Resource for Psychiatrists
In Montgomery County, Maryland
[RPMCM-2014-01-12]
Roger Peele, MD, DLFAPA
M. Umar Jawaid, MD
RPMCM’s sections:
1] Introduction ………………………………………………………………… 3
2] Comprehensive listing of psychiatric conditions including ………………... 6
A] ICD-9-CM
B] CD-10-CM codes in italics for many disorders
C] DSM-5
D] Practice Guidelines in blue
E] FDA approved medications in red
3] Outline of history of the ICDs ……………………………………………… 136
4] Numerical listing of ICD-9-CM ……………................................................ 137
5] Outline of ICD-10-CM
196
6] Numerical listing of ICD-10-CM ………………………………………… . 200
7] Outline of history of the DSMs …………………………………………….. 263
8] Alphabetical listing of DSM-5 with ICD-9-CM and ICD-10-CM codes …... 265
9] Changes from DSM-IV-TR to DSM-5 .. ……...……………………………
288
10] DSM-5 disorders that were not in ICD-IV-TR ……... …………………….. 289
11] DSM-IV-TR disorders combined in DSM-5………………………………
287
12] Nomenclature changes in DSM-5…………………………………………. 289
13] NIMH Research Domain Criteria [RDoC]………………………………… 292
14] Future in psychiatric diagnosing…………………………………………… 316
1
Most of the material in RPMCM is in the public
domain.
If there is any material in RPMCM that is unique,
we do not want to place any barriers to its use, so
we have not copyrighted any parts of this
document.
RPMCM is a draft, and we cannot assure anyone
that it is accurate. We would appreciate being
informed as to 1] any inaccuracies or 2]
suggestions as to improvements:
RogerPeele@aol.com.
2
Introduction
This Resource for Psychiatrists in Montgomery County, Maryland
[RPMCM] was developed to increase the awareness of psychiatric
conditions that are named and coded in the United States and to provide
treatment information about those conditions.
The focus in on psychiatrists, public and private, in Montgomery County,
Maryland, because that is close to the role of one of us [RP]. Even so, we
welcome the use and even more so, reflections on how RPMCM can be
more useful from psychiatrists and other clinicians outside Montgomery
County.
It is important that all of us utilize the DSM definitions. There are
conditions, however, of interests to psychiatrists that are not in DSM-5. For
some of them, we provide a prototype definition.
DSM-5 provides not only definitions [criteria sets], but neat summaries of
other important information about the conditions – except treatment
Information.
As to treatment suggestions [in blue], we have used the National Guideline
Clearinghouse, Veteran’s Administration Guidelines website, American
Psychiatric Association website, American Academy of Child and
Adolescent Psychiatrists, and the Cleveland Clinic. We believe that all of
the medications, listed in red, are consistent with FDA’s approvals.
In terms of nomenclature and coding, this is a confusing time for American
psychiatry with virtually all expected to use ICD-9-CM codes until 1
October 2013, but some confusion as to whether to use ICD-9-CM, DSMIV-TR or DSM-5 nomenclature. On October 1, 2014, we will be expected to
use ICD-10-CM [listed in italic in our Comprehensive listing infra] as to
coding, but again, some confusion may exist as to whether to use ICD-10CM, DSM-IV-TR or DSM-5 nomenclature.
An example that highlights the confusion: Disruptive mood dysregulation
disorder. DSM-5 Task Force decided to add this new diagnosis, which is not
in ICD-9-CM or ICD-10-CM, to DSM-5. Yet, they had to select a code in
3
ICD-9-CM and in ICD-10-CM. The DSM-5 Task Force is not allowed to
create a new code, has to select a code already in those two books. So,
“296.99, Other specific episodic mood disorder” was selected. Thus, 296.99
has at least two names. Psychiatrist puts in 296.99 and selects the name she
wants, Other specific episodic mood disorder or Disruptive mood
dysregulation disorder.. Same problem with ICD-10-CM, so “F34.8 Other
persistent mood disorder” was selected. This means that F34.8 has two
names as far as DSM-5 followers are concerned.
The APA will go to the NCHS, authors of the ICD-CMs, and ask that
“Disruptive mood dysregulation disorder” be added to ICD-10-CM under
the code F34.8. It is too late to make any additions to ICD-9-CM.
Concepts often mentioned DSM discussions include:
“Sensitivity” = the system being used will correctly identify all the people
with this particular condition.
“Specificity” = the system being used will NOT incorrectly identify
someone with a particular condition.
It can be very difficult to achieve both high sensitivity and high specificity at
the same time. High sensitivity can lead to many false positives, that is, low
specificity. High specificity can lead to many false negatives or low
sensitivity.
A goal of all seven DSMs was to increase the reliability of the diagnosis
system through defining the disorders. “Reliability” only means consistency
between clinicians as to use of the terms. DSM-I and DSM-II used a brief
description [“prototype matching”] of each condition. DSM-III, IIIR, IV, IVTR, and 5 used criteria sets, being championed as increasing reliability in
American psychiatry.
One of the measures of reliability is the Kappa coefficient, a numerical index
of inter-rater agreement, “1.00” being perfect, “0.00” meaning that the
system does not have any increased reliability over chance. DSM-5
thinking:
Kappa > 08, miraculous
Kappa 0.6 – 0.8, great
Kappa 0.4- 0.8, realistic goal
4
Kappa 0.2- 0.4, acceptable
Kappa <0.2, unacceptable
“Validity” is a term used to reflect whether the system measures what the
system is intended to measure. Discussions of validity can rapidly become
obtuse.
“Phenotype” = the result of an interaction between a person’s genetic
manifestations and their environment. There are no phenotypes in DSM-5.
Please bring suggestions for changes or improvements to:
RogerPeele@aol.com
5
COMPREHENSIVE LISTING OF
PSYCHIATRIC CONDITONS OF
1] ICD-9-CM
2] ICD-10-CM italics
3] DSM-5
WITH:
1] PRACTICE GUIDELINES
2] MEDICATIONS APPROVED BY
THE FDA FOR THAT CONDITONS
IN ALPHABETICAL ORDER
6
The disorders listed in bold are ones for which a DSM-IV-TR has a criteria set.
Abnormal involuntary movement 781.0
Abnormal liver function test 790.6
Abnormal loss weight 783.21
Absorption, cocaine, through placenta or breast milk 760.75
Absorption, hallucinogenic agents, through placenta or breast milk 760.73
Absorption, narcotics, through placenta or breast milk 760.79
Abstinence symptoms or syndrome, alcohol 291.81
Abstinence symptoms or syndrome, drug 292.0
Abstinence symptoms or syndrome, neonatal 779.5
Abuse, adult, 995.80
Abuse, adult, emotional 995.82
Abuse, adult, multiple forms 995.85
Abuse, adult, neglect (nutritional) 995.84
Abuse, adult, physical 995.81
Abuse, adult, psychological 995.82
Abuse, adult, sexual 995.83
Abuse, child, 995.50
Abuse, child, counseling perpetrator, non-parent, V62.83
Abuse, child, counseling, parent V61.22
Abuse, child, counseling, victim, V61.21
Abuse, child, emotional 995.51
Abuse, child, multiple forms 995.59
Abuse, child neglect (nutritional) 995.52
7
Abuse, child, physical 995.54
Abuse, child, shaken infant syndrome, shaken infant syndrome 995.55
Abuse, child, psychological, 995.51
Abuse, child, sexual 995.53
Abuse
drugs, nondependent 305.9
amphetamine type 305.7
antidepressants 305.8
anxiolytic 305.4
barbiturates 305.4
caffeine 305.9
cannabis 305.2
cocaine type 305.6
hallucinogens 305.3
hashish 305.2
hypnotic 305.4
inhalant 305.9
LSD 305.3
marijuana 305.2
mixed 305.9
morphine type 305.5
opioid type 305.5
Abuse of non-psychoactive substances, F55;
Abuse of antacids, F55.0 ;
Abuse of herbal or folk remedies, F55;
Abuse of laxatives, F55.2;
Abuse of steroids or hormones, F55.3
Abuse of vitamins, F55.4 ;
Abuse of other non-psychoactive substances, F55.8 ;
Academic problem, V62.3 [ICD-10-CM: Z55.9];

Included as ‘Academic or educational problem’ in DSM-5;
Academic problem as a result of ADHD in children, adolescents and follow up
guideline on adults;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=36812
8
Academic Problem as a result of physical illness in children and adolescent;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15186
Academic problem as a result of learning related vision problems;
Practice Guideline:

www.guideline.gov/content.aspx?id=33584
Academic problem as a result of autistic spectrum disorders;
Practice Guideline:

www.guideline.gov/content.aspx?id=15292
Acarophobia 300.29 [fear of small things, e.q., mites, worms, needles]
Acathisia 781.0 [also spelled "akathisia"]
due to drugs 333.99
neuroleptic-induced acute 333.99
Acculturation problem, V62.4 [ICD-10-CM: Z60.3];
Acculturation difficulty, V62.4 [ICD-10-CM: Z60.3]
’
In adults:
Practice Guideline:

http://www.guideline.gov/content.aspx?id=9317
In Children and Adolescents:
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/Cultu
ral_Competence_Web.pdf
Achalasia, psychogenic 306.4;
Achlorhydria, achlorhydric, psychogenic 306.4;
Acidity, gastric (high) (low), psychogenic 306.4;
Acousticophobia 300.29 [fear of sounds];
Acrophobia 300.29 [fear of high places];
Acute alcohol intoxication, 303.0 [303.01 continuous, 303.02 episodic, 303.03 in
remission, or 303.00 unspecified];
Practice Guideline:
9

http://www.guideline.gov/content.aspx?id=43939
Acute stress disorder, 308.3 [ICD-10-CM: F43.0];

Included in DSM-5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=25628

http://psychiatryonline.org/content.aspx?bookid=28&sectionid=1682793
Addiction, ethyl alcohol 303.9
heroin 304.0
hospital 301.51
Addiction, methyl alcohol 303.9
methylated spirit 303.9
morphine (-like substances) 304.0
nicotine 305.1
opium 304.0
tobacco 305.1
wine 303.9
Adjustment reactions/disorders, 309 [See separate section for
mental stress/trauma]
With anxiety, 309.24 [ICD-10-CM: F43.22];

Included in DSM-5
With depressed mood, 309.0 [ICD-10-CM: F43.21];

Included in DSM-5
With disturbance of conduct, 309.3 [ICD-10-CM: F43.24];

Included in DSM-5
With mixed anxiety and depressed mood, 309.28 [ICD-10-CM: F43.23];

Included in DSM-5
With mixed disturbance of emotions and conduct, 309.4 [ICD-10-CM: F43.25];

Included in DSM-5
With unspecified adjustment disorder, 309.9 [ICD-10-CM: F43.20];
10

Included as ‘Adjustment disorder’, unspecified

Included in DSM-5
Adjustment Insomnia [ICD 10-CM: 51.02];
Admission, check up only V70.0
Adolescent antisocial behavior, V71.02 [ICD 10-CM Z72.810];

Included in DSM-5
Adolescent disturbances of emotions specific to children or adolescents, 313
Adult antisocial behavior, V71.01 [ICD 10-CM: Z72.811];

Included in DSM-5
Adult-onset fluency disorder, 307.0; ICD 10-CM: F98.5;
Adult physical abuse by nonspouse or nonpartner, Confirmed;
Initial encounter
Subsequent encounter
995.81; T74.11XA
995.81; T74.11XD
Adult physical abuse by nonspouse or nonpartner, Suspected;
Initial encounter
Subsequent encounter
995.81; T76.11XA
995.81; T76.11XD
Adult psychological abuse by nonspouse or nonpartner, Confirmed;
Initial encounter
995.82; T74.31XA
Subsequent encounter
995.82; T74.31XD
Adult psychological abuse by nonspouse or nonpartner, Suspected;
Initial encounter
995.82; T76.31XA
Subsequent encounter
995.82; T76.31XD
Adult sexual abuse by nonspouse or nonpartner, Confirmed;
Initial encounter
Subsequent encounter
995.83; T74.21XA
995.83; T74.21XD
Adult sexual abuse by nonspouse or nonpartner, Suspected;
Initial encounter
Subsequent encounter
995.83; T76.21XA
995.83; T76.21XD
Adverse effects of medication, NOS;
Aerophagy, aerophagia 306.4;
Affluenza = an upbringing so privileged that a person is unable to discern right from
wrong. A diagnosis NOT recognized by the American Psychiatric Association, but has
been used by psychologists and probably other professions.
11
Age-related cognitive decline, 780.93
Aggressiveness 301.3;
Aggressive outburst (see also Disturbance, conduct) 312.0;
in children or adolescents 313.9;
Agitation 307.9;
Agoraphobia, 300.22;
with panic disorder 300.21
Agoraphobia, unspecified; F40.00;
Agoraphobia with panic disorder; F40.01;
Panic disorder with agoraphobia;
Agoraphobia without panic disorder; F40.02;
Agoraphobia without history of panic disorder, 300.22 [ICD 10-CM F40.0];

Included in DSM-5
Ailurophobia 300.29 [fear of cats];
Akathisia, [also acathisia] 781.0;
due to drugs 333.99;
neuroleptic-induced acute 33.99;
Alcohol-related disorders
FDA approved medications for alcohol dependence;

Acomprosate (Campral)

Naltrexone Hydrochloride Tablets (Trexon)

Naltrexone ER injectable suspension (Revia, Vivitrol)

Disulfiram (Antabuse)
FDA approved medications for alcohol withdrawal;

Chlordiazepoxide (Librium)

Diazepam (Valium)
Alcohol, alcoholic;
abstinence 291.81;
acute intoxication 305.0;
12
with dependence 303.0;
addiction (see also Alcoholism) 303.9;
maternal
with suspected fetal damage affecting management of pregnancy 655.4;
affecting fetus or newborn 760.71
amnestic disorder, persisting 291.1
anxiety 291.89
brain syndrome, chronic 291.2
cardiopathy 425.5
chronic (see also Alcoholism) 303.9
cirrhosis (liver) 571.2
delirium 291.0;
acute 291.0
chronic 291.1
tremens 291.0
withdrawal 291.0
dementia NEC 291.2;
deterioration 291.2;
drunkenness (simple) 305.0;
hallucinosis (acute) 291.3;
induced ;
circadian rhythm sleep disorder 291.82
hypersomnia 291.82
insomnia 291.82
mental disorder 291.9
anxiety 291.89
mood 291.89
sexual 291.89
sleep 291.82
specified type 291.89
parasomnia 291.82
persisting
amnestic disorder 291.1
dementia 291.2
psychotic disorder
with
delusions 291.5
hallucinations 291.3
sleep disorder 291.82
intoxication (acute) 305.0
with dependence 303.0
pathological 291.4
jealousy 291.5
Korsakoff’s, Korsakov’s, 291.1
liver NEC 571.3
acute 571.1
13
chronic 571.2
mania (acute) (chronic) 291.9
mood 291.89
paranoia 291.5
paranoid (type) psychosis 291.5
pellagra 265.2
poisoning, accidental (acute) NEC 980.9
specified type of alcohol-see table of Drugs and Chemicals
psychosis (see also Psychosis, alcoholic) 291.9
Korsakoff’s, Korsakov’s, 291.1
polyneuritic 291.1
with
delusions 291.5
hallucinations 291.3
related disorder 291.9
withdrawal symptoms, syndrome NEC 291.81
delirium 291.0
hallucinosis 291.3
Alcoholism 303.90;
with psychosis (see also Psychosis, alcoholic) 291.9
acute 303.0
chronic 303.9
with psychosis 291.9
complicating pregnancy, childbirth, or puerperium 648.4
affecting fetus or newborn 760.71
history V11.3
Korsakoff’s, Korsakov’s, 291.1
suspected damage to fetus affecting management of pregnancy 655.
Alcohol abuse 305.00;

Included as part of “Alcohol use disorder’ in DSM-5;
[Uses two ICD 10-CM codes:
Mild: F10.10;
Moderate or Severe: F10.20];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15199
Alcohol dependence syndrome, 303;
14
Included as ‘Alcohol Use Disorder’ in DSM-5;
[Uses two ICD 10-CM codes:
Mild: F10.10;
Moderate or Severe: F10.20];

Alcohol-induced anxiety disorder, 291.89;
[Uses three ICD 10-CM codes;
Mild: F10.180;
Moderate to severe disorder: F10.180;
Without use disorder: F10.980];
Alcohol-induced mood disorder, 291.89;

Alcohol-induced bipolar and related disorder in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F10.14;
Moderate to severe disorder: F10.24
Without use disorder: F10.94];

Alcohol-induced depressive disorder in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F10.14;
Moderate to severe disorder: F10.24;
Without use disorder: F10.94];
Alcohol-induced persisting amnestic disorder, 291.1;
[Uses two ICD 10-CM codes;
Moderate to severe disorder: F10.26;
Without use disorder: F10.96];
Alcohol induced major neurocognitive disorder, nonamnestic confabulatory type
[Uses two ICD 10-CM codes;
Moderate to severe disorder: F10.27;
For without use disorder: F10.97];
Alcohol-induced persisting dementia, 291.2;
15
Alcohol-induced mild neurocognitive disorder, 291.89
[Uses two ICD 10-CM codes;
Moderate to severe disorder: F10.288;
For without use disorder: F10.988];
Alcohol-induced psychotic disorder with delusions, 291.5;
Alcohol-induced psychotic disorder, 291.9
[Uses three ICD 10-CM codes;
Mild: F10.159;
Moderate to severe disorder: F10.259;
Without use disorder: F10.959];
Alcohol-induced psychotic disorder with hallucinations, 291.3;
Alcohol-induced sexual dysfunctions, 291.89;
[Uses three ICD 10-CM codes;
Mild: F10.181;
Moderate to severe disorder: F10.281;
Without use disorder: F10.98];
Alcohol-induced sleep disorder, 291.82;
[Uses three ICD 10-CM codes;
Mild: F10.182;
Moderate to severe disorder: F10.282;
Without use disorder: F10.982];
Alcohol intoxication, 303.00 [see Acute alcohol intoxication if wanting a breakdown
of this disorder];
[Uses three ICD 10-CM codes;
Mild: F10.121;
Moderate to severe disorder: F10.221;
Without use disorder: F10.921];
Alcohol intoxication delirium, 291.0;
Alcohol-related disorder NOS, 291.9;
Alcohol use disorder;
[Uses three ICD 9-CM codes;
16
Mild: 305.00 ;
Moderate: 303.90;
Severe: 303.90
[Uses three ICD 10-CM codes;
Mild: F10.10;
Moderate to severe disorder: F10.20;
Severe: F10.20;
Practice Guideline:

http://www.uspreventiveservicestaskforce.org/uspstf12/alcmisuse/alcmisusefi
nalrs.pdf
Alcohol withdrawal, 291.81;
[Uses two ICD 10-CM codes:
With perceptual disturbances: F10.232;
Without perceptual disturbances: F10.239;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15199
Alcohol withdrawal delirium, 291.0; [ICD 10-CM: F10.231];
Alcohol intoxication delirium, 291.0;
[Uses three ICD 10-CM codes;
Mild: F10.121;
Moderate to severe disorder: F10.221;
Without use disorder: F10.921;
Alcohol withdrawal delirium , 291.0; ICD 10-CM: F10.231;
Alexia, 315.01 [ICD-9-CM-2010 definition: lack of ability to understand written
language; manifestation of aphasia];
Algophobia 300.29 [abnormal fear of pain];
Alienation, parental [from Bill Bernet, 2013: “Parental alienation is a mental condition in
which a child – usually one whose parents are engaged in a high conflict separation or
divorce – allies himself or herself strongly with the alienating parent and rejects a
relationship with the target parent without legitimate justification”]. Possible entities and
codes include:
17
1] V61.20 [ICD-10-CM: Z62.820] Parent-child relational problem;
2] V61.29 [ICD-10-CM: Z62.898] Child affected by parental relationship
distress;
3] 995.51 [ICD-10-CM: T74.32XA] Child psychological abuse, confirmed,
initial encounter;
4] 995.51 [ICD-10-CM: T74.32XD] Child psychological abuse,
confirmed, subsequent encounter;
5] 995.51 [ICD-10-CM: T76.32XA] Child psychological abuse, suspected,
initial encounter;
6] 995.51 [ICD-10-CM: T76.32XD] Child psychological abuse, suspected,
subsequent encounter;
7] 297.3 [ICD-10-CM: F24] Shared psychotic disorder [folie a deux] {in
United State’s medical diagnostic systems, but not in DSM-5 per se. In
most settings, in the United States (and elsewhere) can probably use
297.3};
8] 298.8 [ICD-10-CM: F28] Delusional symptoms in partner of individual
with delusional disorder. Use when 297.3 is prohibited or condition does
not fully meet criteria of 297.3;.
9] 300.19 [ICD-10-CM:F68.10] Factitious disorder imposed on another
[Factitious disorder by proxy];
Allergic to Penicillin, V14.0
Allergic to antibiotic agent, V14.1
Allergic to Sulfonamides, V14.2
Allergic to Other anti-infective agent V14.3
Allergic to Anesthetic agent, V14.4
Allergic to Narcotic agent, V14.5
Allergic to analgesic agent, V14.6
Allergic to serum or vaccine, V14.7
Allergic to other specified medicinal agents, V14.8 [name medication, e.g., “V14.8
Allergic to buprenorphine”]
Alteration (of), altered, consciousness 780.09
18
persistent vegetative state 780.03
transient 780.02
Alteration (of), altered, mental status 780.97
amnesia (retrograde) 780.93
memory loss 780.93
Alzheimer’s disorder
Amaurosis (acquired) (congenital) (see also Blindness), hysterical 300.11
Amblyopia (acquired) (congenital) (partial), hysterical 300.11
Amnesia (retrograde) 780.93
auditory 784.69
developmental 315.31
secondary to organic lesion 784.69
dissociative 300.12
hysterical or dissociative type 300.12
psychogenic 300.12
transient global 437.7
Amnestic (confabulatory) syndrome 294.0
alcohol-induced persisting 291.1
drug-induced persisting 292.83
posttraumatic 294.0
Amylophagia 307.52 [an abnormal craving to eat starch]
Amnestic disorder in conditions classified elsewhere, 294.0
[List other disorder first]
Amnestic disorder, NOS;
Wernicke-Korsakoff Syndrome;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=34834
FDA-Approved treatment for alcohol amnestic disorder;

Thiamine HCl injection/Oral

Thiamine mononitrate Oral
Amphetamine disorders
19
Amphetamine Abuse, 305.70;

Included as ‘Stimulant Use Disorder’ in DSM-5;
[Uses the ICD 9-CM code:
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40;
[Uses the ICD 10-CM code:
Mild: F15.10;
Moderate: F15.20;
Severe: 15.20];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=25703
Amphetamine Dependence, 304.40;

Included as ‘Stimulant Use Disorder’ in DSM-5;
[Uses the ICD 9-CM code:
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40;
[Uses the ICD 10-CM code:
Mild: F15.10;
Moderate: F15.20;
Severe: 15.20];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=25703
Amphetamine-induced anxiety disorder, 291.89;

Included in DSM-5 as ‘Amphetamine (or other stimulant)-induced anxiety
disorder’; ICD 9-CM: 292.89
[Uses three ICD 10-CM codes;
Mild: F15.180;
Moderate to severe disorder: F15.280;
Without use disorder: F15.980;
20
Amphetamine-induced mood disorder, 292.84;

Included in DSM-5 as ‘Amphetamine (or other stimulant)-induced bipolar and
related disorder’; ICD 9-CM: 292.84
[Uses three ICD 10-CM codes;
Mild: F15.14;
Moderate to severe disorder: F15.24;
Without use disorder: F15.94;
Amphetamine (or other stimulant)-induced depressive disorder, 292.84
[Uses three ICD 10-CM codes;
Mild: F15.14;
Moderate to severe disorder: F15.24;
Without use disorder: F15.94;
Amphetamine (or other stimulant)-induced delirium
F15.921
Amphetamine-induced psychotic disorder, with delusions, 292.11;
Amphetamine-induced psychotic disorder, with hallucinations, 292.12;
Amphetamine-induced sexual disorder, 292.89;

Included as ‘Amphetamine (or other stimulant)-induced sexual dysfunction’;
[Uses three ICD 10-CM codes;
Mild: F15.181;
Moderate to severe disorder: F15.281;
Without use disorder: F15.981;
Amphetamine-induced sleep disorder, 292.85;

Included as ‘Amphetamine (or other stimulant)-induced sleep disorder’;
[Uses three ICD 10-CM codes;
Mild: F15.182;
Moderate to severe disorder: F15.282;
Without use disorder: F15.982];
Amphetamine intoxication, 292.89;
 Included as ‘Amphetamine or other stimulant Intoxication’ in DSM-5;
 DSM-5 expects one to use ‘Stimulant Intoxication’;
21
[Uses the ICD 10-CM codes;
With perceptual disturbances;
Mild: F15.122;
Moderate to severe disorder: F15.222;
Without use disorder: F15.922;
Without perceptual disturbances;
Mild: F15.129;
Moderate to severe disorder: F15.229;
Without use disorder: F15.929];
Amphetamine intoxication delirium, 292.81;
 Included as ‘Amphetamine (or other stimulant) intoxication delirium in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F15.121;
Moderate to severe disorder: F15.221;
Without use disorder: F15.921;
Amphetamine-related disorder, NOS, 292.9;
 Included as ‘Amphetamine induced psychotic disorder’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F15.159;
Moderate to severe disorder: F15.259;
Without use disorder: F15.959;
Amphetamine use disorder. Code depends on whether seen as mild or seen as
moderate/severe:

Stimulant Use Disorder’ in DSM-5;
[Uses the ICD 9-CM code:
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40;
[Uses the ICD 10-CM code:
Mild: F15.10;
Moderate: F15.20;
Severe: 15.20];
22
Amphetamine withdrawal, 292.0;
 Included as ‘Amphetamine or other stimulant withdrawal’ in DSM -5;
 DSM-5 expects one to use ‘Stimulant withdrawal’;
[Uses the ICD 10-CM: F15.23];
Amphetamine (or other stimulant)-induced obsessive-compulsive and related
disorder, 292.89;
[Uses three ICD 10-CM codes;
Mild: F15.188;
Moderate to severe disorder: F15.288;
Without use disorder: F15.988;
Anacidity, gastric, psychogenic 306.4;
Angina psychogenic 306.2
Anorexia 783.0
hysterical 300.11
Anorexia nervosa, 307.1;
[Uses two ICD 10-CM codes:
Binge eating/purging type: F50.02;
Restricting type: F50.01];
Anorexia nervosa, unspecified: F50.00
Practice Guideline:

http://www.guideline.gov/content.aspx?id=25631
Antidepressant discontinuation syndrome ;
[Uses three ICD 10-CM codes;
Initial encounter: T43.205A
Sequelae: T43.205S
Subsequent encounter: T43.205D
[Uses three ICD 9-CM codes;
23
Initial encounter: 995.29
Sequelae: 995.29
Subsequent encounter: 995.29
Anton (-Babinski) syndrome (hemiasomatognosia) 307.9
Subtype of anosognosia in which the person neglects one side of their body.
Antisocial personality disorder, 301.7;
[ICD 10-CM: F60.2];

Included in DSM-5;
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Anxiety disorders, 300 [heading for all codes from 300.0 to 300.9]
FDA approved anxiolytics [many of these have more specific indications than just
“anxiety”];

Quazepam (Doral)

Clobazam (Onfi)

Alprazolam (Niravam)

Estazolam (Prosom)

Alprazolam (Xanax, Xanax XR)

Oxazepam (Serax)

Flurazepam (Dalmane)

Midazolam (Versed)

Diazepam (Diastat, Valium)

Triazolam (Halcion)

Temezepam (Restoril)

Clonazepam (Klonopin)

Chlordiazepoxide (Librium)
24

Clorazepate (Tranxene)
Anxiety disorders in conditions listed elsewhere, 293.84

Included as ‘Anxiety disorder due to another medical condition’ in DSM-5
[Uses the ICD 10-CM: F06.4]
Anxiety disorder NOS, 300.00;
Anxiolytic-related disorder
Anxiolytic abuse, 305.40;

Included as ‘Sedative, Hypnotic, or Anxiolytic Use Disorder’ in DSM-5;
[Uses the ICD 9-CM codes:
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
[Uses the ICD 10-CM codes:
Mild: F13.10;
Moderate: F13.20;
Severe: F13.20;
Anxiolytic dependence, 304.10;

Included as ‘Sedative, Hypnotic, or Anxiolytic Use Disorder’ in DSM-5;
[Uses the ICD 9-CM codes:
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
[Uses the ICD 10-CM codes:
Mild: F13.10;
Moderate: F13.20;
Severe: F13.20;
Anxiolytic-induced anxiety disorder, 291.89 ;

Included as ‘Sedative-, hypnotic-, or anxiolytic-induced anxiety disorder’ in
DSM-5;
[Uses the ICD 10-CM codes:
25
Mild: F13.180;
Moderate: F13.280;
Severe: F13.980;
[Uses ICD 9-CM code: 292.89]
Anxiolytic-induced mood disorder, 291.84
Anxiolytic-induced persisting amnestic disorder, 291.83
Anxiolytic-induced persisting dementia, 292.82;

Included as ‘Anxiolytic-induced major neurocognitive disorder’ in DSM-5;
[Uses two ICD 10-CM codes;
Moderate to severe disorder: F13.27;;
Without use disorder: F13.97;
Anxiolytic-induced psychotic disorder with delusions, 292.11;
Anxiolytic-induced psychotic disorder with hallucinations, 292.12;

Included as ‘Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder’ in
DSM-5;
[Uses three ICD 10-CM codes;
Mild: F13.159;
Moderate to severe disorder: F13.259;
Without use disorder: F13.959;
Anxiolytic-induced sexual dysfunctions, 291.89;

Included as ‘Sedative-, hypnotic-, anxiolytic-induced sexual dysfunctions’ in
DSM -5;
[Uses three ICD 10-CM codes;
Mild: F13.181;
Moderate to severe disorder: F13.281;
For without use disorder: F13.981];
[Uses ICD 9-CM code: 292.89];
Anxiolytic-induced sleep disorder, 291.89;

Included as ‘Sedative-, hypnotic-, anxiolytic-induced sleep disorder’ in ICD in
DSM-5;
[Uses three ICD 10-CM codes;
26
Mild: F13.182;
Moderate to severe disorder: F13.282;
Without use disorder: F13.982];
[Uses ICD 9-CM code: 292.85]
Anxiolytic intoxication, 292.89;

Included as ‘Sedative-, hypnotic-, anxiolytic intoxication’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F13.129;
Moderate to severe disorder: F13.229;
Without use disorder: F13.929];
Anxiolytic intoxication delirium, 292.81

Included as ‘Sedative-, hypnotic-, anxiolytic intoxication’ in DSM-5;
[Uses three ICD 10-CM: codes;
Mild: F13.121;
Moderate to severe disorder: F13.221;
Without use disorder: F13.921];
Anxiolytic-related disorder NOS, 292.9
Anxiolytic withdrawal, 292.0

Included ‘Sedative, hypnotic, or anxiolytic withdrawal’ in DSM-5;
[Uses two ICD 10-CM codes;
With perceptual disturbances: F13.232;
Without perceptual disturbances: F13.239
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15676&search=benzodiazepine
Anxiolytic withdrawal delirium, 292.81;

Included as ‘Sedative, hypnotic, or anxiolytic withdrawal delirium’ in DSM-5;
[Uses the ICD 10-CM code: F13.231];
[Uses the ICD 9-CM code: 292.0]
Apathy 799.25
27
Apepsia, psychogenic 306.4
Aphagia, psychogenic 307.1
Aphasia 315.31
Types:
Amnestic
Ataxic
Auditory
Broca’s
Choreatic
Classic
Expressive
Global
Ideational
Ideokinetic
Ideomotor
Jargon
Motor
Nominal
Receptive
Semantic
Sensory
Syntactic
Verbal
Wernicke’s
Developmental
Aphonia 784.41
Aphonia, hysterical 300.11
28
Aphonia, psychogenic 306.1
Appetite
depraved 307.52
excessive 7833.6
psychogenic 307.51
lack or loss (see also Anorexia) 783.0
nonorganic origin 307.59
perverted 307.52
Apprehension, apprehensiveness (abnormal) (state) 300.00
Arrhythmia, psychogenic 306.2
Arthralgia, psychogenic 307.89
Arthrodesis status, psychogenic 307.89
Asperger’s disorder, 299.80; [ICD 10-CM: F84.5]



Not included in DSM 5.
DSM-5 expects one to use “Autism spectrum disorder” as combined disorder.
Still available with its own unique code in ICD-9-CM and ICD-10-CM as showbn
supra.
Practice Guideline:

http://ajp.psychiatryonline.org/article.aspx?articleID=100035
Astasia (-abasia), hysterical 300.11
Asthenia, Asthenic, cardiac psychogenic 306.2
Asthenia, Asthenic, cardiovascular psychogenic 306.2
Asthenia, Asthenic, heart, psychogenic 306.2
Asthenia, Asthenic, hysterical 300.11
Asthenia, Asthenic, myocardial (see also Failure, heart), psychogenic 306.2
Asthenia, Asthenic, nervous 300.5
Asthenia, Asthenic, neurocirculatory 306.2
Asthenia, Asthenic, neurotic 300.5
29
Asthenia, Asthenic, psychogenic 300.5
Asthenia, Asthenic, psychoneurotic 300.5
Asthenia, Asthenic, psychophysiologic 300.5
Asthenia, Asthenic, reaction, psychoneurotic 300.5
Asthenopia, hysterical (muscular) 300.11
Asthenopia, psychogenic 306.7
Ataxia, hysterical 300.11
Ataxia psychogenic 307.9
Atonia, psychogenic 306.4
Autogynephilia 302.89
At risk for falling, V15.88
Attention-deficit/hyperactive disorder [ADHD]
Attention-deficit/hyperactivity disorder, [F90];
[Predominantly hyperactive/ impulsive presentation, 314.01, F90.1;
Predominantly inattentive presentation, 314.00 ICD-10-CM:F90.0
Combined presentation. 314.01 ICD-10-CM: F90.2]
30
FDA approved medications for ADHD in children
Practice Guidelines:

www.guideline.gov/content.aspx?id=36812

http://www.guideline.gov/content.aspx?id=38620
Attention-deficit/hyperactive disorder, NOS, 314.9
Attention-deficit/hyperactive disorder, predominantly hyperactive type, 314.01;

[ICD 10-CM: F90.1];

Included in DSM-5
Attention-deficit/hyperactive disorder, predominantly inattentive type, 314.00

[ICD 10-CM: F90.0];

Included in DSM-5
Attenuated psychosis syndrome, 298.8 [ICD-10-CM: F28]
31
Introduced in DSM-5 as a condition for further study
Autism spectrum disorder. 299.00;

ICD 10-CM code: F84.0;
Autistic disorder, 299.00;
FDA-approved medications for Autistic disorder:

Risperidone (Risperdal)

Aripiprazole (Abilify)

DSM-5 expects one to use “Autism spectrum disorder” as a combined disorder;
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/Docs/practice_parameters/autism.pdf
Avitaminosis D. 268.9 [ICD-10-CM: E55.9];
Vitamin D serum levels , 37 nmol/l or ,15 ng/ml.
Avoidant personality disorder, 301.82 [ICD 10-CM F60.6];

Included in DSM-5
Avoidant/ restrictive food intake disorder, 307.59; F50.8;
Included in DSM-5
Backache (postural), psychogenic 307.89
Bad, trip (see also Abuse, drugs, nondependent) 305.3
Baron Munchausen syndrome 301.51
Bathopobia 300.23 [fear of deep places, a fear of falling into deep places]
Battle exhaustion, 308.9
Behavior disorder, disturbance- see also Disturbance, conduct
antisocial, without manifest psychiatric disorder
adolescent V71.02
adult V71.01
child V71.02
dyssocial, without manifest psychiatric disorder
adolescent V71.02
32
adult V71.01
child V71.02
Bereavement, 309.0;
Bergeron’s disease (hysteroepilepsy) 300.11;
Binge eating disorder 307.51
Included in DSM-5];
Practice Guideline:

http://psychiatryonline.org/content.aspx?bookid=28&sectionid=39113853#10
3426922
Bipolar disorders;
*Combination of two sources: Cleveland clinic/ US Food and Drug Administration
Bipolar I disorder, most recent episode depressed, mild, 296.51

[ICD 10-CM:F31.31];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode depressed, moderate, 296.52;

[ICD 10-CM: F31.32];
33
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode depressed, severe without psychotic features,
296.53;

[ICD 10-CM:F31.4];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode depressed, with psychotic features, 296.54;

[ICD 10-CM:F31.5];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode depressed, in partial remission, 296.55;

[ICD 10-CM:F31.75];
Bipolar I disorder, most recent episode depressed, in full remission, 296.56;

[ICD 10-CM:F31.76]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode depressed, unspecified, 296.50;

[ICD 10-CM: F31.9];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode manic, mild, 296.41;

[ICD 10-CM F31.11]
Bipolar I disorder, most recent episode manic, moderate, 296.42;

[ICD 10-CM F31.12];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode manic, severe without psychotic features,
296.43
34

[ICD 10-CM F31.13];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode manic, with psychotic features, 296.44;

[ICD 10-CM F31.2];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode manic, in partial remission, 296.45;

[ICD 10-CM F31.73]
Bipolar I disorder, most recent episode manic, in full remission, 296.46;

[ICD 10-CM F31.74]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode manic, unspecified, 296.40;

[ICD 10-CM F31.9]
Bipolar I disorder, most recent episode mixed, mild, 296.61;

[ICD 10-CM F31.6]

Included as uncoded specifier in DSM-5, not as a coded Disorder
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode mixed, moderate, 296.62;

[ICD 10-CM F31.6]

Included as uncoded specifier in DSM-5, not as a coded Disorder
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode mixed, severe without psychotic features,
296.63;

[ICD 10-CM F31.63]

Included as uncoded specifier in DSM-5, not as a coded Disorder
35
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode mixed, with psychotic features, 296.64;

[ICD 10-CM F31.64]

Included as uncoded specifier in DSM-5, not as a coded Disorder
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode mixed, in partial remission, 296.65;

Included as uncoded specifier in DSM-5, not as a coded Disorder
Bipolar I disorder, most recent episode mixed, in full remission, 296.66;

Included as uncoded specifier in DSM-5, not as a coded Disorder
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, most recent episode mixed, unspecified, 296.60;

[ICD 10-CM: 31.60]

Included as uncoded specifier in DSM-5, not as a coded Disorder
Bipolar I disorder, most recent episode, unspecified;
 [ ICD 10-CM F31.9]
Bipolar I disorder, single manic episode [heading]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, single manic episode, mild, 296.01;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, single manic episode, moderate, 296.02;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, single manic episode, severe without psychotic features, 296.03;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
36
Bipolar I disorder, single manic episode, with psychotic features, 296.04;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, single manic episode, in partial remission, 296.05;
Bipolar I disorder, single manic episode, in full remission, 296.06;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16314
Bipolar I disorder, single manic episode, unspecified, 296.00;
Bipolar II disorder, 296.89;

[ICD 10-CM: F31.81];
Bipolar disorder, NOS, 296.80;
[ICD 10-CM: 31.89]
Bipolar disorder, unspecified, 296.80 [ICD-10-CM:F31.9];
Biting, nail 307.9
Blindness, emotional 300.11
Blindness, hysterical 300.11
Blindness, word (developmental) 315.01
Blocq’s disease or syndrome (astasia-abasia) 307.9
Body dysmorphic disorder, 300.7;

[ICD 10-CM: F45.2];

Included in DSM-5
Body Mass Index (BMI), see V-codes, V85.2x
Borderline intellectual functioning, V62.89;

[ICD 10-CM: R41.83];

Included in DSM-5
Borderline personality disorder, 301.83 [ICD 10-CM: F60.3];

Included in DSM-5
Practice Guideline:
37

http://www.guideline.gov/content.aspx?id=14327 (UK)
Bouffee délirante 298.3
Brain death, 348.89
Breath, holder, child 312.81
Breathing-related sleep disorder, 780.57;

Included as ‘Central sleep apnea’ in DSM-5;
[Uses the following codes;
For ‘Central sleep apnea comorbid with opoid use’;
ICD 9-CM: 780.57; ICD 10-CM: G47.37;
For ‘Cheyne-Stokes breathing’,
ICD 9-CM: 786.04; ICD 10-CM: R06.3;
For ‘Idiopathic central sleep apnea’
ICD 9-CM: 327.21; ICD 10-CM: G47.31]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=35175
Breathing, tic 307.20
Brief psychotic disorder, 298.8;

[ICD 10-CM: F23];

Included in DSM -5
Brissaud’s, motor-verbal tic 307.23
Bromidism, bromism,
acute 967.3
correct substance properly administered 349.82
overdose or wrong substance given or taken 967.3
Bromidrosiphobia 300.23 [fear that body odor is offending people]
Bruxism 306.8
sleep related 327.53
Bullying, [the perpetrator]
Mild 312.01
38
Moderate 312.02
Severe 312.03
Unspecified 312.00
Bulimia nervosa, 307.51; [ICD 10-CM F50.2];
FDA approved medication for bulimia;

Fluoxetine (Prozac)
Cachexia 799.4
Cachexia, senile 797
Caffeine disorders
Caffeine-induced anxiety disorders, 292.89;
[Uses three codes in ICD 10-CM;
Mild: F15.180;
Moderate to severe disorder: F15.280;
For without use disorder: F15.980];
Caffeine-induced sleep disorder;
[Uses three codes in ICD 10-CM;
Mild: F15.182;
Moderate to severe disorder: F15.282;
For without use disorder: F15.982];
Caffeine intoxication, 305.99 [ICD 10-CM: F15.982];

Included in DSM-5;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=25703
Caffeine-related disorder, NOS, 292.9
Caffeine withdrawal, 292.0
Caffeine use disorder. Code depends on whether seen as mild or as moderate/severe:

Stimulant Use Disorder’ in DSM-5;
[Uses the ICD 9-CM code:
39
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40;
[Uses the ICD 10-CM code:
Mild: F15.10;
Moderate: F15.20;
Severe: 15.20]
Introduced into DSM-5 as a Condition for Further Study;
Cannabis disorders
Cannabis abuse, 305.20
Cannabis Use disorder’;
[Three ICD 9-CM codes;
Mild: 305.20;
Moderate: 304.30;
Severe: 304.30
[Three ICD 10-CM codes;
Mild: F12.10;
Moderate: F12.20;
Severe: 12.20
Cannabis dependence, 304.5;

Included as ‘Cannabis Use disorder’ in DSM-5;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=43939
Cannabis-induced anxiety disorder, 292.89;
[Three ICD 10-CM codes;
Mild: F12.180;
Moderate to severe disorder: F12.280;
Without use disorder: F12.980];
Cannabis-induced psychotic disorder with delusions, 292.11;
40
Cannabis induced psychotic disorder
[Three ICD 10- CM codes;
Mild: F12.159;
Moderate to severe disorder: F12.259;
Without use disorder: F12.959];
Cannabis-induced psychotic disorder with hallucinations, 292.12
Cannabis intoxication, 292.89
Cannabis intoxication, With perceptual disturbances’ ;
[Three ICD 10- CM codes;
Mild: F12.122;
Moderate to severe disorder: F12.222;
Without use disorder: F12.922];
Cannabis intoxication, Without perceptual disturbances’ ;
[Three ICD 10- CM codes;
Mild: F12.129;
Moderate to severe disorder: F12.229;
Without use disorder: F12.929];
Cannabis intoxication delirium, 292.81;
[Uses the following ICD 10- CM codes;
Mild: F12.121;
Moderate to severe disorder: F12.221;
Without use disorder: F12.921];
Cannabis-induced disorder, NOS. 292.9;
Cannabis withdrawal disorder, 292.0 [new to DSM-5];

[Not New to ICD 9-CM or ICD 10-CM];
Cancerphobia 300.29;
Carcinomaphobia 300.29
Cardioneurosis 306.2 [overly anxious as to having a cardiac illness sans a cardiac
condition]
41
Cardiophobia 300.29;
Care (of) family member (handicapped) (sick), creating problem for family V61.49;
Carrier (suspected) of hepatitis B V02.60;
Carrier (suspected) of hepatitis C V02.60;
Catalepsy 300.11;
catatonic (acute) (see also Schizophrenia) 295.2
hysterical 300.11
schizophrenic (see also Schizophrenia) 295.2
Cataphasia 307.0;
Cataplexy (idiopathic) see Narcolepsy;
Catatonic disorder due to [name condition], 293.89. Example: 293.89, catatonic
disorder due to hypercalcemia;
Catatonia associated with another mental disorder, 293.89

[Uses the ICD 10-CM code: F06.1];

Most patients diagnosed with catatonia will have two diagnoses, one the 293.89
diagnosis and two, the other condition.

