2024 ICD-10-CM Diagnosis Code R46.89

Other symptoms and signs involving appearance and behavior

ICD-10-CM Code:
R46.89
ICD-10 Code for:
Other symptoms and signs involving appearance and behavior
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    (R00–R99)
    • Symptoms and signs involving cognition, perception, emotional state and behavior
      (R40-R46)
      • Symptoms and signs involving appearance and behavior
        (R46)

R46.89 is a billable diagnosis code used to specify a medical diagnosis of other symptoms and signs involving appearance and behavior. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

This code describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • 10p partial monosomy syndrome
  • Abnormal craving for drugs
  • Abnormal illness behavior
  • Absenteeism
  • Abusive behavior
  • Abusive behavior towards animals
  • Abusive behavior towards people
  • Accident prone
  • Acting conspicuously in public
  • Actions not completed
  • Adjunctive behavior
  • Adult behavior alteration
  • Agonistic behavior
  • Alteration in nutrition
  • Alteration in nutrition: less than body requirements
  • Altered behavior
  • Altered behavior due to substance use
  • Ambitendence
  • Antisocial behavior
  • Approach avoidance behavior
  • Approach-approach conflict
  • Argumentative behavior
  • Arrogant character
  • Asocial behavior
  • Attachment behavior
  • Attention seeking behavior
  • Attracting adverse public attention
  • Automatic compliance
  • Avoidance behavior
  • Behavior ignored
  • Behavior involving feces
  • Behavior negatively reinforced
  • Behavior not reinforced
  • Behavior poses safety risk to staff
  • Behavior positively reinforced
  • Behavior reinforced
  • Behavior showing reduced motor activity
  • Beyond parental control
  • Broody behavior
  • Butting
  • Buying drugs
  • Cannibalism
  • Careless character
  • Carphologia
  • Challenging behavior
  • Character trait finding of anger control
  • Character trait finding of anger control
  • Character trait finding of conscientiousness
  • Character trait finding of co-operativeness and compliance
  • Character trait finding of co-operativeness and compliance
  • Character trait finding of co-operativeness and compliance
  • Character trait finding of co-operativeness and compliance
  • Character trait finding of co-operativeness and compliance
  • Character trait finding of decisiveness
  • Character trait finding of effort at work
  • Character trait finding of flexibility
  • Character trait finding of flexibility
  • Character trait finding of flexibility
  • Character trait finding of impulse control
  • Character trait finding of level of assertiveness
  • Character trait finding of level of assertiveness
  • Character trait finding of level of curiosity
  • Character trait finding of level of pride
  • Character trait finding of level of pride
  • Character trait finding of level of sociability
  • Character trait finding of level of sociability
  • Character trait finding of level of sociability
  • Character trait finding of level of suggestibility
  • Character trait finding of orderliness
  • Character trait finding of orderliness
  • Character trait finding of personal organization
  • Character trait finding of personal organization
  • Character trait finding of sadistic tendency
  • Character trait finding of task completion
  • Character trait finding of task completion
  • Child behavior alteration
  • Clenching teeth
  • Clinging behavior
  • Clothes need changing
  • Complex mannerisms - behavior
  • Compliant behavior
  • Concerned about appearance
  • Conflict
  • Conflict avoiding behavior
  • Confrontational behavior
  • Conversation content - finding
  • Conversation content bizarre
  • Conversation content inappropriate
  • Coprolalia
  • Craves for drugs
  • Criminal behavior
  • Cruel behavior
  • Dealing with drugs
  • Decreased withdrawn behavior
  • Defecating in public
  • Defiant behavior
  • Deficit behavior
  • Deletion of part of chromosome 10
  • Delinquent behavior
  • Demanding behavior
  • Destructive motor activity
  • Difficult to manage behavior
  • Difficulty controlling aggression
  • Difficulty controlling behavior
  • Difficulty preventing undesirable behavior
  • Diogenes syndrome
  • Discipline problem
  • Disinhibited behavior
  • Disinhibition caused by ethanol
  • Disorganized infant response to environment
  • Dissocial character
  • Dissocial character
  • Dissocial character
  • Dissocial character
