ICD Code F42.9

ICD code F42.9 is used to identify a diagnosis of obsessive-compulsive disorder (OCD) when the specific details or subtypes of the disorder are not specified. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used by healthcare providers to standardize the diagnosis and classification of diseases. The "unspecified" designation indicates that while OCD is present, the documentation does not provide enough detail to classify it under a more specific subtype within the OCD category. This code is essential for accurate billing, treatment planning, and statistical tracking in healthcare settings.

1. Presence of Obsessions and/or Compulsions: The individual experiences persistent and intrusive thoughts, urges, or images (obsessions) and/or repetitive behaviors or mental acts (compulsions) that they feel driven to perform in response to an obsession or according to rules that must be applied rigidly.

2. Time-Consuming Nature: The obsessions or compulsions are time-consuming, typically taking more than one hour per day, or they cause significant distress or impairment in social, occupational, or other important areas of functioning.

3. Recognition of Excessiveness: The individual may recognize that the obsessions or compulsions are excessive or unreasonable. However, this insight can vary, and in some cases, the individual may not recognize the irrational nature of their thoughts or behaviors.

4. Impact on Daily Life: The symptoms interfere with the individual's normal routine, occupational or academic functioning, or usual social activities or relationships.

5. Exclusion of Other Mental Disorders: The symptoms are not better explained by another mental disorder, such as generalized anxiety disorder, body dysmorphic disorder, or hoarding disorder.

6. Not Attributable to Substance Use or Medical Condition: The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

7. Absence of Other Explanatory Conditions: The symptoms are not attributable to the physiological effects of a substance or another medical condition, and they are not better explained by the symptoms of another mental disorder.

For the ICD code F42.9, which pertains to obsessive-compulsive disorder, unspecified, the relevant CPT codes that may be used 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. 90846 - Family psychotherapy (without the patient present), 50 minutes

5. 90847 - Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes

6. 90853 - Group psychotherapy (other than of a multiple-family group)

7. 99201-99215 - Evaluation and management services, which may be used if psychotherapy is provided in conjunction with an E/M service

8. 96130 - Psychological testing evaluation services by a physician or other qualified healthcare professional, first hour

9. 96131 - Psychological testing evaluation services by a physician or other qualified healthcare professional, each additional hour

10. 96136 - Psychological or neuropsychological test administration and scoring by physician or other qualified healthcare professional, two or more tests, any method; first 30 minutes

11. 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 of conditions associated with ICD code F42.9, allowing healthcare providers to accurately bill for services rendered.

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