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ADD dx code

  1. #1
    Location
    Kansas City MO
    Posts
    11
    Question ADD dx code
    Medical Coding Books
    I would like to know what code others are using for ADD? My office has been using F90.9 (attention-deficit hyperactivity disorder, unsp type) or F90.0 (attention-deficit hyperactivity disorder, prominently inactive type). Now we are getting rid of almost all unsp codes to prepare for October when ins stops paying those claims and I am just now realizing that all the F90- codes are actually ADHD not ADD at all. So I look up in the index, attention deficit disorder or syndrome and it says F98.8. Go to F98.8 in my book and its "other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence" with examples of thumb-sucking, nose-picking, nail-biting, excessive masturbation.

  2. #2
    Location
    South Bend Indiana
    Posts
    67
    Default
    ADD has been discontinued as a diagnosis in DSM-5 for behavioral health. I would consult with the providers who continue to use ADD whether or not ADHD with specifier would be more appropriate.

  3. #3
    Location
    Columbia, MO
    Posts
    12,943
    Default
    There is an R45 code code for attention and concentration deficit

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Kansas City MO
    Posts
    11
    Default
    So if I speak with the provider and they confirm plain ADD with no hyperactivity would I use F98.8? I'm a fairly new coder, I had no idea they discontinued the ADD code.

  5. #5
    Location
    Cliffside Park, NJ
    Posts
    62
    Thumbs up
    According to the index, Attention Deficit Disorder or Syndrome is F98.8
    Sean Fleming, CCS, CPC, CRC
    Past Vice President
    Past Member Development Officer
    Cliffside Park, NJ Chapter

  6. #6
    Location
    Kansas City MO
    Posts
    11
    Default
    Someone else from my office just looked under disorder, attention deficit with out hyperactivity and it says F90.0. So I'm really not sure which one to use.

  7. #7
    Location
    Dover Seacoast New Hampshire
    Posts
    2,030
    Default
    Good question. We've struggled with this as well. F98.8 is a pediatric only code, so if this is for adults, you have to default back to F90.0. We've submitted this to AHA Coding Clinic, but haven't heard. Perhaps it will be addressed in the Oct 1 update.

    Just one more example of the number of edits we'll be seeing in IC10-CM!
    Pam Brooks, MHA, COC, PCS, CPC, AAPC Fellow
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

  8. #8
    Location
    Cliffside Park, NJ
    Posts
    62
    Default
    Quote Originally Posted by Pam Brooks View Post
    Good question. We've struggled with this as well. F98.8 is a pediatric only code, so if this is for adults, you have to default back to F90.0. We've submitted this to AHA Coding Clinic, but haven't heard. Perhaps it will be addressed in the Oct 1 update.

    Just one more example of the number of edits we'll be seeing in IC10-CM!
    Very confusing...there's a note above category F90

    "Codes within categories F90-F98 may be used regardless of the age of a patient. These disorders generally have onset within the childhood or adolescent years, but may continue throughout life or not be diagnosed until adulthood."

    Is it October 1 yet?
    Sean Fleming, CCS, CPC, CRC
    Past Vice President
    Past Member Development Officer
    Cliffside Park, NJ Chapter

  9. Question Add
    F98.8 in the 2018 ICD 10 for Physicians the index under Disorder, Attention leads you to F98.8, my problem is when you turn to that page and read F98.8, it does not say anything about ADD.

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