Phobic anxiety disorders (F40)
Phobic anxiety disorders (F40) encompass a range of excessive fears characterized by intense avoidance and distress triggered by specific situations or objects. These ICD-10 codes are used to classify conditions such as agoraphobia, social phobias, and various specific phobias including fear of animals, natural environments, blood or injections, and situational fears like claustrophobia or fear of flying.
The ICD-10 code for phobic anxiety disorders, F40, includes subdivisions that help medical coders identify the precise type of phobia. For example, F40.0 covers agoraphobia, which is the fear of open spaces or going out, with further details under F40.00 for unspecified agoraphobia and F40.01 when it is accompanied by panic disorder. Social phobias, captured under F40.1, range from generalized social anxiety to fears like public speaking (“fear of public speaking”). Specific phobias, noted as F40.2, include fears such as arachnophobia (F40.210), fear of thunderstorms (F40.220), and needle phobia (F40.231). These codes enable precise documentation and support treatment planning for patients with distinct phobic conditions.
Mental and behavioural disorders (F01–F99)
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)
F40 Phobic anxiety disorders
F40.0 Agoraphobia
- F40.00 Agoraphobia, unspecified
- F40.01 Agoraphobia with panic disorder
- F40.02 Agoraphobia without panic disorder
F40.1 Social phobias
- F40.10 Social phobia, unspecified
- F40.11 Social phobia, generalized
F40.2 Specific (isolated) phobias
F40.21 Animal type phobia
- F40.210 Arachnophobia
- F40.218 Other animal type phobia
F40.22 Natural environment type phobia
- F40.220 Fear of thunderstorms
- F40.228 Other natural environment type phobia
F40.23 Blood, injection, injury type phobia
- F40.230 Fear of blood
- F40.231 Fear of injections and transfusions
- F40.232 Fear of other medical care
- F40.233 Fear of injury
F40.24 Situational type phobia
- F40.240 Claustrophobia
- F40.241 Acrophobia
- F40.242 Fear of bridges
- F40.243 Fear of flying
- F40.248 Other situational type phobia
F40.29 Other specified phobia
- F40.290 Androphobia
- F40.291 Gynephobia
- F40.298 Other specified phobia
- F40.8 Other phobic anxiety disorders
- F40.9 Phobic anxiety disorder, unspecified
Phobic anxiety disorders (F40)
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Agoraphobia
Obsessive, persistent, intense fear of places or situations from which escape might be difficult or embarrassing.
Claustrophobia
Persistent and irrational fear of enclosed places (e.g., elevators, closets, tunnels) or of being confined (e.g., in an airplane or the backseat of a car). Situations where enclosure or confinement may be encountered are often avoided or else endured with intense anxiety or distress. The focus of fear is typically on panic symptoms triggered in these situations, such as feelings of being unable to breathe, choking, sweating, and fears of losing control. (From APA Dictionary of Psychology, accessed 11/8/2023)
Hypochondriasis
Preoccupation with the fear of having, or the idea that one has, a serious disease based on the person's misinterpretation of bodily symptoms. (APA, DSM-IV)
Performance Anxiety
Anxiety related to the execution of a task. (Campbell's Psychiatric Dictionary, 9th ed.)
Xenophobia
Intense or irrational dislike or fear of anything that is strange or foreign, particularly of people who are strangers or foreigners. It is an attitudinal orientation of hostility against non-natives in a given population that includes attitudes, prejudices and behavior that reject, exclude or vilify persons, based on the perception that they are outsiders or foreigners to the community, society or national identity.