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Behavioral changes

  1. #1
    Default Behavioral changes
    Medical Coding Books
    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!

  2. Default
    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.

  3. #3
    Default 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.
    Last edited by heatherwinters; 09-11-2008 at 08:52 AM.
    Heather Winters, CPC, CFPC

  4. #4
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    Default
    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?

  5. #5
    Location
    Duluth, Minnesota
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    1,133
    Default
    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}
    Donna, CPC, CPC-H

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