F42.2 Diagnosis Code: Understanding Mixed Obsessional Thoughts and Acts in ICD-10-CM

The F42.2 Diagnosis Code is a critical part of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) system. Specifically, F42.2 is designated to classify Mixed obsessional thoughts and acts. This code is essential for medical billing, data tracking, and clinical diagnosis within the framework of obsessive-compulsive disorder (OCD) and related conditions.

As part of the F42 category, which encompasses Obsessive-Compulsive Disorder, F42.2 provides a specific classification for cases where patients experience a combination of obsessions and compulsions. Obsessions are defined as recurrent and persistent thoughts, urges, or images that are intrusive and unwanted, causing marked anxiety or distress. Compulsions, on the other hand, are repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

Key Information About ICD-10-CM Code F42.2

  • Specificity and Billability: F42.2 is recognized as a billable and specific code. This means it is precise enough to be used on medical claims for reimbursement purposes.
  • Effective Date: The 2025 edition of ICD-10-CM, including F42.2, became effective on October 1, 2024. It’s crucial to use the most current codes for accurate medical coding and billing.
  • American Standard: F42.2 is the American ICD-10-CM version. It’s important to note that international versions of ICD-10 F42.2 might have variations. When working within the US healthcare system, the ICD-10-CM version is the standard.
  • Code History: F42.2 was introduced as a new code in 2017 (effective October 1, 2016). Since then, it has remained unchanged through the 2025 revisions, indicating its continued relevance and validity in the diagnostic coding system.

Understanding Annotation Back-References

Within the ICD-10-CM system, codes like F42.2 often have “annotation back-references.” These references link F42.2 to other codes through various annotations such as:

  • Applicable To annotations
  • Code Also annotations
  • Code First annotations
  • Excludes1 annotations
  • Excludes2 annotations
  • Includes annotations
  • Note annotations
  • Use Additional annotations

These annotations provide crucial context and guidelines for using F42.2 correctly in conjunction with other related codes, ensuring accurate and comprehensive diagnostic coding.

Diagnostic Related Groups (DRGs)

ICD-10-CM code F42.2 falls under specific Diagnostic Related Groups (MS-DRG v42.0). DRGs are used to classify hospital cases and estimate hospital payments. The grouping of F42.2 within these DRGs is important for healthcare administration and financial management.

Conclusion

The F42.2 diagnosis code is a vital tool within the ICD-10-CM system for classifying and understanding “Mixed obsessional thoughts and acts.” Its specific nature and billable status make it essential for accurate medical documentation, billing processes, and healthcare data analysis. For professionals in medical coding, healthcare administration, and clinical practice, a clear understanding of F42.2 and its context within the ICD-10-CM framework is paramount for effective and compliant healthcare operations.

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