Unspecified catatonia (code first 781.99[ICD-10-CM: R29.818] other symptoms
involving nervous and musculoskeletal systems), 293.89; [ICD 10-CM: F06.1]
Catatonic disorder due to major depressive episode;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=24158
Catatonia disorder due to neuroleptic malignant syndrome;
Practice Guideline:

http://ajp.psychiatryonline.org/article.aspx?articleid=98476
Catatonia due to psychosis;
Practice Guideline:

http://ajp.psychiatryonline.org/article.aspx?articleid=98476
Cephalgia, cephalagia 784.0
nonorganic origin 307.81
psychogenic 307.81
tension 307.81
Change cognitive or personality change of other type, nonpsychotic 310.1
42
Change personality (nonpsychotic) NEC 310.1
Change psychogenic 306.1
Childhood disintegration disorder, 299.10;
Child antisocial behavior, V71.02;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=44087&search=antisocial
Childhood disturbances of emotions specific to children or adolescents, 313;
Child affected by parental relationship distress
V61.29
Z62.898
Child neglect, Confirmed
Initial encounter
Subsequent encounter
995.52
995.52
T74.02XA
T74.02XD
Child neglect, Suspected
Initial encounter
Subsequent encounter
995.52
995.52
T76.02XA
T76.02XD
Child or adolescent antisocial behavior
V71.02
Z72.810
Child physical abuse, Confirmed
Initial encounter
Subsequent encounter
995.54
995.54
T74.12XA
T7412XD
Child physical abuse, Suspected
Initial encounter
Subsequent encounter
995.54
995.54
T76.12XA
T76.12XD
Child psychological abuse, Confirmed
Initial encounter
Subsequent encounter
995.51
995.51
T74.32XA
T74.32XD
Child psychological abuse, Suspected
Initial encounter
Subsequent disorder
995.51
995.51
T76.32XA
T76.32XD
Child sexual abuse, Confirmed
Initial encounter
Subsequent disorder
995.53
995.53
T74.22XA
T74.22XD
Child sexual abuse, Suspected
Initial encounter
Subsequent encounter
995.53
995.53
T76.22XA
T76.22XD
Chorea hereditary 333.4
43
Chorea variabilis 307.23
Chronic Motor or Vocal disorder, 307.22;

[Uses ICD 10-CM: F95.1]
Circadian rhythm sleep disorder, 307.45;

Advanced sleep phase type ;
[ICD 10-CM G47.22]

Delayed sleep phase type ;
[ICD 10-CM G47.21]

Irregular sleep-wake type ;
[ICD 10-CM G47.23]

Non-24-hour sleep-wake type ;
[ICD 10-CM G47.24]

Shift work type ;
[ICD 10-CM G47.26]

Unspecified type
[ICD 10-CM G47.20]
Cirrhosis, cirrhotic 571.5
with alcoholism 571.2
alcoholic (liver) 571.2
due to Wilson’s disease 275.1
alcoholic 571.0
Claustrophobia 300.29
Clay eating 307.52
Cleptomania 312.32
Clerambault’s syndrome 297.8
Climacteric (see also Menopause) 627.2
depression (see also Psychosis, affective) 716.3
melancholia (see also Psychosis, affective) 296.2
recurrent episode 296.2
single episode 296.2
44
paranoid state 297.2
paraphrenia 297.2
Clumsiness, syndrome 315.4
Cocaine disorders
Cocaine abuse, 305.60

Included as ‘Stimulant Use Disorder’ in DSM-5;
[Uses the ICD 9-CM code:
Mild: 305.60;
Moderate: 304.20;
Severe: 304.20];
[Uses the ICD 10-CM code:
Mild: F14.10;
Moderate: F14.20;
Severe: 14.20];

http://www.guideline.gov/content.aspx?id=25703
Cocaine dependence, 304.20;

Included as ‘Stimulant Use Disorder’ in DSM-5;
[ICD 9-CM code:
Mild: 305.60;
Moderate: 304.20;
Severe: 304.20;
[ICD 10-CM code:
Mild: F14.10;
Moderate: F14.20;
Severe: 14.20];

http://www.guideline.gov/content.aspx?id=25703
Cocaine-induced anxiety disorder, 292.89;
[ICD 10-CM code:
45
Mild: F14.180;
Moderate to severe disorder: F14.280;
Without use disorder: 14.980];
Cocaine-induced mood disorder, 292.84 ;
Cocaine-induced depressive disorder; 292.84
[ICD 10-CM code:
Mild: F14.14;
Moderate to severe disorder: F14.24;
Without use disorder: 14.94];
Cocaine-induced bipolar or related disorder; 292.84
[ICD 10-CM code:
Mild: F14.14;
Moderate to severe disorder: F14.24;
Without use disorder: 14.94];
Cocaine-induced psychotic disorder with delusions, 292.11;
Cocaine-induced psychotic disorder with hallucinations, 292.12;
Cocaine-induced psychotic disorder; 292.9
[ICD 10-CM code:
Mild: F14.159;
Moderate to severe disorder: F14.259;
Without use disorder: 14.959];
Cocaine-induced sexual dysfunction, 292.89;
[ICD 10-CM code:
Mild: F14.182;
Moderate to severe disorder: F14.282;
Without use disorder: 14.982];
Cocaine-induced sleep disorder, 292.89; Uses the following ICD 10-CM codes;
[ICD 10-CM code:
Mild: F14.182;
Moderate to severe disorder: F14.282;
Without use disorder: 14.982];
46
Cocaine intoxication, 292.89;

Included as in DSM-5;

DSM-5 expects one to use ‘Stimulant intoxication’ for combined disorder;
[Six ICD 10-CM codes;
With perceptual disturbances;
Mild: F14.122;
Moderate to severe disorder: F14.222;
Without use disorder: F14.922;
Without perceptual disturbances;
Mild: F14.129;
Moderate to severe disorder: F14.229;
Without use disorder: F14.929];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=25703
Cocaine intoxication delirium, 292.81;
[ICD 10-CM code:
Mild: F14.121;
Moderate to severe disorder: F14.221;
Without use disorder: 14.921];
Cocaine-related disorder NOS, 292.9;
Cocaine withdrawal, 292.0 [ICD 10-CM: F14.23];

Included as ‘Cocaine withdrawal in DSM-5;

DSM-5 expects one to use ‘Stimulant withdrawal’ for combined disorder;

[Uses ICD 10-CM: F14.23];
Cocaine-induced obsessive-compulsive and related disorder;
[Uses the ICD 10-CM code:
Mild: F14.188;
Moderate to severe disorder: F14.288;
Without use disorder: 14.988];
Cocainism (see also Dependence) 304.2
47
Cognitive disorder NOS, 294.9;
Combat fatigue (see also Reaction, stress, acute) 308.9
Communication disorder NOS, 307.9;
Compensation, neurosis, psychoneurosis 300.11
Complex, castration 300.9
Complex, ego-dystonic homosexuality 302.0
Complex hypersexual 302.89
Complex inferiority 301.9
Complex trauma. Use code that captures the clinical presentation, such as 300.02 for
generalized anxiety disorder and list the traumas, such as 995.53 child sexual abuse.
Complex trauma = repetitive interpersonal victimization including physical, sexual,
verbal, and emotional abuse or neglect that occurs over the course of the person’s
childhood.
Compulsion, compulsive
eating 307.51
neurosis (obsessive) 300.3
personality 301.4
states (mixed) 300.3
swearing 300.3
tics and spasms307.00
water drinking NEC (syndrome) 307.9
Conduct disturbance, hyperkinetic 314.2
Conduct disturbance, NOS, 312;
Conduct disorder; with the following types and codes;

Adolescent-onset type;
[Included as ICD 9-CM: 312.32; ICD 10-CM: F91.2];

Childhood-onset type;
[Included as ICD 9-CM: 312.81; ICD 10-CM: F91.1];

Unspecified onset;
[Included as ICD 9-CM: 312.89; ICD 10-CM:F91.9]
48
Conflict, family V61.8
Conflict, interpersonal NEC V62.81
Conflict, marital V61.10
Conflict, marital, involving divorce V61.03
Conflict, marital, involving estrangement V61.09
Conflict, parent (guardian)-child V61.20
adopted child V61.24
biological child V61.23
foster child V61.25
partner V61.10
acute 293.0
epileptic 293.0
postoperative 293.9
psychogenic 298.2
reactive (from emotional stress, psychological trauma) 298.2
subacute 293.1
Confusional arousals 327.41
Conjugal maladjustment, involving, divorce V61.03
Conjugal maladjustment, involving, estrangement V61.09
Consultation V65.9
Conversion disorder, 300.11 [ICD 10-CM F44.0];

Included in DSM-5;
[ICD 10-CM codes;
With abnormal movement [ICD 10-CM: F44.4];
Included as ‘Conversion disorder with motor
symptom or deficit’ in ICD 10-CM;
Dissociative motor disorders
Psychogenic Aphasia
Psychogenic dysphonia
With anesthesia or sensory loss [ICD 10-CM: F44.6];
49
Dissociative anesthesia and sensory loss
Psychogenic deafness
With attacks or seizures [ICD 10-CM: F44.5];
Dissociative Convulsions
With mixed symptoms [ICD 10-CM: F44.7];
With special sensory symptoms[ICD 10-CM: F44.6];
With speech symptoms [ICD 10-CM: F44.4];
Included as ‘Conversion disorder with motor
symptom or deficit’
With swallowing symptoms [ICD 10-CM: F44.4];
Included as ‘Conversion disorder with motor symptom
or deficit’
With weakness/ paralysis [ICD 10-CM: F44.4]
Included as ‘Conversion disorder with motor symptom
or deficit’
Conviction in civil or criminal proceedings without imprisonment, V62.5, Z65.0;
Convulsions, hysterical 300.11
Coprophilia 302.89 [fear of feces or filth]
Cotard’s syndrome, 297.1 [intense sensation of death and disintegration of body, family,
or job]
Cough, functional 306.1
Cough, hysterical 300.11
Cough nervous 786.2
Cough, psychogenic 306.1
Counseling abuse victim, child V61.21
Counseling abuse victim, partner V61.11
Counseling abuse victim, spouse V61.11
child abuse, maltreatment, or neglect V61.21
50
dietary V65.3
exercise V65.41
Counseling partner abuse
perpetrator v61.12
victim V61.11
Counseling perpetrator of
child abuse V62.83
partner abuse V61.12
spouse abuse V61.12
Counseling spousal abuse
perpetrator V61.12
victim V61.11
Counseling substance use and abuse V65.42
Counseling victim (of)
child abuse V61.21
partner abuse V61.11
spousal abuse V61.11
Cramp(s), hysterical 300.11
Cramp(s), psychogenic 307.89
Creutzfeldt-Jakob disease (CJD) 046.19
Creutzfeldt-Jakob disease (CJD), with dementia, with behavioral disturbance 046.19
[294.11]
Creutzfeldt-Jakob disease (CJD), with dementia, without behavioral disturbance 046.19
[294.10]
Crisis, psychosexual identity 302.6
Cruelty in children 312.9
Crying, constant, continuous
adolescent 780.95
adult 780.95
baby 780.92
child 780.95
infant 780.92
newborn 780.92
Crying , excessive
adolescent 780.95
adult 780.92
baby 780.92
51
child 780.95
infant 780.92
newborn 780.92
Cultural deprivation V62.4
Cyclothymic disorder, 301.13;
Affective personality disorder
Cycloid personality
Cyclothymia
Cyclothymic personality

[ICD 10-CM: F34.0];

Included in DSM-5;
Cyclothymic personality 301.13
Deaf mutism, hysterical 300.11
Deafness, emotional (complete) 300.11
Deafness, functional (complete) 300.11
Deafness, hysterical (complete) 300.11
Deafness, psychogenic (complete) 306.7
Decrease, libido 799.81
Decrease, sexual desire 799.81
Defect learning, specific 315.2
Defect speech, developmental 315.39
Deficiency, B (complex) NEC 266.9
beriberi 265.0
pellagra 265.2
Deficiency, D (calciferol) (ergosterol) 268.9
Deficiency, P 269.1
Deficiency, niacin 265.2 [ICD-10-CM: E52]
Deficiency, vitamin D 268.9 [ICD-10-CM: E55.9]
52
Degenerative brain, in alcoholism 303.9 [331.7]
Degenerative brain cortical, alcoholic 303.9 [334.4]
Delays in development, a heading in ICD-9-CM with the following options,
Reading disorder, unspecified, 315.00
Alexia, 315.01 [ICD-9-CM-2010 def: lack of ability to understand written
language; manifestation of aphasia]
Developmental dyslexia, 315.02 [ICD-9-CM-2010 def: Serious impairment of
reading skills unexplained in relation to general intelligence and teaching process;
it can be inherited or congenital.
Specific spelling difficulty, 315.9
Specific delays in development, 315.09
Delinquency (juvenile) 312.9
group 312.2
neurotic 312.4
Delirium 780.09
acute (psychotic) 293.0
alcoholic 291.0
acute 291.0
chronic 291.1
chronic (see also Psychosis) 293.89
due to or associated with physical condition
drug-induced 292.81
due to conditions classified elsewhere 293.0
eclamptic 780.39
exhaustion 308.9
hysterical 300.11
in presenile dementia 290.11
in senile dementia 290.3
induced by drug 292.81
manic, 296.0
recurrent episode 296.1
single episode 296.0
puerperal 293.9
senile 290.3
subacute 293.0
thyroid (see also Thyrotoxicosis) 242.9
delirium tremens (impending) 291.0
delirium withdrawal alcoholic (acute) 291.0
chronic 291.1
delirium withdrawal drug 292.0
53
Delirium due to [name of disorder], 293.0;
Included in DSM-5 using the following criteria and codes:
Medication-induced delirium, 292.81;
Substance intoxication delirium;

Alcohol abuse with intoxication delirium, ICD 10-CM: F10.121]

Alcohol dependence with intoxication delirium, [ICD 10-CM: F10.221];

Alcohol dependence with withdrawal delirium, [ICD 10-CM: F10.231];

Alcohol dependence with withdrawal with perceptual disturbance,
[ICD 10-CM: F10.232];

Cannabis abuse with intoxication delirium [ICD 10-CM: F12.121];

Cannabis dependence with intoxication delirium, [ICD 10-CM: F12.221];

Cocaine abuse with intoxication with delirium, [ICD 10-CM: F14.121];

Cocaine dependence with intoxication delirium,[ICD 10-CM: F14.221];

Cocaine dependence with withdrawal, [ICD 10-CM: F14.23];

Hallucinogen abuse with intoxication with delirium, [ICD 10-CM: F16.121];

Hallucinogen dependence with intoxication with delirium,
[ICD 10-CM: F16.221];

Inhalant abuse with intoxication delirium, [ICD 10-CM: F18.121];

Inhalant dependence with intoxication delirium, [ICD 10-CM: F18.221];
substance withdrawal delirium;

Nicotine dependence, cigarettes, with withdrawal, [ICD 10-CM: F17.213];

Nicotine dependence, chewing tobacco, with withdrawal, [ICD 10-CM: F17.223];

Opioid abuse with intoxication delirium,[ICD 10-CM: F11.921];
54

Opioid dependence with withdrawal, [ICD 10-CM: F11.123];

Opioid use, unspecified with withdrawal, [ICD 10-CM: F11.93];

Other stimulant abuse with intoxication delirium, [ICD 10-CM: F15.121];

Other stimulant dependence with intoxication delirium, [ICD 10-CM: F15.221];

Sedative, hypnotic or anxiolytic abuse with intoxication delirium,
[ICD 10-CM: F13.121];

Sedative, hypnotic or anxiolytic dependence with intoxication delirium,
[ICD 10-CM: F13.221]

Sedative, hypnotic or anxiolytic dependence with withdrawal delirium,
[ICD 10-CM: F13.231];
Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual
disturbance, [ICD 10-CM: F13.232];


Sedative, hypnotic or anxiolytic use, unspecified with withdrawal delirium,
[ICD 10-CM: F13.931];

Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptual
disturbances, [ICD 10-CM: F13.932];
Delirium NOS, 780.09
Delusional disorders
Delusional disorder, 297.1;

[ICD 10-CM: F22]

Included in DSM-5
Dementias, [DSM-5 uses “neurocognitve disorder” for dementia]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=45525
FDA approved medications for Alzheimer’s disease;

Donepezil (Aricept)

Galantamine (Razadyne, Reminyl)

Rivastigmine tartrate (Exelon)
55

Memantine HCl (Namenda)

Tacrine (Cognex)

Caprylidene (Axona)

Butoconazole titrate 2% (Femstat)

Conditions in DSM-5 reflecting the change from “Dementia” to “Neurocognitve”:
Alzheimer’s disease, code 331.0 if not distinguishing if there is behavioral
disturbance. If distinguishing:
o With behavioral disturbance, code 331.0;
o Without behavioral disturbance, code 331.0;

Listed in DSM -5
Practice Guideline:

http://www.guideline.gov/content.aspx?id=12290
Anxiolytic induced persisting dementia, code 291.2
Cerebral lipidoses, code 330.1 if not distinguishing if there is behavioral
disturbance. If distinguishing;


With behavioral disturbance, code 331.1 [294.10];
Without behavioral disturbance, code 331.1[294.11];
Creutzfeldt-Jakob disease, code 046.1 if not distinguishing if there is
behavioral disturbance. If distinguishing;


With behavioral disturbance, code 046.1[294.10];
Without behavioral disturbance, code 046.1[294.11];

Included as ‘Dementia in Creutzfeldt-Jakob disease’ in DSM-5;

[Uses ICD 10-CM code: F02.1]
Drug-induced persisting dementia, code 292.82;





For these disorders, list drug when known, e.g.
E851 Barbiturates
E852.2 bromine compounds
E855.4 Anticholinergics
E858.8 Other specific medications. Example, “E858.8 tamoxifen”
Dementia associated with head trauma, code 850 for the head trauma and
294.8 for the dementia, so: Head trauma with dementia 850[294.8];
56

Included in DSM-5
Dementia associated with Lewy bodies, code 331.82 if not distinguishing if
there is behavioral disturbance. If distinguishing;

Included in DSM -5
[Not New to ICD 9-CM or ICD 10-CM];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15594
Folic-acid deficiency associated with dementia:

With behavioral disturbance, code 266.2[294.10];

Without behavioral disturbance, code 266.2[294.11];
Frontal dementia, code 331.19 if not distinguishing if there is behavioral
disturbance. If distinguishing;

Included in DSM-5;


With behavioral disturbance, code 331.19;
Without behavioral disturbance, code 331.19;
Frontotemporal dementia, code 331.19 if not distinguishing if there is
behavioral disturbance. If distinguishing;
Frontotemporal dementia, code 331.19 if not distinguishing if there is
behavioral disturbance. If distinguishing;


With behavioral disturbance, code 331.82[294.11] [ICD 10-CM: F02.81]
Without behavioral disturbance, code 331.82[294.10] [ICD 10-CM: F02.80]

Listed in DSM-5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=32612

http://www.guideline.gov/content.aspx?id=45525
General paresis, code 094.1, if not distinguishing if there is behavioral
disturbance. If distinguishing;


With behavioral disturbance, code 094.1[294.10];
Without behavioral disturbance, code 094.1[294.11];
57
Hepatolenticular degeneration [Wilson’s Disease], code 275.1 if not
distinguishing if there is behavioral disturbance. If distinguishing;


With behavioral disturbance, code 275.1[294.10];
Without behavioral disturbance, code 275.1[294.11];
HIV Disease;


With behavioral disturbance, code 042[294.11];
Without behavioral disturbance, code 042[294.10];

Included in DSM-5
Hypercalcemia associated with dementia;


With behavioral disturbance, code 275.42[294.10]
Without behavioral disturbance, code 275.42[294.11]
Hypothyroidism associated with dementia;


With behavioral disturbance, code 244.9[294.10]
Without behavioral disturbance, code 244.9[294.11]
Huntington’s disease, code 333.4, if not distinguishing if there is behavioral
disturbance. If distinguishing;


With behavioral disturbance, [294.11];
Without behavioral disturbance, [294.10];

Listed in DSM-5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=45525

http://www.guideline.gov/content.aspx?id=32612
Hydrocephalus, three choices as to the hydrocephalus per se;
Communicating hydrocephalus, code 331.3
Obstructive hydrocephalus, code 331.4.
Idiopathic normal pressure hydrocephalus, code 331.5
Then, the need to explicate the dementia has the following codes:
Dementia with behavioral disturbance, code 331.3/331.4/331.5[294.10]
Dementia without behavioral disturbance, code 331.3/331.4/331.5[294.11]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=45525
58
Inhalant-induced major neurocognitive disorder
[Uses the following ICD 10- CM codes;
Mild: F18.17;
Moderate to severe disorder: F18.27;
Without use disorder: F18.97];
Inhalant-induced mild neurocognitive disorder
[Uses the following ICD 10- CM codes;
Mild: F18.188;
Moderate to severe disorder: F18.288;
Without use disorder: F18.988];
Jakob-Creutzfeldt disease;


With behavioral disturbance, code 046.1;
Without behavioral disturbance, code 046.1;

Listed in DSM-5
Major neurocognitive disorder due to Alzheimer’s disease, Possible;
Major neurocognitive disorder due to Alzheimer’s disease, Probable code first
331.0 [G30.9]; in DSM-5;
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder due to another medical condition ;
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder due to HIV infection (code first 042 [b20] HIV
infection);
59
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder due to Huntington’s disease (code first 333.4
[G10] Huntington’s disease);
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder with Lewy bodies, Possible; 331.9, G31.9;
Major neurocognitive disorder with Lewy bodies, Probable (code
first 331.82 [G31.83] Lewy body disease);
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder due to multiple etiologies’
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
60
Major neurocognitive disorder due to Parkinson’s disease, Possible’
331.9, G31.9;
Major neurocognitive disorder due to Parkinson’s disease, Probable (code first
332.0 [g20] Parkinson’s disease);
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder due to prion disease’ (code first 046.79 [A81.9]
prion disease);
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Major neurocognitive disorder due to traumatic brain injury’ (code first907.0
late effect of intracranial injury without skull fracture [s06.2X9S diffuse
traumatic brain injury with loss of consciousness of unspecified duration,
sequel])
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F02.81;
Without behavioral disturbance, F02.80];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15677
Mild frontotemporal neurocognitive disorder
331.83
G31.84;
Mild neurocognitive disorder due to Alzheimer’s disease
331.83
G31.84;
Mild neurocognitive disorder due to another medical condition
331.83 G31.84;
61
Mild neurocognitive disorder due to HIV infection
331.83 G31.84;
Mild neurocognitive disorder due to Huntington’s disease
331.83 G31.84;
Mild neurocognitive disorder due to multiple etiologies
331.83 G31.84;
Mild neurocognitive disorder due to Parkinson’s disease
331.8
Mild neurocognitive disorder due to prion disease
331.83 G31.84;
Mild neurocognitive disorder due to traumatic brain injury
331.83 G31.84;
Mild neurocognitive disorder with Lewy bodies
331.83 G31.84;
Mild vascular neurocognitive disorder
331.83 G31.84;
G31.84;
Multiple sclerosis with dementia;


Dementia with behavioral disturbance, code 340[294.10]
Dementia without behavioral disturbance, code 340[294.11]
Niacin deficiency associated with dementia [pellagra];


With behavioral disturbance, code 265.2[294.10]
Without behavioral disturbance, code 265.2[294.11]
Parkinsonism associated with dementia;


With behavioral disturbance, code 331.82[294.11];
Without behavioral disturbance, code 331.82[294.10];

Listed in DSM-5

http://www.guideline.gov/content.aspx?id=32612
Pick’s disease, code 331.11, if not distinguishing if there is behavioral
disturbance. If distinguishing;


With behavioral disturbance, code 331.11[294.10];
Without behavioral disturbance, code 331.11[294.11];
Polyarteritis nodosa, code 446.0, if not distinguishing if there is behavioral
disturbance. If distinguishing:


With behavioral disturbance, code 446.0[294.10];
Without behavioral disturbance, code 446.0[294.11] ;
Presenile dementia [use when onset is < 65 y/o];
62




With delirium, code 290.11
With delusional features, code 290.12
With depressive features, code 290.13
Uncomplicated, code 290.10 [This is used when the dementia does not feature
delirium, delusions or depression
Senile dementia [see “presenile” supra when onset is before 65 y/o];
 With delusional features, code 290.20
 With depressive features, code 290.21
 With delirium, code 290.3
 Uncomplicated, code 290.0 [This is used when the dementia does not feature
delirium, delusions or depression.]
Systemic lupus erythematosus associated with dementia;


With behavioral disturbance, code 710.0[294.10]
Without behavioral disturbance, code 710.0[294.11]
Trypanosomiasis [Chagas’s disease] associated with dementia;


With behavioral disturbance, code 086.9[294.10]
Without behavioral disturbance, code 086.9[294.11]
Vascular dementia;
 With delirium, code 290.41;
 With delusions, code 290.42;
 With depression, code 290.43;
 Uncomplicated, code 290.40 [This is used when the dementia does not feature
 delirium, delusions or depression.]


With behavioral disturbance: 290.40, [ICD 10-CM: F01.51;
Without behavioral disturbance:290.40, [ICD 10-CM: F01.50]

Major vascular neurocognitive disorder, Possible’ , 331.9; G31.9;

Included as ‘Major vascular neurocognitive disorder, Probable’;
[Uses the following ICD 9- CM codes;
With behavioral disturbance, 294.40
Without behavioral disturbance, 294.40];
[Uses the following ICD 10- CM codes;
With behavioral disturbance, F01.51;
Without behavioral disturbance, F01.50];
63
Practice Guideline:

http://www.guideline.gov/content.aspx?id=32612
If important also to state that the patient has cerebral arteriosclerosis, which is
contributing to the vascular dementia, then code 437.0. For example: cerebral
arteriosclerosis with vascular dementia with depression, code 437.0 [290.43].
If it is important also to state that the patient also has cerebral thrombosis, then
one can use cerebral thrombosis with cerebral infarction, code 434.01, or
cerebral thrombosis without cerebral infarction, code 434.00.
If it is important also to state that the patient has cerebral embolism with
cerebral infarction, code 434.11, or cerebral embolism without cerebral
infarction, code 434.10
For dementias not listed above: Dementia, Other 294.8. For dementias that are
unspecified, use Presenile or Senile Dementia depending on age of onset.
Demoralization or apathy, 799.25 use this entity only;
1] when no psychiatric syndrome is being diagnosed or
2] when the syndrome being diagnosed does not include these signs or symptoms,
yet the sign or symptom is severe enough to be of clinical concern
Dependent personality disorder, 301.6 [ICD 10-CM F60.7];
Asthenic personality (disorder)
Inadequate personality (disorder)
Passive personality (disorder

Listed in DSM-5
Depersonalization disorder, 300.6; [ICD 10-CM F48.1];

Included as ‘Depersonalization-derealization syndrome;

Listed in DSM-5
Depressive disorder NOS, 311 [ICD-10-CM: F39
Depressive episodes with short-duration hypomania, 296.89 [F31.89]
Introduced in DSM-5 as a Condition for Further Study
Depression during pregnancy has a guideline:
64
Practice Guideline:

http://www.guideline.gov/content.aspx?id=24158
Depression and mania in patients with HIV/AIDS has a guideline;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=34265
Developmental coordination disorder, 315.4;

[Used ICD 10-CM code: F82];
Developmental coordination disorder, 315.4;
Diagnosis deferrer, 799.9;
Discord with neighbor, lodger, or landlord , V60.89, Z59.2;
Discord with social service provider, including probation officer, case manager, or
social services worker, V62.89, Z64.4;
Disinhibited social engagements disorder [new, from DSM-5] ;

Included as ‘Disinhibited attachment disorder of childhood’ in ICD 10CM:F94.2;
Disruption of family by separation or divorce , V61.03, Z63.5;
Disorder of infancy, childhood, or adolescence NOS
Disorder of written expression, 315.2;

[Uses ICD 10-CM: F81.81];

Included as ‘Specific Learning disorder’ in ICD 10-CM;

Included as ‘Specific learning disorder, with impairment in written expression’ in
DSM -5;
Disruptive mood dysregulation disorder [DMDD], 296.99 [new, from DSM-5]
[ICD 10-CM: F34.8];
65
Other persistent mood [affective] disorders
Disruptive behavior disorder NOS, 312.9;

Listed in DSM-5
Dissociative amnesia, 300.12;

[Uses ICD 10-CM: F44.0];
Dissociative disorders NOS, 300.15;
Dissociative disorders, 300.1;
Dissociative fugue, 300.13;

[Uses ICD 10-CM: F44.1];

Included as ‘Dissociative amnesia with dissociative fugue’ in DSM-5;
Dissociative identity disorder, 300.14;
Multiple personality disorder

[Uses ICD 10-CM: 44.81];

Listed in DSM -5
Dissociative stupor;

[ ICD 10-CM: F44.2];
Drug-induced mental disorders, 292;
Drug dependence, 304;
Dyspareunia, 625.0; [ICD 10-CM F52.6];
Dyspareunia not due to a substance or known physiological condition
Psychogenic dyspareunia

Included as ‘Genito-Pelvic Pain/Penetration Disorder’ in DSM-5;
Dyspareunia, psychogenic, 302.76;

[ICD 10-CM F52.6]

Included as ‘Genito-pelvic pain/ penetration disorder’,
[WE DO NOT RECOMMEND USING “GENITO-PELVIC
PAIN/PENTRATION DISORDER.” SUGGEST USE THE TERM USED IN
THE REST OF MEDICINE, “DYSPAREUNIA]”
66
Dyssomonia NOS, 307.47
Dyssomnia, nonorganic origin, 307.47
Dysthymic disorders, 300.4 [ICd 10-CM: F34.1];

Included as ‘Persistent depressive disorder (dysthymia)’ in DSM-5;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=37277
Eating disorders, other than anorexia nervosa, 307.5;
Practice Guiideline:

http://psychiatryonline.org/content.aspx?bookid=28&sectionid=39113853
Eating disorders, unspecified, 307.5;
Atypical anorexic nervova;
Atypical bulimia nervosa;

[ICD 10-CM F50.9];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=33575
Eating disorders during pregnancy and postpartum;
Practice Guideline:
www.guideline.gov/content.aspx?id=25631
Night eating syndrome;
Practice Guideline:
http://www.guideline.gov/content.aspx?id=9318
Encopresis with constipation and overflow incontinence, 307.6
Encopresis without constipation and overflow incontinence, 307.7

Included as ‘Encopresis not due to a substance or known physiological
condition’ in ICD-CM 10: F98.1];
Functional encopresis;
Incontinence of feces of nonorganic origin;
Psychogenic encopresis;

Listed in DSM -5
67
Enuresis, [ICD 9-CM 307.6]


Included as ‘Enuresis not due to a substance or known physiological
condition’ in ICD-CM 10: F98.0];
Listed in DSM -5
Epilepsy associated with dementia. Some of the major epilepsies listed in ICD-9-CM
are generalized convulsive, code 345.1 and generalized non-convulsive epilepsy,
345.0. So, four of the common choices are:


With behavioral disturbance, code 345.1/345.0[294.10];
Without behavioral disturbance, code 345.1/345.0[294.11];
For example; Generalized convulsive disorder without behavioral
disturbance: 345.1[294.11]
Episodic mood disorders, 296 [Heading]
Excoriation (skin-picking) disorder, 698.4 [new, from DSM-5].
ICD-9-CM uses “excoriation, neurotic”
ICD-10-CM uses code L98.1 and name “Excoriation, neurotic”
Exhibitionism, 302.4;
Included as ‘Exhibitionistic disorder’ in DSM-5;
[Used ICD 10-CM code: F65.2;
Exposure to disorder, war, or other hostilities, [new, from DSM-5], 62.22, Z65.5;
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/disast
er_preparedness.pdf
Expressive language disorder, 315.31;
[Included in ICD 10-CM F80.1]

Not Included in DSM-5

DSM-5 expects one to use “Language disorder” as combined disorder;
Extreme Poverty, [new, from DSM-5] [ICD 9-CM: V60.2] [ICD 10-CM: Z59.5]
Factitious disorder with combined psychological and physical signs and symptoms,
300.19;

[Uses ICD 10-CM code: F68.13];
68
Factitious disorder with predominately physical signs and symptoms, 300.19;

[Uses ICD 10-CM code: F68.12];
Factitious disorder with predominately psychological signs and symptoms, 300.16

[Uses ICD 10-CM code: F68.11;
Factitious disorder NOS, 300.19;

[Included as ‘Factitious disorder, unspecified’
in ICD 10-CM code: F68.10];
Compensation neurosis
Elaboration of physical symptoms for psychological reasons
Hospital hopper syndrome
Munchausen’s syndrome
Peregrinating patient
Family history of a psychiatric condition, V17.0 [If wanting to be general use V17.0.
Otherwise use other V17 or V18 codes, infra.]
Family history of Huntington’s chorea, V17.2
Family history of mental retardation, V18.4
Family history of another disorder, V19.8
bipolar I disorder.”]
[state disorder, e.g., “Family history of
Feeding disorder of infancy and early childhood, 307.59;

Included as ‘Avoidant/restrictive food intake disorder’ in DSM-5;
Female hyposexual sexual desire disorder, 625.8;
Female orgasmic disorder, 302.73 [ICD 10-CM F52.31];

Included under Orgasmic disorder in ICD 10-CM
Inhibited Orgasm
Psychogenic anorgasmy

Listed in DSM -5
69
Female sexual arousal disorder, 302.73;
Frigidity

[ICD 10-CM: F52.2];

Included as ‘Female sexual interest/arousal disorder’ in DSM-5;
Fetal Alcohol syndrome, 760.71;
Fetishism, 302.81 [ICD 10-CM F65.0];

Listed in DSM -5
Fibromyalgia, 729.1;
FDA approved medications for Fibromyalgia

Duloxetine (Cymbalta)

Pregabalin (Lyrica)

Milnacipran (Savella)
Frotteurism, 302.89;

[Uses ICD 10-CM code: F65.81]

Included as ‘Frotteuristic disorder’ in DSM-5;
Gambling disorder, 312.31;

Included as ‘ Pathological gambling’ in DSM-5;
Compulsive gambling;

[ ICD 10-CM: F63.0]
Generalized Anxiety Disorder, 300.2 [ICD 10-CM F41.1]
Anxiety neurosis
Anxiety reaction
Anxiety state
Overanxious disorder
FDA approved medications for Generalized Anxiety Disorder

Alprazolam (Xanax)

Duloxetine (Cymbalta)
70

Escitalopram (Lexapro)

Paroxetine (Paxil)

Venlafaxine (Effexor XR)
Gender identity disorder in adolescents, 302.85;

[Uses ICD 10-CM code : F64.1];

Included as ‘Gender dysphoria in adolescents and adults’ in DSM-5;

‘Gender identity disorder in adolescence and adulthood’ in ICD 10-CM;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=38417
Gender identity disorder in adults, 302.85;

[Uses ICD 10-CM code : F64.1];

Included as ‘Gender dysphoria in adolescents and adults’ in DSM-5;

‘Gender identity disorder in adolescence and adulthood’ in ICD 10-CM;
Dual role transvestism;
Transsexualism
Gender identity disorder in children, 302.6;

Included as ‘Gender dysphoria in children’ in DSM-5;

[Uses ICD 10-CM code: F64.2] ;

Included as ‘Gender identity disorder of childhood’ in ICD 10-CM
Practice Guideline:

http://www.guideline.gov/content.aspx?id=38417
Gender identity disorder NOS, 302.6;
Global developmental delay, 315.8;

