Intermittent explosive disorder

This code represents a behavioral health condition characterized by recurrent, impulsive, aggressive outbursts that are grossly out of proportion to any provocation or precipitating psychosocial stressors. These episodes are typically brief, lasting less than 30 minutes, and may involve verbal aggression or physical aggression toward property, animals, or other individuals. The individual often experiences remorse or embarrassment after the outburst.

Use this code when documentation clearly indicates a diagnosis of Intermittent Explosive Disorder based on DSM-5 criteria, including recurrent behavioral outbursts representing a failure to control aggressive impulses. The outbursts must not be better explained by another mental disorder, substance use, or another medical condition. Supporting documentation should detail the frequency, intensity, and impact of these aggressive episodes.

• Ensure the documentation specifies that the aggressive outbursts are impulsive and not premeditated.
• Differentiate from other disruptive behavior disorders like Oppositional Defiant Disorder or Conduct Disorder, which have different diagnostic criteria.
• Verify that the patient's age is at least 6 years old, as this is a diagnostic criterion for IED.