Agoraphobia, unspecified

This code represents agoraphobia without any further specification regarding panic disorder or other anxiety disorders. It describes a type of anxiety disorder characterized by intense fear and avoidance of situations or places where escape might be difficult or help unavailable if panic-like symptoms or other incapacitating or embarrassing symptoms occur.

Use this code when the provider's documentation clearly states a diagnosis of agoraphobia but does not specify whether it is with or without panic disorder. This code is appropriate when the clinical record lacks the detail to assign a more specific agoraphobia code. Documentation should support the diagnostic criteria for agoraphobia, such as fear of public transportation, open spaces, enclosed spaces, standing in line or being in a crowd, or being outside of the home alone.

• Only use this code when the documentation is insufficient to assign F40.01 (Agoraphobia with panic disorder) or F40.02 (Agoraphobia without panic disorder).
• Always query the provider for clarification if the documentation simply states "agoraphobia" to determine if panic disorder is also present or absent.
• Do not confuse this with other phobic anxiety disorders (F40.1x) or social anxiety disorder (F40.10).