Mixed obsessional thoughts and acts

This code represents a form of obsessive-compulsive disorder (OCD) characterized by a combination of intrusive, unwanted thoughts (obsessions) and repetitive, ritualistic behaviors or mental acts (compulsions). The individual experiences significant distress or impairment due to these symptoms, which are often recognized as excessive or unreasonable.

Use this code when documentation clearly indicates a diagnosis of OCD where both obsessional thoughts and compulsive acts are present and contribute to the patient's clinical picture. This code is appropriate when the clinician explicitly diagnoses "mixed obsessional thoughts and acts" or provides a detailed description of both components of OCD.

• Ensure documentation specifies both obsessive and compulsive elements; avoid using this code for purely obsessional or purely compulsive presentations.
• Differentiate from other anxiety disorders or specific phobias where obsessions or compulsions are not the primary feature.
• Review the diagnostic criteria for OCD to confirm the presence of clinically significant distress or impairment.