Link diagnostic study to clinical diagnosis
CT findings are not equivalent to a diagnosis
Documentation of Midline shift is not equivalent to brain compression

Adult (main)|Pediatrics (main)

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• Document onset as: Early or Late
• If with dementia, document as:
  • With behavioral disturbance, for example combative and/or aggressive behavior or wandering
  • Without behavioral disturbance

Adult (main)|Pediatrics (main)

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• Document type:
  • Catatonic
  • Paranoid
  • Disorganized
  • Residual
  • Other
  • Undifferentiated
• If diagnosis is schizoaffective disorder, document type as: Bipolar or Depressive

Adult (main)|Pediatrics (main)

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Document: In adolescence or adulthood
State any sex reassignment status

Adult (main)|Pediatrics (main)

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Specify Type

• Anorexia nervosa-restricting type
• Anorexia nervosa-binge eating type
• Anorexia nervosa-purging type
• Bulimia nervosa
• PICA
• Psychogenic loss of appetite

Adult (main)|Pediatrics (main)

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• Document type, such as:
  • Major depression
  • Adjustment disorder with or without depression and/or anxiety, e.g., grief reaction
  • Anxiety depression
  • Depressive neurosis
  • Unspecified depression diagnosis is coded as major depression

Adult (main)|Pediatrics (main)

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