Generalized anxiety disorder. 2015. Billable Thru Sept 30/2015. Non-Billable On/After Oct 1/2015. ICD-9-CM 300.02 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 300.02 should only be used for claims with a date of service on or before September 30, 2015.
300.01. ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 300.00 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services.
ICD-9 Code 300.02 Generalized anxiety disorder. ICD-9 Index; Chapter: 290–319; Section: 300-316; Block: 300 Neurotic disorders; 300.02 - Generalized anxiety dis
Generalized anxiety disorder (300.02) ICD-9 code 300.02 for Generalized anxiety disorder is a medical classification as listed by WHO under the range -NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS (300-316).
Apprehension or fear of impending actual or imagined danger, vulnerability, or uncertainty. Feeling of distress or apprehension whose source is unknown. Term was discontinued in 1997. In 2000, the term was removed from all records containing it, and replaced with anxiety disorders, its postable counterpart.
Vague uneasy feeling of discomfort or dread accompanied by an autonomic response (the source often nonspecific or unknown to the individual); a feeling of apprehension caused by anticipation of danger. It is an alerting signal that warns of impending danger and enables the individual to take measures to deal with threat.
300.02 is a legacy non-billable code used to specify a medical diagnosis of generalized anxiety disorder. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 300.02 in the Index of Diseases and Injuries:
Fear and anxiety are part of life. You may feel anxious before you take a test or walk down a dark street. This kind of anxiety is useful - it can make you more alert or careful. It usually ends soon after you are out of the situation that caused it.
General Equivalence Map Definitions#N#The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
A condition marked by excessive worry and feelings of fear, dread, and uneasiness that last six months or longer. Other symptoms of gad include being restless, being tired or irritable, muscle tension, not being able to concentrate or sleep well, shortness of breath, fast heartbeat, sweating, and dizziness.
Apprehension or fear of impending actual or imagined danger, vulnerability, or uncertainty. Fear and anxiety are part of life.
Feelings of fear, dread, and uneasiness that may occur as a reaction to stress . A person with anxiety may sweat, feel restless and tense, and have a rapid heart beat.
The worry is accompanied by restlessness, fatigue, inability to concentrate, irritability, muscle tension, and/or sleep disturbance and lasts for at least 6 months.
Generalized anxiety disorder (GAD) is an anxiety disorder characterized by excessive, uncontrollable and often irrational worry, that is, apprehensive expectation about events or activities . This excessive worry often interferes with daily functioning, as individuals with GAD typically anticipate disaster, and are overly concerned about everyday matters such as health issues, money, death, family problems, friendship problems, interpersonal relationship problems, or work difficulties. Individuals often exhibit a variety of physical symptoms, including fatigue, fidgeting, headaches, nausea, numbness in hands and feet, muscle tension, muscle aches, difficulty swallowing, excessive stomach acid buildup, stomach pain, vomiting, diarrhea, bouts of breathing difficulty, difficulty concentrating, trembling, twitching, irritability, agitation, sweating, restlessness, insomnia, hot flashes, rashes, and inability to fully control the anxiety (ICD-10). These symptoms must be consistent and ongoing, persisting at least six months, for a formal diagnosis of GAD.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. Type-2 Excludes means the excluded conditions are different, although they may appear similar.
All of the below features must be present in order to make a proper diagnosis of GAD: 1 Excessive anxiety and worry, occurring more days than not for at least 6 months, concerning a number of events; 2 The individual finds it difficult to control the worry; 3 The anxiety and worry are associated with at least three of the following six symptoms (only one item required in children): 4 Restlessness, feeling keyed up or on edge. 5 Being easily fatigued 6 Difficulty concentrating 7 Irritability 8 Muscle tension 9 Sleep disturbance 10 The anxiety, worry or physical symptoms cause clinically significant distress or impairment in important areas of functioning; 11 The disturbance is not due to the physiological effects of a substance or medical condition; 12 The disturbance is not better explained by another medical disorder (American Psychiatric Association, 2013).
People with GAD experience chronic, constant and often unsubstantiated worry. Some of the more common topics or worries include work, family, health or money. Such worries can continue throughout the day, in some cases every day, disrupting social activities, family, work or school. Physical symptoms of GAD include, but are not limited to the following: 1 Muscle tension 2 Gastrointestinal discomfort or diarrhea 3 Irritability 4 Fatigue 5 Edginess 6 Restlessness 7 Sleep difficulties
Symptoms of Generalized Anxiety Disorder. People with GAD experience chronic, constant and often unsubstantiated worry. Some of the more common topics or worries include work, family, health or money. Such worries can continue throughout the day, in some cases every day, disrupting social activities, family, work or school.
The primary symptom is not anxiety, but rather pain or a difficulty in sleeping. Since the diagnosis is so often incorrect, many patients with GAD do not receive proper treatment (Bandelow, et al 2013).
The anxiety and worry are associated with at least three of the following six symptoms (only one item required in children): Restlessness, feeling keyed up or on edge. The anxiety, worry or physical symptoms cause clinically significant distress or impairment in important areas of functioning;
So many similarities exist between depression and GAD that many experts have even suggested re-categorizing GAD as a mood disorder.
GAD is typically treated using either psychotherapy, medication or a combination of both. In terms of psychotherapy, cognitive behavioral therapy (CBT) tends to be especially useful in the treatment of GAD. This approach works by teaching different ways of thinking, behaving and reacting to certain situations.
To use modifier 59, documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual.
96127 is a time-based code which require documentation of start and stop time. This is info from FindACode: "Emotional/behavioral assessments may be performed by medical and mental health professionals in the clinical setting and also by trained professionals in the educational setting.
Z-Codes are diagnosis codes related to factors influencing the health status of an individual or conditions relating to that individual warranting clinical attention. For mental health providers, Z-code diagnoses are often best rendered alongside a F-Code diagnoses. ( Source) ( Source)
Due to the extremely personal nature of these descriptions, many providers choose to forgo using V-codes on insurance claims.
ICD-9 was updated to ICD-10 coding on October 1st, 2015. Coding changed from the use of ICD-9 diagnoses to ICD-10 diagnoses to match the recent DSM5 update in 2013, enumerating many more diagnoses.
We do not recommend using ICD-9 diagnoses in 2020, for clear reasons! But this list and search tool will enable you to refer back!