  • Dissocial character
  • Distractibility
  • Disturbance in appearance
  • Disturbance in physical behavior
  • Dominating behavior
  • Drug-related offending behavior
  • Drug-related offending behavior
  • Drug-related offending behavior
  • Drug-related offending behavior
  • Drug-related offending behavior
  • Easily distracted
  • Eating feces
  • Eccentric behavior
  • Eccentric character
  • Eliminating in public
  • Embarrassing behavior
  • Erratic character
  • Essential tremor
  • Euphoric sociability
  • Excess behavior
  • Excessive craving for drugs
  • Excessive exercise
  • Excessive exercising to lose weight
  • Excessive spitting
  • Excessively proud character
  • Excitement
  • Explosive behavior
  • Extrapsychic conflict
  • Extrinsic motivation
  • Exuberance
  • Eye poking
  • Facial dysmorphism, developmental delay, behavioral abnormalities syndrome due to 10p11.21p12.31 microdeletion
  • Faddy behavior
  • Falsification
  • Fantastic anecdotes
  • Financially abusive behavior
  • Finding of cleanliness of nail
  • Finding of fluid intake
  • Finding of general nail condition
  • Finding of nail hygiene
  • Finding related to ability to control aggression
  • Finding related to ability to control aggression
  • Finding related to ability to control behavior
  • Finding related to ability to control behavior
  • Finding related to ability to control behavior
  • Finding related to ability to control behavior
  • Finding related to ability to prevent undesirable behavior
  • Finding related to ability to prevent undesirable behavior
  • Finding relating to laughing
  • Finding relating to laughing
  • Finding relating to laughing
  • Finding relating to reinforcement of behavior
  • Finding relating to reinforcement of behavior
  • Finding relating to reinforcement of behavior
  • Finding relating to reinforcement of behavior
  • Finding relating to reinforcement of behavior
  • Finding relating to reinforcement of behavior
  • Finding relating to reinforcement of behavior
  • Finding relating to rules and boundaries
  • Finger-flicking
  • Flapping movements of hands
  • Flicking hands near eyes
  • Flicking objects near eyes
  • Follows drug-related rituals
  • Follows same drug-related routine every day
  • Foolish business investment
  • Foot licking
  • Foot tapping
  • Foreign body chewing
  • Found wandering the streets
  • Freezing in one posture
  • Frenzy
  • Frozen watchfulness
  • Giving away money
  • Giving away property
  • Grandiose character
  • Grinding teeth
  • Habit
  • Habits involving hair - finding
  • Habits involving hair - finding
  • Habits involving hair - finding
  • Habitual eating of own hair
  • Habitual hair twisting
  • Hair-splitting
  • Hang-glider
  • Harm avoidance behavior
  • Has a routine of drug-related activities
  • Head pressing
  • Hereditary essential tremor
  • High level of egocentricity
  • Histrionic behavior
  • Histrionic character
  • Hypervigilant behavior
  • Hypomanic behavior
  • Illness behavior - finding
  • Illness behavior - finding
  • Immature behavior
  • Impairment of acceptance of health status
  • Impatient character
  • Inadequate food diet
  • Inappropriate behavior
  • Inappropriate behavior for age
  • Inappropriate elimination
  • Inappropriate illness behavior
  • Inappropriate laughter
  • Inappropriate self disclosure
  • Inappropriate shouting
  • Inappropriate singing
  • Inappropriate urination
  • Inappropriate verbal response
  • Incongruous laughing
  • Indecisive character
  • Infant behavior alteration
  • Inhibited behavior
  • Insufficient fluid intake - finding
  • Insufficient intake of food and water with self neglect
  • Intrapsychic conflict
  • Invades others' personal space
  • Irresistible craving for drugs
  • Irresponsible character
  • Irreverent behavior
  • Laughs spontaneously
  • Level of egocentricity - finding
  • Level of egocentricity - finding
  • Level of egocentricity - finding
  • Level of neuroticism - finding
  • Level of neuroticism - finding
  • Litigious character
  • Low level of egocentricity
  • Low level of neuroticism
  • Low level of suggestibility
  • Making impulsive remarks
  • Making inappropriate approaches towards others
  • Making insensitive remarks
  • Maladaptive behavior
  • Maladaptive behavior
  • Maladaptive behavior associated with physical illness
  • Manipulative behavior
  • Mannerism
  • Marfanoid physique
  • Masochistic behavior
  • Mentally abusive behavior
  • Microlight flier
  • Mildly abnormal behavior
