F06.4
Anxiety disorder due to known physiological condition
Clinical Classification Guidelines
Excludes Type 2
- anxiety disorders due to alcohol and other psychoactive substances (F10-F19 with .180, .280, .980)
- anxiety disorders, not due to known physiological condition or unspecified (F40.-, F41.-)
Medical Intelligence & Overview
Anxiety disorder due to a known physiological condition is a mental health condition characterized by persistent feelings of anxiety or worry that are directly caused by an underlying physical health problem. Unlike other anxiety disorders, where the cause is often unknown or psychological, this disorder is linked to identifiable medical conditions. Recognizing and addressing the physical health issue can often alleviate the associated anxiety.
Causes & Symptoms
Clinical Causes: Thyroid disorders, such as hyperthyroidism Cardiovascular conditions like arrhythmias or heart failure Respiratory issues including asthma or chronic obstructive pulmonary disease (COPD) Neurological conditions such as Parkinson's disease or epilepsy Metabolic disturbances, including hypoglycemia or electrolyte imbalances Chronic illnesses or infections that impact body function Use of certain medications or substances that influence nervous system activity
Key Symptoms: Persistent feelings of nervousness or worry Physical sensations such as rapid heartbeat or palpitations Shortness of breath or difficulty breathing Muscle tension or trembling Sweating excessively Dizziness or lightheadedness Sleep disturbances, including insomnia Difficulty concentrating or feeling mentally foggy Fear of losing control or impending doom
Diagnostic & Treatment
Diagnosis Path: Diagnosing anxiety disorder due to a known physiological condition involves a comprehensive medical and psychiatric evaluation. Healthcare providers assess the patient's medical history, conduct physical examinations, and may perform laboratory tests to identify underlying physical health issues. Mental health assessments are also used to determine if the anxiety symptoms align with clinical criteria. Clarifying that the anxiety symptoms are directly linked to a known physical condition distinguishes this diagnosis from other anxiety disorders.
Treatment Protocols: Treating the underlying physiological condition through appropriate medical interventions or medications Symptom management strategies, which may include therapy, medication, or lifestyle modifications aimed at reducing anxiety symptoms Psychological therapies such as cognitive-behavioral therapy (CBT) to develop coping strategies Monitoring and adjusting medications to balance physical health and mental health symptoms
Clinical Advice & FAQs
Billing Guidance
Is F06.4 a billable ICD-10 code?
Yes, F06.4 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report F06.4?
Clinical documentation must specify the nature of Anxiety disorder due to known physiological condition and any associated comorbidities for accurate reporting.
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