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ICD 10 F43.1 describes a mental health condition known as Post-Traumatic Stress Disorder (PTSD), which is characterized by intense anxiety and distress caused by exposure to or witnessing of traumatic events such as sexual assault, serious accidents, or military combat, and can manifest in symptoms such as flashbacks, avoidance behaviors, and hyperarousal. Official Description Of...
F43.0 Acute stress reaction: Acute stress reaction symptoms disappear quickly — in a matter of days or even hours. If symptoms last longer than one month, the condition should likely be diagnosed as PTSD.
While F43.1 is a PTSD designation, more specific codes would be needed for billing purposes. Clients must meet specific criteria including exposure to a catastrophic stressor, reliving the stressor and prolonged avoidance of the stressor, among other symptoms to be classified under PTSD ICD-10.
Get crucial instructions for accurate ICD-10-CM F43.1 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code.
BCA’s Diagnosis Coding Booklets are intended to be used as tools for diagnosis code selection in conjunction with the HIPAA mandated current, published coding guidelines for appropriate application and reporting. From the American Medical Association ICD-10-CM 2021 The Complete Official Codebook:
Posttraumatic stress disorder (PTSD; F43.10) occurs in response to an exceptionally distressing life event (or multiple such events) and consists of a complex array of debilitating symptoms across emotional, behavioral, cognitive, and physiological domains.
F43.1 Post-traumatic Stress Disorder. Arises as a delayed or protracted response to a stressful event or situation (of either brief or long duration) of an exceptionally threatening or catastrophic nature, which is likely to cause pervasive distress in almost anyone.
