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ED Coding and Reimbursement Alert

Emergency Department Coding:

Constant Worry Could Be Generalized Anxiety Disorder

Question: If a patient has a diagnosis of “overanxious disorder,” what is the appropriate ICD-10-CM code for this condition?

Massachusetts Subscriber

Answer: You probably know this condition better as generalized anxiety disorder, which you’ll code with F41.1 (Generalized anxiety disorder). In addition to overanxious disorder, you should report F41.1 if the physician lists one of these diagnoses:

  • Anxiety neurosis
  • Anxiety reaction
  • Anxiety state

More on the condition: According to , generalized anxiety disorder is categorized by excessive, ongoing anxiety and worry that is difficult to control and interferes with day-to-day activities. In addition to the ongoing worry, Mayo Clinic reveals people presenting with generalized anxiety disorder could exhibit a combination of these physical signs and symptoms:

  • Fatigue
  • Trouble sleeping
  • Muscle tension or muscle aches
  • Trembling, feeling twitchy
  • Nervousness or being easily startled
  • Sweating
  • Nausea, diarrhea or irritable bowel syndrome
  • Irritability.

Chris Boucher, MS, CPC, Senior Development Editor, AAPC