Hoarding disorder

This code represents a mental health condition characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value. This difficulty results in the accumulation of items that congest and clutter active living areas, substantially compromising their intended use. The hoarding causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Use this code when documentation clearly indicates a diagnosis of hoarding disorder, meeting the diagnostic criteria outlined in the DSM-5. This typically involves evidence of excessive acquisition, difficulty discarding, and significant impairment due to clutter. Supporting documentation should include a psychiatric evaluation or psychological assessment confirming the diagnosis.

• Differentiate from simple clutter or collecting; the key is significant distress or impairment and inability to discard.
• Do not confuse with Obsessive-Compulsive Disorder (OCD) unless hoarding is a primary manifestation and meets specific criteria for hoarding disorder.
• Ensure the medical record explicitly states "hoarding disorder" or provides sufficient detail to support this specific diagnosis.