Physical restraint status

This code indicates that a patient is currently, or has been, in a state of physical restraint. This typically refers to the use of devices or methods to restrict a patient's movement for safety or behavioral management purposes. It signifies a patient's status rather than a specific medical condition.

Use this code when documenting a patient's status of being physically restrained due to behavioral issues, agitation, or to prevent harm to themselves or others. This applies to situations where the restraint is not directly part of a surgical or diagnostic procedure. It can be used for both inpatient and outpatient encounters if the status is relevant to the patient's care.

• Do not use this code if the physical restraint is an integral part of a medical procedure (e.g., securing a patient for an MRI or surgery).
• Always code the underlying reason for the restraint (e.g., delirium, psychosis, aggression) first, if known.
• This is a status code and should be used as a secondary diagnosis to provide additional information about the patient's care.