[ICD 10-CM: F88]
Hallucinogen disorders
71
Hallucinations, alcohol-induced 291.3 [ICD-10-CM: F19.951]
Hallucinations, auditory 780.1 [ICD-10-CM: R44.0]
Hallucinations, drug-induced 292.12 [ICD-10-CM: F19.951]
Hallucinations, gustatory 780.1 [ICD-10-CM: R44.2]
Hallucinations, olfactory 780.1 [ICD-10-CM: R44.2]
Hallucinations, tactile 780.1 [ICD-10-CM: R44.2]
Hallucinations, visual 368.16 [ICD-10-CM: R44.1]
Hallucinations, unspecified [ICD-10-CM: R44.3]
Hallucinations [auditory] [gustatory] [olfactory] [tactile] 780.1;
Hallucinations, visual, 368.16;
Hallucinogen abuse, 305.30;

Included as ‘Other Hallucinogen Use Disorder’ in DSM-5;
[Uses the ICD 9-CM codes:
Mild: 305.30;
Moderate: 304.50;
Severe: 304.50;
[Uses the ICD 10-CM codes:
Mild: F16.10;
Moderate: F16.20;
Severe: F16.20;
Hallucinogen dependence, 304.50

Included as ‘Other Hallucinogen Use Disorder’ in DSM-5;
[Uses the ICD 9-CM codes:
Mild: 305.30;
Moderate: 304.50;
Severe: 304.50;
72
[Uses the ICD 10-CM codes:
Mild: F16.10;
Moderate: F16.20;
Severe: F16.20;
Hallucinogen-induced anxiety disorder, 292.89;

Included as ‘Other hallucinogen-induced anxiety disorder’ in DSM-5;
[Uses the three ICD 10-CM codes;
Mild : F16.180;
Moderate or severe disorder: F16.280;
Without use disorder: F16.980];
Hallucinogen-induced mood disorder, 292.84;

Included as ‘Other hallucinogen-induced bipolar and related disorder’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F16.14;
Moderate or Severe disorder: F16.24;
For without use disorder: F16.94]

Included as ‘Other hallucinogen-induced depressive disorder’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F16.129;
Moderate or Severe disorder: F16.229;
For without use disorder: F16.929]
Hallucinogen-induced psychotic disorder with delusions, 292.11;
Hallucinogen-induced psychotic disorder with hallucinations, 292.12;

Included as ‘Other hallucinogen-induced psychotic disorder’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F16.159;
Moderate or Severe disorder: F16.259;
For without use disorder: F16.959]
Hallucinogen intoxication, 292.89;
73

Included as ‘Other hallucinogen intoxication’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F16.129;
Moderate or Severe disorder: F16.229;
For without use disorder: F16.929]
Hallucinogen intoxication delirium, 292.81;
Hallucinogen persisting perception disorder, 292.89,

[ICD 10-CM: F16.983]

Included in DSM-5
Hallucinogen-related disorder NOS, 292.9
High expressed emotion level within family, V61.8;

[ICD 10-CM: Z63.8]
Historical trauma. Use the ICD-9-CM code for the clinical manifestations and use the
995 codes and V-codes to capture the traumas.
Historical trauma =the cumulative mental wounding, exceeding over an
individual lifespan and across generations, caused by significant group traumatic
experiences. The historical trauma response is a constellation of features in reaction to
this trauma. It may include substance use disorder as a vehicle for attempting to numb the
pain associated with trauma. It may include other types of self-destructive behavior,
suicidal thoughts and gestures, depression, anxiety, low self-esteem, anger, and difficulty
recognizing and expressing emotions. Theory includes concept of unresolved grief that
accompanies the trauma. Historical trauma seen as an example of transgenerational
trauma. For example, a pattern of maternal abandonment of a child at a young age might
be seen across three generations.
History of physical abuse,* V15.41
History of Rape, V15.41 Excludes: history of condition classifiable to 290-316 (V11.0V11.9)
History of emotional abuse, V15.42 Excludes: history of condition classifiable to 290316 (V11.0-V11.9)
History of neglect, V15.42 Excludes: history of condition classifiable to 290-316
(V11.0-V11.9)
History of traumatic brain injury, V15.52 Excludes: personal history of cerebrovascular
accident (cerebral infarction) without residual deficits (V12.54)
74
History of tobacco use, V15.82 Excludes: tobacco dependence (305.1)
History of fall, V15.88;
Histrionic personality disorder, 301.5;

[ICD 10-CM F60.4]

Listed in DSM-5
Hoarding disorder, 300.3 [new, from DSM-5] ;

[ICD-10-CM: F42]
Homelessness, V600 [new, from DSM-5]

[ICD 10-CM: Z59.0]
Hypersomnolence disorder, 780.54 [new, from DSM-5]

[ICD 10-CM:G47.10]
Hyperkinetic syndromes of childhood, 314 [Heading]
Hypersomnia related to [name psychiatric or another medical disorder if
applicable], 307.44;

[ICD 10-CM F51.1]

Included as ‘Hypersomnolence Disorder’ in DSM-5;
Hypersomnia, primary, 307.44;

[ICD 10-CM F51.1]
Hypnotic-related disorder
Hypnotic abuse, 305.40;

Included as ‘Sedative, Hypnotic, or Anxiolytic Use Disorder’ in DSM-5;
[Uses the ICD 9-CM codes:
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
[Uses the ICD 10-CM codes:
75
Mild: F13.10;
Moderate: F13.20;
Severe: F13.20;
Hypnotic dependence, 304.10;

Included as ‘Sedative, Hypnotic, or Anxiolytic Use Disorder’ in DSM-5;
[Uses the ICD 9-CM codes:
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
[Uses the ICD 10-CM codes:
Mild: F13.10;
Moderate: F13.20;
Severe: F13.20;
Hypnotic-induced anxiety disorder, 291.89;
Hypnotic-induced mood disorder, 291.84;
Hypnotic-induced persisting amnestic disorder, 291.83
Hypnotic-induced persisting dementia, 292.82;
Hypnotic-induced psychotic disorder with delusions, 292.11;
Hypnotic-induced psychotic disorder with hallucinations, 292.12;
Hypnotic-induced sexual dysfunctions, 291.89;
Hypnotic-induced sleep disorder, 291.89;
Hypnotic intoxication, 292.89;
Hypnotic intoxication delirium, 292.81;
Hypnotic-related disorder NOS, 292.9;
Hypnotic withdrawal, 292.0;
Hypnotic withdrawal delirium, 292.81;
Hypoactive sexual desire disorder, 302.71;
Anhedonia (sexual)
76
Lack of loss of sexual desire

[ICD 10-CM F52.0]
Hypochondriasis, 300.6; [ICD 10-CM F45.2];
Hypochondriacal disorder, unspecified [F45.20];
Hypochondriasis [F45.21];
Hypochondriacal neurosis;
Body dysmorphic disorder[F45.22];
Dysmorphophobia (nondelusional)Nosophobia
Other hypochondriacal disorders[F45.29];

Included as ‘Illness anxiety disorder' in DSM-5; 300.7, ICD 10-CM: F45.2;
Identity problem, 313.82;
Imprisonement or other incarceration. V62.5 [new, from DSM-5], Z65.1;
Impulse-control disorder NOS, 312.30 ;
Impulsiveness, 799.23 [use this entity only;
1] When no psychiatric syndrome is being diagnosed or
2] When the syndrome being diagnosed does not include these signs or
symptoms, yet the sign or symptom is severe enough to be of clinical
concern]
Inadequate housing , V60.1, Z59.1;
Inadequate material resources, includes economic problems and poverty, V60.2;
Inhalant related disorders Includes, F18;
volatile solvents
Inhalant abuse, F18.1;
Included as ‘Inhalant Use Disorder’ in DSM-5;
[Uses ICD 9-CM code;
Mild: 305.90;
Moderate: 304.60;
Severe: 304.60];
[Uses ICD 10-CM code;
77
Mild: 18.10;
Moderate: 18.20;
Severe: 18.20];
Inhalant dependence, F18.2;
Included as ‘Inhalant Use Disorder’ in DSM-5;
[Uses ICD 9-CM code;
Mild: 305.90;
Moderate: 304.60;
Severe: 304.60;
[Uses ICD 10-CM code;
Mild: 18.10;
Moderate: 18.20;
Severe: 18.20;
Inhalant-induced anxiety disorder , 292.89;
[Uses ICD 10-CM code;
Mild use disorder: 18.180 ;
Moderate or severe use: 18.280;
Without use disorder: 18.980;
Inhalant-induced depressive disorder , 292.84;
[Uses ICD 10-CM code;
Mild use disorder: 18.14 ;
Moderate or severe use: 18.24;
Without use disorder: 18.94;
Inhalant-induced psychotic disorder , 292.9
;
[Uses ICD 10-CM code;
Mild use disorder: 18.159 ;
Moderate or severe use: 18.259;
Without use disorder: 18.959;
Inhalant intoxication, 292.89;
[Uses ICD 10-CM code;
78
Mild use disorder: 18.129;
Moderate or severe use: 18.229;
Without use disorder: 18.929;
Inhalant intoxication delirium , 292.81;
[Uses ICD 10-CM code;
Mild use disorder: 18.121;
Moderate or severe use: 18.221;
Without use disorder: 18.921;
Inhalant use disorder
[Uses ICD 9-CM code;
Mild use disorder: 305.90;
Moderate or severe use: 304.60;
Without use disorder: 304.60;
[Uses ICD 10-CM code;
Mild: 18.10 ;
Moderate: 18.20;
Severe: 18.20;
Irritability, 799.22
[use this entity only;
1] when no psychiatric syndrome is being diagnosed or
2] when the syndrome being diagnosed does not include these signs or
symptoms, yet the sign or symptom is severe enough to be of clinical
concern]
Insomnia, 780.52;

Included as ‘Insomnia disorder’ in DSM-5;

ICD 10-CM:G47.00] in DSM-5
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15089
Insomnia related to [name disorder], 307.42;

Included as ‘Insomnia Disorder’ in DSM-5;
Insomnia related to depression;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15089
79
Insomnia related to anxiety;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15089
FDA approved medications on Insomnia













Diazepam (Valium)
Estazolam (ProSom)
Eszopiclone (Lunesta)
Flurazepam (Dalmane)
Quazepam (Doral)
Ramelteon (Rozerem)
Temazepam (Restoril)
Triazolam (Halcion)
Zaleplon (Sonata)
Zolpidem (Ambien)
Zolpidem Tartrate (Intermezzo)
Zolpiden ER (Ambien CR)
Zolpimist Oral Spray
Insufficient social insurance or welfare support, V60.2;

[ICD 10-CM: Z59.7]
Intermittent explosive disorder, 312.34 [ICD 10-CM: F63.81]

Listed in DSM -5
Internet gaming disorder, 312.39.
In DSM-5 as a Condition for Further Study
kleptomania, 312.32, [ICD 10-CM F63.2];
Pathological stealing

Listed in DSM -5
Lack of adequate food or safe drinking water, V60.2, Z59.4;
Lack of housing, V60.0;
Learning disorder NOS, 315.9;
80
Low income, V60.2, Z59.6;
Major depressive disorder, recurrent
81
United States Food and Drug Administration (FDA) , *FDA approved treatment for teen depression, + Treatment resistant
depression/ Combination therapy
82
Major depressive disorder, Recurrent episode;
[Uses the ICD 9-CM codes;
In Full Remission: 296.36;
In Partial Remission: 296.35;
Mild: 296.31;
Moderate:296.32;
Severe: 296.33;
With psychotic features: 296.34;
Unspecified: 296.30;
[Uses the ICD 10-CM codes;
In Full Remission: F33.42;
In Partial Remission: F33.41;
Mild: F33.0;
Moderate: F33.1;
Severe: F33.2;
With psychotic features: F33.3;
Unspecified: F33.9;
Major depressive disorder, Single episode;
[Uses the ICD 9-CM codes;
In Full Remission: 296.26;
In Partial Remission: 296.25;
Mild: 296.21;
Moderate:296.22;
Severe: 296.23;
With psychotic features: 296.20;
Unspecified: 296.20;
[Uses the ICD 10-CM codes;
In Full Remission: F32.5;
In Partial Remission: F32.4;
Mild: F32.0;
Moderate: F32.1;
Severe: F32.2;
With psychotic features: F32.3;
Unspecified: F32.9;
Major depressive disorder, single episode, F32;
83
Includes: single episode of agitated depression single episode of depressive reaction
single episode of major depression single episode of psychogenic depression single
episode of reactive depression single episode of vital depression
Major depressive disorder, single episode, mild, F32.0 ;
Major depressive disorder, single episode, moderate, F32.1
Major depressive disorder, single episode, severe without psychotic features, F32.2
Major depressive disorder, single episode, severe with psychotic features, F32.3
Single episode of major depression with mood-congruent psychotic symptoms
Single episode of major depression with mood-incongruent psychotic symptoms
Single episode of major depression with psychotic symptoms
Single episode of psychogenic depressive psychosis
Single episode of psychotic depression
Single episode of reactive depressive psychosis
Major depressive disorder, single episode, in partial remission, F32.4
Major depressive disorder, single episode, in full remission, F32.5
Other depressive episodes, F32.8
Atypical depression
Post-schizophrenic depression
Single episode of 'masked' depression NOS
Major depressive disorder, single episode, unspecified, F32.9
Depression NOS Depressive disorder NOS Major depression NOS
Major depressive disorder, recurrent, F33
Includes: recurrent episodes of depressive reaction recurrent episodes of endogenous
depression recurrent episodes of major depression recurrent episodes of psychogenic
depression recurrent episodes of reactive depressionrecurrent episodes of seasonal
depressive disorder recurrent episodes of vital depression
Major depressive disorder, recurrent, mild, F33.0
Major depressive disorder, recurrent, moderate, F33.1
Major depressive disorder, recurrent severe without psychotic feature, F33.2
Major depressive disorder, recurrent, severe with psychotic symptom, F33.3 s
Endogenous depression with psychotic symptoms
Recurrent severe episodes of major depression with
mood-congruent psychotic symptoms Recurrent severe
episodes of major depression with mood-incongruent
psychotic symptoms Recurrent severe episodes of major
depression with psychotic symptoms
Recurrent severe episodes of psychogenic depressive psychosis
Recurrent severe episodes of psychotic depression
Recurrent severe episodes of reactive depressive psychosis
84
Major depressive disorder, recurrent, in remission, F33.4
Major depressive disorder, recurrent, in remission, unspecified, F33.40;
Major depressive disorder, recurrent, in partial remission F33.41
Major depressive disorder, recurrent, in full remission, F33.42
Other recurrent depressive disorders, F33.8;
Recurrent brief depressive episodes
Major depressive disorder, recurrent, in full remission, 296.36;

[ICD 10-CM:F33.42]

Included in DSM -5
Children and Adolescent with Major depressive disorder;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16309
Adults with Major depressive disorder;
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, recurrent, in partial remission, 296.35

[ICD 10-CM: F33.41]

Included in DSM -5
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, recurrent, mild, 296.31

[ICD 10-CM: F33.0];

Included in DSM -5
Children and Adolescent with Major depressive disorder;
Practice Guideline:
85

http://www.guideline.gov/content.aspx?id=16309
Adults with Major depressive disorder;
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, recurrent, moderate, 296.32;

[ICD 10-CM:F33.1];

Included in DSM -5;
Children and Adolescent with Major depressive disorder;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16309
Adults with Major depressive disorder;
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, recurrent, severe without psychotic features, 296.33

[ICD 10-CM: F33.2];

Included in DSM -5;
Children and Adolescent with Major depressive disorder;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=16309
Adults with Major depressive disorder;
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, recurrent, severe with psychotic features, 296.34

[ICD 10-CM F33.3];

Included in DSM -5
86
`
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, recurrent, NOS;

[ICD 10-CM: F33.9];

Included in DSM -5
Practice Guidelines:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode
Major depressive disorder, single episode, in full remission, 296.26

[ICD 10-CM: F32.5];
Practice Guideline:

www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode, in partial remission, 296.25;

[ICD 10-CM: F32.4];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode, mild, 296.21;

[ICD 10-CM: F32.0];
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode, moderate, 296.22;

[ICD 10-CM: F32.1];
87
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode, severe without psychotic features, 296.23;

[ICD 10-CM: F32.2];
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode, severe with psychotic features, 296.24;

[ICD 10-CM: F32.3];

Included in DSM -5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Major depressive disorder, single episode, NOS, 296.20;

[ICD 10-CM: F32.9];

Included in DSM -5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=37277

http://www.guideline.gov/content.aspx?id=24158
Male dyspareunia due to [name disorder], 608.89;
Psychogenic dyspareunia

[ICD 10-CM F52.6];
Male erectile disorder, 302.72;
FDA approved medication for erectile disorder
88

Avanafil (Stendra)

Vardenafil (Levitra)

Tadalafil (Cialis)

Sildenafil (Revatio, Viagra)
Psychogenic Impotence

[ICD 10-CM F52.21];

Included as ‘Erectile disorder’ in DSM-5;
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=10018

http://www.guideline.gov/content.aspx?id=15652
Male erectile disorder due to [name disorder], 607.84;
Male hypoactive sexual desire disorder [name disorder], 608.89;
[ICD 9-CM: 302.71] [ICD 10-CM F52.0];

Included in DSM -5
Male orgasmic disorder, 302.74;
[ICD 10-CM F52.3];

Included as ‘Delayed ejaculation’ in DSM-5
Malingering, V65.2 [ICD 10-CM Z76.5];

Included in DSM -5
Maltreatment, child ;
Practice Guideline:

http://www.uspreventiveservicestaskforce.org/uspstf13/childabuse/childmaltr
eatfinalrs.pdf
Mathematical disorder, 315.1;
Acalculia Developmental arithmetical disorder
Developmental Geretmann’s syndrome

[Used ICD 10-CM code: F81.2]
89

‘Specific learning disorder: With impairment in mathematics’ in DSM-5;
Medication-induced acute akathisia
Medication-induced acute dystonia
Medication-induced delirium (for ICD-10-CM codes, see specific
substances)
Medication-induced postural tremor
333.99
333.72
292.81
G25.71
G24.02
333.1
G25.1
Medication-induced movement disorder, 333.90;
Medication-induced postural tremor, 333.1;

[ICD 10-CM: G25.1];

Included in DSM -5
Mental disorder NOS due to [name disorder], 293.9;

Included as ‘Intellectual disability (intellectual developmental disorder)’;

[Uses ICD 9-CM code: 319]
Mental retardation, [Some psychiatrists who specialize in these disorder prefer
“Intellectual disability, but that term has not yet become part of ICD-9-CM.]
Mild, 317;
 IQ level 50-55 to approximately 70;
Mild mental subnormality
[Included as ‘Mild Intellectual disabilities’ in ICD 10-CM: F70];

Included in DSM-5
Moderate, 318.0;

IQ level 35-40 to 50-55;
Moderate mental subnormality;
‘Moderate Intellectual disabilities’ in ICD 10-CM F71;

Included in DSM -5
Severe, 318.1 [IQ 20-34];

[Uses ICD 10-CM code: F72];

Included as ‘Severe Intellectual disabilities in ICD 10-CM;

IQ 20-25 to 35-40
Severe mental subnormality
Profound, 318.2 [IQ <20];
90

[Uses ICD 10-CM code: F73];

Included as ‘Profound intellectual disabilities’ in ICD 10-CM;

IQ level below 20-25
Unspecified, [319] [ICD 10-CM F79]
Mild mental retardation, 317 [IQ 50-70];

[ICD 9-CM code in DSM-5: 319] [ICD 10-CM: F70];

Included in DSM -5
Mild frontotemporal neurocognitive disorder, 331.83; G31.84
Mild neurocognitive disorder due to Alzheimer’s disease, 331.83; G31.84
Mild neurocognitive disorder due to another medical condition, 331.83; G31.84
Mild neurocognitive disorder due to HIV infection, 331.83; G31.84
Mild neurocognitive disorder due to Huntington’s disease, 331.83; G31.84
Mild neurocognitive disorder due to multiple etiologies, 331.83; G31.84
Mild neurocognitive disorder due to Parkinson’s disease, 331.83; G31.84
Mild neurocognitive disorder due to prion disease, 331.83; G31.84
Mild neurocognitive disorder due to traumatic brain injury 331.83 G31.84
Mild neurocognitive disorder with Lewy bodies , 331.83; G31.84
Mild vascular neurocognitive disorder , 331.83; G31.84
[All ‘Mild neurocognitive disorders’ are not new to ICD 9-CM or ICD 10-CM];
Mixed receptive-expressive language disorder, 315.31;


[Used ICD 10-CM code: F80.2]
Not Included in DSM-5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=38435

http://www.guideline.gov/content.aspx?id=36085
91
Moderate mental retardation, 318.0 [IQ 35-49];

[ICD 10-CM F71]
Mood (affective) disorders (F30-F39)
Manic episode, F30;
Includes: bipolar disorder, single manic episode mixed affective episode
Manic episode without psychotic symptoms, F30.1;
Manic episode without psychotic symptoms, unspecified, F30.10;
Manic episode without psychotic symptoms, mild, F30.12;
Manic episode without psychotic symptoms, moderate
F30.13 Manic episode, severe, without psychotic symptoms
Manic episode, severe with psychotic symptoms, F30.2;
Manic stupor
Mania with mood-congruent psychotic symptoms
Mania with mood-incongruent psychotic symptoms
Manic episode in partial remission, F30.3 ;
Manic episode in full remission, F30.4;
Other manic episodes, F30.8;
Hypomania
Manic episode, unspecified, F30.9
Mania NOS
Mood disorder due to [name disorder], 293.83

Included as ‘Depressive disorder due to another medical condition’ in DSM-5;
[Uses the three ICD 10-CM codes;
With depressive features, F06.31;
With major depressive-like episode, F06.32;
With mixed features, F06.34]

Included in DSM-5
Practice Guideline:

http://www.guideline.gov/content.aspx?id=24158
Mood disorder NOS, 296.90;
Narcissistic personality disorder, 301.89;

[ICD 10-CM F60.81]
92

Included in DSM-5
Narcolepsy, 347 [ICD 10-CM: G47.419];
FDA approved medications for Narcolepsy
 Dextroamphetamine (Dexedrine)

Methamphetamine (Desoxyn)

Methylphenidate (Ritalin)

Sodium oxybate (Xyrem)

armodafinil (NuVigil)

Modafinil (Provigil); for excessive sleepiness associated with:
1] shift-work sleep disorder
2] obstructive sleep apnea

Autosomal dominant cerebellar ataxia, deafness, and narcolepsy [ICD 10-CM:
G47.419]

Autosomal dominant cerebellar ataxia, obesity, and type 2 diabetes[ICD 10-CM:
G47.419]

Narcolepsy secondary to another medical condition [ICD 9-CM: 347.10]
[ICD 10-CM: G47.429]

Narcolepsy with cataplexy but without hypocretin deficiency[ICD 9-CM: 347.01]
[ICD 10-CM: G47.411]

Narcolepsy without cataplexy but with hypocretin deficiency [ICD 9-CM: 347.00]
[ICD 10-CM: G47.419]

Included in DSM -5
Practice Guideline:

http://www.guideline.gov/content.aspx?id=39214
ND-PAE = Neurobehavioral disorder associated with prenatal alcohol exposure.
Neglect of child, V61.21
Practice Guideline:

http://www.guideline.gov/content.aspx?id=24535
Neglect of child, 995.5 [if focus of attention in on the victim]
Nervousness, 799.21 use this entity only;
1] when no psychiatric syndrome is being diagnosed or
93
2] when the syndrome being diagnosed does not include these signs or
symptoms, yet the sign or symptom is severe enough to be of clinical
concern]
Neurasthenia, 300.5 ;
Neurobehavioral disorder associated with prenatal alcohol exposure [ND-PAE], 760.71
Neuroleptic-induced [heading]
FDA approved neuroleptics;
Neuroleptic-induced acute akathisia, 333.99;

[ICD 10-CM: G25.71]

Included as ‘Medication-induced acute akathisia’ and ‘Tardive akathisia;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=14313
Neuroleptic-induced acute dystonia, 333.7;

[ICD 10-CM: G24.09]
Neuroleptic-induced parkinsonism, 332.1 [ICD 10-CM: G21.11]

Included in DSM -5
Practice Guideline:
94

http://www.guideline.gov/content.aspx?id=32493
Neuroleptic-induced tardive dyskinesia, 333.85 [ICD 10-CM:G24.01]

Included in DSM -5
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/Atypi
cal_Antipsychotic_Medications_Web.pdf
Neuroleptic malignant syndrome, 333.92 [ICD 10-CM: G21.0]
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/docs/practice_parameters/Atypi
cal_Antipsychotic_Medications_Web.pdf

http://ajp.psychiatryonline.org/article.aspx?articleid=98476

Included in DSM -5
Niacin deficiency 265.2 [ICD-10-CM: E52];
Nicotine-related disorders
FDA approved for Nicotine Dependence

Bupropion

Varenicline
Nicotine dependence F17.2
Nicotine dependence, unspecified, F17.20
Nicotine dependence, unspecified, uncomplicated, F17.200
Nicotine dependence, unspecified, in remission, F17.201
Nicotine dependence unspecified, with withdrawal, F17.203
Nicotine dependence, unspecified, with other nicotine-induced,
disorders, F17.208
Nicotine dependence, unspecified, with unspecified nicotine-induced
disorders,
Nicotine dependence, cigarette, F17.21s
Nicotine dependence, cigarettes, uncomplicated, F17.210
Nicotine dependence, cigarettes, in remission , F17.211
Nicotine dependence, cigarettes, with withdrawal, F17.213
95
Nicotine dependence, cigarettes, with other nicotine-induced,
disorders, F17.218
Nicotine dependence, cigarettes, with unspecified nicotine-induced
disorders, F17.219
Nicotine dependence, chewing tobacco, F17.22
Nicotine dependence, chewing,
F17.220
tobacco, uncomplicated
F17.221 Nicotine dependence,
chewing tobacco, in remission
F17.223 Nicotine dependence,
chewing tobacco, with withdrawal
F17.228 Nicotine dependence, chewing tobacco, with other
nicotine-induced disorders
F17.229 Nicotine dependence, chewing tobacco, with
unspecified nicotine-induced disorders
F17.29 Nicotine dependence, other tobacco product
F17.290 Nicotine dependence, other tobacco product, uncomplicated
F17.291 Nicotine dependence, other tobacco product, in remission
F17.293 Nicotine dependence, other tobacco product, with withdrawal
F17.298 Nicotine dependence, other tobacco product, with other
nicotine-induced disorders
F17.299 Nicotine dependence, other tobacco product, with
unspecified nicotine-induced disorders
Nicotine dependence, 305.10
Practice Guideline:

http://www.guideline.gov/content.aspx?id=36845
Nicotine-related disorder NOS, 292.9;
Nicotine withdrawal, 292.0;
Nightmare disorder, 307.47;

[ICD 10-CM F51.5];
Practice Guideline:
96

http://www.guideline.gov/content.aspx?id=24180
No diagnosis, 799.9;
Nonadherence to medical treatment
V15.81
Z91.19
No disease found, V71.9;
Non-24 hour sleep disorder, use the Circadian Rhythm Sleep Disorder title that best fits
the patient's condition. For example, for a blind patient whose sleep patterns
are advanced, "327 32 Circadian Rhythm Sleep Disorder, Advance Sleep Phase Type
[might also want to use one of the codes for blindness, 369.0x].
Noncompliance with treatment, V15.81 [ICD 10-CM: Z91.19]
Included as ‘Nonadherence to medical treatment’ in DSM -5;
Nondependent abuse of drugs, 305
Nonorganic psychoses, other, 298
Nonpsychotic mental disorder, unspecified, 300.89
Nonsuicidal self-injury, 300.9
Obsessive-compulsive disorders [ heading]
FDA approved drugs for Obsessive-Compulsive Disorder

Clomipramine (Anafranil)*

Fluvoxamine Maleate (Luvox)*

Fluoxetine (Prozac)*

Paroxetine Hydrochloride (Paxil)

Sertraline HCl (Zoloft)*

Approved by FDA for OCD treatment in children
Obsessive-compulsive disorders, 300.3 [ICD 10-CM F42.0]
Anancastic neurosis
Obsessive-compulsive neurosis

Included in DSM -5
Practice Guideline:
http://psychiatryonline.org/content.aspx?bookid=28&sectionid=40634994
Obsessive-compulsive personality disorder, 301.4 [ICD 10-CM F60.5];
97
Anankastic personality (disorder)
Compulsive personality (disorder)
Obsessional personality (disorder)

Included in DSM -5
Practice Guideline:

http://psychiatryonline.org/content.aspx?bookid=28&sectionid=1678180
Obsessive-compulsive and related disorder due to another medical condition, 294.8,
[ICD 10-CM: F06.8]
Occupational problem, V62.2
Olfactory reference disorder, 300.3 [ICD 10-CM: F42]
Person is preoccupied with the belief that they are emitting a foul or offensive
odor

Not included in DSM-5;
Opioid disorders
United Food and Drug Administration
Opioid abuse, 305.50;
Included as ‘Opioid use disorder’ in DSM-5;
[Uses three ICD 9-CM codes;
Mild: 305.50;
For Moderate or Severe disorder: 304.00;
For without use disorder: 304.00]
[Uses three ICD 10-CM codes;
98
Mild: F11.10;
For Moderate or Severe disorder: F11.20;
For without use disorder: F11.20]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15676
Opioid dependence, 304.00;
Included as ‘Opioid use disorder’ in DSM-5;
[Uses three ICD 9-CM codes;
Mild: 305.50;
For Moderate or Severe disorder: 304.00;
For without use disorder: 304.00]
[Uses three ICD 10-CM codes;
Mild: F11.10;
For Moderate or Severe disorder: F11.20;
For without use disorder: F11.20]
Substance use disorders;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15676
Opioid-induced mood disorder, 292.84 [ICD 10-CM: F11]
Included as ‘Opioid-induced depressive disorder’ in DSM-5
[Uses three ICD 10-CM codes;
Mild: F11.14;
Moderate to severe disorder: F11.24;
Without use disorder: F11.94];
Opioid-induced psychotic disorder with delusions, 292.11
Opioid-induced psychotic disorder with hallucinations, 292.12
Opioid-induced sexual disorder, 292.89;
[Uses three ICD 10-CM codes;
99
Mild: F11.181;
Moderate to severe disorder: F11.281;
Without use disorder: F11.981];
Opioid-induced sleep disorder, 292.89;
Included as ‘Nonorganic sleep disorder’ in DSM-5
[Uses three ICD 10-CM codes;
Mild: F11.182;
Moderate to severe disorder: F11.282;
Without use disorder: F11.982];
Opioid-induced delirium F11.921
Opioid intoxication, 292.89;
With perceptual disturbances;
[Uses three ICD 10-CM codes;
Mild: F11.122;
Moderate to severe disorder: F11.229;
Without use disorder: F11.922];
Without perceptual disturbances;
[Uses three ICD 10-CM codes;
Mild: F11.129;
Moderate to severe disorder: F11.229;
Without use disorder: F11.929];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15676
Opioid intoxication delirium;
[Uses three ICD 10-CM codes;
Mild: F11.121;
Moderate to severe disorder: F11.221;
Without use disorder: F11.921];
Opioid-induced anxiety disorder;
100
[Uses three ICD 10-CM codes;
Mild: F11.188;
Moderate to severe disorder: F11.288;
For without use disorder: F11.988];
Opioid-related disorder NOS, 292.9;
[Uses three ICD 9-CM codes;
Mild: F305.50;
Moderate to severe disorder: 304.00;
Without use disorder: 304.00];
[Uses three ICD 10-CM codes;
Mild: F11.10;
Moderate to severe disorder: F11.20;
Without use disorder: F11.20];
Opioid withdrawal, 292.0 [ICD 10-CM: F11.23]

Included in DSM-5
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=37631

www.guideline.gov/content.aspx?id=16313
Oppositional defiant disorder, 313.81
[Included in ICD 10-CM: F91.3]
Practice Guidelines:

http://www.aacap.org/App_Themes/AACAP/docs/resource_centers/odd/odd_
resource_center_odd_guide.pdf

http://www.guideline.gov/content.aspx?id=44087
Other adverse effect of medication;
[Uses three ICD 9-CM codes;
For Initial encounter: 995.20;
For Sequelae: 995.20
For Subsequent encounter: 995.20]
101
[Uses three ICD 10-CM codes;
For Initial encounter: T50.905A; For Sequelae:
T50.905S
For Subsequent encounter: T50.905D]
Other Childhood disintegrative disorder;

[Used ICD 10-CM code: F84.3]
Other circumstances related to child neglect;
Encounter for mental health services for perpetrator of nonparental child neglect
V62.83, [ICD 10-CM: Z69.021];
Encounter for mental health services for perpetrator of parental child neglect V61.22,
[ICD 10-CM: Z69.011];
Encounter for mental health services for victim of child neglect by parent V61.21, [
ICD 10-CM: Z69.010];
Encounter for mental health services for victim of non-parental child neglect Z61.21,
[ICD 10-CM: Z69.020] ;
Parental history (past history) of neglect in childhood V15.42, [ICD 10-CM:
Z62.812];
Other circumstances related to child physical abuse;
Encounter for mental health services for perpetrator of non-parental child abuse,
V62.83 [ICD 10-CM: Z69.021];
Encounter mental health services for perpetrator of parental child abuse
V61.22, ICD 10-CM: Z69.011];
Encounter mental health services for victim of child abuse by parent 61.21,
[ICD 10-CM: Z69.010];
Other circumstances related to child psychological abuse
Encounter for mental health services for perpetrator of
V62.83 Z69.021
nonparental child psychological abuse;
Encounter for mental health services for perpetrator of parental
V61.22 Z69.011
child psychological disorder abuse;
Encounter for mental health services for victim of child
V61.21 Z69.010
psychological abuse by parent;
Encounter for mental health services for victim of nonparental
V61.21 Z69.020
child psychological abuse;
Personal history (past history) of psychological abuse in childhood V15.42 62.811
Other circumstances to child sexual abuse;
Encounter for mental health services for perpetrator of
nonparental child sexual abuse;
V62.83 Z69.021
102
Encounter for mental health services for perpetrator of parental
V61.22
child sexual abuse ;
Encounter for mental health services for victim of child sexual
V61.21
abuse by parent ;
Encounter for mental health services for victim of nonparental
V61.21
child sexual abuse;
Personal history (past history) of sexual abuse in childhood;
V15.41
Other circumstances related to adult abuse by nonspouse or nonpartner
Encounter for mental health services for perpetrator of
V62.83
nonspousal adult abuse;
Encounter for mental health services for victim of nonspousal
V65.49
adult abuse ;
Z69.011
Z69.010
Z69.020
Z62.810
Z69.82
Z69.81
Other circumstances related to spouse or partner abuse, Psychological
Encounter for mental health services for perpetrator of spouse or
V61.12 Z69.12
partner psychological abuse;
Encounter for mental health services for victim of spouse or
V61.11 Z69.11
partner psychological abuse ;
Personal history (past history) of spouse or partner
V15.42 Z91.411
psychological abuse ;
Other circumstances related to spouse or partner neglect
Encounter for mental health services for perpetrator of spouse or
partner neglect;
Encounter for mental health services for victim of spouse or
partner neglect;
Personal history (past history) of spouse or partner neglect
Other circumstances related to spouse or partner, Physical
Encounter for mental health services for perpetrator of spouse or
partner violence, Physical
Encounter for mental health services for victim of spouse or
partner violence, Physical;
Personal history (past history) of spouse or partner violence,
Physical
V61.12
Z69.12
V61.11 Z69.11
V15.42 Z91.412
V61.12 Z69.12
V61.11 Z69.11
V15.41 Z91.410
Other circumstances related to spouse or partner violence, Sexual
Encounter for mental health services for perpetrator of spouse or
partner violence, Sexual;
Encounter for mental health services for victim of spouse or
partner violence, Sexual;
Personal history (past history) of spouse or partner violence,
Sexual
V61.11 Z69.81
Other counseling or consultation
V65.40 Z71.9
V61.12 Z69.12
V15.41 Z91.410
Other hallucinogen-induced anxiety disorder, 292.89;
103
[Uses three ICD 10-CM codes;
Mild: F16.180;
Moderate or Severe use disorder: F16.280;
Without use disorder: F16.980];
Other hallucinogen-induced bipolar and related disorder, 292.84;
[Uses three ICD 10-CM codes;
Mild: F16.14;
Moderate or Severe use disorder: F16.24;
Without use disorder: F16.94];
Other hallucinogen-induced depressive disorder, 292.84;
[Uses three ICD 10-CM codes;
Mild: F16.14;
Moderate or Severe use disorder: F16.24;
Without use disorder: F16.94];
Other hallucinogen-induced psychotic disorder, 292.9;
[Uses three ICD 10-CM codes;
Mild: F16.159;
Moderate or Severe use disorder: F16.259;
Without use disorder: F16.959];
Other hallucinogen intoxication, 292.89;
[Uses three ICD 10-CM codes;
Mild: F16.129;
Moderate or Severe use disorder: F16.229;
Without use disorder: F16.929];
Other hallucinogen intoxication delirium, 292.81;
[Uses three ICD 10-CM codes;
Mild: F16.121;
Moderate or Severe use disorder: F16.221;
Without use disorder: F16.921];
Other hallucinogen use disorder
[Uses three ICD 9-CM codes;
104
Mild: 305.30;
Moderate: 304.50;
Severe: 304.50];
[Uses three ICD 10-CM codes;
Mild: F16.10;
Moderate: F16.20;
Severe: F16.20];
Other medication-induced movement disorder
333.99
G25.79
Other medication-induced parkinsonism
332.1
G21.19
Other personal history of psychological trauma
V15.49
Z91.49
Other personal risk factors
V15.89
Z91.89
Other problem related to employment
V62.29
Z56.9
Other problem related to psychosocial circumstances
V62.89
Z65.8
Other sexual dysfunction not duet to a substance or known physiological condition
Sexual dysfunction NOS
Other specified anxiety disorder
300.09
F41.8
Other specified attention-deficit/hyperactivity disorder
314.01
F90.8
Other specified bipolar and related disorder
296.89
F31.89
Other specified delirium
780.09
R41.0
Other specified depressive disorder
311
F32.8
Other specified disruptive, impulsive-control, and conduct disorder 312.89
F91.8
Other specified dissociative disorder
300.15
F44.89
Other specified elimination disorder
With fecal symptoms
787.60
R15.9
With urinary symptoms
788.39
N39.498
Other specified feeding or eating disorder
307.59
F50.8
Other specified gender dysphoria
302.6
F64.8
Other specified hypersomnolence disorder
780.54
G47.19
Other specified insomnia disorder
780.52
G47.09
Other specified mental disorder
300.9
F99
Other specified mental disorder due to another medical condition, 294.38
[Uses the ICD 10-CM code: F06.8];
Other specified bipolar and related disorder ,
Other specified neurodevelopmental disorder
Other specified obsessive-compulsive and related disorder
Other specified paraphilic disorder
296.89
315.8
300.3
302.89
F31.89
F88
F42
F65.89
Other specified personality disorder
301.89
F60.89
Other specified schizophrenia spectrum and other psychotic disorder
Other specified sexual dysfunction
298.8
302.79
F28
F52.8
105
Other specified sleep-wake disorder
780.359
G47.8
Other specified somatic symptom and related disorder, 300.89; [ICD 10-CM: F45.8]
Other specified tic disorder
307.20
Other specified trauma-and stressor-related disorder
309.89
Other (or unknown)substance-induced anxiety disorder
292.89
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced bipolar and related disorder 292.84
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced delirium
Other (or unknown) substance-induced depressive disorder
292.84
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced major neurocognitive
292.82
disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced mild neurocognitive
292.89
disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced obsessive-compulsive
292.89
and related disorder
With mild use disorder
With moderate use disorder
Without use disorder
Other (or unknown) substance-induced psychotic disorder
292.9
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced bipolar and related disorder 292.84
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced delirium
Other (or unknown) substance-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
F95.8
F43.8
F19.180
F19.280
F19.980
F19.14
F19.24
F19.94
F19.921
F19.14
F19.24
F19.94
F19.17
F19.27
F19.97
F19.188
F19.288
F19.988
F19.188
F19.288
F19.988
F19.159
F19.259
F19.959
F19.14
F19.24
F19.94
F19.921
292.84
F19.14
F19.24
F19.94
106
Other (or unknown) substance-induced sexual dysfunction
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
F19.982
Other (or unknown) substance intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance use disorder
Mild
Moderate
Severe
Other (or unknown) substance withdrawal
Other (or unknown) substance withdrawal delirium
Other or unspecified stimulant use disorder
Mild
Moderate
Severe
292.89
F19.181
F19.281
F19.981
292.85
F19.182
F19.282
292.89
F19.129
F19.229
F19.929
292.81
F19.121
F19.221
F19.921
305.90
304.90
304.90
292.0
292.0
F19.10
F19.20
F19.20
F19.239
F19.231
305.70
304.40
304.40
F15.10
F15.20
F15.20
Other female sexual dysfunction due to [name disorder], 625.8
Other male sexual dysfunction due to [name disorder], 608.89
Other substance Abuse, 305.90
Other substance Dependence, 304.00
Other substance-induced anxiety disorder, 291.89
Other substance-induced mood disorder, 292.84
Other substance-induced persisting amnestic disorder, 292.83
Other substance-induced persisting dementia, 292.82
Other substance-induced psychotic disorder, with delusions, 292.11
Other substance-induced psychotic disorder, with hallucinations, 292.12
Other substance-induced sexual disorder, 292.89
107
Other substance-induced sleep disorder, 292.89 [Listed as ‘Nonorganic sleep
disorder’ in ICD 10-CM F51.0]
Other substance intoxication, 292.89
Other substance-related disorder NOS, 292.9
Other substance withdrawal, 292.0
Overweight or obesity, 278.00, E66.9;
Pain disorders related to psychological factors, 307.8
Psychogenic pain, site unspecified 307.80
Psychogenic pain, site specified, 307.89 [Code first the site of the pain]
Panic disorder with agoraphobia, 300.21;
ICD 10-CM: F40.01
Agoraphobia with panic disorder
Panic disorder [episodic paroxysmal anxiety] without agoraphobia [ICD 10-CM:F41.0]

