Verbosity and circumstantial detail obscuring rsn for cntct

This code describes a communication pattern where a patient's speech is excessively detailed, tangential, or includes irrelevant information, making it difficult to ascertain the primary reason for their clinical encounter. This verbosity can hinder effective history-taking and clinical assessment.

Apply this code when documentation clearly indicates a patient's communication style significantly impedes the clinician's ability to understand their chief complaint or medical history due to excessive, irrelevant, or circuitous detail. This is often observed in psychiatric evaluations or complex medical histories where the patient struggles to stay on topic.

• Do not use this code for simple garrulousness or talkativeness; it specifically refers to communication that obscures the reason for contact.
• This is a symptom code and should be sequenced after the primary diagnosis, if one is established, or as a primary diagnosis if the communication issue is the sole focus of the encounter.
• Documentation should explicitly describe the patient's communication as circumstantial, overly detailed, or tangential, and note its impact on the clinical interaction.