ICD code F34.1 is a classification used to identify dysthymic disorder, a chronic form of depression, in medical records and documentation.
ICD code F34.1 is a classification used to identify dysthymic disorder, which is a chronic form of depression characterized by a persistent low mood over a long period, often lasting for at least two years. This condition is less severe than major depressive disorder but can significantly impact daily functioning and quality of life.
1. Chronic Depressive Mood: The individual experiences a depressed mood for most of the day, more days than not, for at least two years. This mood is often described as feeling sad or down in the dumps.
2. Presence of Additional Symptoms: Alongside the chronic depressive mood, at least two of the following symptoms must be present:
- Poor appetite or overeating
- Insomnia or hypersomnia
- Low energy or fatigue
- Low self-esteem
- Poor concentration or difficulty making decisions
- Feelings of hopelessness
3. Absence of Major Depressive Episodes: During the two-year period, the individual has not experienced a major depressive episode. If such an episode occurs, it may indicate a different diagnosis.
4. No Manic or Hypomanic Episodes: There is no history of manic or hypomanic episodes, which helps differentiate this condition from bipolar disorders.
5. Not Better Explained by Other Disorders: The symptoms are not better accounted for by another mental disorder, such as schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorders.
6. Significant Distress or Impairment: The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
7. Not Attributable to Substance Use or Medical Conditions: The symptoms are not due to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hypothyroidism).
By adhering to these diagnostic criteria, healthcare providers can ensure accurate documentation and appropriate treatment planning for individuals experiencing this condition.
For the ICD code F34.1, which pertains to Dysthymic disorder, the relevant CPT codes that may be applicable for treatment include:
1. 90832 - Psychotherapy, 30 minutes with patient
2. 90834 - Psychotherapy, 45 minutes with patient
3. 90837 - Psychotherapy, 60 minutes with patient
4. 90839 - Psychotherapy for crisis, first 60 minutes
5. 90840 - Psychotherapy for crisis, each additional 30 minutes
6. 90846 - Family psychotherapy (without the patient present), 50 minutes
7. 90847 - Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes
8. 90853 - Group psychotherapy (other than of a multiple-family group)
9. 99201-99215 - Evaluation and management services, depending on the complexity and time spent
These CPT codes are commonly used in the treatment of mental health disorders, including Dysthymic disorder, and can be utilized by healthcare providers to ensure accurate billing and reimbursement. Always ensure that the chosen CPT codes align with the specific services provided and the documentation requirements.
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