Included as ‘Panic Disorder’ in DSM-5;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=14230
Panic disorder without agoraphobia, 300.01;

Included as ‘Agoraphobia without panic disorder’ in ICD 10-CM: F40.02;

Included as ‘Panic Disorder’ in DSM-5;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=14230
FDA approved medications for panic disorder;
SSRI;

Paroxetine Hydrochloride (Paxil)

Paroxetine Hydrochloride (Paxil CR)

Sertraline HCl (Zoloft)

Fluoxetine (Prozac)
SNRI;
108

Venlafaxine hydrochloride (Effexor XR)
Benzodiazepine;

Alprazolam (Niravam, Xanax)

Clonazepam (Klonopin)

Lorazepam (Ativan)
Paranoid personality disorder, 301.0 [ICD 10-CM F60.0];

Included in DSM -5
Partner abuse;
Practice Guideline:

http://www.uspreventiveservicestaskforce.org/uspstf12/ipvelder/ipvelderfinal
rs.htm
Pathological gambling, 312.31 [ICD 10-CM F63.0];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=39327
Parent-child relational problem; V61.20, Z62.820;
Pedophilia, 302.2;
Included as ‘Pedophilic disorder’ in DSM-5;

[Used ICD 10-CM: F65.4]
Pellagra 265.2 [ICD-10-CM: E52]
Persistent (chronic) motor or vocal tic disorder
Persistent complex bereavement disorder, 309.0
Introduced in DSM-5 as a Condition for Further Study
Personality change due to [name the disorder], 310.1;
Personality disorder, 301 [Heading]
Personality disorder NOS, 301.9;
Personality and behavioral disorders due to known physiological condition [F07];
Personality change due to known physiological condition
Code first underlying physiological condition
109
Other personality and behavioral disorders due to known physiological
condition [F07.8];
Use additional code to identify associated post-traumatic headache, if applicable
[G44.3-]
Other personality and behavioral disorders due to known physiological
condition [F07.89];
Postencephalitic syndrome
Right hemispheric organic affective disorder
Unspecified personality and behavioral disorder due to known physiological
condition [F07.9]
Organic psychosyndrome
Pervasive personality disorder NOS, 299.80;
Practice Guideline:

http://ajp.psychiatryonline.org/article.aspx?articleID=100035
Phase of life problem, V62.89;
Phencyclidine disorders
Phencyclidine Abuse, 305.90;
Included as ‘Phencyclidine use disorder’ in DSM-5;
[Uses three ICD 9-CM codes:
Mild: 305.90;
Moderate: 304.60;
Severe: 304.60;
[Uses three ICD 10-CM codes:
Mild: 16.10;
Moderate: 16.20;
Severe: 16.320];
Phencyclidine Dependence, 304.90;
Included as ‘Phencyclidine Use Disorder’ in DSM-5;
Phencyclidine-induced anxiety disorder, 291.89;
[Uses three ICD 10-CM codes;
110
Mild: F16.180;
Moderate or Severe use disorder: F16.280;
Without use disorder: F16.980];
[ICD 9-CM: 292.89 in DSM -5];
Phencyclidine-induced mood disorder, 292.84;
Included as ‘Phencyclidine-induced bipolar and related disorder’ in DSM-5;
[Uses three ICD 10-CM codes;
Mild: F16.14;
Moderate or Severe use disorder: F16.24;
Without use disorder: F16.94];
Included as ‘Phencyclidine-induced depressive disorder in DSM;
[Uses three ICD 10-CM codes;
Mild: F16.14;
Moderate or Severe use disorder: F16.24;
Without use disorder: F16.94];
Phencyclidine-induced psychotic disorder, with delusions, 292.11;
Included as ‘Phencyclidine-induced psychotic disorder’ in DSM-5;
[Uses three ICD 10-CM;
Mild: F16.159;
Moderate or Severe use disorder: F16.259;
Without use disorder: F16.959];

[ICD 9-CM: 292.9 in DSM-5]
Phencyclidine-induced psychotic disorder, with hallucinations, 292.12;
Phencyclidine intoxication, 292.89;
[Uses three ICD 10-CM;
Mild: F16.129;
Moderate or Severe use disorder: F16.229;
Without use disorder: F16.929];
Phencyclidine intoxication delirium, 292.81;
111
[Uses three ICD 10-CM;
Mild: F16.121;
Moderate or Severe use disorder: F16.221;
Without use disorder: F16.921];
Phencyclidine-related disorder NOS, 292.9;
Phencyclidine withdrawal, 292.0;
Phobias
Note that the following list is of conditions that do not necessarily reach the level of a
“Disorder,” may lack the necessary degree of clinically significant distress or disability to be
regarded as a Disorder. Still, it often helps folks to understand what circumstances make
them uncomfortable, more specifically fearful.
Algophobia - Fear of pain.
Agoraphobia - Fear of open spaces or crowds.
Aichmophobia - Fear of needles or pointed objects.
Amaxophobia - Fear of riding in a car.
Androphobia - Fear of men.
Anginophobia - Fear of angina or choking.
Anthrophobia - Fear of flowers.
Anthropophobia - Fear of people or society.
Aphenphosmphobia - Fear of being touched.
Arachnophobia - Fear of spiders.
Arithmophobia - Fear of numbers.
Astraphobia - Fear of thunder and lightening.
Ataxophobia - Fear of disorder or untidiness.
Atelophobia - Fear of imperfection.
Atychiphobia - Fear of failure.
Autophobia - Fear of being alone.
Bacteriophobia - Fear of bacteria.
Barophobia - Fear of gravity.
Bathmophobia - Fear of stairs or steep slopes.
Batrachophobia - Fear of amphibians.
Belonephobia - Fear of pins and needles.
Bibliophobia - Fear of books.
Botanophobia - Fear of plants.
Cacophobia - Fear of ugliness.
Catagelophobia - Fear of being ridiculed.
Catoptrophobia - Fear of mirrors.
Chionophobia - Fear of snow.
Chromophobia - Fear of colors.
Chronomentrophobia - Fear of clocks.
Claustrophobia - Fear of confined spaces.
Coulrophobia - Fear of clowns.
Cyberphobia - Fear of computers.
Cynophobia - Fear of dogs.
Dendrophobia - Fear of trees.
Dentophobia - Fear of dentists.
Domatophobia - Fear of houses.
112
Dystychiphobia - Fear of accidents.
Ecophobia - Fear of the home.
Elurophobia - Fear of cats.
Entomophobia - Fear of insects.
Ephebiphobia - Fear of teenagers.
Equinophobia - Fear of horses.
Gamophobia - Fear of marriage.
Genuphobia - Fear of knees.
Glossophobia - Fear of speaking in public.
Gynophobia - Fear of women.
Heliophobia - Fear of the sun.
Hemophobia - Fear of blood.
Herpetophobia - Fear of reptiles.
Hydrophobia - Fear of water.
Hypochonria - Fear of illness.
Iatrophobia - Fear of doctors.
Insectophobia - Fear of insects.
Koinoniphobia - Fear of rooms.
Leukophobia - Fear of the color white.
Lilapsophobia - Fear of tornadoes and hurricanes.
Lockiophobia - Fear of childbirth.
Mageirocophobia - Fear of cooking.
Megalophobia - Fear of large things.
Melanophobia - Fear of the color black.
Microphobia - Fear of small things.
Mysophobia - Fear of dirt and germs.
Necrophobia - Fear of death or dead things.
Neophobia – fear of newness, such as a new place to life, such as a
new-appearing medication
Noctiphobia - Fear of the night.
Nosocomephobia - Fear of hospitals.
Nyctophobia - Fear of the dark.
Obesophobia - Fear of gaining weight.
Octophobia - Fear of the figure 8.
Ombrophobia - Fear of rain.
Ophidiophobia - Fear of snakes.
Ornithophobia - Fear of birds.
Papyrophobia - Fear of paper.
Pathophobia - Fear of disease.
Pedophobia - Fear of children.
Philophobia - Fear of love.
Phobophobia - Fear of phobias.
Podophobia - Fear of feet.
Porphyrophobia - Fear of the color purple.
Pteridophobia - Fear of ferns.
Pteromerhanophobia - Fear of flying.
Pyrophobia - Fear of fire.
113
Samhainophobia - Fear of Halloween.
Scolionophobia - Fear of school.
Selenophobia - Fear of the moon.
Sociophobia - Fear of social evaluation.
Somniphobia - Fear of sleep.
Tachophobia - Fear of speed.
Technophobia - Fear of technology.
Tonitrophobia - Fear of thunder.
Trypanophobia - Fear of needles / injections.
Venustraphobia - Fear of beautiful women.
Verminophobia - Fear of germs.
Wiccaphobia - Fear of witches and witchcraft.
Xenophobia - Fear of strangers or foreigners.
Zoophobia - Fear of animals.
Phobic disorders, 300.2;
Phonological disorder, 315.39;

Included as ‘Speech sound disorder’ in DSM-5;

[Used ICD 10-CM code: F80.0]
Physical abuse of adult, V61.1;
Practice Guidelines:

http://www.uspreventiveservicestaskforce.org/uspstf12/ipvelder/ipvelderfina
lrs.htm

http://www.guideline.gov/content.aspx?id=34018
Physical abuse of adult [if the victim], 995.81;
Physical abuse of child, V61.21;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=37948
Physical abuse of child [if victim], 995.5;
Personal history of military deployment, V62.22 [ICD 10:CM: Z91.82];
Personal history of self-harm, V15.59 [ICD 10-CM: Z91.5];
Pica, 307.52;
Included as ‘Other eating disorders’ in ICD 10-CM;
Pica in adults;
Psychogenic loss of appetite;
114
In adults [ICD 10-CM: F50.8]
In children [ICD 10-CM: F98.3]
Polysubstance dependence, 304.80;
Presenile dementia, 290.1;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=37906
Psychic factors associated with diseases classified elsewhere, 316;
Physiological malfunctioning arising from mental factors, 306 [Heading]
Post-traumatic stress disorder, 309.81;

[ICD 10-CM F43.1];

Included in DSM-5;
Traumatic neurosis;
Post-traumatic stress disorder, unspecified [F43.10]
Post-traumatic stress disorder, acute [F43.11];
Post-traumatic stress disorder, chronic [F43.12];
Children and Adolescent with Post-traumatic disorder;
Practice Guideline:
 http://www.jaacap.com/article/S0890-8567(10)00082-1/abstract
Adults with Post-traumatic disorder;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=25628
Nightmare disorder in adults;
Practice Guideline:

www.guideline.gov/content.aspx?id=24180
FDA approved medication for PTSD

Sertraline (Zoloft)
115

Paroxetine (Paxil)
Premature ejaculation, 302.75 [ICD 10-CM F52.4]
Included as ‘Premature (early) ejaculation’ in DSM-5;
Premenstrual dysphoric disorder, 625.4. [new, from DSM-5];
In ICD-9-CM as “premenstrual syndrome” or “premenstrual tension”;
ICD-10-CM uses N94.3 for both premenstrual syndrome and premenstrual
tension;
Primary hypersomnia, 307.44;
[Uses the ICD 10-CM code: F51.1];
Included as ‘Hypersomnolence Disorder’ in DSM-5;
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=15089

http://www.guideline.gov/content.aspx?id=39214
Primary insomnia, 307.42;
Idiopathic insomnia;

[Uses ICD 10-CM code: F51.01];

Included as ‘Insomnia Disorder’ in DSM-5;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15089
FDA approved drugs for Insomnia

Zolpidem Tartrate Sublingual tablet (Intermezzo)

Zolpidem Tartrate ER (Ambien CR)

Zaleplon (Sonata)

Eszopiclone (Lunesta)
116

Estazolam (Proson)

Flurazepam Hydrochloride (Dalmane)

Quazepam (Doral)

Temazepam (Restoril)

Triazolam (Halcion)

Doxepin (Silenor)
Profound mental retardation, 318.2;
Profound Intellectual disabilities;

[ICD 10-CM F73];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=33135
Problem related to living alone
V60.3
Z60.2
Problem related to living in a residential institution
V60.6
Z59.3
Problems related to multiply
V61.5
Z64.1
Problems related to legal circumstances
V62.
Z65.3
Problems related to release from prison
V62.5
Z65.2
Problems related to unwanted pregnancy
V61.7
Z64.0
Pseudobulbar effect, [ICD 10-CM: F48.2];
Psychogenic pain, site unspecified, 307.80
Psychogenic pain, site specified, 307.89. Specify site first.
Psychophysiologic Insomnia [ICD 10-CM: 51.04];
Psychological factors affecting medical conditions, 316;
Included as ‘Psychological factors affecting other medical condition’;
117
Psychotic disorder due to [name somatic illness] with delusions, 293.81;

[Uses the ICD 10-CM: F06.2];

Included in DSM -5
Psychotic disorder due to [name somatic illness] with hallucinations, 293.82;

[Uses the ICD 10-CM: F06.0];
Included as ‘Psychotic disorder due to another medical condition, With
hallucinations’ in DSM-5; Organic hallucinatory state (nonalcoholic);

Included in DSM -5
Psychotic disorder NOS, 298.9
Practice Guideline:

http://ajp.psychiatryonline.org/article.aspx?articleID=100698
Pyromania, 312.33;
Pathological fire-setting;

[ICD 10-CM F63.1];

Included in DSM -5
Rapid eye movement sleep behavior disorder, 327.42 [new, from DSM-5];

[ICD-10-CM: G47.52];

Not New to ICD 9-CM or ICD 10-CM];
Reactive attachment disorder of infancy or early childhood, 313.89;

[Uses the ICD 10-CM code: F94.1];
Use additional code to identify any associated failure to thrive or growth
retardation;

Included in DSM -5
Reading disorder, unspecified, 315.00
Included as ‘Specific learning disorder, with impairment in reading
118
in DSM-5;
[Used ICD 10-CM code: F81.0]
Reference disorder, olfactory;
See ‘Olfactory reference disorder’
Relational problem NOS, V62.81;
Included as ‘Relational distress with spouse or intimate partner’ in DSM -5;
Relational problem related to a medical condition [included psychiatric disorders]
Religious or spiritual problem, V62.89 [ICD 10-CM: Z65.8];

Included in DSM -5
Practice Guideline:

http://ajp.psychiatryonline.org/article.aspx?articleID=1090659
Restless legs syndrome [RLS], 333.94; [ICD 10-CM: G25.81]

Included in DSM -5
[Not New to ICD 9-CM or ICD 10-CM];
Rett’s disorder, 330.8;
[ICD 10-CM: F84.2]

Not Included in DSM-5

DSM-5 expects one to use “Autism spectrum disorder”
Rett’s syndrome, 330.8;
Rumination disorder, 307.53;
Included as ‘Rumination disorder of infancy’;
[ICD 10-CM: F98.21];

Included in DSM -5
Practice Guideline:

http://www.guideline.gov/content.aspx?id=43612
Schizoaffective disorder, 295.70; [ICD 10-CM: F25.0]
119
Bipolar Type
Depressive type

295.70
295.70
F25.0
F25.1
Included in DSM-5
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Schizoid personality disorder, 301.20;
[ICD 10-CM F60.1];

Included in DSM -5
Practice Guideline:

http://www.aafp.org/afp/2011/1201/p1253.html
Schizophrenic disorders
FDA approved drugs for schizophrenia;
Schizophrenia, 295.90;

[ICD 10-CM: F20.9]

Included in DSM -5
120
Children and Adolescent with Schizophrenia;
Practice Guideline:

http://www.jaacap.com/article/S0890-8567%2813%2900112-3/fulltext
Adults with Schizophrenia;
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Schizophrenia, catatonic type, 295.20 ;

[ICD 10-CM: F20.2]

Not included in DSM -5,. Instead DSM-5 expects clinicians to use both
295.90 Schizophrenia and
293.89 Catatonia associate with another mental disorder

Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Schizophrenia, disorganized type, 295.10;
Hebephrenic schizophrenia Hebephrenia

[Uses the ICD 10-CM F20.1];
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Schizophrenia, paranoid type, 295.30;
[ICD 10-CM: F20.0];
Not included in DSM -5. Instead DSM-5 expects clinicians to use both 295.90
Schizophrenia;
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Schizophrenia, residual type, 295.60;
Not included in DSM -5. Instead DSM-5 expects clinicians to use both 295.90
Schizophrenia;
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
121
Schizophrenia, undifferentiated type, 295.90;
Atypical Schizophrenia;

[ICD 10-CM: F20.3];
Not included in DSM -5,. Instead DSM-5 expects clinicians to use both 295.90
Schizophrenia;
Schizophreniform disorder, 295.40 [ICD 10-CM F20.8];

Included in DSM -5
Practice Guideline:

www.guideline.gov/content.aspx?id=5217
Schizotypal personality disorder, 301.22 [ ICD 10-CM:F21];

Included in DSM -5
Sedative-related disorder]
Sedative abuse, 305.40
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=15676

https://www.ghc.org/all-sites/guidelines/drug-adult.pdf
Sedative dependence, 304.10
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15676
Sedative-induced anxiety disorder, 291.89
Sedative-, hypnotic-, or anxiolytic-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
292.89
F13.180
F13.280
F13.980
Practice Guideline:
https://www.ghc.org/all-sites/guidelines/drug-adult.pdf
Sedative-induced mood disorder, 291.84
Sedative-, hypnotic-, or anxiolytic-induced bipolar and related
disorder
With mild use disorder
292.84
F13.14
122
With moderate or severe use disorder
Without use disorder
F13.24
F13.94
Practice Guideline:

https://www.ghc.org/all-sites/guidelines/drug-adult.pdf
Sedative-induced persisting amnestic disorder, 291.83
Practice Guideline:

http://www.guideline.gov/content.aspx?id=23784
Sedative-induced persisting dementia, 292.82
Practice Guideline:

http://www.guideline.gov/content.aspx?id=23784
Sedative-induced psychotic disorder with delusions, 292.11
Sedative-induced psychotic disorder with hallucinations, 292.12
Sedative-induced sexual dysfunctions, 291.89

Sedative-induced sleep disorder, 291.89 [Listed as ‘Nonorganic sleep
disorder’ in ICD 10-CM F51.0];
Sedative intoxication, 292.89;
Practice Guideline:

http://www.guideline.gov/content.aspx?id=15676
Sedative intoxication delirium, 292.81;
Practice Guideline:

https://www.ghc.org/all-sites/guidelines/drug-adult.pdf
Sedative-related disorder NOS, 292.9;
Practice Guideline:

https://www.ghc.org/all-sites/guidelines/drug-adult.pdf
Sedative withdrawal, 292.0;
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=15676

https://www.ghc.org/all-sites/guidelines/drug-adult.pdf
Sedative withdrawal delirium, 292.81;
Sedative-, hypnotic-, or anxiolytic-induced major neurocognitive 292.82
disorder
With moderate or severe use disorder
F13.27
123
Without use disorder
F13.97
Sedative-, hypnotic-, or anxiolytic-induced mild neurocognitive 292.89
disorder
With moderate or severe use disorder
F13.288
Without use disorder
F13.988
Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
292.9
F13.159
F13.259
F13.959
Sedative-, hypnotic-, anxiolytic-induced sexual dysfunction
With mild use disorder
With moderate or severe use disorder
Without use disorder
292.89
Sedative-, hypnotic-, anxiolytic-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
292.85
Sedative-, hypnotic-, or anxiolytic intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
292.89
Sedative, hypnotic, or anxiolytic intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
292.81
Sedative, hypnotic, or anxiolytic use disorder
Mild
Moderate
Severe
Sedative, hypnotic, or anxiolytic withdrawal
With perceptual disturbances
Without perceptual disturbances
F13.181
F13.281
F13.981
F13.182
F13.282
F13.982
F13.129
F13.229
F13.929
F13.121
F13.221
F13.921
305.40
304.10
304.10
F13.10
F13.20
F13.20
F13.232
F13.239
124
Sedative, hypnotic, or anxiolytic withdrawal delirium
292.0
F13.231
Selective mutism; 313.23 [ICD 10-CM: F94.0]

Included in DSM -5;
Senile dementia, 290.2
Senile dementia with delirium, 290.3
Separation anxiety disorder, [ICD 9- CM:309.21] [Included in ICD 10-CM: F93.0]
Included in DSM -5
Practice Guideline:

http://www.guideline.gov/content.aspx?id=36880
Severe mental retardation, 318.1 [some prefer Intellectual disorder, severe, but not
yet adopted by ICD-10-CM]
Sexual disorders
Sexual abuse, child, Confirmed ;

Initial encounter [ICD 9-CM: 995.53] [ ICD 10-CM:T74.22XA]

Subsequent disorder [ICD 9-CM: 995.53] [ ICD 10-CM:T74.22XD]
Sexual abuse, child, Suspected ;

Initial encounter [ICD 9-CM: 995.53] [ ICD 10-CM:T76.22XA]

Subsequent encounter [ICD 9-CM: 995.53] [ ICD 10-CM:T76.22XD]
Sexual abuse, to child, other circumstances
Encounter for mental health services for perpetrator of
nonparental child sexual abuse
V62.83 Z69.021
Encounter for mental health services for perpetrator of parental V61.22 Z69.011
child sexual abuse
125
Encounter for mental health services for victim of child sexual
abuse by parent
V61.21 Z69.010
Encounter for mental health services for victim of nonparental
child sexual abuse
Personal history (past history) of sexual abuse in childhood
V61.21 Z69.020
V15.41 Z62.810
Sexual other circumstances related to spouse or partner violence
Encounter for mental health services for perpetrator of spouse
or partner violence, Sexual
V61.12 Z69.12
Encounter for mental health services for victim of spouse or
partner violence, Sexual
V61.11 Z69.81
Personal history (past history) of spouse or partner violence,
V15.41 Z91.410
Sexual abuse of adult, V61.1
Practice Guideline:

http://www.guideline.gov/content.aspx?id=34018
Sexual abuse of adult [the victim], 995.81;
If desired, can code nature of abuse, E960-968
If desired, can code perpetrator of the abuse, E967.0-E967.9
Sexual abuse of child, V61.21;
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=25597

http://www.guideline.gov/content.aspx?id=15523
Sexual abuse of child [the victim], 995.53;
Sexual aversion disorder, 302.79, [ICD 10-CM F52.1];
Sexual aversion and lack of sexual enjoyment;
Practice Guidelines:

http://www.guideline.gov/content.aspx?id=32672

http://www.aafp.org/afp/2011/0915/p705.html

http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/wom
ens-health/female-sexual-dysfunction/
126
Sexual disorder NOS, 302.9;
Practice Guideline:

http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/wom
ens-health/female-sexual-dysfunction/
Sexual dysfunction, NOS, 302.70;
Practice Guidelines:
http://www.guideline.gov/content.aspx?id=15652

http://www.auanet.org/education/guidelines/erectile-dysfunction.cfm
Sexual masochism, 302.83;

[Used ICD 10-CM code: F65.51];
Sexual masochism disorder, 302.83;

[Used ICD 10-CM code: F65.51
Sexual sadism, 302.84;

[Used ICD 10-CM code: F65.52];
Sexual sadism disorder 302.84;

[Used ICD 10-CM code: F65.52]
Shared psychotic disorder, 297.3
Sibling relational problem, V61.8 [ICD 10-CM: Z62.891]

Included in DSM -5
Sleep apnea, unspecified, 780.57
Sleep-related movement disorder, 780.58
Sleep-related hypoventilation, [new, from DSM-5]
[ICD-9-CM codes:
Idiopathic hypoventilation: 327.24;
Congenital central alveolar hypoventilation: 327.25;
Comorbid sleep-related hypoventilation: 327.26];
127
[ICD-10-CM:
Idiopathic hypoventilation: G47.34;
Congenital central alveolar hypoventilation: G47.35;
Comorbid sleep-related hypoventilation: G47.36];
Sleep disturbance, other, 780.59
Sleep disturbance, unspecified, 780.50
Sleep terror disorder, 307.46; [Uses the ICD 10-CM: F51.4]

Included as ‘Non-rapid eye movement sleep arousal disorder’ in DSM-5;
Sleep walking disorder, 307.46; [Uses the ICD 10-CM code: F51.3];
 Included as ‘Non-rapid eye movement sleep arousal disorder’ in DSM-5;
Sleep disorders of nonorganic origin, 307.4
Social anxiety disorder (social phobia), 300.23, F40.10;
Social communication disorder, 315.29. [new, from DSM-5] [ICD-10-CM: F80.89]
Social phobia, 300.23;
 [ICD 10-CM F40.10];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=46234
Social phobia, generalized F40.11;
Social phobia, unspecified F40.10;
Social exclusion or rejection
V62.4
Z60.4
Social (pragmatic) communication disorder
315.39
F80.89
Somatic symptom disorder
300.82
F45.1
Somatoform disorders
Somatization disorder, 300.81; [ICD 10-CM F45.0];
Somatoform disorder, 300.81 [ICD 10-CM: F45];
128
Specific phobia, 300.29;
Specific personality disorders, F60;
Paranoid personality disorder; F60.0;
Schizoid personality disorder,F60.1
Antisocial personality disorder, F60.2;
Excludes1: conduct disorders (F91.-)
Excludes2: borderline personality disorder (F60.3)
Borderline personality disorder, 301.83
Explosive personality (disorder, F60.3 ;
Histrionic personality disorder, F60.4
Obsessive-compulsive personality disorder, F60.5
Excludes: obsessive-compulsive disorder (F42)
Avoidant personality disorder, F60.6
Dependent personality disorder F60.7
Specific phobia ;
Animal,
Blood-injection-injury,
Fear of blood
Fear of injections and transfusions
Fear of injury
Fear of other medical care
Natural environment,
300.29;
300.29
300.29
F40.218;
F40.230
F40.231
F40.233
F40.232
F40.228
F40.21 Animal type phobia
F40.210 Arachnophobia
Fear of Spiders
F40.218 Other animal type phobia
F40.22 Natural environment type phobia
F40.220 Fear of thunderstorms
F40.228 Other natural environment type phobia
F40.23 Blood, injection, injury type phobia
129
F40.230 Fear of blood
F40.231 Fear of injections and transfusions
F40.232 Fear of other medical care
F40.233
F40.24
F40.241
F40.242
F40.243
Fear of injury
Situational type
Acrophobia
Fear of bridges
Fear of flying
F40.248 Other situational type phobia
F40.29 Other specified phobia
F40.290 Androphobia
F40.291 Gynephobia
Fear of women
Spouse or partner abuse, Psychological, Confirmed;
Initial encounter
Subsequent encounter
995.82
995.82
T74.31XA
T74.31XD
Spouse or partner abuse, Psychological, Suspected ;
Initial encounter
Subsequent encounter
995.82
995.82
T76.31XA
T76.31XD
Spouse or partner neglect, Confirmed;
Initial encounter
Subsequent encounter
995.85
995.85
T74.01XA
T74.01XD
Spouse or partner neglect, Suspected ;
Initial encounter
Subsequent encounter
995.85
995.85
T76.01XA
T76.01XD
Spouse or partner violence, Physical, Confirmed;
Initial encounter
Subsequent encounter
995.81
995.81
T74.11XA
T74.11XD
995.81
995.81
T76.11XA
T76.11XD
995.83
995.83
T74.21XA
T74.21XD
995.83
995.83
T76.21XA
T76.21XD
Spouse or partner violence, Physical, Suspected ;
Initial encounter
Subsequent encounter
Spouse or partner violence, Sexual, Confirmed;
Initial encounter
Subsequent
Spouse or partner violence, Sexual, Suspected ;
Initial encounter
Subsequent encounter
130
Stereotypic movement disorder, 307.3;
[Uses the ICD 10-CM code: F98.4];

Included in DSM-5
Stimulant intoxication (see amphetamine or cocaine intoxication for specific codes);
Stimulant use disorder (see amphetamine or cocaine use disorder for specific codes);
Stimulant withdrawal (see amphetamine or cocaine withdrawal for specific codes);
Stuttering, 307.0[ICD 10-CM: F98.5];

Included in DSM-5; as Adult-onset fluency disorder’;
Childhood-onset fluency disorder (stuttering) [ICD 9-CM: 995.53]
Stress, acute reactions to, 308;
Substance intoxication delirium (see specific substances for codes);
Substance withdrawal delirium (see specific substances for codes);
Substance/ medication-induced anxiety disorder (see specific substances for codes);
Substance/ medication-induced bipolar and related disorder (see specific substances for
codes);
Substance/ medication-induced depressive disorder (see specific substances for codes);
Substance/ medication-induced major or mild neurocognitive disorder (see specific
substances for codes);
Substance/ medication-induced obsessive-compulsive and related disorder (see specific
substances for codes);
Substance/ medication-induced psychotic disorder (see specific substances for codes);
Substance/ medication-induced sexual dysfunction (see specific substances for codes);
Substance/medication-induced sleep disorder (see specific substances for codes);
Suicidal Behavior Disorder, 300.9
Practice Guideline:

http://www.healthquality.va.gov/srb/VADODCP_SuicideRisk_Full.pdf
131
Suicidal ideation, V62.84
Tic disorder NOS, 307.20 ;

[Uses ICD 10-CM: F95.9];
Practice Guideline:
http://www.jaacap.com/article/S0890-8567(13)00695-3/fulltext
Tourette’s disorder, 307.23 [Uses the ICD 10-CM: F95.2];
FDA approved drugs for tic/tourette disorder;


Haloperidol (Haldol)
Pimozide (Orap)
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/Docs/practice_parameters/tic_d
isorders.pdf

Included in DSM -5
Tobacco use disorder;
Children and Adolescent;
Practice Guideline:

http://www.uspreventiveservicestaskforce.org/uspstf12/tobacco/tbacfinalrs.ht
m
Tobacco-induced sleep disorder, 292.85;
With moderate or severe use disorder: [ICD 10-CM: F17.208];
Tobacco use disorder ;
[Uses three ICD 9-CM codes;
Mild: 305.01 ;
Moderate: 305.1;
Severe: 305.1;
[Uses three ICD 10-CM codes;
Mild: Z72.0;
Moderate to severe disorder: F17.20;0
Severe: F17.200;
132

[Uses the ICD 10-CM code: F95.0]

Included as ‘Provisional tic disorder’ in DSM -5;
Practice Guideline:

http://www.aacap.org/App_Themes/AACAP/Docs/practice_parameters/tic_d
isorders.pdf
Tobacco-induced sleep disorder, 292.85;
With moderate or severe use disorder: [ICD 10-CM: F17.208];
Tobacco use disorder ;
[Uses three ICD 9-CM codes;
Mild: 305.01 ;
Moderate: 305.1;
Severe: 305.1;
[Uses three ICD 10-CM codes;
Mild: Z72.0;
Moderate to severe disorder: F17.20;0
Severe: F17.200;
Transgenerational trauma. See “Historical trauma” supra.
Transient ischemic attack (TIA), and cerebral infarction without residual deficits, V12.54
Transient global amnesia, 437.7
Transient tic disorder, 307.21;
Transvestic fetishism, 302.3;
Transvestic disorder’ in DSM-5;

[ICD 10-CM code: F65.1
Transient mental disorders due to conditions classified elsewhere, 293
Trauma, complex. See “Complex trauma” supra.
Trauma, historical. See “Historical trauma” supra.
Trichotillomania, 312.39 [ICD 10-CM F63.3];

Included in DSM -5
133
Practice Guideline:

http://www.trich.org/dnld/ExpertGuidelines_000.pdf
Unavailability or inaccessibility of health care facilities
V63.9
Z75.3
Unavailability or inaccessibility of other agencies
V63.8
Z75.4
Uncomplicated bereavement
V62.82
Z63.4
Unspecified alcohol-related disorder
291.9
F10.99
Unspecified anxiety disorder
300.00
F41.9
Unspecified attention-deficit/ hyperactivity disorder
314.01
F90.9
Unspecified bipolar and related disorder
296.8
F31.9
Unspecified caffeine-related disorder
292.9
F15.99
Unspecified cannabis-related disorder
292.9
F12.99
Unspecified catatonia (code first 781.99[R29.818] other symptoms
involving nervous and musculoskeletal systems)
293.89
F06.1
Unspecified communication disorder
307.9
F80.9
Unspecified delirium
780.09 R41.0
Unspecified depressive disorder
311
F32.9
Unspecified disruptive, impulse-control, and conduct disorder
312.9
F91.9
Unspecified dissociative disorder
300.15 F44.9
Unspecified elimination disorder
With fecal symptoms
With urinary symptoms
787.60 R15.9
788.30 R32
Undifferentiated somatoform disorder, 300.81; [ICD 10-CM F45.1]

