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Autistic disorder

ICD10CM code

Name of the Condition

  • Autistic Disorder
  • Commonly known as Autism, and medically referred to as Autism Spectrum Disorder (ASD).

Summary

  • Autistic disorder, or autism, is a developmental disorder characterized by challenges with social interaction, communication, and restricted or repetitive behaviors. It varies widely in severity and symptoms.

Causes

  • The exact cause of autism is unknown, but it is believed to be linked to genetic factors and environmental influences. Research indicates that a combination of these factors may contribute to changes in brain development.

Risk Factors

  • Factors that may increase the risk of developing autism include:
    • Sibling with autism.
    • Older parental age.
    • Genetic disorders (e.g., fragile X syndrome).
    • Extremely preterm birth.

Symptoms

  • Individuals with autism may exhibit:
    • Difficulty in social interactions and avoiding eye contact.
    • Delayed language development or non-verbal.
    • Repetitive behaviors and routines.
    • Intense focus on specific objects or topics.

Diagnosis

  • Diagnosis typically involves comprehensive evaluations, including:
    • Behavioral assessments.
    • Developmental screenings.
    • Criteria outlined in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).

Treatment Options

  • While there is no cure, treatment focuses on:
    • Behavioral and communication therapies to address social and language skills.
    • Educational interventions tailored to individual needs.
    • Medications to manage specific symptoms like anxiety or aggression.

Prognosis and Follow-Up

  • The long-term outlook varies; early intervention can improve outcomes. Regular follow-ups help adjust treatment plans and monitor developmental progress.

Complications

  • Without appropriate management, individuals with autism may face challenges such as:
    • Social isolation.
    • Difficulty finding employment.
    • Emotional and mental health issues.

Lifestyle & Prevention

  • While prevention is not always possible, early intervention and tailored support can significantly enhance quality of life and skill development.

When to Seek Professional Help

  • Seek evaluation if there are delays in speech, signs of difficulties in social interactions, or if the child exhibits repetitive behaviors by age 2.

Additional Resources

Tips for Medical Coders

  • Ensure accurate use of ICD code F84.0 for autistic disorder.
  • Avoid common errors such as coding related symptoms separately once autism is diagnosed.

Medical Policies and Guidelines for Autistic disorder

Related policies from health plans

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