Obsessive-Compulsive Disorder Documentation Guide
Anxiety disorder characterized by intrusive obsessions and repetitive compulsions.
ICD-10 Codes: F42.2, F42.3, F42.4, F42.8, F42.9
Common Symptoms
- Intrusive thoughts
- Repetitive behaviors
- Excessive doubt
- Avoidance
- Functional impairment
Key Documentation Elements
- Y-BOCS score and severity rating
- Predominant obsession and compulsion types
- Current medication (SSRI dose, augmentation agents)
- Psychotherapy engagement (CBT, ERP)
- Functional impact on daily living and relationships
Documentation Challenges
- Documenting Y-BOCS severity scoring
- Recording specific obsession and compulsion patterns
- Capturing CBT/ERP treatment participation and response
- Tracking SSRI titration for OCD-specific dosing
Billing Considerations
- F42 subtype coding (F42.2 mixed, F42.3 hoarding, F42.4 excoriation)
- Psychotherapy documentation time requirements
- Medication management complexity for E&M level
Frequently Asked Questions
How is OCD coded in ICD-10?
OCD uses F42.2 (mixed obsessions and compulsions), F42.3 (hoarding disorder), F42.4 (excoriation disorder), F42.8 (other), or F42.9 (unspecified). Scribeable maps your documented symptom pattern to the correct subcode.
How does Scribeable document OCD treatment?
Scribeable captures Y-BOCS scores, symptom descriptions, SSRI dosing, ERP participation, and functional assessments from your encounter, creating structured documentation for OCD treatment tracking.