There has been unnecessary confusion about this lately, but the use of the "no diagnosis, no condition" label is really quite simple. It is for practitioners to use when they evaluate a client / patient and the client is found to have no diagnosable condition
at all. The client /patient does not get "diagnosed" with the "no diagnosis, no condition". That's the whole point - there is no diagnosis and no condition! That wording and associated code is simply sent to the health insurance companies for the purpose of reimbursing the evaluation sessions.
Before when practitioners gave someone a mental health evaluation they did not get reimbursed unless they provided a diagnosis code. But some people are evaluated and are found not to meet the criteria for any diagnosis at all. Because there was no code for that they did not receive any reimbursement from insurance companies (unless they lied and put a false diagnosis on the patients file). Now they don't have to do that, because there is a code for no diagnosis, no condition, that will still enable practitioners to be reimbursed for the evaluation sessions (it will not enable clients to get ongoing therapy, since there needs to be a diagnosable condition in order to get reimbursement for therapy.)
This diagnostic code ONLY needs to be used when there is NO other diagnosis... no depression, no PTSD, no OSDD, no anything. And it is only used for funding purposes, nothing else.
I hope that makes it all clearer!
Quote:
Other Mental Disorders Addition of No Diagnosis or Condition [October 2018] (DSM-5: p. 707; Desk Reference: p. 341) As updated For related coding updates, see “October 1, 2018 ICD-10-CM Coding Updates in Detail,” under “Other Mental Disorders.”
Reason for update
The lack of the “no diagnosis” code in DSM-5 has created issues in healthcare systems where providers are obligated to bill using DSM-5 codes, and APA frequently receives inquiries about its omission. With the added code, providers will be able to indicate when they've conducted an evaluation and have identified that a patient’s clinical presentation does not meet criteria for a mental health diagnosis.
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