Included as ‘Undifferentiated psychosomatic disorder’
Unknown disorders [Heading]
134
Unknown Abuse, 305.90
Unknown Dependence, 304.00
Unknown-induced anxiety disorder, 291.89
Unknown-induced mood disorder, 292.84
Unknown-induced persisting amnestic disorder, 292.83;
Unknown-induced persisting dementia, 292.82;
Unknown-induced psychotic disorder, with delusions, 292.11;
Unknown-induced psychotic disorder, with hallucinations, 292.12;
Unknown-induced sexual disorder, 292.89;
Unknown-induced sleep disorder, 292.89;
Unknown intoxication, 292.89;
Unknown-related disorder NOS, 292.9;
Unknown withdrawal, 292.0;
Unspecified nonpsychotic mental disorder, 300.9 ;
Vaginismus, psychogenic, 306.51;
[Uses ICD 10-CM F52.5];
Practice Guideline:

http://www.guideline.gov/content.aspx?id=38631
Vascular dementia/neurocognitive disorders [heading]
Practice Guideline:

http://www.guideline.gov/content.aspx?id=1229
Vascular dementia, with delirium, 290.41
Vascular dementia, with delusions, 290.42
Vascular dementia, with depressed mood, 290.43
Vascular dementia, uncomplicated
135
Vitamin D deficiency 268.9 [ICD-10-CM: E55.9]
Vocal tic disorder, 307.22
Voyeurism, 302.82; [Used ICD 10-CM code: F65.3];
Voyeuristic disorder 302.82 [ICD-10-F65.3];

http://www.aafp.org/afp/2009/0801/p291.html
Zoophilia 302.1 [1CD 10-CM: F65.8];
Zoophobia 300.29 [ICD 10-CM:F40.218];
136
Outline of History of ICDs
ICD-1
1900
ICD-2
1910
ICD-3
1921
ICD-4
1930
ICD-5
1939
ICD-6
1949 [first to contain psychiatric entities]
ICD-7
1958
ICD-8A
1968 [A = Adapted for use in US]
ICD-9-CM
1979 [CM = Clinical Modification for US]
ICD-10
1992 [Yet to be used in US except to report deaths]
ICD-10-CM
Scheduled to be used as of 1 October 2014
ICD-10-CM’s Chapters of special interests of psychiatrists:
 Chapter 5 – Mental and behavioral disorders [entities begin with letter “F’]
 Chapter 6 – Diseases of nervous system [entities begin with letter “G”]
 Chapter 18 – Symptoms, signs, and abnormal clinical and laboratory findings not
classified elsewhere. [Entities begin with the letter “R”]
Examples:
Auditory hallucinations: R44.3
Dyslexia: R48.0
 Chapter 19 Injury, Poisoning and Certain Other Consequences of External Causes
[entities begin with “S” or “T”]
Examples:
Concussion with loss of consciousness of 30 minutes or less: S06.0X1
Child neglect, confirmed, initial encounter: T74.02XA
 Chapter 21 Factors influencing health status and contract with health services.
[Entities begin with the letter “Z”]
Examples:
Homelessness: Z59.0
High expressed emotional level within family: Z63.8
ICD-11
2015?
ICD-11-CM?, some say after 2020.
 ICD-11-CM may use prototype matching for all medical conditions, like Merck
Manual. Like DSM-I and DSM-II, but more specific definitions than those two in
order to preserve recent DSM’s reliability. .
Author of ICDs: World Health Organization, Geneva, Switzerland
Author of ICD-9-CM and ICD-10-CM:
National Center for Health Statistics [NCHS],
311 Toledo Rd, Room 5419, Hyattsville, MD 20782
1 (800) 232-4636
137
---------------------------------------------------Numerical Listing of ICD-9-CM Codes
Related to Psychiatric Conditions
----------------------------------------------------
138
ORGANIC PSYCHOTIC CONDITIONS (290-294)
Includes: psychotic organic brain syndrome
Excludes: Nonpsychotic syndromes of organic etiology (310.0-310.9)
Psychoses classifiable to 295-298 and without impairment of orientation,
comprehension, calculation, learning capacity, and judgment, but
associated with
physical disease, injury, or condition affecting the brain [e.g., following
childbirth] (295.0-298.8)
290
Dementias
Code first the associated neurological condition
Excludes: dementia due to Anxiolytic (291.0-291.2)
Dementia due to drugs (292.82)
Dementia not classified as senile, presenile, or arteriosclerotic (294.10294.11)
Psychoses classifiable to 295-298 occurring in the senium without
dementia or delirium
(295.0-298.8)
senility with mental changes of nonpsychotic severity (310.1)
transient organic psychotic conditions (293.0-293.9)
290.0 Senile dementia, NOS
Excludes: mild memory disturbances, not amounting to dementia, associated with
senile brain
disease (310.8)
senile dementia with:
delirium or confusion (290.3)
delusional [paranoid] features (290.20)
depressive features (290.21)
290.1 Presenile dementia
Excludes: arteriosclerotic dementia (290.40-290.43)
dementia associated with other cerebral conditions (294.10-294.11)
290.10 Presenile dementia, uncomplicated
290.11 Presenile dementia with delirium
Presenile dementia with acute confusional state
290.12 Presenile dementia with delusional features
Presenile dementia, paranoid type
290.13 Presenile dementia with depressive features
Presenile dementia, depressed type
290.2 Senile dementia with delusional or depressive features
139
Excludes: senile dementia:
NOS (290.0)
with delirium and/or confusion (290.3)
290.20 Senile dementia with delusional features
290.20 Senile dementia, paranoid type
290.20 Senile psychosis
290.21 Senile dementia with depressive features
290.3 Senile dementia with delirium
Senile dementia with acute confusional state
Excludes: senile:
dementia NOS (290.0)
psychosis NOS (290.20)
290.4 Vascular dementia
Multi-infarct dementia or psychosis
Use additional code to identify cerebral atherosclerosis (437.0)
Excludes: suspected cases with no clear evidence of arteriosclerosis (290.9)
290.40 Vascular dementia, uncomplicated
290.40 Arteriosclerotic dementia, simple type:
290.41 Vascular dementia with delirium
290.41 Arteriosclerotic dementia with acute confusional state
290.42 Vascular dementia with delusions
290.42 Arteriosclerotic dementia, paranoid type
290.43 Vascular dementia with depressed mood
290.43 Arteriosclerotic dementia, depressed type
290.8 Other specified senile psychotic conditions
290.8
Presbyophrenic psychosis
290.9 Unspecified senile psychotic condition
291
Alcoholic-induced mental disorders
Excludes: Alcoholism without psychosis (303.0-303.9)
291.0 Alcoholic withdrawal delirium
291.0
Alcoholic delirium
291.0
Delirium tremens
Excludes: Alcoholic withdrawal (291.81)
140
291.1 Alcoholic-induced persisting amnestic disorder
291.1 Alcoholic polyneuritic psychosis
291.1 Korsakoff's psychosis, Alcoholic
291.1 Wernicke-Korsakoff syndrome (Alcoholic)
291.2 Alcoholic-induced persisting dementia
291.2 Alcoholic dementia NOS
291.2 Alcoholics associated with dementia NOS
291.2 Chronic Alcoholic brain syndrome
291.3 Alcoholic-induced psychotic disorder with hallucinations
291.3 Alcoholic hallucinosis (acute)
291.3 Alcoholic psychosis with hallucinosis
Excludes: Alcoholic withdrawal with delirium (291.0)
schizophrenia (295.0-295.9) and paranoid states (297.0297.9) taking the form of chronic hallucinosis with clear
consciousness in an Alcoholic
291.4 Idiosyncratic Alcoholic intoxication
291.4 Pathologic Alcoholic intoxication
291.4 Pathologic drunkenness
Excludes: acute Alcoholic intoxication (305.0)
in Alcoholics (303.0)
simple drunkenness (305.0)
291.5 Alcoholic-induced psychotic disorder with delusions
291.5
Alcoholic paranoia
291.5
Alcoholic paranoia
291.5
Alcoholic psychosis, paranoid type
Excludes: non-alcoholic paranoid states (297.0-297.9)
schizophrenia, paranoid type (295.3)
291.8 Other specified Alcoholic-induced mental disorders
291.81 Alcoholic withdrawal
291.81 Alcoholic abstinence syndrome or symptoms
291.81 Alcoholic withdrawal syndrome or symptoms
Excludes: Alcoholic withdrawal delirium (291)
Alcoholic hallucinosis (291.3)
delirium tremens (291.0)
291.82 Alcoholic induced sleep disorders
291.82 Alcoholic induced circadian rhythm sleep disorders
291.82 Alcoholic induced hypersomnia
291.82 Alcoholic induced insomnia
141
291.82 Alcoholic induced parasomnia
291.89 Alcoholic-induced disorder, other
291.89 Alcoholic-induced anxiety disorder
291.89 Alcoholic-induced mood disorder
291.89 Alcoholic-induced sexual dysfunction
291.9 Alcoholic mania NOS
291.9
Alcoholic psychosis NOS
291.9
Alcoholics (chronic) with psychosis
291.9
Alcoholic-related disorder NOS
292
Drug-induced mental disorders
Includes: organic brain syndrome associated with consumption of drugs
Use additional code for any associated drug dependence (304.0-304.9)
Use additional E code to identify drug.
Can replace “drug” with the name of the
Example: 291.11 [E937] Paranoid state induced by secobarbital.
Example: 292.11, [E938.3] Phencyclidine-induced psychotic disorder with
delusions
Amphetamines, E939.7
Barbiturates, E937.0. If specific to one of the following, so label, e.g,
Amobarbital
Barbital
Butabarbital
Pentobarbital
Phenobarbital
Secobarbital
Benzodiazepines, E939.4. If specific to one of the following, so label, e.g,
Alprazolam
Chlordiazepoxide
Diazepam
Flurazepam
Lorazepam
Bromide, E937.3
Caffeine, E939.7
Cannabis, E939.6
Chloral hydrate, E937.1
Cocaine, E938.3
Codeine, E935.2
Dextroamphetamine, E939.7
Dimethyltryptamine [DMT], E939.6
Epinephrine, E941.2
Ether, E938.2
Fentanyl, E935.2
Halothane, E938.1
142
Heroin, E935.0
Hypnotics, not otherwise listed, E937.8
Ketamine, E938.3
Lidocaine, E938.5
Lysergide, E939.6
Lysergic acid diethylamide, E939.6
Marihuana, E939.6
MDMA, E939.6
Meprobamate, E939.5
Mescaline, E939.6
Methadone, E935.1
Methamphetamine, E939.7
Methylphenidate
Morphine, E935.2
Nicotine {Has no E-code. Codes for nicotine dependence [305.1],
nicotine withdrawal [292.0], and nicotine-related disorder, NOS [292.9] have no E-codes
the give those codes nicotine specificity.}
Nitrous oxide, E938.2
Opium, E935.2
Paraldehyde, E937.2
Phencyclidine, E938.3
Propofol, E938.3
Psilocin, E939.6
Psilocybin, E939.6
Psychotropic agents not otherwise listed, E939.8
Psychotropic agents, unspecified, E939.9
Sedatives, mixed, E937.6
Sedatives, Not otherwise in this list, E937.8
STP, E939.6
Unspecified, E937.9
292.0 Drug withdrawal
291.0
Drug abstinence syndrome or symptoms
291.0
Drug withdrawal syndrome or symptoms
292.1 Drug-induced psychotic disorders
292.11 Drug-induced psychotic disorder with delusions
292.11 Paranoid state induced by drugs
292.12 Drug-induced psychotic disorder with hallucinations
292.12 Hallucinatory state induced by drugs
Excludes: states following LSD or other hallucinogens, lasting only a few
days or less ["bad trips"] (305.3)
292.2 Pathological drug intoxication
143
292.2
Drug reaction resulting in brief psychotic states
Excludes: expected brief psychotic reactions to hallucinogens ["bad trips"]
(305.3)
physiological side-effects of drugs (e.g., dystonias)
292.8 Other specified drug-induced mental disorders
292.81 Drug-induced delirium
292.82 Drug-induced persisting dementia
292.83 Drug-induced persisting amnestic disorder
292.84 Drug-induced mood disorder
292.84 Depressive state induced by drugs
292.85 Drug induced sleep disorders
292.85 Drug induced circadian rhythm sleep disorder
292.85 Drug induced hypersomnia
292.85 Drug induced insomnia
292.85 Drug induced parasomnia
292.89 Drug-induced anxiety disorder
292.89 Drug-induced organic personality syndrome
292.89 Drug-induced sexual dysfunction
292.89 Drug intoxication
292.89
Drug induced, other disorder not listed above
292.9 Unspecified drug-induced mental disorder
292.9
Drug-related disorder NOS
292.9
Organic psychosis NOS due to or associated with drugs
293
Transient mental disorders due to conditions classified elsewhere
Includes: transient organic mental disorders not associated with Alcoholic
or drugs
Code first the associated physical or neurological condition
Excludes: confusional state or delirium superimposed on senile dementia
(290.3)
dementia due to:
Alcoholic (291.0-291.9)
arteriosclerosis (290.40-290.43)
drugs (292.82)
senility (290.0)
293.0 Delirium due to conditions classified elsewhere
Acute:
144
confusional state
infective psychosis
organic reaction
posttraumatic organic psychosis
psycho-organic syndrome
Acute psychosis associated with endocrine, metabolic, or cerebrovascular
disorder
Epileptic:
confusional state
twilight state
293.1 Subacute delirium
Subacute:
confusional state
infective psychosis
organic reaction
posttraumatic organic psychosis
psycho-organic syndrome
psychosis associated with endocrine or metabolic disorder
293.8 Other specified transient mental disorders due to conditions classified
elsewhere
293.81 Psychotic disorder with delusions in conditions classified
elsewhere
Transient organic psychotic condition, paranoid type
293.82 Psychotic disorder with hallucinations in conditions classified
elsewhere
Transient organic psychotic condition, hallucinatory type
293.83 Mood disorder in conditions classified elsewhere
Transient organic psychotic condition, depressive type
293.84 Anxiety disorder in conditions classified elsewhere
293.89 Other
Catatonic disorder in conditions classified elsewhere
293.9 Unspecified transient mental disorder in conditions classified elsewhere
Organic psychosis:
infective NOS
posttraumatic NOS
transient NOS
Psycho-organic syndrome
145
294
Persistent mental disorders due to conditions classified elsewhere
Includes: organic psychotic brain syndromes (chronic), not elsewhere classified
294.0 Amnestic disorder in conditions classified elsewhere
Korsakoff's psychosis or syndrome (non-alcoholic)
Code first underlying condition
Excludes: Alcoholic:
amnestic syndrome (291.1)
Korsakoff's psychosis (291.1)
294.1 Dementia in conditions classified elsewhere
Dementia of the Alzheimer's type
Code first any underlying physical condition as:
dementia in:
Alzheimer's disease (331.0)
cerebral lipidoses (330.1)
dementia with Lewy bodies (331.82)
dementia with Parkinsonism (331.82)
epilepsy (345.0-345.9)
frontal dementia (331.19)
frontotemporal dementia (331.19)
general paresis [syphilis] (094.1)
hepatolenticular degeneration (275.1)
Huntington's chorea (333.4)
Jakob-Creutzfeldt disease (046.11-046.19)
multiple sclerosis (340)
Pick's disease of the brain (331.11)
polyarteritis nodosa (446.0)
syphilis (094.1)
Excludes: dementia:
arteriosclerotic (290.40-290.43)
presenile (290.10-290.13)
senile (290.0)
epileptic psychosis NOS (294.8)
294.10 Dementia in conditions classified elsewhere without behavioral
disturbance
Dementia in conditions classified elsewhere NOS
294.11 Dementia in conditions classified elsewhere with behavioral
disturbance
Aggressive behavior
Combative behavior
146
Violent behavior
Wandering off
294.8 Other persistent mental disorders due to conditions classified elsewhere
Amnestic disorder NOS
Dementia NOS
Epileptic psychosis NOS
Mixed paranoid and affective organic psychotic states
Use additional code for associated epilepsy (345.0-345.9)
Excludes: mild memory disturbances, not amounting to dementia (310.8)
294.9 Unspecified persistent mental disorders due to conditions classified
elsewhere
Cognitive disorder NOS
Organic psychosis (chronic)
OTHER PSYCHOSES (295-299)
Use additional code to identify any associated physical disease, injury, or
condition affecting the brain with psychoses classifiable to 295-298
295
Schizophrenic disorders
Includes: schizophrenia of the types described in 295.0-295.9 occurring in
children
Excludes: childhood type schizophrenia (299.9)
infantile autism (299.0)
The following fifth-digit subclassification is for use with category 295:
0
unspecified
1
subchronic
2
chronic
3
subchronic with acute exacerbation
4
chronic with acute exacerbation
5
in remission
295.0 Simple type
[0-5]
Schizophrenia simplex
Excludes: latent schizophrenia (295.5)
295.1 Disorganized type
[0-5]
Hebephrenia
Hebephrenic type schizophrenia
295.2 Catatonic type
[0-5]
Catatonic (schizophrenia):
agitation
excitation
excited type
147
stupor
withdrawn type
Schizophrenic:
catalepsy
catatonia
flexibilitas cerea
295.3 Paranoid type
[0-5]
Paraphrenic schizophrenia
Excludes: involutional paranoid state (297.2)
paranoia (297.1)
paraphrenia (297.2)
295.4 Schizophreniform disorder
[0-5]
Oneirophrenia
Schizophreniform:
attack
psychosis, confusional type
Excludes: acute forms of schizophrenia of:
catatonic type (295.2)
hebephrenic type (295.1)
paranoid type (295.3)
simple type (295.0)
undifferentiated type (295.8)
295.5 Latent schizophrenia
[0-5]
Latent schizophrenic reaction
Schizophrenia:
borderline
incipient
prepsychotic
prodromal
pseudoneurotic
pseudopsychopathic
Excludes: schizoid personality (301.20-301.22)
295.6 Residual type
[0-5]
Chronic undifferentiated schizophrenia
Restzustand (schizophrenic)
Schizophrenic residual state
295.7 Schizoaffective disorder
[0-5]
Cyclic schizophrenia
Mixed schizophrenic and affective psychosis
Schizoaffective psychosis
Schizophreniform psychosis, affective type
148
295.8 Other specified types of schizophrenia
[0-5]
Acute (undifferentiated) schizophrenia
Atypical schizophrenia
Cenesthopathic schizophrenia
Excludes: infantile autism (299.0)
296
295.9 Unspecified schizophrenia
[0-5]
Schizophrenia:
NOS
mixed NOS
undifferentiated NOS
undifferentiated type
Schizophrenic reaction NOS
Schizophreniform psychosis NOS
Episodic mood disorders
Includes: episodic affective disorders
Excludes: neurotic depression (300.4)
reactive depressive psychosis (298.0)
reactive excitation (298.1)
The following fifth-digit subclassification is for use with categories 296.0-296.6:
0
unspecified
1
mild
2
moderate
3
severe, without mention of psychotic behavior
4
severe, specified as with psychotic behavior
5
in partial or unspecified remission
6
in full remission
296.0
[0-6]
Bipolar I disorder, single manic episode
Hypomania (mild) NOS single episode or unspecified
Hypomanic psychosis single episode or unspecified
Mania (monopolar) NOS single episode or unspecified
Manic-depressive psychosis or reaction, single episode or unspecified:
hypomanic, single episode or unspecified
manic, single episode or unspecified
Excludes: circular type, if there was a previous attack of depression
(296.4)
296.1 Manic disorder, recurrent episode
[0-6]
Any condition classifiable to 296.0, stated to be recurrent
Excludes: circular type, if there was a previous attack of depression (296.4)
296.2 Major depressive disorder, single episode
[0-6]
Depressive psychosis, single episode or unspecified
Endogenous depression, single episode or unspecified
Involutional melancholia, single episode or unspecified
149
Manic-depressive psychosis or reaction, depressed type, single episode or
unspecified
Monopolar depression, single episode or unspecified
Psychotic depression, single episode or unspecified
Excludes: circular type, if previous attack was of manic type (296.5)
depression NOS (311)
reactive depression (neurotic) (300.4)
psychotic (298.0)
296.3 Major depressive disorder, recurrent episode
[0-6]
Any condition classifiable to 296.2, stated to be recurrent
Excludes: circular type, if previous attack was of manic type (296.5)
depression NOS (311)
reactive depression (neurotic) (300.4)
psychotic (298.0)
296.4 Bipolar I disorder, most recent episode (or current) manic
[0-6]
Bipolar disorder, now manic
Manic-depressive psychosis, circular type but currently manic
Excludes: brief compensatory or rebound mood swings (296.99)
296.5 Bipolar I disorder, most recent episode (or current) depressed
[0-6]
Bipolar disorder, now depressed
Manic-depressive psychosis, circular type but currently depressed
Excludes: brief compensatory or rebound mood swings (296.99)
296.6 Bipolar I disorder, most recent episode (or current) mixed
[0-6]
Manic-depressive psychosis, circular type, mixed
296.7 Bipolar I disorder, most recent episode (or current) unspecified
Atypical bipolar affective disorder NOS
Manic-depressive psychosis, circular type, current condition not specified
as either manic or depressive
296.8 Other and unspecified bipolar disorders
296.80 Bipolar disorder, unspecified
Bipolar disorder NOS
Manic-depressive:
reaction NOS
syndrome NOS
296.81 Atypical manic disorder
296.82 Atypical depressive disorder
150
296.89 Other
Bipolar II disorder
Manic-depressive psychosis, mixed type
296.9 Other and unspecified episodic mood disorder
Excludes: psychogenic affective psychoses (298.0-298.8)
296.90 Unspecified episodic mood disorder
Affective psychosis NOS
Melancholia NOS
Mood disorder NOS
296.99 Other specified episodic mood disorder
Mood swings:
brief compensatory
rebound
297
Delusional disorders
Includes: paranoid disorders
Excludes: acute paranoid reaction (298.3)
Alcoholic jealousy or paranoid state (291.5)
paranoid schizophrenia (295.3)
297.0 Paranoid state, simple
297.1 Delusional disorder
Chronic paranoid psychosis
Sander's disease
Systematized delusions
Excludes: paranoid personality disorder (301.0)
297.2 Paraphrenia
Involutional paranoid state
Late paraphrenia
Paraphrenia (involutional)
297.3 Shared psychotic disorder
Folie … deux
Induced psychosis or paranoid disorder
297.8 Other specified paranoid states
Paranoia querulans
Sensitiver Beziehungswahn
Excludes: acute paranoid reaction or state (298.3)
senile paranoid state (290.20)
297.9 Unspecified paranoid state
151
Paranoid:
disorder NOS
psychosis NOS
reaction NOS
state NOS
298
Other nonorganic psychoses
Includes: psychotic conditions due to or provoked by:
emotional stress
environmental factors as major part of etiology
298.0 Depressive type psychosis
Psychogenic depressive psychosis
Psychotic reactive depression
Reactive depressive psychosis
Excludes: manic-depressive psychosis, depressed type (296.2-296.3)
neurotic depression (300.4)
reactive depression NOS (300.4)
298.1 Excitative type psychosis
Acute hysterical psychosis
Psychogenic excitation
Reactive excitation
Excludes: manic-depressive psychosis, manic type (296.0-296.1)
298.2 Reactive confusion
Psychogenic confusion
Psychogenic twilight state
Excludes: acute confusional state (293.0)
298.3 Acute paranoid reaction
Acute psychogenic paranoid psychosis
Bouffée délirante
Excludes: paranoid states (297.0-297.9)
298.4 Psychogenic paranoid psychosis
Protracted reactive paranoid psychosis
298.8 Other and unspecified reactive psychosis
Brief psychotic disorder
Brief reactive psychosis NOS
Hysterical psychosis
Psychogenic psychosis NOS
Psychogenic stupor
Excludes: acute hysterical psychosis (298.1)
152
298.9 Unspecified psychosis
Atypical psychosis
Psychosis NOS
Psychotic disorder NOS
299
Pervasive developmental disorders
Excludes: adult type psychoses occurring in childhood, as:
affective disorders (296.0-296.9)
manic-depressive disorders (296.0-296.9)
schizophrenia (295.0-295.9)
The following fifth-digit subclassification is for use with category 299:
0
current or active state
1
residual state
299.0 Autistic disorder
[0-1]
Childhood autism
Infantile psychosis
Kanner's syndrome
Excludes: disintegrative psychosis (299.1)
Heller's syndrome (299.1)
schizophrenic syndrome of childhood (299.9)
299.1 Childhood disintegrative disorder
[0-1]
Heller's syndrome
Use additional code to identify any associated neurological disorder
Excludes: infantile autism (299.0)
schizophrenic syndrome of childhood (299.9)
299.8 Other specified pervasive developmental disorders
[0-1]
Asperger's disorder
Atypical childhood psychosis
Borderline psychosis of childhood
Excludes: simple stereotypes without psychotic disturbance (307.3)
299.9 Unspecified pervasive developmental disorder
[0-1]
Child psychosis NOS
Pervasive developmental disorder NOS
Schizophrenia, childhood type NOS
Schizophrenic syndrome of childhood NOS
Excludes: schizophrenia of adult type occurring in childhood (295.0295.9)
NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER
NONPSYCHOTIC MENTAL DISORDERS (300-316)
300
Anxiety, dissociative and somatoform disorders
153
300.0 Anxiety states
Excludes: anxiety in:
acute stress reaction (308.0)
transient adjustment reaction (309.24)
neurasthenia (300.5)
psychophysiological disorders (306.0-306.9)
separation anxiety (309.21)
300.00 Anxiety state, unspecified
Anxiety:
neurosis
reaction
state (neurotic)
Atypical anxiety disorder
300.01 Panic disorder without agoraphobia
Panic:
attack
state
Excludes: panic disorder with agoraphobia (300.21)
300.02 Generalized anxiety disorder
300.09 Other
300.1 Dissociative, conversion and factitious disorders
Excludes: adjustment reaction (309.0-309.9)
anorexia nervosa (307.1)
gross stress reaction (308.0-308.9)
hysterical personality (301.50-301.59)
psychophysiologic disorders (306.0-306.9)
300.10 Hysteria, unspecified
300.11 Conversion disorder
Astasia-abasia, hysterical
Conversion hysteria or reaction
Hysterical:
blindness
deafness
paralysis
300.12 Dissociative amnesia
Hysterical amnesia
300.13 Dissociative fugue
154
Hysterical fugue
300.14 Dissociative identity disorder
300.15 Dissociative disorder or reaction, unspecified
300.16 Factitious disorder with predominantly psychological signs and symptoms
Compensation neurosis
Ganser's syndrome, hysterical
300.19 Other and unspecified factitious illness
Factitious disorder (with combined psychological and physical signs and
symptoms) (with predominantly physical signs and symptoms) NOS
Excludes: multiple operations or hospital addiction syndrome (301.51)
300.2 Phobic disorders
Excludes: anxiety state not associated with a specific situation or object (300.00300.09)
obsessional phobias (300.3)
300.20 Phobia, unspecified
Anxiety-hysteria NOS
Phobia NOS
300.21 Agoraphobia with panic disorder
Fear of:
open spaces with panic attacks
streets with panic attacks
travel with panic attacks
Panic disorder with agoraphobia
Excludes: agoraphobia without panic disorder (300.22)
panic disorder without agoraphobia (300.01)
300.22 Agoraphobia without mention of panic attacks
Any condition classifiable to 300.21 without mention of panic attacks
300.23 Social phobia
Fear of:
eating in public
public speaking
washing in public
300.29 Other isolated or specific phobias
Acrophobia
Animal phobias
Claustrophobia
155
Fear of crowds
http://en.wikipedia.org/wiki/List_of_phobias
300.3 Obsessive-compulsive disorders
Anancastic neurosis
Compulsive neurosis
Obsessional phobia [any]
Excludes: obsessive-compulsive symptoms occurring in:
endogenous depression (296.2-296.3)
organic states (e.g., encephalitis) schizophrenia (295.0-295.9)
300.4 Dysthymic disorder
Anxiety depression
Depression with anxiety
Depressive reaction
Neurotic depressive state
Reactive depression
Excludes: adjustment reaction with depressive symptoms (309.0-309.1)
depression NOS (311)
manic-depressive psychosis, depressed type (296.2-296.3)
reactive depressive psychosis (298.0)
300.5 Neurasthenia
Fatigue neurosis
Nervous debility
Psychogenic:
asthenia
general fatigue
Use additional code to identify any associated physical disorder
Excludes: anxiety state (300.00-300.09)
neurotic depression (300.4)
psychophysiological disorders (306.0-306.9)
specific nonpsychotic mental disorders following organic brain damage
(310.0-310.9)
300.6 Depersonalization disorder
Derealization (neurotic)
Neurotic state with depersonalization episode
Excludes: depersonalization associated with:
anxiety (300.00-300.09)
depression (300.4)
manic-depressive disorder or psychosis (296.0-296.9)
schizophrenia (295.0-295.9)
300.7 Hypochondriasis
Body dysmorphic disorder
Excludes: hypochondriasis in:
156
hysteria (300.10-300.19)
manic-depressive psychosis, depressed type (296.2-296.3)
neurasthenia (300.5)
obsessional disorder (300.3)
schizophrenia (295.0-295.9)
300.8 Somatoform disorders
300.81 Somatization disorder
Briquet's disorder
Severe somatoform disorder
300.82 Undifferentiated somatoform disorder
Atypical somatoform disorder
Somatoform disorder NOS
300.89 Other somatoform disorders
Occupational neurosis, including writers' cramp
Psychasthenia
Psychasthenic neurosis
300.9 Unspecified nonpsychotic mental disorder
Psychoneurosis NOS
301
Personality disorders
Includes: character neurosis
Use additional code to identify any associated neurosis or psychosis, or physical
condition
Excludes: nonpsychotic personality disorder associated with organic brain
syndromes (310.0-310.9)
301.0 Paranoid personality disorder
Fanatic personality
Paranoid personality (disorder)
Paranoid traits
Excludes: acute paranoid reaction (298.3)
Alcoholicic paranoia (291.5)
paranoid schizophrenia (295.3)
paranoid states (297.0-297.9)
301.1 Affective personality disorder
Excludes: affective psychotic disorders (296.0-296.9)
neurasthenia (300.5)
neurotic depression (300.4)
301.10 Affective personality disorder, unspecified
157
301.11 Chronic hypomanic personality disorder
Chronic hypomanic disorder
Hypomanic personality
301.12 Chronic depressive personality disorder
Chronic depressive disorder
Depressive character or personality
301.13 Cyclothymic disorder
Cycloid personality
Cyclothymia
Cyclothymic personality
301.2 Schizoid personality disorder
Excludes: schizophrenia (295.0-295.9)
301.20 Schizoid personality disorder, unspecified
301.21 Introverted personality
301.22 Schizotypal personality disorder
301.3 Explosive personality disorder
Aggressive:
personality
reaction
Aggressiveness
Emotional instability (excessive)
Pathological emotionality
Quarrelsomeness
Excludes: dyssocial personality (301.7)
hysterical neurosis (300.10-300.19)
301.4 Obsessive-compulsive personality disorder
Anancastic personality
Obsessional personality
Excludes: obsessive-compulsive disorder (300.3)
phobic state (300.20-300.29)
301.5 Histrionic personality disorder
Excludes: hysterical neurosis (300.10-300.19)
301.50 Histrionic personality disorder, unspecified
Hysterical personality NOS
158
301.51 Chronic factitious illness with physical symptoms
Hospital addiction syndrome
Multiple operations syndrome
Munchausen syndrome
301.59 Other histrionic personality disorder
Personality:
emotionally unstable
labile
psychoinfantile
Organic emotionally labile (asthenic) disorder [ICD 10-CM
F06.6]
301.6 Dependent personality disorder
Asthenic personality
Inadequate personality
Passive personality
Excludes: neurasthenia (300.5)
passive-aggressive personality (301.84)
301.7 Antisocial personality disorder
Amoral personality
Asocial personality
Dyssocial personality
Personality disorder with predominantly sociopathic or asocial
manifestation
Excludes: disturbance of conduct without specifiable personality disorder
(312.0-312.9)
explosive personality (301.3)
301.8 Other personality disorders
301.81 Narcissistic personality disorder
301.82 Avoidant personality disorder
301.83 Borderline personality disorder
301.84 Passive-aggressive personality
301.89 Other
Personality:
eccentric
"haltlose" type
immature
159
masochistic
psychoneurotic
Excludes: psychoinfantile personality (301.59)
301.9 Unspecified personality disorder
Pathological personality NOS
Personality disorder NOS
Psychopathic:
constitutional state
personality (disorder)
302
Sexual and gender identity disorders
Excludes: sexual disorder manifest in:
organic brain syndrome (290.0-294.9, 310.0-310.9)
psychosis (295.0-298.9)
302.0 Ego-dystonic sexual orientation
Ego-dystonic lesbianism
Sexual orientation conflict disorder
Excludes: homosexual pedophilia (302.2)
302.1 Zoophilia
Bestiality
302.2 Pedophilia
302.3 Transvestic fetishism
Excludes: trans-sexualism (302.5)
302.4 Exhibitionism
302.5 Trans-sexualism
Sex reassignment surgery status
Excludes: transvestism (302.3)
302.50 With unspecified sexual history
302.51 With asexual history
302.52 With homosexual history
302.53 With heterosexual history
302.6
Gender identity disorder in children
Feminism in boys
Gender identity disorder NOS
Excludes: gender identity disorder in adult (302.85)
160
trans-sexualism (302.50-302.53)
transvestism (302.3)
302.7 Psychosexual dysfunction
Excludes: decreased sexual desire NOS (799.81)
impotence of organic origin (607.84)
normal transient symptoms from ruptured hymen
transient or occasional failures of erection due to fatigue
anxiety, Alcoholic, or
drugs
302.70 Psychosexual dysfunction, unspecified
Sexual dysfunction NOS
302.71 Hypoactive sexual desire disorder
Excludes: decreased sexual desire NOS (799.81)
302.72 With inhibited sexual excitement
Female sexual arousal disorder
Frigidity
Impotence
Male erectile disorder
302.73 Female orgasmic disorder
302.74 Male orgasmic disorder
302.75 Premature ejaculation
302.76 Dyspareunia, psychogenic
302.79 With other specified psychosexual dysfunctions
Sexual aversion disorder
302.8 Other specified psychosexual disorders
302.81 Fetishism
302.82 Voyeurism
302.83 Sexual masochism
302.84 Sexual sadism
302.85 Gender identity disorder in adolescents or adults
161
Use additional code to identify sex reassignment surgery status
(302.5)
Excludes: gender identity disorder NOS (302.6)
gender identity disorder in children (302.6)
302.89 Other
Frotteurism
Nymphomania
Satyriasis
302.9 Unspecified psychosexual disorder
Paraphilia NOS
Pathologic sexuality NOS
Sexual deviation NOS
Sexual disorder NOS
303
Alcoholic dependence syndrome
Use additional code to identify any associated condition, as:
Alcoholicic psychoses (291.0-291.9)
drug dependence (304.0-304.9)
physical complications of Alcoholic, such as:
cerebral degeneration (331.7)
cirrhosis of liver (571.2)
epilepsy (345.0-345.9)
gastritis (535.3)
hepatitis (571.1)
liver damage NOS (571.3)
Excludes: drunkenness NOS (305.0)
The following fifth-digit subclassification is for use with category 303:
0
unspecified
1
continuous
2
episodic
3
in remission
303.0 Acute Alcoholicic intoxication
[0-3]
Acute drunkenness in Alcoholicism
303.9 Other and unspecified Alcoholic dependence
[0-3]
Chronic Alcoholicism
Dipsomania
304
Drug dependence
Excludes: nondependent abuse of drugs (305.1-305.9)
The following fifth-digit subclassification is for use with category 304:
0
unspecified
1
continuous
162
2
3
episodic
in remission
304.0 Opioid type dependence
[0-3]
Heroin
Meperidine
Methadone
Morphine
Opium
Opium alkaloids and their derivatives
Synthetics with morphine-like effects
304.1 Sedative, hypnotic or alcoholic dependence
[0-3]
Barbiturates
Nonbarbiturate sedatives and tranquilizers with a similar effect:
chlordiazepoxide
diazepam
glutethimide
meprobamate
methaqualone
304.2 Cocaine dependence
[0-3]
Coca leaves and derivatives
304.3 Cannabis dependence
[0-3]
Hashish
Hemp
Marihuana
304.4 Amphetamine and other psychostimulant dependence
[0-3]
Methylphenidate
Phenmetrazine
304.5 Hallucinogen dependence
[0-3]
Dimethyltryptamine [DMT]
Lysergic acid diethylamide [LSD] and derivatives
Mescaline
Psilocybin
304.6 Other specified drug dependence
[0-3]
Absinthe addiction
Glue sniffing
Inhalant dependence
Phencyclidine dependence
Excludes: tobacco dependence (305.1)
163
304.7 Combinations of opioid type drug with any other
[0-3]
304.8 Combinations of drug dependence excluding opioid type drug
[0-3]
304.9 Unspecified drug dependence
[0-3]
Drug addiction NOS
Drug dependence NOS
305
Nondependent abuse of drugs
Note: Includes cases where a person, for whom no other diagnosis is possible, has
come under medical care because of the maladaptive effect of a drug on which he
is not dependent and that he has taken on his own initiative to the detriment of his
health or social functioning.
Excludes: Alcoholic dependence syndrome (303.0-303.9)
drug dependence (304.0-304.9)
drug withdrawal syndrome (292.0)
poisoning by drugs or medicinal s (960.0-979.9)
The following fifth-digit subclassification is for use with codes 305.0, 305.2-
305.9
0
1
2
3
unspecified
continuous
episodic
in remission
305.0 Alcoholic abuse
[0-3]
Drunkenness NOS
Excessive drinking of Alcoholic NOS
"Hangover" (Alcoholic)
Inebriety NOS
Excludes: acute Alcoholic intoxication in Alcoholicism (303.0)
Alcoholicic psychoses (291.0-291.9)
305.1 Tobacco use disorder
Tobacco dependence
Excludes: history of tobacco use (V15.82)
smoking complicating pregnancy (649.0)
tobacco use disorder complicating pregnancy (649.0)
305.2 Cannabis abuse
[0-3]
305.3 Hallucinogen abuse
[0-3]
Acute intoxication from hallucinogens ["bad trips"]
LSD reaction
164
305.4 Sedative, hypnotic or alcoholic abuse
[0-3]
305.5 Opioid abuse
[0-3]
305.6 Cocaine abuse
[0-3]
305.7 Amphetamine or related acting sympathomimetic abuse
[0-3]
305.8 Antidepressant type abuse
[0-3]
305.9 Other, mixed, or unspecified drug abuse
[0-3]
Caffeine intoxication
Inhalant abuse
"Laxative habit"
Misuse of drugs NOS
Nonprescribed use of drugs or patent medicinals
Phencyclidine abuse
306
Physiological malfunction arising from mental factors
Includes: psychogenic:
physical symptoms not involving tissue damage
physiological manifestations not involving tissue damage
Excludes: hysteria (300.11-300.19)
physical symptoms secondary to a psychiatric disorder classified
elsewhere
psychic factors associated with physical conditions involving tissue
damage classified elsewhere (316)
specific nonpsychotic mental disorders following organic brain damage
(310.0-310.9)
306.0 Musculoskeletal
Psychogenic paralysis
Psychogenic torticollis
Excludes: Gilles de la Tourette's syndrome (307.23)
paralysis as hysterical or conversion reaction (300.11)
tics (307.20-307.22)
306.1 Respiratory
Psychogenic:
air hunger
cough
hiccough
165
hyperventilation
yawning
Excludes: psychogenic asthma (316 and 493.9)
306.2 Cardiovascular
Cardiac neurosis
Cardiovascular neurosis
Neurocirculatory asthenia
Psychogenic cardiovascular disorder
Excludes: psychogenic paroxysmal tachycardia (316 and 427.2)
306.3 Skin
Psychogenic pruritus
Excludes: psychogenic:
alopecia (316 and 704.00)
dermatitis (316 and 692.9)
eczema (316 and 691.8 or 692.9)
urticaria (316 and 708.0-708.9)
306.4 Gastrointestinal
Aerophagy
Cyclical vomiting, psychogenic
Diarrhea, psychogenic
Nervous gastritis
Psychogenic dyspepsia
Excludes: cyclical vomiting NOS (536.2)
associated with migraine (346.2)
globus hystericus (300.11)
mucous colitis (316 and 564.9)
psychogenic:
cardiospasm (316 and 530.0)
duodenal ulcer (316 and 532.0-532.9)
gastric ulcer (316 and 531.0-531.9)
peptic ulcer NOS (316 and 533.0-533.9)
vomiting NOS (307.54)
306.5 Genitourinary
Excludes: enuresis, psychogenic (307.6)
frigidity (302.72)
impotence (302.72)
psychogenic dyspareunia (302.76)
306.50 Psychogenic genitourinary malfunction, unspecified
306.51 Psychogenic vaginismus
Functional vaginismus
166
306.52 Psychogenic dysmenorrhea
306.53 Psychogenic dysuria
306.59 Other
306.6 Endocrine
306.7 Organs of special sense
Excludes: hysterical blindness or deafness (300.11)
psychophysical visual disturbances (368.16)
306.8 Other specified psychophysiological malfunction
Bruxism
Teeth grinding
307
306.9 Unspecified psychophysiological malfunction
Psychophysiologic disorder NOS
Psychosomatic disorder NOS
Special symptoms or syndromes, not elsewhere classified
Note: This category is intended for use if the psychopathology is manifested by a
single specific symptom or group of symptoms which is not part of an organic
illness or other mental disorder classifiable elsewhere.
Excludes: those due to mental disorders classified elsewhere
those of organic origin
307.0 Stuttering
Excludes: dysphasia (784.59)
lisping or lalling (307.9)
retarded development of speech (315.31-315.39)
stuttering (fluency disorder) due to late effect of
cerebrovascular
accident (438.14)
307.1 Anorexia nervosa
Excludes: eating disturbance NOS (307.50)
feeding problem (783.3)
of nonorganic origin (307.59)
loss of appetite (783.0)
of nonorganic origin (307.59)
307.2 Tics
Excludes: nail-biting or thumb-sucking (307.9)
stereotypes occurring in isolation (307.3)
tics of organic origin (333.3)
167
307.20 Tic disorder, unspecified
Tic disorder NOS
307.21 Transient tic disorder
307.22 Chronic motor or vocal tic disorder
307.23 Tourette's disorder
Motor-verbal tic disorder
307.3 Stereotypic movement disorder
Body-rocking
Head banging
Spasmus nutans
Stereotypes NOS
Excludes: tics (307.20-307.23)
of organic origin (333.3)
307.4 Specific disorders of sleep of nonorganic origin
Excludes: narcolepsy (347.00-347.11)
organic hypersomnia (327.10-327.19)
organic insomnia (327.00-327.09)
those of unspecified cause (780.50-780.59)
307.40 Nonorganic sleep disorder, unspecified
307.41 Transient disorder of initiating or maintaining sleep
Adjustment insomnia
Hyposomnia associated with acute or intermittent emotional
reactions or conflicts
Insomnia associated with acute or intermittent emotional reactions
or conflicts
Sleeplessness associated with acute or intermittent emotional
reactions or conflicts
307.42 Persistent disorder of initiating or maintaining sleep
Hyposomnia, insomnia, or sleeplessness associated with:
anxiety
conditioned arousal
depression (major) (minor)
psychosis
Idiopathic insomnia
Paradoxical insomnia
Primary insomnia
Psychophysiological insomnia
168
307.43 Transient disorder of initiating or maintaining wakefulness
Hypersomnia associated with acute or intermittent emotional
reactions or conflicts
307.44 Persistent disorder of initiating or maintaining wakefulness
Hypersomnia associated with depression (major) (minor)
Insufficient sleep syndrome
Primary hypersomnia
Excludes: sleep deprivation (V69.4)
307.45 Circadian rhythm sleep disorder of nonorganic origin
307.46 Sleep arousal disorder
Night terror disorder
Night terrors
Sleep terror disorder
Sleepwalking
Somnambulism
307.47 Other dysfunctions of sleep stages or arousal from sleep
Nightmare disorder
Nightmares:
NOS
REM-sleep type
Sleep drunkenness
307.48 Repetitive intrusions of sleep
Repetitive intrusion of sleep with:
atypical polysomnographic features
environmental disturbances
repeated REM-sleep interruptions
307.49 Other
"Short-sleeper"
Subjective insomnia complaint
307.5 Other and unspecified disorders of eating
Excludes: anorexia:
nervosa (307.1)
of unspecified cause (783.0)
overeating, of unspecified cause (783.6)
vomiting:
NOS (787.03)
cyclical (536.2)
associated with migraine (346.2)
169
psychogenic (306.4)
307.50 Eating disorder, unspecified
Eating disorder NOS
307.51 Bulimia nervosa
Overeating of nonorganic origin
307.52 Pica
Perverted appetite of nonorganic origin
307.53 Rumination disorder
Regurgitation, of nonorganic origin, of food with reswallowing
Excludes: obsessional rumination (300.3)
307.54 Psychogenic vomiting
307.59 Other
Feeding disorder of infancy or early childhood of nonorganic
origin
Infantile feeding disturbances of nonorganic origin
Loss of appetite of nonorganic origin
307.6 Enuresis
Enuresis (primary) (secondary) of nonorganic origin
Excludes: enuresis of unspecified cause (788.3)
307.7 Encopresis
Encopresis (continuous) (discontinuous) of nonorganic origin
Excludes: encopresis of unspecified cause (787.6)
307.8 Pain disorders related to psychological factors
307.80 Psychogenic pain, site unspecified
307.81 Tension headache
Excludes: headache:
NOS (784.0)
migraine (346.0-346.9)
syndromes (339.00-339.89)
tension type (339.10-339.12)
307.89 Other
Code first to type or site of pain
Excludes: pain disorder exclusively attributed to psychological
factors (307.80)
170
psychogenic pain (307.80)
307.9 Other and unspecified special symptoms or syndromes, not elsewhere
classified
Communication disorder NOS
Hair plucking
Lalling
Lisping
Masturbation
Nail-biting
Thumb-sucking
308
Acute reaction to stress
Includes: catastrophic stress
combat fatigue
gross stress reaction (acute)
transient disorders in response to exceptional physical or mental stress
which usually
subside within hours or days
Excludes: adjustment reaction or disorder (309.0-309.9)
chronic stress reaction (309.1-309.9)
308.0 Predominant disturbance of emotions
Anxiety as acute reaction to exceptional [gross] stress
Emotional crisis as acute reaction to exceptional [gross] stress
Panic state as acute reaction to exceptional [gross] stress
308.1 Predominant disturbance of consciousness
Fugues as acute reaction to exceptional [gross] stress
308.2 Predominant psychomotor disturbance
Agitation states as acute reaction to exceptional [gross] stress
Stupor as acute reaction to exceptional [gross] stress
308.3 Other acute reactions to stress
Acute situational disturbance
Acute stress disorder
Excludes: prolonged posttraumatic emotional disturbance (309.81)
308.4 Mixed disorders as reaction to stress
308.9 Unspecified acute reaction to stress
309
Adjustment reaction
Includes: adjustment disorders
reaction (adjustment) to chronic stress
171
Excludes: acute reaction to major stress (308.0-308.9)
neurotic disorders (300.0-300.9)
309.0 Adjustment disorder with depressed mood
Grief reaction
Excludes: affective psychoses (296.0-296.9)
neurotic depression (300.4)
prolonged depressive reaction (309.1)
psychogenic depressive psychosis (298.0)
309.1 Prolonged depressive reaction
Excludes: affective psychoses (296.0-296.9)
brief depressive reaction (309.0)
neurotic depression (300.4)
psychogenic depressive psychosis (298.0)
309.2 With predominant disturbance of other emotions
309.21 Separation anxiety disorder
309.22 Emancipation disorder of adolescence and early adult life
309.23 Specific academic or work inhibition
309.24 Adjustment disorder with anxiety
309.28 Adjustment disorder with mixed anxiety and depressed mood
Adjustment reaction with anxiety and depression
309.29 Other
Culture shock
309.3 Adjustment disorder with disturbance of conduct
Conduct disturbance as adjustment reaction
Destructiveness as adjustment reaction
Excludes: destructiveness in child (312.9)
disturbance of conduct NOS (312.9)
dyssocial behavior without manifest psychiatric disorder
(V71.01-V71.02)
personality disorder with predominantly sociopathic or asocial
manifestations
(301.7)
309.4 Adjustment disorder with mixed disturbance of emotions and conduct
309.8 Other specified adjustment reactions
172
309.81 Posttraumatic stress disorder
Chronic posttraumatic stress disorder
Concentration camp syndrome
Posttraumatic stress disorder NOS
Post-Traumatic Stress Disorder (PTSD)
Excludes: acute stress disorder (308.3)
posttraumatic brain syndrome:
nonpsychotic (310.2)
psychotic (293.0-293.9)
309.82 Adjustment reaction with physical symptoms
309.83 Adjustment reaction with withdrawal
Elective mutism as adjustment reaction
Hospitalism (in children) NOS
309.89 Other
309.9 Unspecified adjustment reaction
Adaptation reaction NOS
Adjustment reaction NOS
310
Specific nonpsychotic mental disorders due to brain damage
Excludes: neuroses, personality disorders, or other nonpsychotic conditions
occurring in a form
similar to that seen with functional disorders but in association with a
physical
condition (300.0-300.9, 301.0-301.9)
310.0 Frontal lobe syndrome
Lobotomy syndrome
Postleucotomy syndrome [state]
Excludes: postcontusion syndrome (310.2)
310.1 Personality change due to conditions classified elsewhere
Cognitive or personality change of other type, of nonpsychotic severity
Organic psychosyndrome of nonpsychotic severity
Presbyophrenia NOS
Senility with mental changes of nonpsychotic severity
Excludes: mild cognitive impairment (331.83)
postconcussion syndrome (310.2)
signs and symptoms involving emotional state (799.21799.29)
310.2 Postconcussion syndrome
173
Postcontusion syndrome or encephalopathy
Posttraumatic brain syndrome, nonpsychotic
Status postcommotio cerebri
Use additional code to identify associated post-traumatic headache, if
applicable (339.20-339.22)
Excludes: any organic psychotic conditions following head injury (293.0294.0)
frontal lobe syndrome (310.0)
postencephalitic syndrome (310.8)
310.8 Other specified nonpsychotic mental disorders following organic brain
damage
Mild memory disturbance
Postencephalitic syndrome
Other focal (partial) organic psychosyndromes
Excludes: memory loss of unknown cause (780.93)
310.9 Unspecified nonpsychotic mental disorder following organic brain damage

