categoryCode : F43 Show
diagnosisCode : 23 fullCode : F4323 abbreviatedDescription : Adjustment disorder with mixed anxiety and depressed mood fullDescription : Adjustment disorder with mixed anxiety and depressed mood categoryTitle : Reaction to severe stress, and adjustment disorders billable : billable FHIR Resource for ICD icd10F4323: Adjustment disorder with mixed anxiety and depressed mood{ "identifier": [ { "system": "http://hl7.org/fhir/sid/icd-10-cm", "use": "usual", "assigner": { "display": "World Health Organization (WHO)" }, "value": "F4323" } ], "extension": [ { "extension": [ { "valueString": "F43", "url": "categoryCode" }, { "valueString": "23", "url": "diagnosisCode" }, { "valueString": "F4323", "url": "fullCode" }, { "valueString": "Adjustment disorder with mixed anxiety and depressed mood", "url": "abbreviatedDescription" }, { "valueString": "Adjustment disorder with mixed anxiety and depressed mood", "url": "fullDescription" }, { "valueString": "Reaction to severe stress, and adjustment disorders", "url": "categoryTitle" }, { "valueString": "billable", "url": "billable" } ], "url": "https://1up.health/dev/fhir/doc/extension/DataTypeCoding/icd" } ], "code": "F4323", "system": "http://hl7.org/fhir/sid/icd-10-cm", "display": "F4323,Adjustment disorder with mixed anxiety and depressed mood", "id": "icd10F4323", "version": "2016", "resourceType": "DataTypeCoding" } F4323: Adjustment disorder with mixed anxiety and depressed mood. 1uphealth is the most comprehensive resource to lookup and find ICD codes (international classification of diseases) and data online, from the years 2010-2021. ICD-10 or ICD-10-CM is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical international classification list by the World Health Organization (WHO). Medical search and APIs for ICD10, SNOMED, LOINC, NPIs and much more by 1upHealth. Interested in learning more about 1upHealth and our FHIR Platform?Home page OverviewWhat is adjustment disorder?Adjustment disorder is a short-term condition. It’s diagnosed in an individual who experiences an exaggerated reaction to a stressful or traumatic event. Stressors can be single events (like a bad breakup) or can be multiple events (like work problems, struggles at school, financial issues). Stressors can happen to an individual, a family or an entire group (such as disaster survivors). Stressors can also be recurrent (like factors associated with seasonal business) or with specific “milestone” events (like going to school, getting married or retiring). Adjustment disorder is also called situational depression. How common is adjustment disorder?Adjustment disorder is thought to affect 2 to 8% of the general population. It can affect anyone at any age. It affects twice as many females as males. Can adjustment disorders affect children?Yes. Adjustment disorder can affect both adults and children. Boys and girls are equally affected. Symptoms and CausesWhat are the possible causes of adjustment disorder?There are many possible causes of adjustment disorders. Generally, it’s any situation you perceive as stressful and that causes significant problems in your work, social or home life. They can be both positive and negative events. Some examples include:
Your personality, temperament, well-being, life experiences and family history are all also thought to play a role in the possible development of adjustment disorder. What are the symptoms of adjustment disorder?Everyone is going to experience an adjustment disorder differently. Symptoms can vary from mild to severe, depending on the intensity of the triggering situation and the personal significance it has for you. Common physical symptoms:
Common behavioral or emotional symptoms:
Diagnosis and TestsHow is an adjustment disorder diagnosed?Your healthcare provider will complete a full physical and mental health exam. They may consider the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) from the American Psychiatric Association. To be diagnosed with adjustment disorder, you have to meet the following five DSM-5 criteria:
Acute adjustment disorder means your symptoms last less than six months. Chronic adjustment disorder means your symptoms last six months or longer. Your healthcare provider should also take into account your cultural background in determining if your response to a stressor is in excess of what would be expected. Are there different types of adjustment disorders?The DSM-5 lists six types of adjustment disorder:
What are the complications of adjustment disorder?If left untreated, people with adjustment disorder are at higher risk of suicide attempt or thoughts of suicide. If your symptoms become so overwhelming that it’s difficult for you to make it through a day, call your healthcare provider. If you have suicidal thoughts, get help immediately. Call the National Suicide Prevention Lifeline at 800.273.TALK (800.273.8255). Management and TreatmentHow is adjustment disorder treated?Adjustment disorders are best managed if caught and treated early. Talk therapy (psychotherapy) is the main treatment. Since a situation or stress is what causes adjustment disorder, having someone to talk to that you trust and getting the tools you need to learn how to better cope with the situation can be really helpful. Individual, family or group therapy (support groups) are also helpful. Family therapy is often used if the person is a child or teenager. Are medications used to treat adjustment disorder?When medications are needed, anti-anxiety medicines (benzodiazepines) are the main drugs used to treat adjustment disorder. Your healthcare provider may also prescribe medication to help you sleep. Some providers may also try antidepressant medicines. Selective serotonin reuptake inhibitors (SSRI) or serotonin and norepinephrine reuptake inhibitors (SNRI) are the drug classes more frequently tried. Are any alternative therapies helpful for adjustment disorder?There’s some evidence that Ginkgo biloba, kava-kava and valerian are useful in treating adjustment disorder with anxiety. PreventionAre there ways to prevent adjustment disorder from happening?Although we can’t control the world around us, there are things we can do to feel better when stressors arise. Strategies include:
Outlook / PrognosisWhat can I expect if I have a diagnosis of adjustment disorder?Adjustment disorder goes away over time when the stressor is removed or when you adapt to the situation. Usually any medical interventions are limited and once the situation has improved, so too will your symptoms. Frequently Asked QuestionsWhat’s the difference between adjustment disorder and major depression and generalized anxiety disorder?A diagnosis of adjustment disorder is based on the presence of a stressor and the fact that the condition goes away when the stressor goes away. By definition of this diagnosis, the condition must end six months after the triggering event. With major depression and generalized anxiety disorder, there doesn’t need to be an identifiable stressor and the duration of symptoms can be ongoing. What’s the difference between adjustment disorder and post-traumatic stress disorder (PTSD)?With adjustment disorder, the severity of the stressor doesn’t matter. With PTSD, you have to fear for your life or the life of someone else. The severity is very high. A note from Cleveland Clinic Adjustment disorder is usually a self-limiting disorder. Your symptoms will go away when your stressor goes away. Life is full of ongoing challenges. Both bad and good experiences can cause excessive stress. Your friends, family and religious affiliations are important in helping you celebrate your life joys and may be leaned on in troubled times. If you feel overwhelmed by a stressful event, your healthcare team is ready to see you. If you have suicidal thoughts, call for help immediately: 800.273.TALK (the National Suicide Prevention Lifeline). Help is always at your fingertips. What is the DSM309.28 (F43. 23) With mixed anxiety and depressed mood: A combination of depression and anxiety is predominant.
Is adjustment disorder with mixed anxiety and depressed mood a disability?Yes. Because an adjustment disorder is an emotional disability, people with the condition may be eligible to collect Social Security disability insurance. However, these individuals must exhibit symptoms that limit their ability to complete work-related tasks, such as anxiety and fatigue.
Is F43 23 a billable code?F43. 23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is the ICD2 Mixed anxiety and depressive disorder. This category should be used when symptoms of anxiety and depression are both present, but neither is clearly predominant, and neither type of symptom is present to the extent that justifies a diagnosis if considered separately.
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