Different Purposes
IDEA
• Determine eligibility
for special education
and related services
 Child must have at
least one of the
disabilities defined
in regulations
 Disability must
adversely affect
child’s educational
performance
 Child requires
specially designed
instruction to
access the general
curriculum
• Develop educational
program to meet
unique needs of
individual student
DSM-5
• Official
nomenclature for
professionals
ICD-10
• Official
nomenclature for
professionals
• Differential diagnosis
based on medical
model
• used in a variety of
clinical and health
care applications
for reporting,
morbidity
statistics, and
billing
• Treatment planning
• Third party
reimbursement
IDEA Criteria
34 CFR
§ 300.8 Child with a disability
Autism (c) (1)
(i) Autism means a developmental disability significantly affecting verbal and nonverbal
communication and social interaction, generally evident before age three, that adversely
affects a child's educational performance. Other characteristics often associated with autism
are engagement in repetitive activities and stereotyped movements, resistance to
environmental change or change in daily routines, and unusual responses to sensory
experiences.
(ii) Autism does not apply if a child's educational performance is adversely affected primarily
because the child has an emotional disturbance, as defined in paragraph (c)(4) of this section.
(iii) A child who manifests the characteristics of autism after age three could be identified as
having autism if the criteria in paragraph (c)(1)(i) of this section are satisfied.
SBOE Rules
Texas Administrative Code
Autism. A student with autism is one who has been determined to meet the criteria for autism
as stated in 34 CFR, §300.8(c)(1). Students with pervasive developmental disorders are included
under this category. The team's written report of evaluation shall include specific
recommendations for behavioral interventions and strategies.
DSM-5
Social (Pragmatic) Communication Disorder 315.39 (F80.89)
Diagnostic Criteria
A. Persistent difficulties in the social use of verbal and nonverbal communication as manifested
by all of the following:
1. Deficits in using communication for social purposes, such as greeting and sharing
information, in a manner that is appropriate for the social context.
2. Impairment of the ability to change communication to match context or the needs
of the listener, such as speaking differently in a classroom than on the playground,
talking differently to a child than to an adult, and avoiding use of overly formal
language.
3. Difficulties following rules for conversation and storytelling, such as taking turns in
conversation, rephrasing when misunderstood, and knowing how to use verbal and
nonverbal signals to regulate interaction.
4. Difficulties understanding what is not explicitly stated (e.g., making inferences)
and nonliteral or ambiguous meanings of language (e.g., idioms, humor, metaphors,
multiple meanings that depend on the context for interpretation).
B. The deficits result in functional limitations in effective communication, social participation,
social relationships, academic achievement, or occupational performance, individually or in
combination.
C. The onset of the symptoms is in the early developmental period (but deficits may not
become fully manifest until social communication demands exceed limited capacities).
D. The symptoms are not attributable to another medical or neurological condition or to low
abilities in the domains or word structure and grammar, and are not better explained by autism
spectrum disorder, intellectual disability (intellectual developmental disorder), global
developmental delay, or another mental disorder.
Autism Spectrum Disorder 299.00 (F84.0)
Diagnostic Criteria
A. Persistent deficits in social communication and social interaction across multiple contexts, as
manifested by the following, currently or by history (examples are illustrative, not exhaustive,
see text):
1. Deficits in social-emotional reciprocity, ranging, for example, from abnormal social
approach and failure of normal back-and-forth conversation; to reduced sharing of
interests, emotions, or affect; to failure to initiate or respond to social interactions.
2. Deficits in nonverbal communicative behaviors used for social interaction,
ranging, for example, from poorly integrated verbal and nonverbal communication;
to abnormalities in eye contact and body language or deficits in understanding and
use of gestures; to a total lack of facial expressions and nonverbal communication.
3. Deficits in developing, maintaining, and understanding relationships, ranging, for
example, from difficulties adjusting behavior to suit various social contexts; to
difficulties in sharing imaginative paly or in making friends; to absence of interest in
peers.
Specify current severity:
Severity is based on social communication impairments and restricted repetitive
patterns of behavior (see Table 2).
B. Restricted, repetitive patterns of behavior, interests, or activities, as manifested by at least
two of the following, currently or by history (examples are illustrative, not exhaustive; see text):
1. Stereotyped or repetitive motor movements, use of objects, or speech (e.g.,
simple motor stereotypies, lining up toys or flipping objects, echolalia, idiosyncratic
phrases).
2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns or
verbal nonverbal behavior (e.g., extreme distress at small changes, difficulties with
transitions, rigid thinking patterns, greeting rituals, need to take same route or eat
food every day).
3. Highly restricted, fixated interests that are abnormal in intensity or focus (e.g,
strong attachment to or preoccupation with unusual objects, excessively
circumscribed or perseverative interest).
4. Hyper- or hyporeactivity to sensory input or unusual interests in sensory aspects
of the environment (e.g., apparent indifference to pain/temperature, adverse
response to specific sounds or textures, excessive smelling or touching of objects,
visual fascination with lights or movement).
Specify current severity:
Severity is based on social communication impairments and restricted, repetitive
patterns of behavior (see Table 2).
C. Symptoms must be present in the early developmental period (but may not become fully
manifest until social demands exceed limited capacities, or may be masked by learned
strategies in later life).
D. Symptoms cause clinically significant impairment in social, occupational, or other important
areas of current functioning.
E. These disturbances are not better explained by intellectual disability (intellectual
developmental disorder) or global developmental delay. Intellectual disability and autism
spectrum disorder frequently co-occur; to make comorbid diagnoses of autism spectrum
disorder and intellectual disability, social communication should be below that expected for
general developmental level.
Note: Individuals with a well-established DSM-IV diagnosis of autistic disorder, Asperger’s
disorder, or pervasive developmental disorder not otherwise specified should be given the
diagnosis of autism spectrum disorder. Individuals who have marked deficits in social
communication, but whose symptoms do not otherwise meet criteria for autism spectrum
disorder, should be evaluated for social (pragmatic) communication disorder.
Specify if:
With or without accompanying intellectual impairment
With or without accompanying language impairment
Associated with a known medical or genetic condition or environmental factor
(Coding note: Use additional code to identify the associated medical or genetic condition.)
Associated with another neurodevelopmental, mental, or behavioral disorder
(Coding note: Use additional code[s] to identify the associated neurodevelopmental, mental, or
behavioral disorder[s].)
With catatonia (refer to the criteria for catatonia associated with another mental disorder, pp.
119-120, for definition) (Coding note: Use additional code 293.89 [F06.1] catatonia associated
with autism spectrum disorder to indicate the presence of the comorbid catatonia.)
Table 2 Severity levels for autism spectrum disorder
Severity level
Level 3
Social communication
Severe deficits in verbal and
Restricted, repetitive behaviors
Inflexibility of behavior, extreme
"Requiring very
nonverbal social communication difficulty coping with change, or
substantial support”
skills cause severe impairments
other restricted/repetitive
in functioning, very limited
behaviors markedly interfere with
initiation of social interactions,
functioning in all spheres. Great
and minimal response to social
distress/difficulty changing focus
overtures from others. For
or action.
example, a person with few
words of intelligible speech who
rarely initiates interaction and,
when he or she does, makes
unusual approaches to meet
needs only and responds to only
very direct social approaches
Level 2
Marked deficits in verbal and
Inflexibility of behavior, difficulty
"Requiring substantial
nonverbal social communication coping with change, or other
support”
skills; social impairments
restricted/repetitive behaviors
apparent even with supports in
appear frequently enough to be
place; limited initiation of social obvious to the casual observer and
interactions; and reduced or
interfere with functioning in a
abnormal responses to social
variety of contexts. Distress
overtures from others. For
and/or difficulty changing focus or
example, a person who speaks
action.
simple sentences, whose
interaction is limited to narrow
special interests, and how has
markedly odd nonverbal
communication.
Level 1
"Requiring support”
Without supports in place,
Inflexibility of behavior causes
deficits in social communication significant interference with
cause noticeable impairments.
functioning in one or more
Difficulty initiating social
contexts. Difficulty switching
interactions, and clear examples between activities. Problems of
of atypical or unsuccessful
response to social overtures of
others. May appear to have
organization and planning hamper
decreased interest in social
interactions. For example, a
person who is able to speak in
full sentences and engages in
communication but whose toand-fro conversation with others
fails, and whose attempts to
make friends are odd and
typically unsuccessful.
International Classification of Diseases
2014 ICD-10-CM Diagnosis Code F84.0
Autistic disorder

