F43.21 Adjustment disorder with depressed mood

ICD10CM code

#### Name of the Condition
- Adjustment Disorder with Depressed Mood
- ICD-10-CM Code: F43.21

#### Summary
Adjustment disorder with depressed mood is a condition characterized by emotional or behavioral symptoms that arise in response to a specific stressor or life change. Individuals may experience a lowered mood, tearfulness, or feelings of hopelessness.

#### Causes
- Significant life changes or stressful events, such as job loss, divorce, illness, or relocation.
- The inability to cope with or adapt to certain life situations.

#### Risk Factors
- Previous mental health disorders.
- Exposure to high levels of stress.
- Lack of a strong support network.
- Family history of mental health conditions.

#### Symptoms
- Feelings of sadness, hopelessness, or depression.
- Frequent crying spells.
- Withdrawal from social activities.
- Changes in eating or sleeping patterns.
- Difficulty concentrating.

#### Diagnosis
- Clinical evaluation by healthcare professionals.
- Detailed patient history focusing on recent life changes and stressors.
- Psychological assessment to rule out other mental disorders.

#### Treatment Options
- Psychotherapy, such as cognitive-behavioral therapy (CBT), to help develop coping mechanisms.
- Medication, such as antidepressants, for symptom relief if necessary.
- Support groups or counseling to provide social support and encouragement.

#### Prognosis and Follow-Up
- With appropriate treatment, individuals can recover in a few months.
- Regular follow-up appointments are essential to monitor progress and adjust treatments if needed.

#### Complications
- Risk of developing major depressive disorder if untreated.
- Interference with daily functioning or relationships.

#### Lifestyle & Prevention
- Develop strong social connections and support networks.
- Regular exercise and a healthy diet to maintain overall well-being.
- Stress management techniques such as mindfulness or relaxation exercises.

#### When to Seek Professional Help
- If experiencing persistent sadness or inability to cope with stressors.
- Noticeable interference with work, social, or personal life.

#### Additional Resources
- American Psychological Association (APA)
- National Alliance on Mental Illness (NAMI)
- Mental Health America (MHA)

#### Tips for Medical Coders
- Ensure accurate ICD-10-CM coding by verifying the specific stressor tied to the adjustment disorder.
- Differentiate from other depressive disorders by confirming the temporal link between the stressor and symptom onset.
- Double-check the documentation for clear evidence of mood disturbance before assigning F43.21.

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