(F06.9) Unspecified mental disorder due to brain damage and dysfunction
and to physical disease [ ICD 10-CM]

Unspecified mental disorder due to another medical condition ICD 9
CM 294.9]
311
Depressive disorder, not elsewhere classified
Depressive disorder NOS
Depressive state NOS
Depression NOS
Excludes: acute reaction to major stress with depressive symptoms (308.0)
affective personality disorder (301.10-301.13)
affective psychoses (296.0-296.9)
brief depressive reaction (309.0)
depressive states associated with stressful events (309.0-309.1)
disturbance of emotions specific to childhood and adolescence, with
misery and
unhappiness (313.1)
mixed adjustment reaction with depressive symptoms (309.4)
neurotic depression (300.4)
prolonged depressive adjustment reaction (309.1)
psychogenic depressive psychosis (298.0)
312
Disturbance of conduct, not elsewhere classified
174
Excludes: adjustment reaction with disturbance of conduct (309.3)
drug dependence (304.0-304.9)
dyssocial behavior without manifest psychiatric disorder (V71.01V71.02)
personality disorder with predominantly sociopathic or asocial
manifestations (301.7)
sexual deviations (302.0-302.9)
The following fifth-digit subclassification is for use with categories 312.0-312.2:
0
unspecified
1
mild
2
moderate
3
severe
312.0 Undersocialized conduct disorder, aggressive type
[0-3]
Aggressive outburst
Anger reaction
Bullying
Unsocialized aggressive disorder
312.1 Undersocialized conduct disorder, unaggressive type
[0-3]
Childhood truancy, unsocialized
Solitary stealing
Tantrums
312.2 Socialized conduct disorder
[0-3]
Childhood truancy, socialized
Group delinquency
Excludes: gang activity without manifest psychiatric disorder (V71.01)
312.3 Disorders of impulse control, not elsewhere classified
312.30 Impulse control disorder, unspecified
312.31 Pathological gambling
312.32 Kleptomania
312.33 Pyromania
312.34 Intermittent explosive disorder
312.35 Isolated explosive disorder
312.39 Other
Trichotillomania
175
312.4 Mixed disturbance of conduct and emotions
Neurotic delinquency
Excludes: compulsive conduct disorder (312.3)
312.8 Other specified disturbances of conduct, not elsewhere classified
312.81 Conduct disorder, childhood onset type
312.82 Conduct disorder, adolescent onset type
312.89 Other conduct disorder
Conduct disorder of unspecified onset
312.9 Unspecified disturbance of conduct
Delinquency (juvenile)
Disruptive behavior disorder NOS
313
Disturbance of emotions specific to childhood and adolescence
Excludes: adjustment reaction (309.0-309.9)
emotional disorder of neurotic type (300.0-300.9)
masturbation, nail-biting, thumb-sucking, and other isolated symptoms
(307.0-307.9)
313.0 Overanxious disorder
Anxiety and fearfulness of childhood and adolescence
Overanxious disorder of childhood and adolescence
Excludes: abnormal separation anxiety (309.21)
anxiety states (300.00-300.09)
hospitalism in children (309.83)
phobic state (300.20-300.29)
313.1 Misery and unhappiness disorder
Excludes: depressive neurosis (300.4)
313.2 Sensitivity, shyness, and social withdrawal disorder
Excludes: infantile autism (299.0)
schizoid personality (301.20-301.22)
schizophrenia (295.0-295.9)
313.21 Shyness disorder of childhood
Sensitivity reaction of childhood or adolescence
313.22 Introverted disorder of childhood
Social withdrawal of childhood or adolescence
Withdrawal reaction of childhood or adolescence
176
313.23 Selective mutism
Excludes: elective mutism as adjustment reaction (309.83)
313.3 Relationship problems
Sibling jealousy
Excludes: relationship problems associated with aggression, destruction,
or other forms
of conduct disturbance (312.0-312.9)
313.8 Other or mixed emotional disturbances of childhood or adolescence
313.81 Oppositional defiant disorder
313.82 Identity disorder
Identity problem
313.83 Academic underachievement disorder
313.89 Other
Reactive attachment disorder of infancy or early childhood
313.9 Unspecified emotional disturbance of childhood or adolescence
Mental disorder of infancy, childhood or adolescence NOS
314
Hyperkinetic syndrome of childhood
Excludes: hyperkinesis as symptom of underlying disorder - code the underlying
disorder
314.0 Attention deficit disorder
Adult
Child
314.00 Without mention of hyperactivity
Predominantly inattentive type
314.01 With hyperactivity
Combined type
Overactivity NOS
Predominantly hyperactive/impulsive type
Simple disturbance of attention with overactivity
314.1 Hyperkinesis with developmental delay
Developmental disorder of hyperkinesis
Use additional code to identify any associated neurological disorder
314.2 Hyperkinetic conduct disorder
177
Hyperkinetic conduct disorder without developmental delay
Excludes: hyperkinesis with significant delays in specific skills (314.1)
314.8 Other specified manifestations of hyperkinetic syndrome
314.9 Unspecified hyperkinetic syndrome
Hyperkinetic reaction of childhood or adolescence NOS
Hyperkinetic syndrome NOS
315
Specific delays in development
Excludes: that due to a neurological disorder (320.0-389.9)
315.0 Specific reading disorder
315.00 Reading disorder, unspecified
315.01 Alexia
315.02 Developmental dyslexia
315.09 Other
Specific spelling difficulty
315.1 Mathematics disorder
Dyscalculia
315.2 Other specific learning difficulties
Disorder of written expression
Excludes: specific arithmetical disorder (315.1)
specific reading disorder (315.00-315.09)
315.3 Developmental speech or language disorder
315.31 Expressive language disorder
Developmental aphasia
Word deafness
Excludes: acquired aphasia (784.3)
elective mutism (309.83, 313.0, 313.23)
315.32 Mixed receptive-expressive language disorder
Central auditory processing disorder
Excludes: acquired auditory processing disorder (388.45)
315.34 Speech and language developmental delay due to hearing loss
315.39 Other
178
Developmental articulation disorder
Dyslalia
Phonological disorder
Excludes: lisping and lalling (307.9)
stammering and stuttering (307.0)
315.4 Developmental coordination disorder
Clumsiness syndrome
Dyspraxia syndrome
Specific motor development disorder
315.5 Mixed development disorder
315.8 Other specified delays in development
315.9 Unspecified delay in development
Developmental disorder NOS
Learning disorder NOS
316
Psychic factors associated with diseases classified elsewhere
Psychologic factors in physical conditions classified elsewhere
Use additional code to identify the associated physical condition, as:
psychogenic:
asthma (493.9)
dermatitis (692.9)
duodenal ulcer (532.0-532.9)
eczema (691.8, 692.9)
gastric ulcer (531.0-531.9)
mucous colitis (564.9)
paroxysmal tachycardia (427.2)
ulcerative colitis (556)
urticaria (708.0-708.9)
psychosocial dwarfism (259.4)
Excludes: physical symptoms and physiological malfunctions, not
involving tissue
damage, of mental origin (306.0-306.9)
MENTAL RETARDATION (317-319)
Use additional code(s) to identify any associated psychiatric or physical
condition(s)
317
Mild mental retardation
High-grade defect
IQ 50-70
Mild mental subnormality
179
318
Other specified mental retardation
318.0 Moderate mental retardation
IQ 35-49
Moderate mental subnormality
318.1 Severe mental retardation
IQ 20-34
Severe mental subnormality
318.2 Profound mental retardation
IQ under 20
Profound mental subnormality
319
Unspecified mental retardation
Mental deficiency NOS
Mental subnormality NOS
327
Organic sleep disorders
327.0 Organic disorders of initiating and maintaining sleep [Organic insomnia]
Excludes: insomnia NOS (780.52)
insomnia not due to a or known physiological condition (307.41307.42)
insomnia with sleep apnea NOS (780.51)
327.00 Organic insomnia, unspecified
327.01 Insomnia due to medical condition classified elsewhere
Code first underlying condition
Excludes: insomnia due to mental disorder (327.02)
327.02 Insomnia due to mental disorder
Code first mental disorder
Excludes: Alcoholic induced insomnia (291.82)
drug induced insomnia (292.85)
327.09 Other organic insomnia
327.1 Organic disorder of excessive somnolence [Organic hypersomnia]
Excludes: hypersomnia NOS (780.54)
hypersomnia not due to a or known physiological condition
(307.43307.44)
hypersomnia with sleep apnea NOS (780.53)
180
327.10 Organic hypersomnia, unspecified
327.11 Idiopathic hypersomnia with long sleep time
327.12 Idiopathic hypersomnia without long sleep time
327.13 Recurrent hypersomnia
Kleine-Levin syndrome
Menstrual related hypersomnia
327.14 Hypersomnia due to medical condition classified elsewhere
Code first underlying condition
Excludes: hypersomnia due to mental disorder (327.15)
327.15 Hypersomnia due to mental disorder
Code first mental disorder
Excludes: Alcoholic induced insomnia (291.82)
drug induced insomnia (292.85)
327.19 Other organic hypersomnia
327.2 Organic sleep apnea
Excludes: Cheyne-Stokes breathing (786.04)
hypersomnia with sleep apnea NOS (780.53)
insomnia with sleep apnea NOS (780.51)
sleep apnea in newborn (770.81-770.82)
sleep apnea NOS (780.57)
327.20 Organic sleep apnea, unspecified
327.21 Primary central sleep apnea
327.22 High altitude periodic breathing
327.23 Obstructive sleep apnea (adult) (pediatric)
327.24 Idiopathic sleep related nonobstructive alveolar hypoventilation
Sleep related hypoxia
327.25 Congenital central alveolar hypoventilation syndrome
327.26 Sleep related hypoventilation/hypoxemia in conditions classifiable
elsewhere
Code first underlying condition
327.27 Central sleep apnea in conditions classified elsewhere
181
Code first underlying condition
327.29 Other organic sleep apnea
327.3 Circadian rhythm sleep disorder
Organic disorder of sleep wake cycle
Organic disorder of sleep wake schedule
Excludes: Alcoholic induced circadian rhythm sleep disorder (291.82)
circadian rhythm sleep disorder of nonorganic origin
(307.45)
disruption of 24 hour sleep wake cycle NOS (780.55)
drug induced circadian rhythm sleep disorder (292.85)
327.30 Circadian rhythm sleep disorder, unspecified
327.31 Circadian rhythm sleep disorder, delayed sleep phase type
327.32 Circadian rhythm sleep disorder, advanced sleep phase type
327.33 Circadian rhythm sleep disorder, irregular sleep-wake type
327.34 Circadian rhythm sleep disorder, free-running type
327.35 Circadian rhythm sleep disorder, jet lag type
327.36 Circadian rhythm sleep disorder, shift work type
327.37 Circadian rhythm sleep disorder in conditions classified elsewhere
Code first underlying condition
327.39 Other circadian rhythm sleep disorder
327.4 Organic parasomnia
Excludes: Alcoholic induced parasomnia (291.82)
drug induced parasomnia (292.85)
parasomnia not due to a known physiological condition
(307.47)
327.40 Organic parasomnia, unspecified
327.41 Confusional arousals
327.42 REM sleep behavior disorder
327.43 Recurrent isolated sleep paralysis
182
327.44 Parasomnia in conditions classified elsewhere
Code first underlying condition
327.49 Other organic parasomnia
327.5 Organic sleep related movement disorders
Excludes: restless legs syndrome (333.94)
sleep related movement disorder NOS (780.58)
327.51 Periodic limb movement disorder
Periodic limb movement sleep disorder
327.52 Sleep related leg cramps
327.53 Sleep related bruxism
327.59 Other organic sleep related movement disorders
327.8 Other organic sleep disorders
330
Cerebral degenerations usually manifest in childhood
Use additional code to identify associated mental retardation
330.0 Leukodystrophy
Krabbe's disease
Leukodystrophy:
NOS
globoid cell
metachromatic
sudanophilic
Pelizaeus-Merzbacher disease
Sulfatide lipidosis
330.1 Cerebral lipidoses
Amaurotic (familial) idiocy
Disease:
Batten
Jansky-Bielschowsky
Kufs'
Spielmeyer-Vogt
Tay-Sachs
Gangliosidosis
330.2 Cerebral degeneration in generalized lipidoses
Code first underlying disease, as:
Fabry's disease (272.7)
183
Gaucher's disease (272.7)
Niemann-Pick disease (272.7)
sphingolipidosis (272.7)
330.3 Cerebral degeneration of childhood in other diseases classified elsewhere
Code first underlying disease, as:
Hunter's disease (277.5)
mucopolysaccharidosis (277.5)
330.8 Other specified cerebral degenerations in childhood
Alpers' disease or gray-matter degeneration
Infantile necrotizing encephalomyelopathy
Leigh's disease
Subacute necrotizing encephalopathy or encephalomyelopathy
330.9 Unspecified cerebral degeneration in childhood
331
Other cerebral degenerations
Use additional code, where applicable, to identify dementia:
with behavioral disturbance (294.11)
without behavioral disturbance (294.10)
331.0 Alzheimer's disease
331.1 Frontotemporal dementia
331.11 Pick's disease
331.19 Other frontotemporal dementia
Frontal dementia
331.2 Senile degeneration of brain
Excludes: senility NOS (797)
331.3 Communicating hydrocephalus
Secondary normal pressure hydrocephalus
Excludes: congenital hydrocephalus (742.3)
idiopathic normal pressure hydrocephalus (331.5)
normal pressure hydrocephalus (331.5)
spina bifida with hydrocephalus (741.0)
331.4 Obstructive hydrocephalus
Acquired hydrocephalus NOS
Excludes: congenital hydrocephalus (742.3)
idiopathic normal pressure hydrocephalus (331.5)
normal pressure hydrocephalus (331.5)
184
spina bifida with hydrocephalus (741.0)
331.5 Idiopathic normal pressure hydrocephalus (INPH)
Normal pressure hydrocephalus NOS
Excludes: congenital hydrocephalus (742.3)
secondary normal pressure hydrocephalus (331.3)
spina bifida with hydrocephalus (741.0)
331.7 Cerebral degeneration in diseases classified elsewhere
Code first underlying disease, as:
Alcoholism (303.0-303.9)
beriberi (265.0)
cerebrovascular disease (430-438)
congenital hydrocephalus (741.0, 742.3)
neoplastic disease (140.0-239.9)
myxedema (244.0-244.9)
vitamin B12 deficiency (266.2)
Excludes: cerebral degeneration in:
Jakob-Creutzfeldt disease (046.11-046.19)
progressive multifocal leukoencephalopathy (046.3)
subacute spongiform encephalopathy (046.1)
331.8 Other cerebral degeneration
331.81 Reye's syndrome
331.82 Dementia with Lewy bodies
Dementia with Parkinsonism
Lewy body dementia
Lewy body disease
331.83 Mild cognitive impairment, so stated
Excludes: altered mental status (780.97)
cerebral degeneration (331.0-331.9)
change in mental status (780.97)
cognitive deficits following (late effects of) cerebral hemorrhage or
infarction (438.0)
cognitive impairment due to intracranial or head injury (850-854,
959.01)
cognitive impairment due to late effect of intracranial injury
(907.0)
cognitive impairment due to skull fracture (800-801, 803-804)
dementia (290.0-290.43, 294.8)
mild memory disturbance (310.8)
neurologic neglect syndrome (781.8)
personality change, nonpsychotic (310.1)
185
331.89 Other
Cerebral ataxia
331.9 Cerebral degeneration, unspecified
332
Parkinson's disease
Excludes: dementia with Parkinsonism (331.82)
332.0 Paralysis agitans
Parkinsonism or Parkinson's disease:
NOS
idiopathic
primary
332.1 Secondary Parkinsonism
Neuroleptic-induced Parkinsonism
Parkinsonism due to drugs
Use additional E code to identify drug, if drug-induced
Excludes: Parkinsonism (in):
Huntington's disease (333.4)
progressive supranuclear palsy (333.0)
Shy-Drager syndrome (333.0)
syphilitic (094.82)
333.1 Essential and other specified forms of tremor
Benign essential tremor
Familial tremor
Medication-induced postural tremor
Use additional E code to identify drug, if drug-induced
Excludes: tremor NOS (781.0)
333.7 Acquired torsion dystonia
333.71 Athetoid cerebral palsy
Double athetosis (syndrome)
Vogt's disease
Excludes: infantile cerebral palsy (343.0-343.9)
333.72 Acute dystonia due to drugs
Acute dystonic reaction due to drugs
Neuroleptic-induced acute dystonia
Use additional E code to identify drug
Excludes: blepharospasm due to drugs (333.85)
orofacial dyskinesia due to drugs (333.85)
186
secondary Parkinsonism (332.1)
subacute dyskinesia due to drugs (333.85)
tardive dyskinesia (333.85)
333.79 Other acquired torsion dystonia
333.8 Fragments of torsion dystonia
Use additional E code to identify drug, if drug-induced
333.81 Blepharospasm
Excludes: blepharospasm due to drugs (333.85)
333.82 Orofacial dyskinesia
Excludes: orofacial dyskinesia due to drugs (333.85)
333.83 Spasmodic torticollis
Excludes: torticollis:
NOS (723.5)
hysterical (300.11)
psychogenic (306.0)
333.84 Organic writers' cramp
Excludes: psychogenic (300.89)
333.85 Subacute dyskinesia due to drugs
Blepharospasm due to drugs
Orofacial dyskinesia due to drugs
Tardive dyskinesia
Use additional E code to identify drug
Excludes: acute dystonia due to drugs (333.72)
acute dystonic reaction due to drugs (333.72)
secondary Parkinsonism (332.1)
333.89 Other
333.9 Other and unspecified extrapyramidal diseases and abnormal movement
disorders
333.90 Unspecified extrapyramidal disease and abnormal movement
disorder
Medication-induced movement disorders NOS
Use additional E code to identify drug, if drug-induced
333.91 Stiff-man syndrome
333.92 Neuroleptic malignant syndrome
187
Use additional E to identify drug
Excludes: neuroleptic induced Parkinsonism (332.1)
333.93 Benign shuddering attacks
333.94 Restless legs syndrome (RLS)
333.99 Other
Neuroleptic-induced acute akathisia
Use additional E code to identify drug, if drug-induced
347.00 Narcolepsy Without cataplexy
347.01 Narcolepsy With cataplexy
347.10 Narcolepsy in conditions classified elsewhere without cataplexy
Code first underlying condition, e.g., 340 [347.10] Multiple sclerosis with
narcolepsy without cataplexy
347.11 Narcolepsy in conditions classified elsewhere With cataplexy
Code first underlying condition
437.7
Transient global amnesia
338
Pain, NOS [heading]
338.0
Central pain syndrome
338.1 Acute pain [Heading]
338.11 Acute pain due to trauma
338.12 Acute pain due to post-thoracotomy pain
338.18 Other acute postoperative pain
338.19 Other acute pain
338.2 Chronic pain [Heading]
338.21
Chronic pain due to trauma
338.22
Chronic pain due to post-thoracotomy pain
338.28
Other chronic postoperative pain
188
338.29
338.3
neoplasm pain.
Other chronic pain
Neoplasm related pain. Can specify Acute or Chronic, e.g., Acute
338.3 Chronic pain syndrome
368.16 Hallucinations, visual
607.84 Impotence of organic origin
Excludes: nonorganic (302.72)
608.89 Other
Atrophy of seminal vesicle, spermatic cord, testis, scrotum tunica
vaginalis, or vas deferens
Fibrosis of seminal vesicle, spermatic cord, testis, scrotum tunica
vaginalis, or vas deferens
Hypertrophy of seminal vesicle, spermatic cord, testis, scrotum tunica
vaginalis, or vas deferens
Ulcer of seminal vesicle, spermatic cord, testis, scrotum tunica vaginalis,
or vas deferens
Excludes: atrophy of testis (608.3)
625.0 Dyspareunia
Excludes: psychogenic dyspareunia (302.76)
625.4 Premenstrual dysphoric disorder [Use DSM-IV-TR’s criteria set on page
774, but this
code is preferred to DSM-IV-TR’s suggestion of 311 as 311 has many
other meanings and places psychiatrists outside the rest of medicine.]
625.8
Other specified symptoms associated with female genital organs
760.71 Fetal Alcoholic syndrome
780.0 Alteration of consciousness
Excludes: alteration of consciousness due to:
intracranial injuries (850.0-854.19)
skull fractures (800.00-801.99, 803.00-804.99)
coma:
diabetic (249.2-249.3, 250.2-250.3)
hepatic (572.2)
originating in the perinatal period (779.2)
780.01 Coma
189
780.02 Transient alteration of awareness
780.03 Persistent vegetative state
780.09 Other
Drowsiness
Semicoma
Unconsciousness
Somnolence
Stupor
780.1 Hallucinations
Hallucinations:
NOS
auditory
gustatory
olfactory
tactile
Excludes: those associated with mental disorders, as functional psychoses
(295.0-298.9)
organic brain syndromes (290.0-294.9, 310.0-310.9)
visual hallucinations (368.16)
780.2 Syncope and collapse
Blackout
Fainting
(Near) (Pre) syncope
Vasovagal attack
Excludes: carotid sinus syncope (337.0)
heat syncope (992.1)
neurocirculatory asthenia (306.2)
orthostatic hypotension (458.0)
shock NOS (785.50)
780.5 Sleep disturbances
Excludes: circadian rhythm sleep disorders (327.30-327.39)
organic hypersomnia (327.10-327.19)
organic insomnia (327.00-327.09)
organic sleep apnea (327.20-327.29)
organic sleep related movement disorders (327.51-327.59)
parasomnias (327.40-327.49)
that of nonorganic origin (307.40-307.49)
780.50 Sleep disturbance, unspecified
780.51 Insomnia with sleep apnea, unspecified
190
780.52 Insomnia, unspecified
780.53 Hypersomnia with sleep apnea, unspecified
780.54 Hypersomnia, unspecified
780.55 Disruptions of 24 hour sleep wake cycle, unspecified
780.56 Dysfunctions associated with sleep stages or arousal from sleep
780.57 Unspecified sleep apnea
780.58 Sleep related movement disorder, unspecified
Excludes: restless legs syndrome (333.94)
780.59
Other
780.93 Memory loss
Amnesia (retrograde)
Memory loss NOS
Excludes: memory loss due to:
intracranial injuries (850.0-854.19)
skull fractures (800.00-801.99, 803.00-804.99)
mild memory disturbance due to organic brain
damage (310.8)
transient global amnesia (437.7)
781.0 Abnormal involuntary movements
Abnormal head movements
Fasciculation
Spasms NOS
Tremor NOS
Excludes: abnormal reflex (796.1)
chorea NOS (333.5)
infantile spasms (345.60-345.61)
spastic paralysis (342.1, 343.0-344.9)
specified movement disorders classifiable to 333 (333.0333.9)
that of nonorganic origin (307.2-307.3)
781.1 Disturbances of sensation of smell and taste
Anosmia
Parageusia
Parosmia
787.6 Incontinence of feces
191
Encopresis NOS
Incontinence of sphincter ani
Excludes: that of nonorganic origin (307.7)
798.1 Instantaneous death, cause unknown
798.2 Death occurring in less than 24 hours from onset of symptoms, not
otherwise explained
Death known not to be violent or instantaneous, for which no cause could
be discovered
Died without sign of disease
798.9 Unattended death
Death in circumstances where the body of the deceased was found and no
cause could be discovered
Found dead
799.2 Signs and symptoms involving emotional state: [use these entities only
1] when no psychiatric syndrome is being diagnosed or 2] when the
syndrome being diagnosed does not include these signs or symptoms, yet
the sign or symptom is severe enough to be of clinical concern]
799.21
Nervousness
799.22
Irritability
799.23
Impulsiveness
799.24
Emotional liability
799.25
Demoralization or apathy
799.29
Other signs and symptoms involving emotional state.
799.9 Other unknown and unspecified cause
Undiagnosed disease, not specified as to site or system involved
Unknown cause of morbidity or mortality
995.2 Other and unspecified adverse effect of drug, medicinal and biological
(due) to correct medicinal properly administered
Adverse effect to correct medicinal properly administered
Allergic reaction to correct medicinal properly administered
Hypersensitivity to correct medicinal properly administered
Idiosyncrasy due to correct medicinal properly administered
Drug:
hypersensitivity NOS
192
reaction NOS
Excludes: pathological drug intoxication (292.2)
995.20
Unspecified adverse effect of unspecified drug, medicinal and biological
995.50 Child abuse, unspecified
995.51 Child emotional/psychological abuse
995.52 Child neglect (nutritional)
Use additional code to identify intent of neglect (E904.0, E968.4)
995.53 Child sexual abuse
995.54 Child physical abuse
Battered baby or child syndrome
Excludes: Shaken infant syndrome (995.55)
995.55 Shaken infant syndrome
Use additional code(s) to identify any associated injuries
995.59 Other child abuse and neglect
Multiple forms of abuse
Use additional code to identify intent of neglect (E904.0, E968.4)
995.80 Adult maltreatment, unspecified
Abused person NOS
Use additional code to identify:
any associated injury
nature of abuse (E960-E968)
perpetrator (E967.0-E967.9)
995.81 Adult physical abuse
Battered:
person syndrome NEC
man
spouse
woman
Use additional code to identify:
any associated injury
nature of abuse (E960-E968)
perpetrator (E967.0-E967.9)
995.82 Adult emotional/psychological abuse
Use additional E code to identify perpetrator (E967.0-E967.9)
995.83 Adult sexual abuse
Use additional code to identify:
any associated injury
193
perpetrator (E967.0-E967.9)
995.84 Adult neglect (nutritional)
Use additional code to identify:
intent of neglect (E904.0-E968.4)
perpetrator (E967.0-E967.9)
995.85 Other adult abuse and neglect
Multiple forms of abuse and neglect
Use additional code to identify:
any associated injury
intent of neglect (E904.0, E968.4)
nature of abuse (E960-E968)
perpetrator (E967.0-E967.9)
194
Outline of ICD-10-CM
On October 1, 2014, the United States is to switch from ICD-9-CM to ICD-10-CM. Most psychiatric disorders are
in Chapter 5, and the codes for that chapter begin with the letter “F.” Chapter that also are often important to
psychiatrists are Chapter 6 beginning with the letter “G,” Chapter 18 beginning with the letter “R,” and Chapter 21
beginning with the letter “Z.”

CHAPTER 1 - Certain infectious and parasitic diseases (A00-B99)

CHAPTER 2 - Neoplasms (C00-D48)

CHAPTER 3 - Diseases of the blood and blood-forming organs and certain disorders involving the
immune mechanism (D50-D89)

CHAPTER 4 - Endocrine, nutritional and metabolic diseases (E00-E90)

CHAPTER 5 - Mental and behavioral disorders (F01-F99)

CHAPTER 6 - Diseases of the nervous system (G00-G99)

CHAPTER 7 - Diseases of the eye and adnexa (H00-H59)

CHAPTER 8 - Diseases of the ear and mastoid process (H60-H95)

CHAPTER 9 - Diseases of the circulatory system (I00-I99)

CHAPTER 10 - Diseases of the respiratory system (J00-J99)

CHAPTER 11 - Diseases of the digestive system (K00-K93)

CHAPTER 12 - Diseases of the skin and subcutaneous tissue (L00-L99)

CHAPTER 13 - Diseases of the musculoskeletal system and connective tissue (M00-M99)

CHAPTER 14 - Diseases of the genitourinary system (N00-N99)

CHAPTER 15 - Pregnancy, childbirth and the puerperium (O00-O99)

CHAPTER 16 - Certain conditions originating in the perinatal period (P00-P96)

CHAPTER 17 - Congenital malformations, deformations and chromosomal abnormalities (Q00Q99)

CHAPTER 18 - Symptoms, signs and abnormal clinical and laboratory findings,
not elsewhere classified (R00-R99)

CHAPTER 19 - Injury, poisoning and certain other consequences of external causes (S00-T98)