F84.0 is a billable ICD-10-CM code that can be used to specify a diagnosis.

On October 1, 2014 ICD-10-CM will replace ICD-9-CM in the United States,
therefore, F84.0 and all other ICD-10-CM codes should only be used for training
or planning purposes until then.
Clinical Information
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A disorder beginning in childhood. It is marked by the presence of markedly
abnormal or impaired development in social interaction and communication and
a markedly restricted repertoire of activity and interest. Manifestations of the
disorder vary greatly depending on the developmental level and chronological
age of the individual. (dsm-iv)
A disorder characterized by marked impairments in social interaction and
communication accompanied by a pattern of repetitive, stereotyped behaviors
and activities. Developmental delays in social interaction and language surface
prior to age 3 years.
Autism is a disorder that is usually diagnosed in early childhood. The main signs
and symptoms of autism involve communication, social interactions and
repetitive behaviors. Children with autism might have problems talking with you,
or they might not look you in the eye when you talk to them. They may spend a
lot of time putting things in order before they can pay attention, or they may say
the same sentence again and again to calm themselves down. They often seem to
be in their "own world."because people with autism can have very different
features or symptoms, health care providers think of autism as a "spectrum"
disorder. asperger syndrome is a milder version of the disorder.the cause of
autism is not known. Autism lasts throughout a person's lifetime. There is no
cure, but treatment can help. Treatments include behavior and communication
therapies and medicines to control symptoms. Starting treatment as early as
possible is important. nih: national institute of child health and human
development
Disorder beginning in childhood marked by the presence of markedly abnormal
or impaired development in social interaction and communication and a
markedly restricted repertoire of activity and interest; manifestations of the

disorder vary greatly depending on the developmental level and chronological
age of the individual.
Type of autism characterized by very early detection (< 30 months), social
coldness, grossly impaired communication, and bizarre motor responses.
Applicable To
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Infantile autism
Infantile psychosis
Kanner's syndrome
Description Synonyms
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Active infantile autism
Autism disorder
Autism disorder, residual state
Autism, childhood onset
Autism, infantile
Autism, infantile, active
Autism, residual
Autistic disorder of childhood onset
Childhood psychosis
Psychosis in early childhood
Psychosis with origin in childhood
Psychosis, childhood, current or active state
Psychosis, early child
Psychosis, early childhood
Residual infantile autism
Type 1 Excludes
Asperger's syndrome (F84.5
Mortality Data
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)
Between 1999-2007 there were 69 deaths in the United States where ICD-10
F84.0 was indicated as the underlying cause of death [source: cdc.gov ]
ICD-10 F84.0 as underlying cause of death data broken down by: gender , age
, race , year
ICD-10-CM F84.0 is grouped within Diagnostic Related Group (MS-DRG v30.0):884
Organic disturbances & mental retardation