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F40.248

Billable

Other situational type phobia

HCC Category Mapping

RxHCCHCC 133Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000

What This Code Means

An intense, irrational fear related to specific situations not otherwise specified, such as fear of tunnels, storms, or other environmental triggers.

Coding Tips

  • Use this code only when the specific situational phobia is not captured by F40.240-F40.243
  • Document the specific situation that triggers the fear in the medical record

Clinical Significance

Other situational type phobia is a residual category for situational phobias that do not have their own specific ICD-10-CM code, such as fear of driving, fear of tunnels, or fear of public transportation. This code captures clinically significant situational fears not elsewhere classified. It does not carry risk adjustment value.

Documentation Requirements

  • Specific situational stimulus documented (driving, tunnels, public transit, etc.)
  • Marked fear or anxiety about the specific situation
  • Fear is disproportionate to actual danger
  • Consistent avoidance or endurance with intense distress
  • Duration of 6+ months
  • Functional impairment documented

Commonly Confused Codes

Code Hierarchy

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