CRISIS SETTING AND CRISIS GROUP

Crisis

Crisis resolution, home treatment and liaison — currency by crisis group; clinical need is not even required.

The clinical note

28-year-old man, urgent referral to the Crisis Resolution and Home Treatment Team at 03:10 via 111. He has developed acute agitation, disorganised speech, and bizarre behaviour over the past 2 days, first time presentation. No prior mental health contact. No mood symptoms reported by family. No substance misuse identified on screening. Assessed at home with family present; no safeguarding concerns, no violence risk. Crisis plan started with short-course medication and home treatment support; crisis contact twice daily planned. Diagnosis: acute and transient psychotic disorder with multiple perceptual disturbances, first presentation.

Step 1 · Routing to ICD-10-CM mental-health categories

F2388%
F208%
F282%
F211%
F291%

Step 2 · Ranking candidate codes within the top categories

F2399%
F281%
F20.00%
F20.10%
F20.20%

Step 3 · The coded payment record

ICD-10-CM DIAGNOSIS
F23
F23, F28, F20.0 (top candidates)
PAYMENT CURRENCY · 2026/27
MAA97A
Adult - Psychosis and Bipolar Disorders - Crisis - Core Services
MHNRG SECTION
Adult - Psychosis and Bipolar Disorders
diagnostic resource-group family
fields the agent extracted for this currency model
clinical neednot required by this currency model
crisis groupacute first-episode psychosis
pathwayCrisis Resolution & Home Treatment (home-based)
urgency111 urgent referral

Service report — Crisis

currency model: crisis setting & crisis group Crisis contacts are paid by the crisis group and pathway, and the model does not require a clinical need at all — the diagnosis is optional context, not a currency input. The agent still records it, because the same note feeds both the payment return and the clinical record.

recorded fieldNELFT completeness
clinical neednot required by this model
crisis group / pathwaynot published by service

The first-presentation acute psychosis was classified as F23.9 (0.99 probability) and routed to the core-services crisis band MAA97A. No diagnosis was needed for the currency — but the agent captured it anyway at zero extra cost.