  • Mimicry
  • Mitmachen
  • Moderate level of egocentricity
  • Moderate level of neuroticism
  • More witty than usual
  • Mussitation
  • Nails dirty
  • Negativism
  • Neglect of clothes
  • Neglect of common dangers
  • Neglect of dental care
  • Neglect of physical health
  • Neglect of physical illness
  • Non-compliant behavior
  • Non-compliant character
  • Nutritional deficiency state
  • Object biting
  • Obstinate character
  • Older adult behavior alteration
  • Oral hygiene finding
  • Over-affectionate
  • Over-compliant character
  • Overgenerosity
  • Overly assertive character
  • Overlying behavior
  • Parafunctional habit
  • Parental overdependence
  • Patronizing behavior
  • Perfectionistic character
  • Poor oral hygiene
  • Possession of drugs
  • Posturing behavior
  • Predation
  • Predictable behavior
  • Preoccupation with appearance
  • Preoccupation with body weight
  • Primary reinforcement of behavior
  • Profligate behavior
  • Progressive essential tremor, speech impairment, facial dysmorphism, intellectual disability, abnormal behavior syndrome
  • Proximity seeking behavior
  • Psychic conflict
  • Racially abusive behavior
  • Rebellious character
  • Reckless character
  • Reckless driving
  • Repetitious behavior
  • Repetitive complex twisting movements
  • Repetitive complex twisting movements
  • Repetitive complex twisting movements of fingers
  • Repetitive complex twisting of objects near eyes
  • Repetitive flapping movements
  • Repetitive flicking movements
  • Repetitive flicking movements
  • Repetitive flicking movements
  • Resistance to change
  • Resistance to changes in environment
  • Resistance to changes in household contents
  • Resistance to changes in patterns of activity
  • Resistiveness to physical care
  • Rigid character
  • Risk activity involvement
  • Risk activity involvement
  • Risk activity involvement
  • Risk prone health behavior
  • Scalp rubbing
  • Schizoid character
  • Screaming
  • Secondary reinforcement of behavior
  • Self related adjustment AND/OR maladjustment
  • Self-neglect
  • Self-neglect
  • Self-referential character
  • Self-stimulative behavior
  • Selling drugs
  • Sensation seeking
  • Sense of entitlement
  • Severe intellectual disability, short stature, behavioral abnormalities, facial dysmorphism syndrome
  • Severely abnormal behavior
  • Shouting - finding
  • Situation avoidance behavior
  • Social behavior
  • Social disinhibition
  • Solitary stealing
  • Spitting at other person
  • Stealing food from home
  • Stealing from fellow residents
  • Stealing from home
  • Stillness
  • Stubborn character
  • Submissive behavior
  • Swearing
  • Telling untruths
  • Tends not to be sociable
  • Tends not to plan ahead
  • Tends not to work hard
  • Tends to abandon tasks
  • Tends to allow anger to build up
  • Tends to appear indifferent to praise or criticism
  • Tends to avoid group social interactions
  • Tends to avoid one to one social interactions
  • Tends to be critical of others
  • Tends to be disorganized
  • Tends to be preoccupied with order
  • Tends to be sensitive to criticism
  • Tends to bear grudges
  • Tends to blame others
  • Tends to exaggerate emotional expression inappropriately
  • Tends to fail to learn from adverse experience
  • Tends to lack conscientiousness
  • Tends to lack curiosity
  • Tends to lie repeatedly without reason
  • Tends to manipulate others
  • Tends to procrastinate
  • Tends to resent authority
  • Tends to take pleasure in the suffering of others
  • Tends to turn anger against self
  • Tends to wear unfashionable clothes
  • Theft
  • Theft
  • Theft
  • Tongue chewing
  • Tongue-rolling
  • Trampling
  • Twirling
  • Unable to adhere to rules and boundaries
  • Unable to control aggression
  • Unable to control behavior
  • Unable to prevent undesirable behavior
  • Unassertive character
  • Uncertain behavior
  • Uncontrollable excitement
  • Uncontrolled behavior
  • Uncooperative behavior
  • Uncooperative character
  • Undue priority given to drug-related activities
  • Unkempt appearance
  • Unpredictable behavior
  • Unusual change in behavior
  • Urinating in public
  • Vacuum activity
  • Verbally abusive behavior
  • Very difficult to manage behavior
  • WAC-related facial dysmorphism, developmental delay, behavioral abnormalities syndrome
  • Wandering
  • Wanders at night
  • Wanders during the day
  • Waxy flexibility
  • Wearing inappropriate footwear
  • Wearing of nails
  • Withdrawn behavior

