ICD code F90.1 is used to classify and identify the predominantly hyperactive type of attention-deficit hyperactivity disorder in medical records.
ICD code F90.1 is used to identify Attention-deficit hyperactivity disorder (ADHD), predominantly hyperactive type. This code is applied when a patient exhibits symptoms primarily characterized by hyperactivity and impulsivity, rather than inattention. It is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. This specific code helps in the accurate documentation and billing of healthcare services related to ADHD treatment.
1. Excessive Motor Activity: The individual exhibits frequent fidgeting, tapping, or squirming in their seat. This behavior is often observed in situations where remaining seated is expected.
2. Impulsivity: The person has difficulty waiting for their turn, often interrupting or intruding on others. This may manifest in conversations, games, or other activities.
3. Difficulty Engaging in Quiet Activities: The individual struggles to engage in leisure activities quietly. They may be unable to play or work on tasks without making noise or being disruptive.
4. Inability to Stay Seated: There is a noticeable difficulty in remaining seated in situations where it is required, such as in a classroom or workplace setting.
5. Excessive Talking: The person talks excessively, often without regard for the social context or appropriateness of the situation.
6. Blurting Out Answers: The individual frequently blurts out answers before questions have been completed, indicating a lack of impulse control.
7. Restlessness: There is a pervasive sense of restlessness, often described as feeling "on the go" or as if "driven by a motor."
8. Difficulty with Turn-Taking: The person has significant challenges with turn-taking in conversations or activities, often leading to social difficulties.
9. Frequent Interruptions: The individual often interrupts or intrudes on others, such as butting into conversations or games.
10. Symptoms Present for at Least Six Months: The above symptoms must be present for at least six months to a degree that is inconsistent with developmental level and negatively impacts social, academic, or occupational functioning.
11. Symptoms Evident in Multiple Settings: The symptoms must be present in two or more settings, such as at home, school, or work, to ensure that the behavior is not situational.
12. Onset Before Age 12: The symptoms should have been present before the age of 12, even if they were not recognized until later.
13. Exclusion of Other Mental Disorders: The symptoms are not better explained by another mental disorder, such as mood disorder, anxiety disorder, dissociative disorder, or a personality disorder.
For the ICD code F90.1, which pertains to Attention-deficit hyperactivity disorder, predominantly hyperactive type, the relevant CPT codes that may be applicable for treatment and management include:
1. 99201-99215: Evaluation and Management (E/M) services for new or established patients, which may include office or other outpatient visits.
2. 96110: Developmental screening, with interpretation and report, which can be used for assessing behavioral issues.
3. 96127: Brief emotional/behavioral assessment, with scoring and documentation, per standardized instrument.
4. 90832-90838: Psychotherapy services, which can be used for individual therapy sessions of varying lengths.
5. 90846-90847: Family psychotherapy, with or without the patient present, which may be part of a comprehensive treatment plan.
6. 96130-96133: Psychological testing evaluation services, which may be necessary for a thorough assessment and diagnosis.
7. 96136-96139: Psychological or neuropsychological test administration and scoring, which can be part of the diagnostic process.
These CPT codes are commonly used in the treatment and management of ADHD and related behavioral health conditions. It is important for healthcare providers to select the appropriate codes based on the specific services rendered and the individual needs of the patient.
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