F41.0Panic disorder [episodic paroxysmal anxiety]
Code usage status
Primary diagnosis
May be used as the primary diagnosis
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Complete code in the classification
Use when the diagnosis matches and no exclusion applies.
- Chapter V
- Mental and behavioural disorders
- Group F40-F48
- Neurotic, stress- related and somatoform disorders
- Official Vietnamese name
- Rối loạn hoảng sợ [lo âu kịch phát từng giai đoạn]
- Additional WHO coding guidance
- The essential feature is recurrent attacks of severe anxiety (panic), which are not restricted to any particular situation or set of circumstances and are therefore unpredictable. As with other anxiety disorders, the dominant symptoms include sudden onset of palpitations, chest pain, choking sensations, dizziness, and feelings of unreality (depersonalization or derealization). There is often also a secondary fear of dying, losing control, or going mad. Panic disorder should not be given as the main diagnosis if the patient has a depressive disorder at the time the attacks start; in these circumstances the panic attacks are probably secondary to depression. Panic:
Related F41 codes
F41
Other anxiety disorders
F41.1
Primary diagnosis candidate
Generalized anxiety disorder
F41.2
Primary diagnosis candidate
Mixed anxiety and depressive disorder
F41.3
Primary diagnosis candidate
Other mixed anxiety disorders
F41.8
Primary diagnosis candidate
Other specified anxiety disorders
F41.9
Primary diagnosis candidate
Anxiety disorder, unspecified
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.