CHAPTER 20 - External causes of morbidity (V01-Y99)
195

CHAPTER 21 - Factors influencing health status and contact with health services
(Z00-Z99)
Examples:
F42 Hoarding disorder
F60.3 Borderline personality disorder
G24.0 Drug Induced dystonia
R06.3 Central sleep apnea
Z59.0 Homelessness
-----------------------------------------------------
196
Numerical Listing of ICD-10-CM Codes
Related to Psychiatric Conditions
197
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Includes:
disorders of psychological development
Excludes2: symptoms, signs and abnormal clinical laboratory findings, not elsewhere
classified (R00-R99)
This chapter contains the following blocks:
F01-F09
Mental disorders due to known physiological conditions
F10-F19
Mental and behavioral disorders due to psychoactive substance use
F20-F29
Schizophrenia, schizotypal, delusional, and other non-mood psychotic
disorders
F30-F39
Mood [affective] disorders
F40-F48
Anxiety, dissociative, stress-related, somatoform and other nonpsychotic
mental disorders
F50-F59
Behavioral syndromes associated with physiological disturbances and
physical factors
F60-F69
Disorders of adult personality and behavior
F70-F79
Intellectual disabilities
F80-F89
Pervasive and specific developmental disorders
F90-F98
Behavioral and emotional disorders with onset usually occurring in childhood
and adolescence
F99
Unspecified mental disorder
Mental disorders due to known physiological conditions (F01-F09)
Note: This block comprises a range of mental disorders grouped together on the basis
of their having in common a demonstrable etiology in cerebral disease, brain injury, or
other insult leading to cerebral dysfunction. The dysfunction may be primary, as in
diseases, injuries, and insults that affect the brain directly and selectively; or secondary,
as in systemic diseases and disorders that attack the brain only as one of the multiple
organs or systems of the body that are involved.
F01 Vascular dementia
Vascular dementia as a result of infarction of the brain due to vascular disease,
including hypertensive cerebrovascular disease.
Includes: arteriosclerotic dementia
Code first the underlying physiological condition or sequelae of cerebrovascular
disease.
F01.5 Vascular dementia
F01.50 Vascular dementia without behavioral disturbance
F01.51 Vascular dementia with behavioral disturbance Vascular dementia with
aggressive behavior Vascular dementia with combative behavior Vascular dementia
with violent behavior
198
Use additional code, if applicable, to identify wandering in vascular dementia
(Z91.83)
F02 Dementia in other diseases classified elsewhere
Code first the underlying physiological condition, such as: Alzheimer's (G30.-)
cerebral lipidosis (E75.4)
Creutzfeldt-Jakob disease (A81.0-)
dementia with Lewy bodies (G31.83)
epilepsy and recurrent seizures (G40.-)
frontotemporal dementia (G31.09)
hepatolenticular degeneration (E83.0)
human immunodeficiency virus [HIV] disease (B20)
hypercalcemia (E83.52) hypothyroidism, acquired (E00-E03.-) intoxications
(T36-T65)
Jakob-Creutzfeldt disease (A81.0-) multiple sclerosis (G35) neurosyphilis
(A52.17)
niacin deficiency [pellagra] (E52) Parkinson's disease (G20)
Pick's disease (G31.01)
polyarteritis nodosa (M30.0)
systemic lupus erythematosus (M32.-)
trypanosomiasis (B56.-, B57.-)
vitamin B deficiency (E53.8)
Excludes1: dementia with Parkinsonism (G31.83)
Excludes2: dementia in alcohol and psychoactive substance disorders (F10-F19, with .17,
.27, .97)
vascular dementia (F01.5-)
F02.8 Dementia in other diseases classified elsewhere
F02.80 Dementia in other diseases classified elsewhere without behavioral
disturbance
Dementia in other diseases classified elsewhere NOS
F02.81 Dementia in other diseases classified elsewhere with behavioral
disturbance Dementia in other diseases classified elsewhere with
aggressive behavior Dementia in other diseases classified elsewhere with
combative behavior Dementia in other diseases classified elsewhere with
violent behavior
Use additional code, if applicable, to identify wandering in dementia in
conditions classified elsewhere (Z91.83)
F03 Unspecified dementia Presenile dementia NOS Presenile psychosis NOS
Primary degenerative dementia NOS Senile dementia NOS
Senile dementia depressed or paranoid type
Senile psychosis NOS
Excludes1: senility NOS (R41.81)
199
Excludes2: mild memory disturbance due to known physiological condition (F06.8)
senile dementia with delirium or acute confusional state (F05)
F03.9 Unspecified dementia
F03.90 Unspecified dementia without behavioral disturbance
Dementia NOS
F03.91 Unspecified dementia with behavioral disturbance Unspecified
dementia with aggressive behavior Unspecified dementia with combative
behavior Unspecified dementia with violent behavior
Use additional code, if applicable, to identify wandering in unspecified
dementia (Z91.83)
F04 Amnestic disorder due to known physiological condition
Korsakov's psychosis or syndrome, nonalcoholic Code first the underlying physiological
condition Excludes1: amnesia NOS (R41.3)
anterograde amnesia (R41.1) dissociative amnesia (F44.0) retrograde amnesia (R41.2)
Excludes2: alcohol-induced or unspecified Korsakov's syndrome (F10.26, F10.96)
Korsakov's syndrome induced by other psychoactive substances (F13.26,
F13.96, F19.16, F19.26, F19.96)
F05 Delirium due to known physiological condition
Acute or subacute brain syndrome
Acute or subacute confusional state (nonalcoholic) Acute or subacute infective psychosis
Acute or subacute organic reaction
Acute or subacute psycho-organic syndrome
Delirium of mixed etiology
Delirium superimposed on dementia
Sundowning
Code first the underlying physiological condition
Excludes1: delirium NOS (R41.0)
Excludes2: delirium tremens alcohol-induced or unspecified (F10.231, F10.921)
F06 Other mental disorders due to known physiological condition
Includes: mental disorders due to endocrine disorder mental disorders due to exogenous
hormone
mental disorders due to exogenous toxic substance mental disorders due to
primary cerebral disease mental disorders due to somatic illness
mental disorders due to systemic disease affecting the brain
Code first the underlying physiological condition
Excludes1: unspecified dementia (F03)
Excludes2: delirium due to known physiological condition (F05)
dementia as classified in F01-F02
200
other mental disorders associated with alcohol and other psychoactive
substances (F10-F19)
F06.0 Psychotic disorder with hallucinations due to known physiological condition
Organic hallucinatory state (nonalcoholic)
Excludes2: hallucinations and perceptual disturbance induced by alcohol and other
psychoactive substances
(F10-F19 with .151, .251, .951)
schizophrenia (F20.-)
F06.1 Catatonic disorder due to known physiological condition
Excludes1: catatonic stupor (R40.1)
stupor NOS (R40.1)
Excludes2: catatonic schizophrenia (F20.2)
dissociative stupor (F44.2)
F06.2 Psychotic disorder with delusions due to known physiological condition
Paranoid and paranoid-hallucinatory organic states
Schizophrenia-like psychosis in epilepsy
Excludes2: alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250,
.950)
brief psychotic disorder (F23) delusional disorder (F22) schizophrenia
(F20.-)
F06.3 Mood disorder due to known physiological condition
Excludes2: mood disorders due to alcohol and other psychoactive substances (F10F19 with .14, .24, .94)
mood disorders, not due to known physiological condition or
unspecified (F30-F39)
F06.30 Mood disorder due to known physiological condition, unspecified
F06.31 Mood disorder due to known physiological condition with depressive
features
F06.32 Mood disorder due to known physiological condition with major
depressive-like episode
F06.33 Mood disorder due to known physiological condition with manic
features
F06.34 Mood disorder due to known physiological condition with mixed
features
F06.4 Anxiety disorder due to known physiological condition
Excludes2: anxiety disorders due to alcohol and other psychoactive substances
(F10-F19 with .180, .280, .980)
anxiety disorders, not due to known physiological condition or
unspecified (F40.-, F41.-)
201
F06.8 Other specified mental disorders due to known physiological condition
Epileptic psychosis NOS Organic dissociative disorder
Organic emotionally labile [asthenic] disorder
F07 Personality and behavioral disorders due to known physiological condition
Code first the underlying physiological condition
F07.0 Personality change due to known physiological condition
Frontal lobe syndrome
Limbic epilepsy personality syndrome
Lobotomy syndrome
Organic personality disorder
Organic pseudopsychopathic personality Organic pseudoretarded personality
Postleucotomy syndrome
Code first underlying physiological condition
Excludes1: mild cognitive impairment (G31.84) postconcussional syndrome
(F07.81) postencephalitic syndrome (F07.89)
signs and symptoms involving emotional state (R45.-)
Excludes2: specific personality disorder (F60.-)
F07.8 Other personality and behavioral disorders due to known physiological
condition
F07.81 Postconcussional syndrome Postcontusional syndrome (encephalopathy)
Post-traumatic brain syndrome, nonpsychotic
Use additional code to identify associated post-traumatic headache, if
applicable (G44.3-)
Excludes1: current concussion (brain) (S06.0-)
postencephalitic syndrome (F07.89)
F07.89 Other personality and behavioral disorders due to known
physiological condition
Postencephalitic syndrome
Right hemispheric organic affective disorder
F07.9 Unspecified personality and behavioral disorder due to known physiological
condition
Organic psychosyndrome
F09 Unspecified mental disorder due to known physiological condition
Mental disorder NOS due to known physiological condition
Organic brain syndrome NOS Organic mental disorder NOS Organic psychosis NOS
Symptomatic psychosis NOS
Code first the underlying physiological condition
Excludes1: psychosis NOS (F29)
Mental and behavioral disorders due to psychoactive substance use (F10-F19)
202
F10 Alcohol related disorders
Use additional code for blood alcohol level, if applicable (Y90.-)
F10.1 Alcohol abuse
Excludes1: alcohol dependence (F10.2-)
alcohol use, unspecified (F10.9-)
F10.10
Alcohol abuse, uncomplicated
F10.12
Alcohol abuse with intoxication
F10.120
Alcohol abuse with intoxication, uncomplicated
F10.121 Alcohol abuse with intoxication delirium
F10.129 Alcohol abuse with intoxication, unspecified
F10.14 Alcohol abuse with alcohol-induced mood disorder
F10.15 Alcohol abuse with alcohol-induced psychotic disorder
F10.150 Alcohol abuse with alcohol-induced psychotic disorder with
delusions
F10.151 Alcohol abuse with alcohol-induced psychotic disorder with
hallucinations
F10.159 Alcohol abuse with alcohol-induced psychotic disorder,
unspecified
F10.18 Alcohol abuse with other alcohol-induced disorders
F10.180 Alcohol abuse with alcohol-induced anxiety disorder
F10.181 Alcohol abuse with alcohol-induced sexual dysfunction
F10.182 Alcohol abuse with alcohol-induced sleep disorder
F10.188 Alcohol abuse with other alcohol-induced disorder
F10.19 Alcohol abuse with unspecified alcohol-induced disorder
F10.2 Alcohol dependence
Excludes1: alcohol abuse (F10.1-)
alcohol use, unspecified (F10.9-) Excludes2: toxic effect of alcohol
(T51.0-)
F10.20
Alcohol dependence, uncomplicated
F10.21 Alcohol dependence, in remission
F10.22 Alcohol dependence with intoxication
Acute drunkenness (in alcoholism)
203
Excludes1: alcohol dependence with withdrawal (F10.23-)
F10.220 Alcohol dependence with intoxication, uncomplicated
F10.221 Alcohol dependence with intoxication delirium
F10.229 Alcohol dependence with intoxication, unspecified
F10.23 Alcohol dependence with withdrawal
Excludes1: Alcohol dependence with intoxication (F10.22-)
F10.230 Alcohol dependence with withdrawal, uncomplicated
F10.231 Alcohol dependence with withdrawal delirium
F10.232 Alcohol dependence with withdrawal with perceptual
disturbance
F10.239 Alcohol dependencwith withdrawal, unspecified
F10.24
Alcohol dependence with alcohol-induced mood disorder
F10.25
Alcohol dependence with alcohol-induced psychotic disorder
F10.250 Alcohol dependence with alcohol-induced psychotic disorder
with delusions
F10.251 Alcohol dependence with alcohol-induced psychotic disorder
with hallucinations
F10.259 Alcohol dependence with alcohol-induced psychotic
disorder, unspecified
F10.26 Alcohol dependence with alcohol-induced persisting amnestic disorder
F10.27 Alcohol dependence with alcohol-induced persisting dementia
F10.28 Alcohol dependence with other alcohol-induced disorders
F10.280 Alcohol dependence with alcohol-induced anxiety disorder
F10.281 Alcohol dependence with alcohol-induced sexual dysfunction
F10.282 Alcohol dependence with alcohol-induced sleep disorder
F10.288 Alcohol dependence with other alcohol-induced disorder
F10.29 Alcohol dependence with unspecified alcohol-induced disorder
F10.9 Alcohol use, unspecified
Excludes1: alcohol abuse (F10.1-)alcohol dependence (F10.2-)
F10.92 Alcohol use, unspecified with intoxication
F10.920 Alcohol use, unspecified with intoxication, uncomplicated
204
F10.921 Alcohol use, unspecified with intoxication delirium
F10.929 Alcohol use, unspecified with intoxication, unspecified
F10.94 Alcohol use, unspecified with alcohol-induced mood disorder
F10.95 Alcohol use, unspecified with alcohol-induced psychotic disorder
F10.950 Alcohol use, unspecified with alcohol-induced psychotic
disorder with delusions
F10.951 Alcohol use, unspecified with alcohol-induced psychotic
disorder with hallucinations
F10.959 Alcohol use, unspecified with alcohol-induced psychotic
disorder, unspecified
F10.96 Alcohol use, unspecified with alcohol-induced persisting amnestic
disorder
F10.97 Alcohol use, unspecified with alcohol-induced persisting dementia
F10.98 Alcohol use, unspecified with other alcohol-induced disorders
F10.980 Alcohol use, unspecified with alcohol-induced anxiety
disorder
F10.981 Alcohol use, unspecified with alcohol-induced sexual
dysfunction
F10.982 Alcohol use, unspecified with alcohol-induced sleep disorder
F10.988 Alcohol use, unspecified with other alcohol-induced disorder
F10.99 Alcohol use, unspecified with unspecified alcohol-induced disorder
F11 Opioid related disorders
F11.1 Opioid abuse
Excludes1: opioid dependence (F11.2-)
opioid use, unspecified (F11.9-)
F11.10 Opioid abuse, uncomplicated
F11.12 Opioid abuse with intoxication
F11.120 Opioid abuse with intoxication, uncomplicated
F11.121 Opioid abuse with intoxication delirium
F11.122 Opioid abuse with intoxication with perceptual disturbance
F11.129 Opioid abuse with intoxication, unspecified
F11.14
Opioid abuse with opioid-induced mood disorder
F11.15
Opioid abuse with opioid-induced psychotic disorder
205
F11.150 Opioid abuse with opioid-induced psychotic disorder with
delusions
F11.151 Opioid abuse with opioid-induced psychotic disorder with
hallucinations
F11.159 Opioid abuse with opioid-induced psychotic disorder, unspecified
F11.18 Opioid abuse with other opioid-induced disorder
F11.181 Opioid abuse with opioid-induced sexual dysfunction
F11.182 Opioid abuse with opioid-induced sleep disorder
F11.188 Opioid abuse with other opioid-induced disorder
F11.19 Opioid abuse with unspecified opioid-induced disorder
F11.2 Opioid dependence
Excludes1: opioid abuse (F11.1-)
opioid use, unspecified (F11.9-) Excludes2: opioid poisoning (T40.0-T40.2)
F11.20
Opioid dependence, uncomplicated
F11.21 Opioid dependence, in remission
F11.22 Opioid dependence with intoxication
Excludes1: opioid dependence with withdrawal (F11.23)
F11.220 Opioid dependence with intoxication, uncomplicated
F11.221 Opioid dependence with intoxication delirium
F11.222 Opioid dependence with intoxication with perceptual disturbance
F11.229 Opioid dependence with intoxication, unspecified
F11.23 Opioid dependence with withdrawal
Excludes1: opioid dependence with intoxication (F11.22-)
F11.24
Opioid dependence with opioid-induced mood disorder
F11.25
Opioid dependence with opioid-induced psychotic disorder
F11.250 Opioid dependence with opioid-induced psychotic disorder with
delusions
F11.251 Opioid dependence with opioid-induced psychotic disorder
with hallucinations
F11.259 Opioid dependence with opioid-induced psychotic disorder,
unspecified
206
F11.28 Opioid dependence with other opioid-induced disorder
F11.281 Opioid dependence with opioid-induced sexual
dysfunction
F11.282 Opioid dependence with opioid-induced sleep
disorder
F11.288 Opioid dependence with other opioid-induced
disorder
F11.29 Opioid dependence with unspecified opioid-induced disorder
F11.9 Opioid use, unspecified
Excludes1: opioid abuse (F11.1-)
opioid dependence (F11.2-)
F11.90 Opioid use, unspecified, uncomplicated
F11.92 Opioid use, unspecified with intoxication
Excludes1: opioid use, unspecified with withdrawal (F11.93)
F11.920
uncomplicated
Opioid use, unspecified with intoxication,
F11.921 Opioid use, unspecified with intoxication delirium
F11.922 Opioid use, unspecified with intoxication with
perceptual disturbance
F11.929 Opioid use, unspecified with intoxication, unspecified
F11.93 Opioid use, unspecified with withdrawal
Excludes1: opioid use,
unspecified with intoxication (F11.92-)
F11.94 Opioid use, unspecified with opioid-induced mood disorder
F11.95 Opioid use, unspecified with opioid-induced psychotic
disorder
F11.950 Opioid use, unspecified with opioid-induced psychotic
disorder with delusions
F11.951 Opioid use, unspecified with opioid-induced
psychotic disorder with hallucinations
F11.959 Opioid use, unspecified with opioid-induced psychotic
disorder, unspecified
207
F11.98 Opioid use, unspecified with other specified opioid-induced
disorder
F11.981 Opioid use, unspecified with opioid-induced sexual
dysfunction
F11.982 Opioid use, unspecified with opioid-induced sleep disorder
F11.988
Opioid use, unspecified with other opioid-induced
disorder
F11.99 Opioid use, unspecified with unspecified opioid-induced
disorder
F12 Cannabis related disorders
Includes: marijuana
F12.1 Cannabis abuse
Excludes1: cannabis dependence (F12.2-)
cannabis use, unspecified (F12.9-)
F12.10 Cannabis abuse, uncomplicated
F12.12
Cannabis abuse with intoxication
F12.120 Cannabis abuse with intoxication, uncomplicated
F12.121 Cannabis abuse with intoxication delirium
F12.122 Cannabis abuse with intoxication with perceptual
disturbance
F12.129 Cannabis abuse with intoxication, unspecified
F12.15 Cannabis abuse with psychotic disorder
F12.150 Cannabis abuse with psychotic disorder with
delusions
F12.151 Cannabis abuse with psychotic disorder with
hallucinations
F12.159 Cannabis abuse with psychotic disorder, unspecified
F12.18 Cannabis abuse with other cannabis-induced disorder
F12.180 Cannabis abuse with cannabis-induced anxiety
disorder
F12.188 Cannabis abuse with other cannabis-induced disorder
F12.19 Cannabis abuse with unspecified cannabis-induced disorder
208
F12.2 Cannabis dependence
Excludes1: cannabis abuse (F12.1-)
cannabis use, unspecified (F12.9-)
Excludes2: cannabis poisoning (T40.7-)
F12.20 Cannabis dependence, uncomplicated
F12.21 Cannabis dependence, in remission
F12.22 Cannabis dependence with intoxication
F12.220 Cannabis dependence with intoxication,
uncomplicated
F12.221 Cannabis dependence with intoxication delirium
F12.222 Cannabis dependence with intoxication with perceptual
disturbance
F12.229 Cannabis dependence with intoxication, unspecified
F12.25 Cannabis dependence with psychotic disorder
F12.250 Cannabis dependence with psychotic disorder with delusions
F12.251 Cannabis dependence with psychotic disorder with
hallucinations
F12.259 Cannabis dependence with psychotic disorder, unspecified
F12.28 Cannabis dependence with other cannabis-induced disorder
F12.280 Cannabis dependence with cannabis-induced anxiety disorder
F12.288 Cannabis dependence with other cannabis-induced disorder
F12.29 Cannabis dependence with unspecified cannabis-induced disorder
F12.9 Cannabis use, unspecified
Excludes1: cannabis abuse (F12.1-)cannabis dependence (F12.2-)
F12.90 Cannabis use, unspecified, uncomplicated
F12.92 Cannabis use, unspecified with intoxication
F12.920 Cannabis use, unspecified with intoxication, uncomplicated
F12.921 Cannabis use, unspecified with intoxication delirium
F12.922 Cannabis use, unspecified with intoxication with perceptual
disturbance
F12.929 Cannabis use, unspecified with intoxication, unspecified
F12.95 Cannabis use, unspecified with psychotic disorder
F12.950 Cannabis use, unspecified with psychotic disorder with delusions
209
F12.951 Cannabis use, unspecified with psychotic disorder with
hallucinations
F12.959 Cannabis use, unspecified with psychotic disorder, unspecified
F12.98 Cannabis use, unspecified with other cannabis-induced disorder
F12.980 Cannabis use, unspecified with anxiety disorder
F12.988 Cannabis use, unspecified with other cannabis-induced disorder
F12.99 Cannabis use, unspecified with unspecified cannabis-induced disorder
F13 Sedative, hypnotic, or anxiolytic related disorders
F13.1 Sedative, hypnotic or anxiolytic-related abuse
Excludes1: sedative, hypnotic or anxiolytic-related dependence (F13.2-)
sedative, hypnotic, or anxiolytic use, unspecified (F13.9-)
F13.10 Sedative, hypnotic or anxiolytic abuse, uncomplicated
F13.12 Sedative, hypnotic or anxiolytic abuse with
intoxication
F13.120 Sedative, hypnotic or anxiolytic abuse with
intoxication, uncomplicated
F13.121 Sedative, hypnotic or anxiolytic abuse with
intoxication delirium
F13.129 Sedative, hypnotic or anxiolytic abuse with
intoxication, unspecified
F13.14 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic
or anxiolytic-induced mood disorder
F13.15 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or
anxiolytic-induced psychotic disorder
F13.150 Sedative, hypnotic or anxiolytic abuse with sedative,
hypnotic or anxiolytic- induced psychotic disorder with
delusions
F13.151 Sedative, hypnotic or anxiolytic abuse with sedative,
hypnotic or anxiolytic- induced psychotic disorder with
hallucinations
F13.159 Sedative, hypnotic or anxiolytic abuse with sedative,
hypnotic or anxiolytic- induced psychotic disorder,
unspecified
210
F13.18 Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic
or anxiolytic-induced disorders
F13.180 Sedative, hypnotic or anxiolytic abuse with sedative,
hypnotic or anxiolytic- induced anxiety disorder
F13.181 Sedative, hypnotic or anxiolytic abuse with sedative,
hypnotic or anxiolytic- induced sexual dysfunction
F13.182 Sedative, hypnotic or anxiolytic abuse with sedative,
hypnotic or anxiolytic- induced sleep disorder
F13.188 Sedative, hypnotic or anxiolytic abuse with other sedative,
hypnotic or anxiolytic- induced disorder
F13.19 Sedative, hypnotic or anxiolytic abuse with unspecified sedative,
hypnotic or anxiolytic- induced disorder
F13.2 Sedative, hypnotic or anxiolytic-related dependence
Excludes1: sedative, hypnotic or anxiolytic-related abuse (F13.1-)
sedative, hypnotic, or anxiolytic use, unspecified (F13.9-)
Excludes2: sedative, hypnotic, or anxiolytic poisoning (T42.-)
F13.20 Sedative, hypnotic or anxiolytic dependence, uncomplicated
F13.21 Sedative, hypnotic or anxiolytic dependence, in remission
F13.22 Sedative, hypnotic or anxiolytic dependence with intoxication
Excludes1: sedative, hypnotic or anxiolytic dependence with withdrawal
(F13.23-)
F13.220 Sedative, hypnotic or anxiolytic dependence with intoxication,
uncomplicated
F13.221 Sedative, hypnotic or anxiolytic dependence with intoxication delirium
F13.229 Sedative, hypnotic or anxiolytic dependence with intoxication,
unspecified
F13.23 Sedative, hypnotic or anxiolytic dependence with withdrawal
Excludes1: sedative, hypnotic or anxiolytic dependence with intoxication (F13.22-)
F13.230 Sedative, hypnotic or anxiolytic dependence with withdrawal,
uncomplicated
F13.231 Sedative, hypnotic or anxiolytic dependence with withdrawal delirium
F13.232 Sedative, hypnotic or anxiolytic dependence with withdrawal with
perceptual disturbance
F13.239 Sedative, hypnotic or anxiolytic dependence with withdrawal,
unspecified
211
F13.24 Sedative, hypnotic or anxiolytic dependence with sedative,
hypnotic or anxiolytic-induced mood disorder
F13.25 Sedative, hypnotic or anxiolytic dependence with sedative,
hypnotic or anxiolytic-induced psychotic disorder
F13.250 Sedative, hypnotic or anxiolytic dependence with
sedative, hypnotic or anxiolytic- induced psychotic
disorder with delusions
F13.251 Sedative, hypnotic or anxiolytic dependence with
sedative, hypnotic or anxiolytic- induced psychotic
disorder with hallucinations
F13.259 Sedative, hypnotic or anxiolytic dependence with
sedative, hypnotic or anxiolytic- induced psychotic
disorder, unspecified
F13.26 Sedative, hypnotic or anxiolytic dependence with sedative,
hypnotic or anxiolytic-induced persisting amnestic disorder
F13.27 Sedative, hypnotic or anxiolytic dependence with sedative,
hypnotic or anxiolytic-induced persisting dementia
F13.28 Sedative, hypnotic or anxiolytic dependence with other
sedative, hypnotic or anxiolytic- induced disorders
F13.280 Sedative, hypnotic or anxiolytic dependence with
sedative, hypnotic or anxiolytic- induced anxiety
disorder
F13.281 Sedative, hypnotic or anxiolytic dependence with
sedative, hypnotic or anxiolytic- induced sexual
dysfunction
F13.282 Sedative, hypnotic or anxiolytic dependence with
sedative, hypnotic or anxiolytic- induced sleep
disorder
F13.288 Sedative, hypnotic or anxiolytic dependence with
other sedative, hypnotic or anxiolytic-induced
disorder
F13.29 Sedative, hypnotic or anxiolytic dependence with unspecified
sedative, hypnotic or anxiolytic- induced disorder
F13.9 Sedative, hypnotic or anxiolytic-related use, unspecified
Excludes1: sedative, hypnotic or anxiolytic-related abuse (F13.1-)
sedative, hypnotic or anxiolytic-related dependence (F13.2-)
F13.90 Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated
F13.92 Sedative, hypnotic or anxiolytic use, unspecified with intoxication
212
Excludes1: sedative, hypnotic or anxiolytic use, unspecified with
withdrawal (F13.93-)
F13.920 Sedative, hypnotic or anxiolytic use, unspecified with intoxication,
uncomplicated
F13.921 Sedative, hypnotic or anxiolytic use, unspecified with intoxication
delirium
F13.929 Sedative, hypnotic or anxiolytic use, unspecified with intoxication,
unspecified
F13.93 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal
Excludes1: sedative, hypnotic or anxiolytic use, unspecified with intoxication
(F13.92-)
F13.930 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal,
uncomplicated
F13.931 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal
delirium
F13.932 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal
with perceptual disturbances
F13.939 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal,
unspecified
F13.94 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or
anxiolytic-induced mood disorder
F13.95 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or
anxiolytic-induced psychotic disorder
F13.950 Sedative, hypnotic or anxiolytic use,
unspecified with sedative, hypnotic or
anxiolytic-induced psychotic disorder with
delusions
F13.951 Sedative, hypnotic or anxiolytic use,
unspecified with sedative, hypnotic or
anxiolytic-induced psychotic disorder with
hallucinations
F13.959 Sedative, hypnotic or anxiolytic use,
unspecified with sedative, hypnotic or
anxiolytic-induced psychotic disorder,
unspecified
213
F13.96 Sedative, hypnotic or anxiolytic use, unspecified with
sedative, hypnotic or anxiolytic-induced persisting amnestic
disorder
F13.97 Sedative, hypnotic or anxiolytic use, unspecified with
sedative, hypnotic or anxiolytic-induced persisting dementia
F13.98 Sedative, hypnotic or anxiolytic use, unspecified with
other sedative, hypnotic or anxiolytic- induced disorders
F13.980 Sedative, hypnotic or anxiolytic use,
unspecified with sedative, hypnotic or
anxiolytic-induced anxiety disorder
F13.981 Sedative, hypnotic or anxiolytic use,
unspecified with sedative, hypnotic or
anxiolytic-induced sexual dysfunction
F13.982 Sedative, hypnotic or anxiolytic use,
unspecified with sedative, hypnotic or
anxiolytic-induced sleep disorder
F13.988 Sedative, hypnotic or anxiolytic use, unspecified
with other sedative, hypnotic or anxiolyticinduced disorder
F13.99 Sedative, hypnotic or anxiolytic use, unspecified with
unspecified sedative, hypnotic or anxiolytic-induced
disorder
F14 Cocaine related disorders
Excludes2: other stimulant-related disorders (F15.-)
F14.1 Cocaine abuse
Excludes1: cocaine dependence (F14.2-)
cocaine use, unspecified (F14.9-)
F14.10
F14.12
Cocaine abuse, uncomplicated
Cocaine abuse with intoxication
F14.120 Cocaine abuse with intoxication, uncomplicated
F14.121 Cocaine abuse with intoxication with delirium
F14.122 Cocaine abuse with intoxication with perceptual
disturbance
F14.129 Cocaine abuse with intoxication, unspecified
F14.14
Cocaine abuse with cocaine-induced mood disorder
214
F14.15
Cocaine abuse with cocaine-induced psychotic
disorder
F14.150 Cocaine abuse with cocaine-induced
psychotic disorder with delusions
F14.151 Cocaine abuse with cocaine-induced
psychotic disorder with hallucinations
F14.159 Cocaine abuse with cocaine-induced
psychotic disorder, unspecified
F14.18 Cocaine abuse with other cocaine-induced disorder
F14.180 Cocaine abuse with cocaine-induced anxiety disorder
F14.181 Cocaine abuse with cocaine-induced sexual
dysfunction
F14.182 Cocaine abuse with cocaine-induced sleep disorder
F14.188 Cocaine abuse with other cocaine-induced disorder
F14.19 Cocaine abuse with unspecified cocaine-induced disorder
F14.2 Cocaine dependence
Excludes1: cocaine abuse (F14.1-)
cocaine use, unspecified (F14.9-)
Excludes2: cocaine poisoning (T40.5-)
F14.20 Cocaine dependence, uncomplicated
F14.21 Cocaine dependence, in remission
F14.22 Cocaine dependence with intoxication
Excludes1: cocaine dependence with withdrawal (F14.23)
F14.220 Cocaine dependence with intoxication, uncomplicated
F14.221 Cocaine dependence with intoxication delirium
F14.222 Cocaine dependence with intoxication with perceptual
disturbance
F14.229 Cocaine dependence with intoxication, unspecified
F14.23 Cocaine dependence with withdrawal
Excludes1: cocaine dependence with intoxication
(F14.22-)
F14.24
Cocaine dependence with cocaine-induced mood disorder
215
F14.25
Cocaine dependence with cocaine-induced psychotic disorder
F14.250 Cocaine dependence with cocaine-induced psychotic disorder with
delusions
F14.251 Cocaine dependence with cocaine-induced psychotic disorder with
hallucinations
F14.259 Cocaine dependence with cocaine-induced psychotic disorder,
unspecified
F14.28 Cocaine dependence with other cocaine-induced disorder
F14.280 Cocaine dependence with cocaine-induced anxiety disorder
F14.281 Cocaine dependence with cocaine-induced sexual
dysfunction
F14.282 Cocaine dependence with cocaine-induced sleep disorder
F14.288 Cocaine dependence with other cocaine-induced disorder
F14.29 Cocaine dependence with unspecified cocaine-induced disorder
F14.9 Cocaine use, unspecified
Excludes1: cocaine abuse (F14.1-)
cocaine dependence (F14.2-)
F14.90 Cocaine use, unspecified, uncomplicated
F14.92 Cocaine use, unspecified with intoxication
F14.920 Cocaine use, unspecified with intoxication, uncomplicated
F14.921 Cocaine use, unspecified with intoxication delirium
F14.922 Cocaine use, unspecified with intoxication with perceptual
disturbance
F14.929 Cocaine use, unspecified with intoxication, unspecified
F14.94
Cocaine use, unspecified with cocaine-induced mood disorder
F14.95
Cocaine use, unspecified with cocaine-induced psychotic
disorder
F14.950 Cocaine use, unspecified with cocaine-induced psychotic
disorder with delusions
F14.951 Cocaine use, unspecified with cocaine-induced psychotic
disorder with hallucinations
216
F14.959 Cocaine use, unspecified with cocaine-induced psychotic
disorder, unspecified
F14.98 Cocaine use, unspecified with other specified cocaine-induced disorder
F14.980 Cocaine use, unspecified with cocaine-induced anxiety disorder
F14.981 Cocaine use, unspecified with cocaine-induced sexual dysfunction
F14.982
Cocaine use, unspecified with cocaine-induced sleep disorder
F14.988 Cocaine use, unspecified with other cocaine-induced disorder
F14.99 Cocaine use, unspecified with unspecified cocaine-induced disorder
F15 Other stimulant related disorders
Includes:amphetamine-related disorders caffeine
Excludes2: cocaine-related disorders (F14.-)
F15.1 Other stimulant abuse
Excludes1: other stimulant dependence (F15.2-)
other stimulant use, unspecified (F15.9-)
F15.10
Other stimulant abuse, uncomplicated
F15.12
Other stimulant abuse with intoxication
F15.120 Other stimulant abuse with intoxication,
uncomplicated
F15.121 Other stimulant abuse with intoxication delirium
F15.122 Other stimulant abuse with intoxication with
perceptual disturbance
F15.129 Other stimulant abuse with intoxication, unspecified
F15.14
disorder F15.15
Other stimulant abuse with stimulant-induced mood
Other stimulant abuse with stimulant-induced
psychotic disorder
F15.150 Other stimulant abuse with stimulant-induced
psychotic disorder with delusions
F15.151 Other stimulant abuse with
stimulant-induced psychotic disorder
with hallucinations
F15.159 Other stimulant abuse with stimulant-induced
psychotic disorder, unspecified
F15.18 Other stimulant abuse with other stimulant-induced disorder
217
F15.180 Other stimulant abuse with stimulant-induced anxiety
disorder
F15.181 Other stimulant abuse with stimulant-induced sexual
dysfunction
F15.182 Other stimulant abuse with stimulant-induced sleep
disorder
F15.188 Other stimulant abuse with other
stimulant-induced disorder
F15.19 Other stimulant abuse with unspecified stimulant-induced
disorder
F15.2 Other stimulant dependence
Excludes1: other stimulant abuse (F15.1-)
other stimulant use, unspecified (F15.9-)
F15.20
Other stimulant dependence, uncomplicated
F15.21
Other stimulant dependence, in remission
F15.22
Other stimulant dependence with intoxication
Excludes1: other stimulant dependence with withdrawal (F15.23)
F15.220 Other stimulant dependence with intoxication,
uncomplicated
F15.221 Other stimulant dependence with intoxication
delirium
F15.222 Other stimulant dependence with intoxication with
perceptual disturbance
F15.229 Other stimulant dependence with intoxication,
unspecified
F15.23 Other stimulant dependence with withdrawal
Excludes1: other stimulant dependence with intoxication
(F15.22-)
F15.24 Other stimulant dependence with stimulant-induced
mood disorder
F15.25 Other stimulant dependence
with stimulant-induced psychotic disorder
218
F15.250 Other stimulant dependence with
stimulant-induced psychotic disorder with
delusions
F15.251 Other stimulant dependence with
stimulant-induced psychotic disorder with
hallucinations
F15.259 Other stimulant dependence with
stimulant-induced psychotic disorder,
unspecified
F15.28 Other stimulant dependence with other stimulant-induced
disorder
F15.280 Other stimulant dependence with
stimulant-induced anxiety disorder
F15.281 Other stimulant dependence with
stimulant-induced sexual dysfunction
F15.282 Other stimulant dependence with
stimulant-induced sleep disorder F15.288 Other
stimulant dependence with other stimulantinduced disorder
F15.29 Other stimulant dependence with unspecified stimulant-induced
disorder
F15.9 Other stimulant use, unspecified
Excludes1: other stimulant abuse (F15.1-)
other stimulant dependence (F15.2-)
F15.90 Other stimulant use, unspecified, uncomplicated
F15.92 Other stimulant use, unspecified with intoxication
Excludes1: other stimulant use, unspecified with withdrawal
(F15.93)
F15.920 Other stimulant use, unspecified with intoxication,
uncomplicated
F15.921 Other stimulant use, unspecified with intoxication
delirium
F15.922 Other stimulant use, unspecified with intoxication
with perceptual disturbance
F15.929 Other stimulant use, unspecified with intoxication,
unspecified
219
F15.93 Other stimulant use, unspecified with withdrawal
Excludes1: other stimulant use, unspecified
with intoxication (F15.92-)
F15.94 Other stimulant use, unspecified with
stimulant-induced mood disorder
F15.95 Other stimulant use, unspecified
with stimulant-induced psychotic disorder
F15.950 Other stimulant use, unspecified with
stimulant-induced psychotic disorder with
delusions
F15.951 Other stimulant use, unspecified with
stimulant-induced psychotic disorder with
hallucinations
F15.959 Other stimulant use, unspecified with
stimulant-induced psychotic disorder,
unspecified
F15.98 Other stimulant use, unspecified with other stimulant-induced
disorder
F15.980 Other stimulant use, unspecified with
stimulant-induced anxiety disorder
F15.981 Other stimulant use, unspecified with
stimulant-induced sexual dysfunction
F15.982 Other stimulant use, unspecified with
stimulant-induced sleep disorder
F15.988 Other stimulant use, unspecified with other
stimulant-induced disorder
F15.99 Other stimulant use, unspecified with unspecified stimulantinduced disorder
F16 Hallucinogen related disorders Includes: ecstasy PCP phencyclidine
F16.1 Hallucinogen abuse
Excludes1: hallucinogen dependence (F16.2-)
hallucinogen use, unspecified (F16.9-)
F16.10Hallucinogen abuse, uncomplicated
220
F16.12 Hallucinogen abuse with intoxication
F16.120 Hallucinogen abuse with intoxication, uncomplicated
F16.121 Hallucinogen abuse with intoxication with delirium
F16.122 Hallucinogen abuse with intoxication with perceptual
disturbance
F16.129 Hallucinogen abuse with
intoxication, unspecified F16.14
Hallucinogen abuse with hallucinogeninduced mood disorder
F16.15
Hallucinogen abuse with
hallucinogen-induced psychotic disorder
F16.150 Hallucinogen abuse with hallucinogen-induced psychotic
disorder with delusions
F16.151 Hallucinogen abuse with hallucinogeninduced psychotic disorder with
hallucinations
F16.159 Hallucinogen abuse with hallucinogen-induced psychotic
disorder, unspecified
F16.18 Hallucinogen abuse with other hallucinogen-induced disorder
F16.180 Hallucinogen abuse with hallucinogen-induced anxiety
disorder
F16.183 Hallucinogen abuse with hallucinogen persisting
perception disorder (flashbacks)
F16.188 Hallucinogen abuse with other hallucinogen-induced
disorder
F16.19 Hallucinogen abuse with unspecified hallucinogen-induced disorder
F16.2 Hallucinogen dependence
Excludes1: hallucinogen abuse (F16.1-)
hallucinogen use, unspecified (F16.9-)
F16.20
Hallucinogen dependence, uncomplicated
F16.21
Hallucinogen dependence, in remission
F16.22 Hallucinogen dependence with intoxication
221
F16.220 Hallucinogen dependence with intoxication,
uncomplicated
F16.221 Hallucinogen dependence with intoxication with
delirium
F16.229 Hallucinogen dependence with intoxication,
unspecified
F16.24 Hallucinogen dependence with hallucinogen-induced mood disorder
F16.25 Hallucinogen dependence with hallucinogen-induced psychotic
disorder
F16.250 Hallucinogen dependence with hallucinogeninduced psychotic disorder with delusions
F16.251 Hallucinogen dependence with hallucinogeninduced psychotic disorder with hallucinations
F16.259 Hallucinogen dependence with hallucinogeninduced psychotic disorder, unspecified
F16.28 Hallucinogen dependence with other hallucinogen-induced disorder
F16.280 Hallucinogen dependence with hallucinogen-induced
anxiety disorder
F16.283 Hallucinogen dependence with hallucinogen persisting
perception disorder
(flashbacks)
F16.288 Hallucinogen dependence with other hallucinogen-induced
disorder
F16.29 Hallucinogen dependence with unspecified hallucinogen-induced
disorder
F16.9 Hallucinogen use, unspecified
Excludes1: hallucinogen abuse (F16.1-)
hallucinogen dependence (F16.2-)
F16.90 Hallucinogen use, unspecified, uncomplicated
F16.92 Hallucinogen use, unspecified with intoxication
F16.920 Hallucinogen use, unspecified
with intoxication, uncomplicated
F16.921 Hallucinogen use, unspecified
with intoxication with delirium
222
F16.929 Hallucinogen use, unspecified
with intoxication, unspecified
F16.94 Hallucinogen use, unspecified with hallucinogen-induced mood
disorder
F16.95 Hallucinogen use, unspecified with hallucinogen-induced
psychotic disorder
F16.950 Hallucinogen use, unspecified with hallucinogeninduced psychotic disorder with delusions
F16.951 Hallucinogen use, unspecified with hallucinogeninduced psychotic disorder with hallucinations
F16.959 Hallucinogen use, unspecified with
hallucinogen-induced psychotic disorder,
unspecified
F16.98 Hallucinogen use, unspecified with other specified
hallucinogen-induced disorder
F16.980 Hallucinogen use, unspecified with hallucinogen-induced
anxiety disorder
F16.983
Hallucinogen use, unspecified with hallucinogen
persisting perception disorder (flashbacks)
F16.988 Hallucinogen use, unspecified with other hallucinogeninduced disorder
F16.99 Hallucinogen use, unspecified with unspecified hallucinogeninduced disorder
F17 Nicotine dependence
Excludes1: history of tobacco dependence (Z87.891)
tobacco use NOS (Z72.0)
Excludes2: tobacco use (smoking) during pregnancy, childbirth and the puerperium
(O99.33-)
toxic effect of nicotine (T65.2-)
F17.2 Nicotine dependence
F17.20 Nicotine dependence, unspecified
F17.200 Nicotine dependence, unspecified, uncomplicated
F17.201 Nicotine dependence, unspecified, in remission
F17.203 Nicotine dependence unspecified, with withdrawal
F17.208 Nicotine dependence, unspecified, with other nicotineinduced disorders
223
F17.209 Nicotine dependence, unspecified, with unspecified
nicotine-induced disorders
F17.21 Nicotine dependence, cigarettes
F17.210 Nicotine dependence, cigarettes, uncomplicated
F17.211 Nicotine dependence, cigarettes, in remission
F17.213 Nicotine dependence, cigarettes, with withdrawal
F17.218 Nicotine dependence, cigarettes, with other nicotineinduced disorders
F17.219 Nicotine dependence, cigarettes, with unspecified
nicotine-induced disorders
F17.22 Nicotine dependence, chewing tobacco
F17.220 Nicotine dependence,
chewing tobacco, uncomplicated
F17.221 Nicotine dependence,
chewing tobacco, in remission
F17.223 Nicotine dependence,
chewing tobacco, with withdrawal
F17.228 Nicotine dependence, chewing tobacco, with other
nicotine-induced disorders
F17.229 Nicotine dependence, chewing tobacco, with
unspecified nicotine-induced disorders
F17.29 Nicotine dependence, other tobacco product
F17.290 Nicotine dependence, other tobacco product,
uncomplicated
F17.291 Nicotine dependence, other tobacco product, in remission
F17.293 Nicotine dependence, other tobacco product, with
withdrawal
