What diagnosis code is reported for a diagnosis of impulsive anger with destruction of property? The patient was a 16-year-old evaluated and referred for behavioral counseling because his parents were concerned about destructive outbursts that occurred over the last 2 years.

International Classification of Diseases, Ninth Revision, Clinical Modification does not include a diagnosis specifically for impulsive anger but provides a couple of entries under the term disorder that may apply. Under disorder, you will find codes such as 312.30, impulse control disorder, unspecified, and 312.82, conduct disorder, adolescent onset type. If the patient meets the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision diagnostic criteria for intermittent explosive disorder, code 312.34 would be the more specific code for reporting this condition.

International Classification of Diseases, 10th Revision, Clinical Modification includes codes F63.9, impulse disorder, unspecified; F91.2, conduct disorder, adolescent-onset type; and F63.81...

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