Body dysmorphic disorder

This code represents a mental health condition characterized by a preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others. Individuals with this disorder perform repetitive behaviors (e.g., mirror checking, excessive grooming, skin picking, reassurance seeking) or mental acts (e.g., comparing their appearance with others) in response to these appearance concerns. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Assign this code when documentation clearly indicates a diagnosis of body dysmorphic disorder, including the characteristic preoccupation with perceived physical flaws and associated repetitive behaviors or mental acts. This code is appropriate for both initial diagnoses and subsequent encounters where the condition is being managed. Supporting documentation should detail the patient's specific concerns, the impact on their daily life, and any related compulsive behaviors.

• Differentiate from normal dissatisfaction with appearance; the key is the level of preoccupation and associated distress/impairment.
• Do not confuse with eating disorders (F50.-) or gender dysphoria (F64.-), although comorbidity may exist.
• Ensure documentation specifies the "with absent insight/delusional beliefs" specifier if applicable, as this impacts the full code assignment (F45.22 vs. F45.21).