Download Chapter 10: Mental, Behavioral, and Neurodevelopmental

Chapter 10: Mental, Behavioral, and Neurodevelopmental Disorders
OBJECTIVES
At the conclusion of this chapter, the learner should be able to:
1. Define mental health disorders and conditions.
2. Discuss the sequencing of codes for drug and alcohol abuse and
dependence.
3. Summarize how the coding for this specialty is different from the other
specialties and why the coding is challenging.
4. Identify the differences between the ICD-9-CM codes and the ICD-10-CM
codes.
5. Select and code diagnoses from case studies.
EXERCISE ANSWERS
10.1. Defining Psychiatric Terms
1. anxiety—a feeling of apprehension, worry, uneasiness or dread, especially
of the future
2. depression—altered mood; loss of interest in all usually pleasurable outlets
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3. panic attack—intense anxiety; feeling there will be a loss of mental control
and feeling of approaching death
4. hallucination—a false perception having no relation to reality and not
accounted for by any exterior stimuli
5. personality disorder—exists when an individual repeatedly uses certain
coping mechanisms in an inappropriate, stereotyped, or maladaptive
fashion
6. paranoid reaction—exists when an individual has fixed systematization
delusions, is suspicious, has a persecution complex, is resentful and bitter,
and is megalomaniac
7. schizophrenia—a group of related disorders of unknown etiology in which
there is a special type of disordered thinking, affect, and behavior
8. dementia—a brain impairment of intellectual function that usually is
progressive and usually interferes with normal social, and occupational
activities
9. attention deficit disorder—disease of infancy and childhood characterized
by developmentally inappropriate inattention, impulsivity, and
hyperactivity
10.dissociative amnesia—exists when a person blocks out certain information,
usually associated with a stressful or traumatic event, leaving the patient
unable to remember important personal information
CHAPTER REVIEW ANSWERS
True/False
1. False
2. True
3. False
4. False
5. True
Fill-in-the-Blank
6. dementia
7. drug dependence
8. DSM-IV
9. affective
10. severe
Multiple Choice
11. b
12. c
13. d
14. c
15. d
Coding Assignments
1. F03.91
2. F42
3. F41.9
4. F60.3
5. F40.10
6. F60.81
7. F72
8. F52.4
9. F11.20
10. F60.7
11. F43.0
12. F50.00
13. F45.8
14. F34.1
15. F12.10
16. F10.950
17. F10.239
18. F50.2
19. F10.97
20. F20.0
21. F22
22. F01.50
23. F09
24. F44.89
25. F30.8
Case Studies
Case 1: F14.182
Reference the main term Dependence, then drug, cocaine, with sleep disorder.
Case 2: F03.90
Reference the main term Dementia and then senile.
Case 3: F31.10
Reference the main term Disorder, then the term bipolar.
Case 4: F10.129, Y90.9
Reference the main term Abuse, then the term alcohol with intoxication. In the
Index to External Causes, reference the main term Blood alcohol level, then
presence in blood, level not specified.
Case 5: F43.21
Reference the main term Disorder, then the term adjustment with depressed
mood.
Case 6: F30.8
Reference the main term Hypomania.The decreased sleep and hyperactivity are
not coded, as they are symptoms of the hypomania.
Case 7: E16.2, F73
Reference the main term Hypoglycemia. Reference the main term Disability,
intellectual, profound.
Case 8: F10.229, Y90.6
Reference the main term Dependence, then alcohol, with intoxication. In the
Index to External Causes, reference the main term Blood Alcohol Level, then the
current level.
Case 9: F21
Reference the main term Schizophrenia, latent.
Case 10: F11.922
Reference the main term Use, opioid, with intoxication, with perceptual
disturbance because abuse or dependence is not confirmed in note code to opioid
use.