here are key considerations:
- Document Symptoms: Ensure that the patient's symptoms align with the diagnostic criteria for ADHD, Combined Type. For example, a patient exhibiting both inattentiveness and hyperactivity should be thoroughly evaluated.
- Record Treatment Plans: Clearly outline the treatment strategy in patient records. For instance, if a child is prescribed medication, document the dosage and monitoring plan.
- Utilize Comprehensive Assessments: Use standardized tools to assess ADHD symptoms. For example, incorporating behavior rating scales can provide objective data to support the diagnosis.
Reimbursement Rates for ICD-10 Code F90.2
Insurance Type | Reimbursement Rate |
---|---|
Private Insurance | $120 per session |
Medicare | $75 per session |
Medicaid | $65 per session |
Disclaimer: Reimbursement rates vary frequently based on numerous factors, including location and specific insurance plans. This article will be updated to reflect the most current averages.
Benefits of ICD-10 Code F90.2
The utilization of this code offers several advantages in clinical practice. Below is a table outlining the key benefits:
Benefit | Description |
---|---|
Accurate Diagnosis | Ensures a precise identification of ADHD, allowing for tailored treatment plans. |
Improved Treatment Outcomes | Facilitates appropriate interventions, leading to better management of symptoms. |
Data Tracking | Supports research and understanding of ADHD prevalence and treatment effectiveness. |
Common Mistakes to Avoid with ICD-10 Code F90.2
Misuse of this code can lead to serious consequences, such as audits and claim denials. It's essential to avoid common pitfalls when coding for ADHD, Combined Type.
- Incomplete Documentation: Failing to thoroughly document patient symptoms can result in denial of claims. For instance, if a psychologist does not provide sufficient evidence of both inattentive and hyperactive behaviors, reimbursement may be denied.
- Using Incorrect Codes: Confusing ADHD, Combined Type with other ADHD types can lead to billing errors. For example, using the code for ADHD, Predominantly Inattentive Type instead of F90.2 could result in incorrect reimbursement.
- Not Updating Treatment Plans: Neglecting to adjust treatment plans as symptoms evolve can affect patient care and billing accuracy. For instance, if a pediatrician fails to document a change in medication, it could lead to discrepancies in the treatment record.
F90.2 ICD-10 Code vs other codes
Understanding how this code compares to similar codes is essential for accurate coding and billing. Below is a comparison of F90.2 with other relevant codes:
Code | Description |
---|---|
F90.0 | Attention-Deficit Hyperactivity Disorder, Predominantly Inattentive Type |
F90.1 | Attention-Deficit Hyperactivity Disorder, Predominantly Hyperactive-Impulsive Type |
F90.2 | Attention-Deficit Hyperactivity Disorder, Combined Type |
Conclusion
In summary, ICD‑10 Code F90.2 is pivotal for accurately identifying and managing Attention‑Deficit Hyperactivity Disorder, Combined Type. Its proper use ensures that healthcare providers can deliver tailored treatment plans while maintaining compliance with billing requirements. Comprehensive documentation of symptoms and treatment plans is crucial for successful reimbursement. Understanding common mistakes and distinguishing this code from similar classifications further enhances coding accuracy and efficiency. By adhering to best practices, healthcare professionals can improve patient outcomes and streamline their administrative processes.
Disclaimer: This article is for informational purposes only and does not constitute legal or medical advice. Always consult professional guidelines and regulatory bodies for specific compliance requirements.
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