F42.8

Billable

Other obsessive-compulsive disorder

HCC Category Mapping

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

0.000

What This Code Means

This code is used for obsessive-compulsive disorder presentations that have specific features but don't fit the standard OCD categories.

Coding Tips

•Document the specific obsessions and compulsions present in the patient's presentation
•Use only after confirming the diagnosis doesn't meet criteria for F42.2 or F42.3

Clinical Significance

Other obsessive-compulsive disorder captures OCD presentations that are predominantly obsessional or predominantly compulsive, or atypical OCD presentations not classified elsewhere. This includes primarily obsessional OCD ('pure O') where intrusive thoughts dominate without prominent rituals, or primarily compulsive presentations. It does not carry risk adjustment value.

Documentation Requirements

✓Specific obsessive-compulsive symptoms documented
✓Description of whether obsessions or compulsions predominate, or the atypical nature of the presentation
✓Time consumed by symptoms and their impact on functioning
✓Distinction from other OCD-related disorders (hoarding, excoriation, body dysmorphic disorder)
✓Current treatment approach
✓Why the presentation does not fit F42.2 (mixed) or other specific OCD codes

Commonly Confused Codes

F42.2 (Mixed obsessional thoughts and acts) — Use F42.2 when both obsessions and compulsions are equally present; F42.8 when one predominates or presentation is atypical F42.9 (Obsessive-compulsive disorder, unspecified) — F42.8 is 'other specified'; F42.9 is 'unspecified'F42.3 (Hoarding disorder) — Use specific hoarding code, not F42.8 F42.4 (Excoriation disorder) — Use specific excoriation code, not F42.8

Code Hierarchy

└F42Obsessive-compulsive disorder └F42.8Other obsessive-compulsive disorder

└F42.8Other obsessive-compulsive disorder