Quick reference
- When to use
- Use F43.22 when the client's presentation is directly linked to an identifiable stressor or traumatic event and meets the specific criteria for Adjustment Disorder with Anxiety. Document the qualifying event or stressor clearly.
- Duration
- PTSD: symptoms >1 month post-trauma. Acute Stress: 3 days to 1 month. Adjustment Disorders: onset within 3 months of stressor, resolves within 6 months after stressor ends. Reassess timeline regularly.
- Session codes
- Pair with CPT 90837 (60-min, preferred for trauma processing), 90834 (45-min for stabilization), or 90791 (initial evaluation). Add 96127 for PCL-5 or PHQ-9 screening. EMDR/exposure sessions often require 90837.
- Key indicators
- Intrusive memories or flashbacks • Avoidance of trauma reminders • Negative mood or cognition changes • Hyperarousal or hypervigilance • Sleep disturbance • Dissociative symptoms • Clear temporal link to stressor
What F43.22 represents
Anxiety-predominant adjustment disorder in response to an identifiable stressor. The anxiety is clearly linked to the stressor and doesn't meet criteria for a specific anxiety disorder.
Key diagnostic criteria
- Adjustment disorder criteria met
- Predominant anxiety symptoms
- Doesn't meet criteria for GAD or other specific anxiety disorder
Documentation essentials
Document the stressor and anxiety symptoms. Explain the temporal relationship.
Differential diagnosis
Distinguish from GAD (duration, pervasiveness), panic disorder, and social anxiety.
Treatment planning
Stress management, brief CBT, relaxation training, supportive counseling.
Insurance & billing
Accepted code. Document stressor-symptom relationship.
Updates & changes
No significant changes expected.
Documentation pitfalls
Don't use if anxiety is pervasive and exceeds 6 months beyond stressor resolution – consider GAD.
References
- American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.).