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Thread: Behavioral changes

  1. #1

    Default Behavioral changes

    AAPC: Back to School
    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. #2


    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
    Join Date
    Apr 2007

    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 07:52 AM.
    Heather Winters, CPC, CFPC

  4. #4
    Join Date
    Apr 2007
    North Carolina


    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
    Join Date
    Apr 2007
    Duluth, Minnesota


    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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