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Pediatric Coding Alert

Reader Questions:

Examine Manifestations for Self Esteem Diagnosis

Published on Thu Jun 03, 2010

Question: A mother brought her child in because of self esteem concerns. Is there a diagnosis for self esteem issues?Kentucky SubscriberAnswer: ICD-9 does not include a diagnosis specifically for self esteem concerns, so consider reporting the manifestation. Possibilities could include anxiety (300.00, Anxiety state, unspecified), phobia (300.2x, Phobic disorders), aggressive behavior (312.3x, Disorders of impulse control, not elsewhere classified), or others. Options that encompass a wider range of behaviors might be 313.1 (Disturbance of emotions specific to childhood and adolescence; misery and unhappiness disorder) or 313.2x (Sensitivity, shyness, and social withdrawal disorder).
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