AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 3; Ask the Editor

Reporting Mental Disorders as Additional Diagnoses in the Outpatient Setting

A patient presents to the Emergency Department (ED) for evaluation of a sore throat, which the provider diagnosed as Strep throat. The provider also documented attention deficit hyperactivity disorder, anxiety, manic depression and post-traumatic stress disorder. The physician did not monitor, evaluate, or treat the patient for any mental disorders during the ED encounter. For an outpatient encounter, would mental health conditions be coded when documented in the history section and the patient is currently on antipsychotic medications? ...

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