catatonia F06.1 (due to known physiological condition) (with another mental disorder) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Prominent researchers in the field have other suggesions for diagnostic criteria. The DSM-5 does not classify catatonia as an independent disorder, but rather it classifies it as catatonia associated with another mental disorder, due to another medical condition, or as unspecified catatonia.
This article is about The catatonic state. For other uses, see Catatonia (disambiguation). Not to be confused with Katatonia, cataplexy, catalepsy, Catalonia, or Cataonia. Physical trauma, malignant catatonia (autonomic instability, life-threatening), dehydration, pneumonia, pressure ulcers due to immobility, muscle contractions, DVT, PE.
It is now known that catatonic symptoms are nonspecific and may be observed in other mental, neurological, and medical conditions. Catatonia is not a stand-alone diagnosis (although some experts disagree), and the term is used to describe a feature of the underlying disorder.
Catatonia is a group of symptoms that usually involve a lack of movement and communication, and also can include agitation, confusion, and restlessness. Until recently, it was thought of as a type of schizophrenia.
Catatonic schizophrenia affects the way you move in extreme ways. You might stay totally still and mute. Or you might get hyperactive for no reason. The new name for this condition is schizophrenia with catatonic features or schizophrenia with catatonia.
Catatonia is a clinical syndrome characterized by a distinct constellation of psychomotor disturbances. Two subtypes have been described: Retarded and excited.
Characteristics of Catatonic Behavior In addition to a lack of mobility, erratic and extreme movement is possible in catatonic behavior. For example, a person might pace in a repeated pattern and make loud exclamations for no reason at all (i.e., not in response to an environmental stimulus or event).
(also enigmatical), impenetrable, inscrutable, mysterious.
Some experts believe that having an excess or lack of neurotransmitters causes catatonia. Neurotransmitters are brain chemicals that carry messages from one neuron to the next. One theory is that a sudden reduction in dopamine, a neurotransmitter, causes catatonia.
Catatonia is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th ed.) diagnosis assigned to individuals who display apparent unresponsiveness to external stimuli, despite being awake.
Catatonia used to be closely linked to schizophrenia. In fact, until recently, it was considered a subtype of schizophrenia. But it's now more commonly associated with a broad spectrum of medical and psychiatric illnesses, particularly mood disorders.
To the Editor.— Catatonic stupor, a syndrome marked by isolation, withdrawal, mutism, and characteristic neuromuscular abnormalities such as bizarre posture, rigidity, immobility, and waxy flexibility, is a serious medical problem.
The most common signs of catatonia are immobility, mutism, withdrawal and refusal to eat, staring, negativism, posturing (rigidity), rigidity, waxy flexibility/catalepsy, stereotypy (purposeless, repetitive movements), echolalia or echopraxia, verbigeration (repeat meaningless phrases).
A controlled study using different motor tasks (idle status, self-initiated movements, and movements on request) showed a decreased activity of the prefrontal cortex, the parietal cortex, and the supplementary motor area in catatonic patients compared to controls (31). These changes persisted even after remission.
A specific examination for catatonia using the Bush Francis Catatonia Rating Scale consists of:Observe the patient during normal conversation.Scratch the head in an exaggerated manner while speaking with the patient to see if they will copy the movement.More items...•
The ICD code F061 is used to code Catatonia. Catatonia is a state of neurogenic motor immobility and behavioral abnormality manifested by stupor. It was first described in 1874 by Karl Ludwig Kahlbaum, in Die Katatonie oder das Spannungsirresein (Catatonia or Tension Insanity). Specialty:
This means that while there is no exact mapping between this ICD10 code F06.1 and a single ICD9 code, 294.8 is an approximate match for comparison and conversion purposes.
In ICD-11 catatonia is defined as a syndrome of primarily psychomotor disturbances that is characterised by the simultaneous occurrence of several symptoms such as stupor; catalepsy; waxy flexibility; mutism; negativism; posturing; mannerisms; stereotypies; psychomotor agitation; grimacing; echolalia and echopraxia. Catatonia may occur in the context of specific mental disorders, including mood disorders, schizophrenia or other primary psychotic disorders, and Neurodevelopmental disorders, and may be induced by psychoactive substances, including medications. Catatonia may also be caused by a medical condition not classified under mental, behavioural, or neurodevelopmental disorders.
Catatonia is a neuropsychiatric behavioral syndrome that is characterized by abnormal movements, immobility, abnormal behaviors, and withdrawal. The onset of catatonia can be acute or subtle and symptoms can wax, wane, or change during episodes. There are several subtypes of catatonia: akinetic ...
The nature of these complications will depend on the type of catatonia being experienced by the patient. For example, patients presenting with retarded catatonia may have refusal to eat which will in turn lead to malnutrition and dehydration. Furthermore, if immobility is a symptom the patient is presenting with, then they may develop pressure ulcers, muscle contractions, and are at risk of developing deep vein thrombosis (DVT) and pulmonary embolus (PE). Patients with excited catatonia may be aggressive and violent, and physical trauma may result from this. Catatonia may progress to the malignant type which will present with autonomic instability and may be life threatening. Other complications also include the development of pneumonia and neuroleptic malignant syndrome.
The psychotic phase progresses into the unresponsive phase characterized by mutism, decreased motor activity, and catatonia. --Serotonin syndrome: Both serotonin syndrome and malignant catatonia may present with signs and symptoms of delirium, autonomic instability, hyperthermia, and rigidity.
The differential diagnosis of catatonia is extensive as signs and symptoms of catatonia may overlap significantly with those of other conditions. Therefore, a careful and detailed history, medication review, and physical exam are key to diagnosing catatonia and differentiating it from other conditions. Furthermore, some of these conditions can themselves lead to catatonia. The differential diagnosis is as follows:
Abnormalities in GABA, glutamate signaling, serotonin, and dopamine transmission are believed to be implicated in catatonia. Furthermore, it has also been hypothesized that pathways that connect the basal ganglia with the cortex and thalamus is involved in the development of catatonia.
Catatonia frequently goes unrecognized, leading to the belief that the syndrome is rare, however, this is not true and prevalence has been reported to be as high as 10% in patients with acute psychiatric illnesses. 21-46% of all catatonia cases can be attributed to a general medical condition.