Needing help on a diagnosis for a 14 year old patient that presents to the ED and the physician uses diagnosis of "Behavioral changes". Patient is not suicidal, distructive or aggressive, so I don't feel a conduct disorder is appropriate. Any help would be appreciated. Thanks!
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Wiki Behavioral changes
- Thread starter jccoder
- Start date
lavanyamohan
Guru
- Messages
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Hi,
The patient is not suicidal, but may still be depressed fully with a mild anxiety, because you said the patient is not aggressive either. So, my suggestion is 296.61, Bipolar affective, mixed-mild variety.
The patient is not suicidal, but may still be depressed fully with a mild anxiety, because you said the patient is not aggressive either. So, my suggestion is 296.61, Bipolar affective, mixed-mild variety.
heatherwinters
Expert
Behavioral Changes
I would suggest 312.9
Unspecified conduct disorder - This code would be used for disorders characterized by conduct or oppositional defiant behaviors that do not meet the criteria for conduct disorder or oppositional defiant disorder.
I would suggest 312.9
Unspecified conduct disorder - This code would be used for disorders characterized by conduct or oppositional defiant behaviors that do not meet the criteria for conduct disorder or oppositional defiant disorder.
Last edited:
RebeccaWoodward*
True Blue
I'm not sure I would go with 296.61...Especially if the physician did not diagnosis the patient with this disorder. 312.9 is a possibility. Have you looked at 296.90/296.99?
dmaec
True Blue
I'd go with either 296.99 or 312.9 - I wouldn't code "bipolar" or any other specific disorder because it isn't documented. Too bad they don't have a dx for "normal teen behavior"! 
{that's my opinion on the posted matter}
{that's my opinion on the posted matter}