**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R
DSM-5
100: Posttraumatic Stress Disorder
100 Posttraumatic Stress
309.81 Posttraumatic stress
Disorder
disorder
150 Deprivation/Maltreatment 313.89 Reactive Attachment
Disorder
Disorder of Infancy or
Early Childhood
ICD-9-CM
309.81 Prolonged
posttraumatic stress
disorder
313.89 Other or mixed
emotional
disturbances of
childhood or
adolescence, Other
(Reactive Attachment
Disorder)
ICD-10
F43.10
•
F43.12
•
F93.8
•
F94.1
•
F98.8
313.9
Unspecified emotional
disturbance of
childhood or
adolescence
•
F93.9
•
F94.8
•
F98.9
•
Post-traumatic
stress disorder,
unspecified OR:
Post-traumatic
stress disorder,
chronic
Other childhood
emotional
disorders, OR:
Reactive
attachment
disorder of
childhood, OR:
Other specified
behavioral and
emotional
disorders with
onset usually
occurring in
childhood and
adolescence, OR:
Childhood
emotional
disorder,
unspecified, OR:
Other childhood
disorders of social
functioning, OR:
Unspecified
behavioral and
emotional
disorders with
onset usually
occurring in
childhood and
adolescence
**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R
200: Disorder of Affect
210 Prolonged Bereavement /
Grief Reaction
DSM-5
309.89 Other Specified Traumaand Stressor-Related
Disorder
311
Other Specified
Depressive Disorder
220: Anxiety Disorder
221 Separation Anxiety
ICD-9-CM
309.9
311
Unspecified trauma
and Stressor-Related
Disorder
Other Specified
Depressive Disorder
309.21 Separation Anxiety
Disorder
222 Specific Phobia
300.29 Specific Phobia (name
specific phobia)
223 Social Anxiety Disorder
300.23 Social Anxiety Disorder
(Social Phobia)
(Social Phobia)
224 Generalized Anxiety
300.02 Generalized Anxiety
Disorder
Disorder
225 Anxiety Disorder NOS
300.09 Other Specified Anxiety
Disorder
300.00 Unspecified Anxiety
Disorder
230: Depression of Infancy and Early Childhood
231 Type I: Major Depression
300.4 Persistent Depressive
Disorder (Dysthymia)
232 Type II: Depressive
311
Other Specified
Disorder NOS
Depressive Disorder
311
Unspecified Depressive
Disorder
240 Mixed Disorder of
(No Appropriate DSM-5
Emotional Expressiveness
Diagnosis)
Consider Adjustment
Disorder if Appropriate
309.21 Separation Anxiety
Disorder
300.29 Other isolated or
specific phobias
300.23 Social Phobia
300 Adjustment Disorder
309.0309.9
309.0309.9
Adjustment Disorders
(w/specific
circumstances)
ICD-10
F32.8
Other Specified
Depressive Disorder
F43.8
Other Specified
Depressive Disorder
300.02 Generalized Anxiety
Disorder
300.09 Other Specified
Anxiety Disorder
300.0 Anxiety state,
unspecified
Separation Anxiety
Disorder
F40.xxx Code based on phobic
stimulus
F40.10 Social Anxiety Disorder
(Social Phobia)
F41.1
Generalized Anxiety
Disorder
F41.8
Other Specified Anxiety
Disorder
F41.9
Unspecified Anxiety
Disorder
300.4
F34.1
311
311
313.8
Persistent Depressive
Disorder (Dysthymia)
Other Specified
Depressive Disorder
Unspecified Depressive
Disorder
Other or mixed
emotional
disturbances of
childhood or
adolescence
Adjustment
Disorders(w/ specific
circumstances)
F93.0
Persistent Depressive
Disorder (Dysthymia)
F32.8
Other Specified
Depressive Disorder
F32.9
Unspecified Depressive
Disorder
F93.8
Other Childhood
Emotional Disorders
F98.9
Unspecified Behavioral &
Emotional Disorders
w/onset usually occurring
in childhood and
adolescence
F43.20- Adjustment Disorders
F43.35 (w/specific
circumstances)
**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R
DSM-5
400: Regulation Disorders of Sensory Processing
410: Hypertensive
411 Type A: Fearful/Cautious
300.02 Generalized Anxiety
