ICD-10 Diagnosis Code R46.89

Other symptoms and signs involving appearance and behavior

Diagnosis Code R46.89

ICD-10: R46.89
Short Description: Other symptoms and signs involving appearance and behavior
Long Description: Other symptoms and signs involving appearance and behavior
This is the 2019 version of the ICD-10-CM diagnosis code R46.89

Valid for Submission
The code R46.89 is valid for submission for HIPAA-covered transactions.

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)

Information for Medical Professionals

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.

Code Edits
The following 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 to ICD-9
  • 799.89 - Ill-define condition NEC (Approximate Flag)
  • V40.39 - Oth spc behavior problem (Approximate Flag)

Synonyms
  • Abnormal compulsive behavior
  • Abnormal craving for drugs
  • Abnormal illness behavior
  • Absenteeism
  • Abusive behavior
  • Accident prone
  • Acting conspicuously in public
  • Actions not completed
  • Adjunctive behavior
  • Adult behavior alteration
  • Agonistic behavior
  • Alteration in nutrition: less than body requirements
  • Altered behavior
  • Ambitendence
  • Approach avoidance behavior
  • Approach-approach conflict
  • Argumentative behavior
  • Arms not swung when walking
  • Arrogant character
  • Asocial behavior
  • Attachment behavior
  • Attention seeking behavior
  • Attracting adverse public attention
  • Automatic compliance
  • Avoidance behavior
  • Behavior change due to substance use
  • Behavior ignored
  • Behavior involving feces
  • Behavior negatively reinforced
  • Behavior not reinforced
  • 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 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 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
  • Dealing with drugs
  • Decreased withdrawn behavior
  • Defecating in public
  • Defiant behavior
  • Defiant behavior
  • Deficit behavior
  • 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
  • Disorganized infant response to environment
  • Dissocial character
  • Dissocial character
  • Dissocial character
  • Dissocial character
  • Dissocial character
  • Distractibility
  • Disturbance in appearance
  • Disturbance in appearance
  • Disturbance in physical behavior
  • Dominating behavior
  • Drug-related offending behavior
  • Easily distracted
  • Eating feces
  • Eccentric behavior
  • Eccentric character
  • Eliminating in public
  • Embarrassing behavior
  • Erratic character
  • 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
  • Faddy behavior
  • Falsification
  • Fantastic anecdotes
  • Financially abusive behavior
  • Finding of cleanliness of nail
  • 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 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
  • 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
  • Harmful oral hygeine habit
  • Has a routine of drug-related activities
  • Head pressing
  • High level of egocentricity
  • Histrionic behavior
  • Histrionic character
  • Hypervigilant behavior
  • Hypomanic behavior
  • 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
  • Interpretations of behavior finding
  • Interpretations of behavior finding
  • 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 associated with physical illness
  • Manipulative behavior
  • Mannerism
  • Marfanoid physique
  • Masochistic behavior
  • Mentally abusive behavior
  • Microlight flier
  • Mildly abnormal behavior
  • Mimicry
  • Misuse of over-the-counter medications
  • 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
  • Neglected appearance
  • Non-compliant behavior
  • Non-compliant behavior
  • Non-compliant character
  • O/E - care poor
  • O/E - irreverent behavior
  • O/E - poor dental hygiene
  • O/E - state of care
  • 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
  • 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
  • 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
  • Symptoms and signs involving appearance and behavior
  • 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
  • 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
  • Wandering
  • Wanders at night
  • Wanders during the day
  • Waxy flexibility
  • Wearing of nails
  • Withdrawn behavior

Information for Patients


Mental Disorders

Also called: Mental illness

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, post-traumatic stress disorder, and phobias
  • Depression, bipolar disorder, and other mood disorders
  • Eating disorders
  • Personality disorders
  • 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 gets 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.

How are mental disorders treated?

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.

  • Adjustment disorder (Medical Encyclopedia)
  • Conversion disorder (Medical Encyclopedia)
  • Illness anxiety disorder (Medical Encyclopedia)
  • Somatic symptom disorder (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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