Wiki Coding Cluster Traits B or C

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Do we code for traits? A co worker of mine says no, I found a code personality disorder NEC 301.9. Would that be right or do we just not code for traits?

thanks

Darla
 
I'm fairly new at coding Behavioral Health. As long as the Physician is documenting the Assessment/Plan Axis II, the pt has Cluster B with the specific trait.

Hope this helps!
 
Also, the traits are or may differ from the initial diagnosis, such as bipolar or manic depressive disorder.

Does your co-worker have documentation stating that the traits should not be coded? If so, please pass it along.

Thanks!
 
I believe this answer has been previously posted to the forum.

"Traits" is not a diagnosis. Therefore, if your provider has stated that a patient has "traits," no diagnosis has been made. Since that is the case, no code can be used. Having "traits" is comparable to having symptoms. Just because you have a cough does not mean you have pneumonia. Hence, having traits for a personality disorder is NOT the same as being diagnosed with one.
 
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