Clinical Classification

Clinical Information

  • Social Behavior

    any behavior caused by or affecting another individual or group usually of the same species.
  • Social Behavior Disorders

    behaviors which are at variance with the expected social norm and which affect other individuals.
  • Agonistic Behavior

    any behavior associated with conflict between two individuals.
  • Negativism

    state of mind or behavior characterized by extreme skepticism and persistent opposition or resistance to outside suggestions or advice. (apa, thesaurus of psychological index terms, 1994)
  • Cannibalism

    eating other individuals of one's own species.
  • Cytophagocytosis

    the engulfment and degradation of cells by other cells.
  • Absenteeism

    chronic absence from work or other duty.
  • Criminal Behavior

    conduct leading to commission of unlawful acts.
  • Screaming

    a loud, vociferous cry or yell; it can be the result of many emotions, including pain, excitement, or fear.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual's health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert R46.89 to ICD-9-CM

  • ICD-9-CM Code: 799.89 - Ill-define condition NEC
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
  • ICD-9-CM Code: V40.39 - Oth spc behavior problem
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education


Mental Disorders

What are mental disorders?

Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may be occasional or long-lasting (chronic). They can affect your ability to relate to others and function each day.

What are some types of mental disorders?

There are many different types of mental disorders. Some common ones include:

  • Anxiety disorders, including panic disorder, obsessive-compulsive disorder, and phobias
  • Depression, bipolar disorder, and other mood disorders
  • Eating disorders
  • Personality disorders
  • Post-traumatic stress disorder
  • Psychotic disorders, including schizophrenia

What causes mental disorders?

There is no single cause for mental illness. A number of factors can contribute to risk for mental illness, such as:

  • Your genes and family history
  • Your life experiences, such as stress or a history of abuse, especially if they happen in childhood
  • Biological factors such as chemical imbalances in the brain
  • A traumatic brain injury
  • A mother's exposure to viruses or toxic chemicals while pregnant
  • Use of alcohol or recreational drugs
  • Having a serious medical condition like cancer
  • Having few friends, and feeling lonely or isolated

Mental disorders are not caused by character flaws. They have nothing to do with being lazy or weak.

Who is at risk for mental disorders?

Mental disorders are common. More than half of all Americans will be diagnosed with a mental disorder at some time in their life.

How are mental disorders diagnosed?

The steps to getting a diagnosis include:

  • A medical history
  • A physical exam and possibly lab tests, if your provider thinks that other medical conditions could be causing your symptoms
  • A psychological evaluation. You will answer questions about your thinking, feelings, and behaviors.

What are the treatments for mental disorders?

Treatment depends on which mental disorder you have and how serious it is. You and your provider will work on a treatment plan just for you. It usually involves some type of therapy. You may also take medicines. Some people also need social support and education on managing their condition.

In some cases, you may need more intensive treatment. You may need to go to a psychiatric hospital. This could be because your mental illness is severe. Or it could be because you are at risk of hurting yourself or someone else. In the hospital, you will get counseling, group discussions, and activities with mental health professionals and other patients.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.