F42.3

HCC Category Mapping

What This Code Means

Hoarding disorder is characterized by persistent difficulty discarding possessions, regardless of their actual value, resulting in excessive accumulation of items.

Coding Tips

• •Document the impact on living spaces and functional impairment caused by hoarding behavior
• •Distinguish from normal collecting by noting the distress or impairment caused by the hoarding

Clinical Significance

Hoarding disorder is an OCD-related condition characterized by persistent difficulty discarding possessions regardless of their actual value, resulting in accumulation that compromises living spaces. This condition poses significant health and safety risks including fire hazards, falls, unsanitary conditions, and inability to use living spaces for intended purposes. It does not carry risk adjustment value.

Documentation Requirements

• ✓Persistent difficulty discarding or parting with possessions regardless of value
• ✓Perceived need to save items and distress associated with discarding them
• ✓Accumulation of possessions that clutter active living areas to the extent that their intended use is compromised
• ✓Clinically significant distress or functional impairment
• ✓Hoarding is not attributable to another medical condition (e.g., brain injury) or another mental disorder
• ✓Assessment of safety hazards (fire risk, fall risk, sanitation concerns)

Commonly Confused Codes