ICD Code F41.0

ICD code F41.0 is a classification for Panic Disorder, also known as episodic paroxysmal anxiety. This code is used to identify a mental health condition characterized by recurrent and unexpected panic attacks, which are sudden periods of intense fear or discomfort that peak within minutes. These episodes can include symptoms such as palpitations, sweating, trembling, shortness of breath, and a fear of losing control or impending doom. Proper documentation of this code is crucial for accurate diagnosis, treatment planning, and insurance reimbursement in the healthcare revenue cycle.

1. Recurrent Unexpected Panic Attacks: The individual experiences sudden episodes of intense fear or discomfort that peak within minutes. These attacks occur without an obvious trigger or specific situation.

2. Persistent Concern or Worry: Following the panic attacks, there is a persistent concern or worry about having additional attacks. This concern is often disproportionate to the actual threat posed by the attacks.

3. Behavioral Changes: There is a noticeable change in behavior related to the attacks, such as avoiding situations or places where previous attacks have occurred, or where escape might be difficult.

4. Physical Symptoms: During the panic attacks, the individual may experience a range of physical symptoms, including palpitations, sweating, trembling, shortness of breath, chest pain, nausea, dizziness, chills, or hot flashes.

5. Cognitive Symptoms: The individual may experience feelings of unreality (derealization) or detachment from oneself (depersonalization), fear of losing control, or fear of dying during the attacks.

6. Duration and Frequency: The panic attacks and associated concerns or behavioral changes persist for at least one month, indicating a pattern rather than isolated incidents.

7. Exclusion of Other Disorders: The symptoms are not attributable to the physiological effects of a substance (e.g., drug abuse, medication) or another medical condition (e.g., hyperthyroidism), and are not better explained by another mental disorder (e.g., social anxiety disorder, specific phobia).

8. Impact on Daily Functioning: The disorder significantly impacts the individual's social, occupational, or other important areas of functioning, leading to distress or impairment.

For the ICD code F41.0, which pertains to panic disorder [episodic paroxysmal anxiety], 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. 96130 - Psychological testing evaluation services by physician or other qualified healthcare professional, first hour

10. 96131 - Psychological testing evaluation services, each additional hour

11. 96136 - Psychological or neuropsychological test administration and scoring, two or more tests, any method, first 30 minutes

12. 96137 - Psychological or neuropsychological test administration and scoring, each additional 30 minutes

These CPT codes are typically used for billing purposes when providing therapeutic and diagnostic services related to the treatment of panic disorder. It is important for healthcare providers to ensure that the selected CPT codes accurately reflect the services provided to ensure proper reimbursement and compliance with healthcare regulations.

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