ICD Code F84.0

ICD code F84.0 is the classification for Autistic Disorder, a developmental condition characterized by challenges in social interaction, communication, and repetitive behaviors. This code is used by healthcare providers to document and categorize the diagnosis of autism in medical records, facilitating accurate billing, treatment planning, and statistical analysis.

1. Persistent Deficits in Social Communication and Interaction - Marked difficulties in the use of verbal and nonverbal communication for social interaction. - Deficits in developing, maintaining, and understanding relationships. - Lack of social-emotional reciprocity, ranging from abnormal social approach to failure to initiate or respond to social interactions.

2. Restricted, Repetitive Patterns of Behavior, Interests, or Activities - Stereotyped or repetitive motor movements, use of objects, or speech. - Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior. - Highly restricted, fixated interests that are abnormal in intensity or focus. - Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment.

3. Symptoms Must Be Present in the Early Developmental Period - Symptoms typically recognized in the first two years of life, although they may not become fully manifest until social demands exceed limited capacities.

4. Clinically Significant Impairment - Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning.

5. Not Better Explained by Intellectual Disability or Global Developmental Delay - Social communication should be below that expected for general developmental level.

These criteria should be thoroughly evaluated by healthcare professionals to ensure accurate diagnosis and appropriate use of the ICD code.

For the ICD code F84.0, which pertains to autistic disorder, the relevant CPT codes that may be applicable for treatment and management include:

1. CPT 90832 - Psychotherapy, 30 minutes with patient.

2. CPT 90834 - Psychotherapy, 45 minutes with patient.

3. CPT 90837 - Psychotherapy, 60 minutes with patient.

4. CPT 92507 - Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual.

5. CPT 97153 - Adaptive behavior treatment by protocol, administered by technician, face-to-face with one patient; each 15 minutes.

6. CPT 97155 - Adaptive behavior treatment with protocol modification, administered by physician or other qualified healthcare professional with one patient; each 15 minutes.

7. CPT 97156 - Family adaptive behavior treatment guidance, administered by physician or other qualified healthcare professional (with or without the patient present); face-to-face with guardian(s)/caregiver(s), each 15 minutes.

8. CPT 96112 - Developmental test administration (including assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments), with interpretation and report; first hour.

9. CPT 96113 - Developmental test administration (including assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments), with interpretation and report; each additional 30 minutes.

These CPT codes are commonly used in the treatment and management of conditions associated with ICD code F84.0, facilitating appropriate billing and reimbursement processes in healthcare settings.

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