F43.23 Adjustment disorder with mixed anxiety and depressed mood

ICD10CM code

#### Name of the Condition
- Adjustment Disorder with Mixed Anxiety and Depressed Mood
- ICD-10 Code: F43.23

#### Summary
Adjustment Disorder with Mixed Anxiety and Depressed Mood is a psychological response to an identifiable stressor, resulting in a blend of emotional symptoms including both anxiety and depression.

#### Causes
- Often triggered by a significant life change or stressful event such as divorce, job loss, or trauma.
- Can be due to a single incident or multiple stressors.

#### Risk Factors
- Ongoing or sudden stress.
- History of mental health disorders.
- Lack of social support.
- Difficulty adapting to change.

#### Symptoms
- Feeling anxious or nervous.
- Persistent sad or depressed mood.
- Difficulty concentrating.
- Sleep disturbances.
- Feeling overwhelmed by responsibilities.

#### Diagnosis
- Clinical evaluation through interviews.
- Assessment of symptoms in relation to recent stressors.
- Utilization of specific diagnostic criteria outlined in the DSM-5.

#### Treatment Options
- Psychotherapy (e.g., cognitive behavioral therapy) to build coping skills.
- Short-term use of medications such as antidepressants or anti-anxiety drugs to alleviate symptoms.
- Support groups for emotional support and stress management.

#### Prognosis and Follow-Up
- Generally, symptoms resolve once the stressor is managed or eliminated.
- Regular follow-up may be needed to monitor progress and prevent recurrence.
- Good prognosis with timely intervention and support.

#### Complications
- Risk of developing more severe depressive or anxiety disorders if untreated.
- Impact on personal and professional relationships.

#### Lifestyle & Prevention
- Stress management techniques (e.g., mindfulness, relaxation exercises).
- Regular physical activity and a balanced diet.
- Building a supportive network of relationships.

#### When to Seek Professional Help
- If symptoms persist beyond a few months or worsen.
- If feelings of depression or anxiety are severe enough to affect daily functioning.
- Suicidal thoughts or behavior necessitate immediate attention.

#### Additional Resources
- American Psychological Association ([www.apa.org](https://www.apa.org))
- National Institute of Mental Health ([www.nimh.nih.gov](https://www.nimh.nih.gov))
- Mental Health America ([www.mhanational.org](https://www.mhanational.org))

#### Tips for Medical Coders
- Ensure the presence of both anxiety and depressive symptoms when coding.
- Differentiate from other mood disorders by confirming the symptoms are in response to specific stressors.
- Accurate documentation of the stressor and its impact is essential for precise coding.

Medical Policies and Guidelines for Adjustment disorder with mixed anxiety and depressed mood

Related policies from health plans

Similar Codes