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F48.2

Billable

Pseudobulbar affect

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Pseudobulbar affect is a condition where a person experiences sudden, involuntary episodes of laughing or crying that are not controlled by their emotions and don't match what they're actually feeling. This neurological condition often occurs after a stroke, brain injury, or with certain neurological diseases like ALS or multiple sclerosis.

Coding Tips

  • Pseudobulbar affect is distinct from emotional lability or mood disorders—verify the diagnosis specifically states 'pseudobulbar affect' rather than general emotional instability
  • Always investigate and code the underlying cause when present (such as sequelae of stroke, ALS, MS, or other neurological conditions) as these are often the primary drivers of the condition

Code First

  • underlying cause, if known, such as:
  • amyotrophic lateral sclerosis (G12.21)
  • multiple sclerosis (G35-)
  • sequelae of cerebrovascular disease (I69.-)
  • sequelae of traumatic intracranial injury (S06.-)

Code Hierarchy

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