ICD Code F34.81

ICD code F34.81 is a classification used to identify Disruptive Mood Dysregulation Disorder (DMDD), a mental health condition characterized by severe and recurrent temper outbursts that are grossly out of proportion in intensity or duration to the situation. This disorder is typically diagnosed in children and adolescents and is marked by persistent irritability or anger most of the day, nearly every day, between outbursts. The ICD code helps healthcare providers document and communicate this specific diagnosis for treatment planning and billing purposes.

1. Severe Temper Outbursts: The individual experiences severe temper outbursts that are grossly out of proportion in intensity or duration to the situation or provocation.

2. Frequency of Outbursts: These temper outbursts occur, on average, three or more times per week.

3. Mood Between Outbursts: The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day, and is observable by others (e.g., parents, teachers, peers).

4. Duration: The above symptoms have been present for 12 or more months. During this period, the individual has not had a period lasting three or more consecutive months without all of the symptoms.

5. Age of Onset: The diagnosis should not be made for the first time before age 6 years or after age 18 years. The onset of symptoms must be before age 10 years.

6. Contextual Consistency: The symptoms are present in at least two of three settings (i.e., at home, at school, with peers) and are severe in at least one of these.

7. Exclusion of Other Disorders: The behaviors do not occur exclusively during an episode of major depressive disorder and are not better explained by another mental disorder (e.g., autism spectrum disorder, posttraumatic stress disorder, separation anxiety disorder, persistent depressive disorder).

8. Exclusion of Substance or Medical Condition: The symptoms are not attributable to the physiological effects of a substance or to another medical or neurological condition.

For the ICD code F34.81, which is associated with disruptive mood dysregulation disorder, the relevant CPT codes that may be applicable for treatment include:

1. 90791 - Psychiatric diagnostic evaluation

2. 90792 - Psychiatric diagnostic evaluation with medical services

3. 90832 - Psychotherapy, 30 minutes with patient

4. 90834 - Psychotherapy, 45 minutes with patient

5. 90837 - Psychotherapy, 60 minutes with patient

6. 90846 - Family psychotherapy (without the patient present)

7. 90847 - Family psychotherapy (conjoint psychotherapy) (with patient present)

8. 90853 - Group psychotherapy (other than of a multiple-family group)

9. 96130 - Psychological testing evaluation services by a physician or other qualified healthcare professional, first hour

10. 96131 - Psychological testing evaluation services by a physician or other qualified healthcare professional, each additional hour

11. 96136 - Psychological or neuropsychological test administration and scoring by physician or other qualified healthcare professional, two or more tests, any method; first 30 minutes

12. 96137 - Psychological or neuropsychological test administration and scoring by physician or other qualified healthcare professional, two or more tests, any method; each additional 30 minutes

These CPT codes are commonly used in the treatment and management of conditions associated with the ICD code F34.81. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the treatment process.

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