ICD-10 F43.10: Post-traumatic stress disorder, unspecified
PTSD without acute/chronic specification. Use F43.11 (acute, <3 months), F43.12 (chronic, ≥3 months) when known.
Clinical context
PTSD without acute/chronic specification. Use F43.11 (acute, <3 months), F43.12 (chronic, ≥3 months) when known.
Documentation requirements
- DSM-5 criteria met
- Trauma identification
- Functional impairment
- PCL-5 or CAPS-5 score helpful
Common related procedures
- 90832/90834/90837 psychotherapy
- 96127 brief assessment
Common payer denial patterns
- EMDR coverage varies
- Prolonged Exposure therapy may need specific evidence-based therapy modifier
Frequently asked questions
What does ICD-10 F43.10 mean?
Post-traumatic stress disorder, unspecified
When is this code documented?
PTSD without acute/chronic specification. Use F43.11 (acute, <3 months), F43.12 (chronic, ≥3 months) when known.
What documentation supports this code?
DSM-5 criteria met; Trauma identification; Functional impairment; PCL-5 or CAPS-5 score helpful.
What are common denials associated with this diagnosis?
EMDR coverage varies; Prolonged Exposure therapy may need specific evidence-based therapy modifier.
Related diagnoses
Sources
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