AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor

Pediatric Autoimmune Neuropsychiatric Disease Associated with Streptococcal Infection

A 10-year-old girl was admitted for intravenous immunoglobulin infusion. The patient has pediatric autoimmune neuropsychiatric disease associated with streptococcal infection (PANDAS), attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), tics, and anxiety. There is no documentation of a current streptococcal infection. Her mother reported that for the past 1-2 weeks, the patient seemed more anxious, her OCD and tic behavior (whistling) seemed to be returning, and she has more “tantrums.” What is the appropriate code for PANDAS? ...

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