Psychic factors associated with diseases classified elsewhere

This code identifies situations where psychological or emotional factors significantly contribute to the onset, exacerbation, or maintenance of a physical disease that is classified elsewhere in the ICD-9-CM system. It signifies a mind-body connection where mental stress, anxiety, or other psychic influences are impacting a somatic condition.

Use this code when documentation clearly indicates a psychological component influencing a primary physical diagnosis, such as stress-induced asthma or anxiety-related irritable bowel syndrome. The physician's notes should explicitly link the psychic factors to the physical disease.

• Always sequence this code as a secondary diagnosis, following the physical condition it is associated with.
• Ensure the medical record explicitly states the psychic factor's influence on the physical disease; avoid assumptions.
• Do not use this code for primary mental health disorders, even if they have physical manifestations; those require specific mental health codes.