Disorder
300.00 Unspecified Anxiety
Disorder
412 Type B: Negative Defiant
313.81 Oppositional Defiant
Disorder
312.9 Unspecified Disruptive,
Impulse-Control, and
Conduct Disorder
420 Hypotensive / Under
300.23 Social Anxiety Disorder
Responsive
430 Sensory Stimulation –
Seeking Impulsive
500: Sleep Behavior Disorder
510 Sleep-Onset Disorder
(Protodyssomnia_
520 Night-Waking Disorder
(Protodyssomnia)
314.01 Attention Deficit
Disorder, Predominantly
hyperactive/impulsive
presentation
307.45 Circadian Rhythm SleepWake Disorders, Delayed
sleep phase type
307.45 Circadian Rhythm sleepWake Disorders,
Unspecified type
600: Feeding Behavior Disorder
601 Feeding Disorder of State 307.59 Other Specified Feeding or
Regulation
Eating Disorder
602 Feeding Disorder of
Caregiver – Infant
Reciprocity
307.50 Unspecified Feeding or
Eating Disorder
Same as above
ICD-9-CM
ICD-10
300.02 Generalized Anxiety
Disorder
300.00 Unspecified Anxiety
Disorder
313.81 Oppositional Defiant
Disorder
312.9 Unspecified Disruptive,
Impulse-Control, and
Conduct Disorder
313.20 Sensitivity, shyness,
and social withdrawal
disorder
314.01 Attention Deficit
Disorder,
Predominantly
hyperactive/impulsive
presentation
F41.1
F90.1
Attention Deficit Disorder,
Predominantly
hyperactive/impulsive
presentation
307.45 Circadian Rhythm
Sleep-Wake Disorders,
Delayed sleep phase
type
307.45 Circadian Rhythm
Sleep-Wake Disorders,
Unspecified type
G47.21
Circadian Rhythm sleepWake Disorders, Delayed
sleep phase type
G47.20
Circadian Rhythm SleepWake Disorders,
Unspecified type
307.59 Other Specified
Feeding or Eating
Disorder
307.50 Unspecified Feeding or
Eating Disorder
Same as above
F50.8
Other Specified Feeding
or Eating Disorder
F50.9
Unspecified Feeding or
Eating Disorder
Same as above
F41.9
F91.3
F91.9
F40.10
Generalized Anxiety
Disorder
Unspecified Anxiety
Disorder
Oppositional Defiant
Disorder
Unspecified Disruptive,
Impulse-Control, and
Conduct Disorder
Social Anxiety Disorder
**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R
603 Infantile Anorexia
604 Sensory Food Aversions
605 Feeding Disorder
Associated with
Concurrent Medical
Condition
606 Feeding Disorder
Associated with Insults to
the Gastrointestinal Tract
DSM-5
ICD-9-CM
ICD-10
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
Same as above
700: Disorders of Relating and Communicating
710 Multisystem
307.9 Unspecified
Developmental Disorder
Communication Disorder
(MSDD) for children
under the age of two
years: Pervasive
299.00 Autism Spectrum Disorder
Developmental Disorders
can be utilized for
children over the age of
two if identified.
307.9
Unspecified
Communication
Disorder
299.00 Autism Spectrum
Disorder
F80.9
Unspecified
Communication Disorder
F84.0
Autism Spectrum Disorder
Please Note: There are challenges with “cross walking” the DC:0-3R to the DSM-5. The DSM-5 eliminated the DSM-IV-TR diagnosis “Disorder
of Infancy, Childhood, or Adolescence, NOS,” with no appropriate substitution specific to infants and young children. In addition; NOS (Not
Otherwise Specified) is no longer an option. Other Specified and Unspecified have been added to most of the diagnoses. This “crosswalk”
represents this clinician’s best clinical judgment in the use of the DSM-5 diagnoses. Clinicians are encouraged to use the DC:0-3R in
diagnosing infants and young children and “crosswalk” to the ICD-9 codes until October 1, 2015 and then to the ICD-10 codes for billing
purposes.
Developed by:
Kathryn Shea, LCSW
The Florida Center for Early Childhood
Sarasota, FL
Kathryn.shea@thefloridacenter.org
August, 2015