F17.298 Nicotine dependence, other tobacco product, with
other nicotine-induced disorders
F17.299 Nicotine dependence, other tobacco product,
with unspecified nicotine-induced disorders
F18 Inhalant related disorders Includes: volatile solvents
F18.1 Inhalant abuse
224
Excludes1: inhalant dependence (F18.2-)
inhalant use, unspecified (F18.9-)
F18.10
Inhalant abuse, uncomplicated
F18.12
Inhalant abuse with intoxication
F18.120 Inhalant abuse with intoxication, uncomplicated
F18.121 Inhalant abuse with intoxication delirium
F18.129 Inhalant abuse with intoxication, unspecified
F18.14 Inhalant abuse with inhalant-induced mood disorder
F18.15 Inhalant abuse with inhalant-induced psychotic disorder
F18.150 Inhalant abuse with inhalant-induced psychotic disorder
with delusions
F18.151 Inhalant abuse with inhalant-induced psychotic
disorder with hallucinations
F18.159 Inhalant abuse with inhalant-induced psychotic disorder,
unspecified
F18.17 Inhalant abuse with inhalant-induced dementia
F18.18 Inhalant abuse with other inhalant-induced disorders
F18.180 Inhalant abuse with inhalant-induced anxiety disorder
F18.188 Inhalant abuse with other inhalant-induced disorder
F18.19 Inhalant abuse with unspecified inhalant-induced disorder
F18.2 Inhalant dependence
Excludes1: inhalant abuse (F18.1-)
inhalant use, unspecified (F18.9-)
F18.20 Inhalant dependence, uncomplicated
F18.21 Inhalant dependence, in remission
F18.22 Inhalant dependence with intoxication
F18.220 Inhalant dependence
with intoxication, uncomplicated
F18.221 Inhalant dependence
with intoxication delirium
225
F18.229 Inhalant dependence
with intoxication, unspecified
F18.24 Inhalant dependence with inhalant-induced mood disorder
F18.25 Inhalant dependence with inhalant-induced psychotic disorder
F18.250 Inhalant dependence with inhalant-induced
psychotic disorder with delusions
F18.251 Inhalant dependence with inhalant-induced
psychotic disorder with hallucinations
F18.259 Inhalant dependence with inhalant-induced
psychotic disorder, unspecified
F18.27 Inhalant dependence with inhalant-induced dementia
F18.28 Inhalant dependence with other inhalant-induced disorders
F18.280 Inhalant dependence with inhalant-induced anxiety
disorder
F18.288 Inhalant dependence with other inhalant-induced
disorder
F18.29 Inhalant dependence with unspecified inhalant-induced disorder
F18.9 Inhalant use, unspecified
Excludes1: inhalant abuse (F18.1-)
inhalant dependence (F18.2-)
F18.90 Inhalant use, unspecified, uncomplicated
F18.92 Inhalant use, unspecified with intoxication
F18.920 Inhalant use, unspecified with intoxication,
uncomplicated
F18.921 Inhalant use, unspecified with intoxication with
delirium
F18.929 Inhalant use, unspecified with intoxication,
unspecified
F18.94 Inhalant use, unspecified with inhalant-induced mood disorder
F18.95 Inhalant use, unspecified with inhalant-induced psychotic
disorder
226
F18.950 Inhalant use, unspecified with inhalant-induced
psychotic disorder with delusions
F18.951 Inhalant use, unspecified with inhalantinduced psychotic disorder with
hallucinations
F18.959 Inhalant use, unspecified with inhalant-induced
psychotic disorder, unspecified
F18.97 Inhalant use, unspecified with inhalant-induced persisting
dementia
F18.98 Inhalant use, unspecified with other inhalant-induced disorders
F18.980 Inhalant use, unspecified with inhalant-induced
anxiety disorder
F18.988 Inhalant use, unspecified with other inhalant-induced
disorder
F18.99 Inhalant use, unspecified with unspecified inhalant-induced
disorder
F19 Other psychoactive substance related disorders Includes: polysubstance drug
use (indiscriminate drug use) F19.1 Other psychoactive substance abuse
Excludes1: other psychoactive substance dependence (F19.2-)
other psychoactive substance use, unspecified (F19.9-)
F19.10 Other psychoactive substance abuse,
uncomplicated
F19.12 Other psychoactive substance abuse with intoxication
F19.120 Other psychoactive substance abuse with intoxication,
uncomplicated
F19.121 Other psychoactive substance abuse with intoxication
delirium
F19.122 Other psychoactive substance abuse with intoxication
with perceptual disturbances
F19.129 Other psychoactive substance abuse with intoxication,
unspecified
F19.14 Other psychoactive substance abuse with psychoactive
substance-induced mood disorder
F19.15 Other psychoactive substance abuse with psychoactive
substance-induced psychotic disorder
F19.150 Other psychoactive substance abuse with psychoactive
substance-induced psychotic disorder with delusions
227
F19.151 Other psychoactive substance abuse with psychoactive
substance-induced psychotic disorder with hallucinations
F19.159 Other psychoactive substance abuse with psychoactive
substance-induced psychotic disorder, unspecified
F19.16 Other psychoactive substance abuse with psychoactive substanceinduced persisting amnestic disorder
F19.17 Other psychoactive substance abuse with psychoactive substanceinduced persisting dementia
F19.18 Other psychoactive substance abuse with other psychoactive
substance-induced disorders
F19.180 Other psychoactive substance abuse with psychoactive
substance-induced anxiety disorder
F19.181 Other psychoactive substance abuse with psychoactive
substance-induced sexual dysfunction
F19.182 Other psychoactive substance abuse with psychoactive
substance-induced sleep disorder
F19.188 Other psychoactive substance abuse with other
psychoactive substance-induced disorder
F19.19 Other psychoactive substance abuse with unspecified psychoactive
substance-induced disorder
F19.2 Other psychoactive substance dependence
Excludes1: other psychoactive substance abuse (F19.1-)
other psychoactive substance
use, unspecified (F19.9-)
F19.20
Other psychoactive substance dependence,
uncomplicated
F19.21
Other psychoactive substance dependence, in remission
F19.22 Other psychoactive substance dependence with intoxication
Excludes1: other psychoactive substance dependence with withdrawal
(F19.23-)
F19.220 Other psychoactive substance dependence with intoxication,
uncomplicated
F19.221 Other psychoactive substance dependence with intoxication
delirium
F19.222 Other psychoactive substance dependence with intoxication with
perceptual disturbance
228
F19.229 Other psychoactive substance dependence with intoxication,
unspecified
F19.23 Other psychoactive substance dependence with withdrawal
Excludes1: other psychoactive substance dependence with intoxication
(F19.22-)
F19.230 Other psychoactive substance dependence with
withdrawal, uncomplicated
F19.231 Other psychoactive substance dependence with
withdrawal delirium
F19.232 Other psychoactive substance dependence with
withdrawal with perceptual disturbance
F19.239 Other psychoactive substance dependence with
withdrawal, unspecified
F19.24 Other psychoactive substance dependence with
psychoactive substance-induced mood disorder
F19.25 Other psychoactive substance dependence with psychoactive
substance-induced psychotic disorder
F19.250 Other psychoactive substance dependence with
psychoactive substance-induced psychotic disorder
with delusions
F19.251 Other psychoactive substance dependence with
psychoactive substance-induced psychotic disorder
with hallucinations
F19.259 Other psychoactive substance dependence with
psychoactive substance-induced psychotic disorder,
unspecified
F19.26 Other psychoactive substance dependence with psychoactive
substance-induced persisting amnestic disorder
F19.27 Other psychoactive substance dependence with psychoactive
substance-induced persisting dementia
F19.28 Other psychoactive substance dependence with other
psychoactive substance-induced disorders
F19.280 Other psychoactive substance dependence with
psychoactive substance-induced anxiety disorder
F19.281 Other psychoactive substance dependence with
psychoactive substance-induced sexual dysfunction
229
F19.282 Other psychoactive substance dependence with
psychoactive substance-induced sleep disorder
F19.288 Other psychoactive substance dependence with
other psychoactive substance- induced disorder
F19.29 Other psychoactive substance dependence with unspecified
psychoactive substance-induced disorder
F19.9 Other psychoactive substance use, unspecified
Excludes1: other psychoactive substance abuse (F19.1-)
other psychoactive
substance dependence
(F19.2-)
F19.90 Other psychoactive substance use, unspecified, uncomplicated
F19.92 Other psychoactive substance use, unspecified with intoxication
Excludes1: other psychoactive substance use, unspecified with
withdrawal (F19.93)
F19.920 Other psychoactive substance use, unspecified with
intoxication, uncomplicated
F19.921 Other psychoactive substance use, unspecified with
intoxication with delirium
F19.922 Other psychoactive substance use, unspecified with
intoxication with perceptual disturbance
F19.929 Other psychoactive substance use, unspecified with
intoxication, unspecified
F19.93 Other psychoactive substance use, unspecified with withdrawal
Excludes1: other psychoactive substance use, unspecified with
intoxication (F19.92-)
F19.930 Other psychoactive substance use, unspecified with withdrawal,
uncomplicated
F19.931 Other psychoactive substance use, unspecified with withdrawal
delirium
F19.932 Other psychoactive substance use, unspecified with withdrawal with
perceptual disturbance
F19.939 Other psychoactive substance use, unspecified with withdrawal,
unspecified
F19.94 Other psychoactive substance use, unspecified with
psychoactive substance-induced mood disorder
230
F19.95 Other psychoactive substance use, unspecified with psychoactive substanceinduced psychotic disorder
F19.950 Other psychoactive substance use, unspecified
with psychoactive substance- induced psychotic
disorder with delusions
F19.951 Other psychoactive substance use,
unspecified with psychoactive substanceinduced psychotic disorder with
hallucinations
F19.959 Other psychoactive substance use,
unspecified with psychoactive substanceinduced psychotic disorder, unspecified
F19.96 Other psychoactive substance use, unspecified with
psychoactive substance-induced persisting amnestic
disorder
F19.97 Other psychoactive substance use, unspecified with
psychoactive substance-induced persisting dementia
F19.98 Other psychoactive substance use, unspecified with other
psychoactive substance-induced disorders
F19.980 Other psychoactive substance use,
unspecified with psychoactive substanceinduced anxiety disorder
F19.981 Other psychoactive substance use,
unspecified with psychoactive substanceinduced sexual dysfunction
F19.982 Other psychoactive substance use,
unspecified with psychoactive substanceinduced sleep disorder
F19.988 Other psychoactive substance use,
unspecified with other psychoactive
substance-induced disorder
F19.99 Other psychoactive substance use, unspecified with
unspecified psychoactive substance- induced disorder
Schizophrenia, schizotypal, delusional, and other nonmood psychotic disorders (F20-F29) F20 Schizophrenia
Excludes1: brief psychotic disorder (F23)
cyclic schizophrenia (F25.0)
mood [affective] disorders with psychotic symptoms (F30.2, F31.2,
F31.5, F31.64, F32.3, F33.3)
231
schizoaffective disorder (F25.-)
schizophrenic reaction NOS (F23)
Excludes2: schizophrenic reaction in:
alcoholism (F10.15-, F10.25-, F10.95-)
brain disease (F06.2)
epilepsy (F06.2)
psychoactive drug use (F11-F19 with .15. .25, .95)
schizotypal disorder (F21)
F20.0 Paranoid schizophrenia
Paraphrenic schizophrenia
Excludes1: involutional paranoid state (F22)
Below merit paranoia (F22)
F20.1 Disorganized schizophrenia Hebephrenic schizophrenia Hebephrenia
F20.2 Catatonic schizophrenia Schizophrenic catalepsy
Schizophrenic catatonia
Schizophrenic flexibilitas cerea
Excludes1: catatonic stupor (R40.1)
F20.3 Undifferentiated schizophrenia
Atypical schizophrenia
Excludes1: acute schizophrenia-like psychotic disorder (F23)
Excludes2: post-schizophrenic depression (F32.8)
F20.5 Residual schizophrenia Restzustand (schizophrenic) Schizophrenic residual
state
F20.8 Other schizophrenia
F20.81 Schizophreniform disorder
Schizophreniform psychosis NOS
F20.89
Other schizophrenia Cenesthopathic schizophrenia Simple schizophrenia
F20.9 Schizophrenia, unspecified
F21 Schizotypal disorder Borderline schizophrenia Latent schizophrenia
Latent schizophrenic reaction Prepsychotic schizophrenia Prodromal
schizophrenia Pseudoneurotic schizophrenia Pseudopsychopathic
schizophrenia Schizotypal personality disorder
Excludes2: Asperger's syndrome (F84.5)
schizoid personality disorder (F60.1)
F22 Delusional disorders Delusional dysmorphophobia Involutional paranoid state
Paranoia;
Paranoia querulans Paranoid psychosis Paranoid state Paraphrenia (late)
232
Sensitiver Beziehungswahn
Excludes1: mood [affective] disorders with psychotic symptoms (F30.2, F31.2,
F31.5, F31.64, F32.3, F33.3)
paranoid schizophrenia (F20.0)
Excludes2: paranoid personality disorder (F60.0) paranoid psychosis, psychogenic
(F23) paranoid reaction (F23)
F23 Brief psychotic disorder
Paranoid reaction
Psychogenic paranoid psychosis
Excludes2: mood [affective] disorders with psychotic symptoms (F30.2, F31.2,
F31.5, F31.64, F32.3, F33.3)
F24 Shared psychotic disorder
Folie à deux
Induced paranoid disorder
Induced psychotic disorder
F25 Schizoaffective disorders
Excludes1: mood [affective] disorders with psychotic symptoms (F30.2, F31.2,
F31.5, F31.64, F32.3, F33.3)
schizophrenia (F20.-)
F25.0 Schizoaffective disorder, bipolar type
Cyclic schizophrenia
Schizoaffective disorder, manic type Schizoaffective disorder, mixed type
Schizoaffective psychosis, bipolar type Schizophreniform psychosis, manic
type
F25.1 Schizoaffective disorder, depressive type Schizoaffective psychosis,
depressive type Schizophreniform psychosis, depressive type
F25.8 Other schizoaffective disorders
F25.9 Schizoaffective disorder, unspecified
Schizoaffective psychosis NOS
F28 Other psychotic disorder not due to a substance or known physiological
condition
Chronic hallucinatory psychosis
F29 Unspecified psychosis not due to a substance or known physiological condition
Psychosis NOS
Excludes1: mental disorder NOS (F99)
unspecified mental disorder due to known physiological condition (F09)
Mood [affective] disorders (F30-F39) F30 Manic episode
Includes: bipolar disorder, single manic episode
mixed affective episode
233
Excludes1: bipolar disorder (F31.-)
major depressive disorder, single episode (F32.-)
major depressive disorder, recurrent (F33.-)
F30.1 Manic episode without psychotic symptoms
F30.10 Manic episode without psychotic symptoms, unspecified
F30.11 Manic episode without
psychotic symptoms, mild
F30.12 Manic episode without
psychotic symptoms, moderate
F30.13 Manic episode, severe, without psychotic symptoms
F30.2 Manic episode, severe with psychotic symptoms
Manic stupor
Mania with mood-congruent psychotic symptoms
Mania with mood-incongruent psychotic symptoms
F30.3 Manic episode in partial remission
F30.4 Manic episode in full remission
F30.8 Other manic episodes
Hypomania
F30.9 Manic episode, unspecified
Mania NOS
F31 Bipolar disorder
Includes: manic-depressive illness manic-depressive psychosis manicdepressive reaction
Excludes1: bipolar disorder, single manic episode (F30.-) major
depressive disorder, single episode (F32.-) major depressive
disorder, recurrent (F33.-)
Excludes2: cyclothymia (F34.0)
F31.0 Bipolar disorder, current episode hypomanic
F31.1 Bipolar disorder, current episode manic without psychotic features
F31.10 Bipolar disorder, current episode manic without psychotic
features, unspecified
F31.11 Bipolar disorder, current episode manic without psychotic
features, mild
F31.12 Bipolar disorder, current episode manic without psychotic
features, moderate
234
F31.13 Bipolar disorder, current episode manic without psychotic
features, severe
F31.2 Bipolar disorder, current episode
manic severe with psychotic features Bipolar
disorder, current episode manic with moodcongruent psychotic symptoms Bipolar disorder,
current episode manic with mood-incongruent
psychotic symptoms
F31.3 Bipolar disorder, current episode depressed, mild or moderate severity
F31.30 Bipolar disorder, current episode depressed, mild or moderate
severity, unspecified
F31.31 Bipolar disorder, current episode depressed, mild
F31.32 Bipolar disorder, current episode depressed, moderate
F31.4 Bipolar disorder, current episode depressed, severe, without psychotic
features
F31.5 Bipolar disorder, current episode
depressed, severe, with psychotic features Bipolar
disorder, current episode depressed with moodincongruent psychotic symptoms Bipolar disorder,
current episode depressed with mood-congruent
psychotic symptoms
F31.6 Bipolar disorder, current episode mixed
F31.60 Bipolar disorder, current episode mixed, unspecified
F31.61 Bipolar disorder, current episode mixed, mild
F31.62 Bipolar disorder, current episode mixed, moderate
F31.63 Bipolar disorder, current episode mixed, severe, without
psychotic features
F31.64 Bipolar disorder, current episode
mixed, severe, with psychotic features Bipolar
disorder, current episode mixed with moodcongruent psychotic symptoms Bipolar disorder,
current episode mixed with mood-incongruent
psychotic symptoms
F31.7 Bipolar disorder, currently in remission
F31.70 Bipolar disorder, currently in remission, most recent episode
unspecified F31.71
Bipolar disorder, in partial remission, most
235
recent episode hypomanic F31.72
Bipolar disorder, in full
remission, most recent episode hypomanic
F31.73 Bipolar disorder, in partial remission, most recent episode manic
F31.74 Bipolar disorder, in full remission, most recent episode manic
F31.75 Bipolar disorder, in partial
remission, most recent episode depressed
F31.76 Bipolar disorder, in full remission, most recent episode
depressed
F31.77 Bipolar disorder, in partial remission, most recent episode
mixed
F31.78 Bipolar disorder, in full remission, most recent episode mixed
F31.8 Other bipolar disorders
F31.81 Bipolar II disorder
F31.89 Other bipolar disorder
Recurrent manic episodes NOS
F31.9 Bipolar disorder, unspecified
F32 Major depressive disorder, single episode
Includes: single episode of agitated depression single episode of
depressive reaction single episode of major depression
single episode of psychogenic depression single episode of reactive
depression single episode of vital depression
Excludes1: bipolar disorder (F31.-)
manic episode (F30.-)
recurrent depressive disorder (F33.-)
Excludes2: adjustment disorder (F43.2)
F32.0 Major depressive disorder, single episode, mild
F32.1 Major depressive disorder, single episode, moderate
F32.2 Major depressive disorder, single episode, severe without psychotic
features
F32.3 Major depressive disorder, single
episode, severe with psychotic features
Single episode of major depression with
mood-congruent psychotic symptoms Single
episode of major depression with moodincongruent psychotic symptoms Single
236
episode of major depression with psychotic
symptoms
Single episode of psychogenic depressive psychosis
Single episode of psychotic depression
Single episode of reactive depressive psychosis
F32.4 Major depressive disorder, single episode, in partial remission
F32.5 Major depressive disorder, single episode, in full remission F32.8
Other depressive episodes
Atypical depression
Post-schizophrenic depression
Single episode of 'masked' depression NOS
F32.9 Major depressive disorder, single episode, unspecified
Depression NOS Depressive disorder NOS Major depression NOS
F33 Major depressive disorder, recurrent
Includes: recurrent episodes of depressive reaction recurrent
episodes of endogenous depression recurrent episodes of major
depression recurrent episodes of psychogenic depression recurrent
episodes of reactive depression
recurrent episodes
of seasonal
depressive
disorder recurrent
episodes of vital
depression
Excludes1: bipolar disorder (F31.-)
manic episode (F30.-)
F33.0 Major depressive disorder, recurrent, mild
F33.1 Major depressive disorder, recurrent, moderate
F33.2 Major depressive disorder, recurrent severe without psychotic features
F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms
Endogenous depression with psychotic symptoms
Recurrent severe episodes of major depression with mood-congruent
psychotic symptoms Recurrent severe episodes of major depression with
mood-incongruent psychotic symptoms Recurrent severe episodes of
major depression with psychotic symptoms
Recurrent severe episodes of psychogenic depressive psychosis
Recurrent severe episodes of psychotic depression
Recurrent severe episodes of reactive depressive psychosis
F33.4 Major depressive disorder, recurrent, in remission
237
F33.40 Major depressive disorder, recurrent, in remission,
unspecified
F33.41 Major depressive disorder, recurrent, in partial
remission F33.42
Major depressive disorder, recurrent, in
full remission
F33.8 Other recurrent depressive disorders
Recurrent brief depressive episodes
F33.9 Major depressive disorder, recurrent, unspecified
Monopolar depression NOS
F34 Persistent mood [affective] disorders
F34.0 Cyclothymic disorder Affective personality disorder Cycloid
personality Cyclothymia
Cyclothymic personality
F34.1 Dysthymic disorder
Depressive neurosis
Depressive personality disorder
Dysthymia
Neurotic depression
Persistent anxiety depression
Excludes2: anxiety depression (mild or not persistent) (F41.8)
F34.8 Other persistent mood [affective] disorders
F34.9 Persistent mood [affective] disorder, unspecified
F39 Unspecified mood [affective] disorder
Affective psychosis NOS
Anxiety, dissociative, stress-related, somatoform and other
nonpsychotic mental disorders (F40-F48) F40 Phobic anxiety
disorders
F40.0 Agoraphobia
F40.00 Agoraphobia, unspecified
F40.01 Agoraphobia with panic disorder
Panic disorder with agoraphobia
Excludes1: panic disorder without agoraphobia (F41.0)
F40.02 Agoraphobia without panic disorder
F40.1 Social phobias
Anthropophobia
238
Social anxiety disorder of childhood
Social neurosis
F40.10 Social phobia, unspecified
F40.11 Social phobia, generalized
F40.2 Specific (isolated) phobias
Excludes2: dysmorphophobia (nondelusional) (F45.22)
nosophobia (F45.22)
F40.21 Animal type phobia
F40.210 Arachnophobia
Fear of spiders
F40.218 Other animal type phobia
F40.22 Natural environment type phobia
F40.220 Fear of thunderstorms
F40.228 Other natural environment type phobia
F40.23 Blood, injection, injury type phobia
F40.230 Fear of blood
F40.231 Fear of injections and transfusions
F40.232 Fear of other medical care
F40.233 Fear of injury
F40.24
Situational type phobia
F40.240 Claustrophobia
F40.241 Acrophobia
F40.242 Fear of bridges
F40.243 Fear of flying
F40.248 Other situational type phobia
F40.29 Other specified phobia
F40.290 Androphobia
Fear of men
F40.291 Gynephobia
Fear of women
F40.298 Other specified phobia
F40.8 Other phobic anxiety disorders
Phobic anxiety disorder of childhood
239
F40.9 Phobic anxiety disorder, unspecified
Phobia NOS Phobic state NOS
F41 Other anxiety disorders
Excludes2: anxiety in:
acute stress reaction (F43.0) transient adjustment reaction (F43.2)
neurasthenia (F48.8) psychophysiologic disorders (F45.-) separation
anxiety (F93.0)
F41.0 Panic disorder [episodic paroxysmal anxiety] without agoraphobia
Panic attack
Panic state
Excludes1: panic disorder with agoraphobia (F40.01)
F41.1 Generalized anxiety disorder
Anxiety neurosis Anxiety reaction Anxiety state Overanxious disorder
Excludes2: neurasthenia (F48.8)
F41.3 Other mixed anxiety disorders
F41.8 Other specified anxiety disorders Anxiety depression (mild or not
persistent) Anxiety hysteria
Mixed anxiety and depressive disorder
F41.9 Anxiety disorder, unspecified
Anxiety NOS
F42 Obsessive-compulsive disorder
Anancastic neurosis
Obsessive-compulsive neurosis
Excludes2: obsessive-compulsive personality (disorder) (F60.5)
obsessive-compulsive symptoms occurring in depression (F32-F33)
obsessive-compulsive symptoms
occurring in schizophrenia (F20.)
F43 Reaction to severe
stress, and adjustment
disorders
F43.0 Acute stress reaction Acute crisis reaction Acute reaction to stress
Combat and operational stress reaction
Combat fatigue Crisis state Psychic shock
F43.1 Post-traumatic stress disorder (PTSD)
Traumatic neurosis
F43.10 Post-traumatic stress disorder, unspecified
F43.11 Post-traumatic stress disorder, acute
F43.12 Post-traumatic stress disorder, chronic
240
F43.2 Adjustment disorders
Culture shock Grief reaction Hospitalism in children
Excludes2: separation anxiety disorder of childhood (F93.0)
F43.20 Adjustment disorder, unspecified
F43.21 Adjustment disorder with depressed mood
F43.22 Adjustment disorder with anxiety
F43.23 Adjustment disorder with mixed anxiety and depressed mood
F43.24 Adjustment disorder with disturbance of conduct
F43.25 Adjustment disorder with mixed disturbance of emotions and
conduct
F43.29 Adjustment disorder with other symptoms
F43.8 Other reactions to severe stress
F43.9 Reaction to severe stress, unspecified
F44 Dissociative and conversion disorders
Includes: conversion hysteria conversion reaction hysteria
hysterical psychosis
Excludes2: malingering [conscious simulation] (Z76.5)
F44.0 Dissociative amnesia
Exclude
1: amnesia NOS (R41.3) anterograde amnesia (R41.1) retrograde
amnesia (R41.2)
Excludes2: alcohol-or other psychoactive substance-induced amnestic
disorder (F10, F13, F19 with .26, .96)
amnestic disorder due to known physiological condition (F04)
postictal amnesia in epilepsy (G40.-)
F44.1 Dissociative fugue
Excludes2: postictal fugue in epilepsy (G40.-)
F44.2 Dissociative stupor
Excludes1: catatonic stupor (R40.1)
stupor NOS (R40.1)
Excludes2: catatonic disorder due to known physiological condition (F06.1)
depressive stupor (F32, F33)
manic stupor (F30, F31)
F44.4 Conversion disorder with motor symptom or deficit
Dissociative motor disorders Psychogenic aphonia Psychogenic dysphonia
F44.5 Conversion disorder with seizures or convulsions
241
Dissociative convulsions
F44.6 Conversion disorder with sensory symptom or deficit
Dissociative anesthesia and sensory loss
Psychogenic deafness
F44.7 Conversion disorder with mixed symptom presentation
F44.8 Other dissociative and conversion disorders
F44.81 Dissociative identity disorder
Multiple personality disorder
F44.89 Other dissociative and conversion disorders
Ganser's syndrome
Psychogenic confusion
Psychogenic twilight state
Trance and possession disorders
F44.9 Dissociative and conversion disorder, unspecified
Dissociative disorder NOS
F45 Somatoform disorders
Excludes2: dissociative and conversion disorders (F44.-)
factitious disorders (F68.1-)
hair-plucking (F63.3)
lalling (F80.0)
lisping (F80.0)
malingering [conscious simulation] (Z76.5)
nail-biting (F98.8)
psychological or behavioral factors associated with disorders or diseases
classified elsewhere (F54)
sexual dysfunction, not due to a substance or known physiological
condition (F52.-)
thumb-sucking (F98.8)
tic disorders (in
childhood and
adolescence)
(F95.-) Tourette's
syndrome (F95.2)
trichotillomania (F63.3)
F45.0 Somatization disorder
Briquet's disorder
Multiple psychosomatic disorder
F45.1 Undifferentiated somatoform disorder
Undifferentiated psychosomatic disorder
F45.2 Hypochondriacal disorders
242
Excludes2: delusional dysmorphophobia (F22)
fixed delusions about bodily functions or shape (F22)
F45.20 Hypochondriacal disorder, unspecified
F45.21 Hypochondriasis
Hypochondriacal neurosis
F45.22 Body dysmorphic disorder
Dysmorphophobia (nondelusional)
Nosophobia
F45.29 Other hypochondriacal disorders
F45.4 Pain disorders related to psychological factors
Excludes1: pain NOS (R52)
F45.41 Pain disorder exclusively related to psychological factors
Somatoform pain disorder (persistent)
F45.42 Pain disorder with related psychological factors
Code also associated acute or chronic pain (G89.-)
F45.8 Other somatoform disorders
Psychogenic dysmenorrhea
Psychogenic
dysphagia,
including 'globus
hystericus'
Psychogenic
pruritus
Psychogenic torticollis
Somatoform autonomic dysfunction
Teeth grinding
Excludes1: sleep related teeth grinding (G47.63)
F45.9 Somatoform disorder, unspecified
Psychosomatic disorder NOS
F48 Other nonpsychotic mental disorders
F48.1 Depersonalization-derealization syndrome
F48.2 Pseudobulbar affect
Involuntary emotional expression disorder
Code first underlying cause, if known, such as: amyotrophic lateral
sclerosis (G12.21) multiple sclerosis (G35)
sequelae of cerebrovascular disease (I69.-)
sequelae of traumatic intracranial injury (S06.-)
F48.8 Other specified nonpsychotic mental disorders
243
Dhat syndrome
Neurasthenia
Occupational neurosis, including writer's cramp
Psychasthenia Psychasthenic neurosis Psychogenic syncope
F48.9 Nonpsychotic mental disorder, unspecified
Neurosis NOS
Behavioral syndromes associated with physiological disturbances and physical
factors
(F50-F59) F50 Eating disorders
Excludes1: anorexia NOS (R63.0)
feeding difficulties (R63.3)
polyphagia (R63.2)
Excludes2: feeding disorder in infancy or childhood (F98.2-)
F50.0 Anorexia nervosa
Excludes1: loss of appetite (R63.0)
psychogenic loss of appetite (F50.8)
F50.00 Anorexia nervosa, unspecified
F50.01 Anorexia nervosa, restricting type
F50.02 Anorexia nervosa, binge eating/purging type
Excludes1: bulimia nervosa (F50.2)
F50.2 Bulimia nervosa Bulimia NOS Hyperorexia nervosa
Excludes1: anorexia nervosa, binge eating/purging type (F50.02)
F50.8 Other eating disorders
Pica in adults
Psychogenic loss of appetite
Excludes2: pica of infancy and childhood (F98.3)
F50.
Eating disorder, unspecified Atypical anorexia nervosa Atypical bulimia
nervosa
F51 Sleep disorders not due to a substance or
known physiological condition
Excludes2: organic sleep disorders (G47.-)
F51.0 Insomnia not due to a substance or known physiological condition
Excludes2: alcohol related insomnia (F10.182, F10.282, F10.982)
drug-related insomnia (F11.182, F11.282, F11.982,
F13.182, F13.282, F13.982, F14.182, F14.282,
F14.982, F15.182, F15.282, F15.982, F19.182,
F19.282, F19.982)
244
insomnia NOS (G47.0-)
insomnia due to known physiological condition (G47.0-)
organic insomnia (G47.0-)
sleep deprivation (Z72.820)
F51.01 Primary insomnia
idiopathic insomnia
F51.02 Adjustment insomnia F51.03 Paradoxical insomnia
F51.04 Psychophysiologic insomnia
F51.05 Insomnia due to other mental disorder
Code also associated mental disorder
F51.09 Other insomnia not due to a substance or known physiological
condition
F51.1 Hypersomnia not due to a substance or known physiological condition
Excludes2: alcohol related hypersomnia (F10.182, F10.282, F10.982)
drug-related hypersomnia (F11.182, F11.282, F11.982,
F13.182, F13.282, F13.982, F14.182, F14.282, F14.982,
F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
hypersomnia NOS (G47.10)
hypersomnia due to known physiological condition (G47.10)
idiopathic hypersomnia (G47.11, G47.12)
narcolepsy (G47.4-)
F51.11 Primary hypersomnia
F51.12 Insufficient sleep syndrome
Excludes1: sleep deprivation (Z72.820)
F51.13 Hypersomnia due to other mental disorder
Code also associated mental disorder
F51.19 Other hypersomnia not due to a substance or known
physiological condition
F51.3 Sleepwalking [somnambulism] F51.4 Sleep terrors [night terrors]
F51.5 Nightmare disorder
Dream anxiety disorder
F51.8 Other sleep disorders not due to a substance or known physiological
condition
F51.9 Sleep disorder not due to a substance or known physiological condition,
unspecified
Emotional sleep disorder NOS
245
F52 Sexual dysfunction not due to a substance or known physiological condition
Excludes2: Dhat syndrome (F48.8)
F52.0 Hypoactive sexual desire disorder
Anhedonia (sexual)
Lack or loss of sexual desire
Excludes1: decreased libido (R68.82)
F52.1 Sexual aversion disorder
Sexual aversion and lack of sexual enjoyment
F52.2 Sexual arousal disorders
Failure of genital response
F52.21 Male erectile disorder
Psychogenic impotence
Excludes1: impotence of organic origin (N52.-)
impotence NOS (N52.-)
F52.22 Female sexual arousal disorder
Frigidit
y
F52.3 Orgasmic disorder Inhibited orgasm Psychogenic anorgasmy
F52.31 Female orgasmic disorder
F52.32 Male orgasmic disorder
F52.4 Premature ejaculation
F52.5 Vaginismus not due to a substance or known physiological condition
Psychogenic vaginismus
Excludes2: vaginismus (due to a known physiological condition) (N94.2)
F52.6 Dyspareunia not due to a substance or known physiological condition
Psychogenic dyspareunia
Excludes2: dyspareunia (due to a known physiological condition) (N94.1)
F52.8 Other sexual dysfunction not due to a substance or known physiological
condition
Excessive sexual drive Nymphomania Satyriasis
F52.9 Unspecified sexual dysfunction not due to a substance or known
physiological condition
Sexual dysfunction NOS
F53 Puerperal psychosis
Postpartum depression
Excludes1: mood disorders with psychotic features (F30.2, F31.2, F31.5, F31.64,
F32.3, F33.3)
246
postpartum dysphoria (O90.6)
psychosis in schizophrenia, schizotypal, delusional, and other psychotic
disorders (F20-F29)
F54 Psychological and behavioral factors associated with disorders or diseases
classified elsewhere
Psychological factors affecting physical conditions
Code first the associated physical disorder, such as:
asthma (J45.-)
dermatitis (L23-L25)
gastric ulcer (K25.-) mucous colitis (K58.-) ulcerative colitis (K51.-)
urticaria (L50.-)
Excludes2: tension-type headache (G44.2)
F55 Abuse of non-psychoactive substances
Excludes2: abuse of psychoactive substances (F10-F19)
F55.0 Abuse of antacids
F55.1 Abuse of herbal or folk remedies
F55.2 Abuse of laxatives
F55.3 Abuse of steroids or hormones
F55.4 Abuse of vitamins
F55.8 Abuse of other non-psychoactive substances
F59 Unspecified behavioral syndromes associated with physiological disturbances
and physical factors
Psychogenic physiological dysfunction NOS
Disorders of adult personality and behavior (F60-F69)
F60 Specific personality disordersF60.0
Paranoid personality disorder Expansive paranoid personality (disorder)
Fanatic personality (disorder)
Querulant personality (disorder) Paranoid personality (disorder)
Sensitive paranoid personality (disorder)
Excludes2: paranoia (F22)
paranoia querulans (F22) paranoid psychosis (F22) paranoid
schizophrenia (F20.0) paranoid state (F22)
F60.1 Schizoid personality disorder
Excludes2: Asperger's syndrome (F84.5)
delusional disorder (F22)
schizoid disorder of childhood (F84.5)
schizophrenia (F20.-)
247
schizotypal disorder (F21)
F60.2
Antisocial personality disorder Amoral personality (disorder) Asocial
personality (disorder) Dissocial personality disorder Psychopathic personality
(disorder) Sociopathic personality (disorder)
Excludes1: conduct disorders (F91.-)
Excludes2: borderline personality disorder (F60.3)
F60.3
Borderline personality disorder Aggressive personality (disorder)
Emotionally unstable personality disorder Explosive personality (disorder)
Excludes2: antisocial personality disorder (F60.2)
F60.4 Histrionic personality disorder
Hysterical personality (disorder)
Psychoinfantile personality (disorder)
F60.5 Obsessive-compulsive personality disorder
\ Anankastic personality (disorder) Compulsive personality (disorder)
Obsessional personality (disorder)
Excludes2: obsessive-compulsive disorder (F42)
F60.6 Avoidant personality disorder
Anxious personality disorder
F60.7 Dependent personality disorder Asthenic personality (disorder)
Inadequate personality (disorder) Passive personality (disorder)
F60.8 Other specific personality disorders F60.81
Narcissistic personality disorder F60.89
Other specific personality disorders
Eccentric personality disorder
'Haltlose' type personality disorder
Immature personality disorder
Passive-aggressive personality disorder
Psychoneurotic personality disorder
Self-defeating personality disorder
F60.9 Personality disorder, unspecified
Character disorder NOS Character neurosis NOS Pathological
personality NOS
F63 Impulse disorders
Excludes2: habitual excessive use of alcohol or psychoactive substances (F10-F19)
impulse disorders involving sexual behavior (F65.-)
F63.0 Pathological gambling
Compulsive gambling
248
Excludes1: gambling and betting NOS (Z72.6)
Excludes2: excessive gambling by manic patients (F30, F31)
gambling in antisocial personality disorder (F60.2)
F63.1 Pyromania
Pathological fire-setting
Excludes2: fire-setting (by) (in):
adult with antisocial personality disorder (F60.2)
alcohol or psychoactive substance intoxication (F10-F19)
conduct disorders (F91.-)
mental disorders due to known physiological condition (F01F09)
schizophrenia (F20.-)
F63.2 Kleptomania
Pathological stealing
Excludes1: shoplifting as the reason for observation for suspected mental
disorder (Z03.8)
Excludes2: depressive disorder with stealing (F31-F33)
stealing due to underlying mental condition-code to mental
condition
stealing in mental disorders due to known physiological
condition (F01-F09)
F63.3 Trichotillomania
Hair plucking
Excludes2: other stereotyped movement disorder (F98.4)
F63.8 Other impulse disorders
F63.81 Intermittent explosive disorder
F63.89 Other impulse disorders
F63.9 Impulse disorder, unspecified
Impulse control disorder NOS
F64 Gender identity disorders
F64.1 Gender identity disorder in adolescence and adulthood
Dual role transvestism
Transsexualism
Use additional code to identify
sex reassignment status
(Z87.890) Excludes1: gender
identity disorder in childhood
249
(F64.2) Excludes2: fetishistic
transvestism (F65.1)
F64.2 Gender identity disorder of childhood
Excludes1: gender identity disorder in adolescence and adulthood (F64.1)
Excludes2: sexual maturation disorder (F66)
F64.8 Other gender identity disorders
F64.9 Gender identity disorder, unspecified
Gender-role disorder NOS
F65 Paraphilias
F65.0 Fetishism
F65.1 Transvestic fetishism
Fetishistic transvestism
F65.2 Exhibitionism F65.3 Voyeurism F65.4 Pedophilia
F65.5 Sadomasochism
F65.50 Sadomasochism, unspecified
F65.51 Sexual masochism
F65.52 Sexual sadism
F65.8 Other paraphilias
F65.81 Frotteurism
F65.89 Other paraphilias
ecrophilia
F65.9 Paraphilia, unspecified
Sexual deviation NOS
F66 Other sexual disorders Sexual maturation disorder Sexual relationship
disorder
F68 Other disorders of adult personality and behavior
F68.1 Factitious disorder
Compensation neurosis
Elaboration of physical symptoms for psychological reasons
Hospital hopper syndrome Münchausen's syndrome Peregrinating patient
Excludes2: factitial dermatitis (L98.1)
person feigning illness (with obvious motivation) (Z76.5)
F68.10 Factitious disorder, unspecified
F68.11 Factitious disorder with predominantly psychological signs and
symptoms
250
F68.12 Factitious disorder with predominantly physical signs and
symptoms
F68.13 Factitious disorder with combined psychological and physical
signs and symptoms
F68.8 Other specified disorders of adult personality and behavior
F69 Unspecified disorder of adult personality and behavior
Intellectual Disabilities (F70-F79)
Code first any associated physical or developmental disorders
Excludes1: borderline intellectual functioning, IQ above 70 to 84 (R41.83)
F70 Mild intellectual disabilities
IQ level 50-55 to approximately 70
Mild mental subnormality
F71 Moderate intellectual disabilities
IQ level 35-40 to 50-55
Moderate mental subnormality
F72 Severe intellectual disabilities
IQ 20-25 to 35-40
Severe mental subnormality
F73 Profound intellectual disabilities
IQ level below 20-25
Profound mental subnormality
F78 Other intellectual disabilities
F79 Unspecified intellectual disabilities
Mental deficiency NOS Mental subnormality NOS
Pervasive and specific developmental disorders (F80-F89)
F80 Specific developmental disorders of speech and language
F80.0 Phonological disorder
Dyslalia
Functional speech articulation disorder
Lalling
Lisping
Phonological developmental disorder
Speech articulation developmental disorder
Excludes1: speech articulation impairment due to aphasia NOS (R47.01)
speech articulation impairment due to apraxia (R48.2)
Excludes2: speech articulation impairment due to hearing loss (F80.4)
speech articulation impairment due to intellectual disabilities
(F70-F79)
251
speech articulation impairment with expressive language
developmental disorder (F80.1)
speech articulation impairment with mixed receptive expressive
language developmental disorder
(F80.2)
F80.1 Expressive language disorder
Developmental dysphasia or aphasia, expressive type
Excludes1: mixed receptive-expressive language disorder (F80.2)
dysphasia and aphasia NOS (R47.-)
Excludes2: acquired aphasia with epilepsy [Landau-Kleffner] (G40.80-)
selective mutism (F94.0)
intellectual disabilities (F70-F79)
pervasive developmental disorders (F84.-)
F80.2 Mixed receptive-expressive language disorder Developmental
dysphasia or aphasia, receptive type Developmental Wernicke's aphasia
Excludes1: central auditory processing disorder (H93.25)
dysphasia or aphasia NOS (R47.-) expressive language
disorder (F80.1) expressive type dysphasia or aphasia (F80.1)
word deafness (H93.25)
Excludes2: acquired aphasia with epilepsy [Landau-Kleffner] (G40.80)pervasive developmental disorders (F84.-)
selective mutism (F94.0)
intellectual disabilities (F70-F79)
F80.4 Speech and language development delay due to hearing loss
Code also type of hearing loss (H90.-, H91.-)
F80.8 Other developmental disorders of speech and language
F80.81 Childhood onset fluency disorder
Cluttering NOS Stuttering NOS
Excludes1:
adult onset
fluency
disorder
(F98.5)
fluency disorder in conditions classified elsewhere
(R47.82)
fluency disorder (stuttering) following cerebrovascular
disease (I69. with final characters -23)
F80.89 Other developmental disorders of speech and language
F80.9 Developmental disorder of speech and language, unspecified
Communication disorder NOS Language disorder NOS
252
F81 Specific
developmental disorders of
scholastic skills
F81.0 Specific reading disorder
'Backward reading' Developmental dyslexia Specific reading retardation
Excludes1: alexia NOS (R48.0)
dyslexia NOS (R48.0)
F81.2 Mathematics disorder Developmental acalculia Developmental
arithmetical disorder Developmental Gerstmann's syndrome
Excludes1: acalculia NOS (R48.8)
Excludes2: arithmetical difficulties
associated with a reading
disorder (F81.0) arithmetical
difficulties associated with a
spelling disorder (F81.81)
arithmetical difficulties due to
inadequate teaching (Z55.8)
F81.8 Other developmental disorders of scholastic skills
F81.81 Disorder of written expression
Specific spelling disorder
F81.89 Other developmental disorders of scholastic skills
F81.9 Developmental disorder of scholastic skills, unspecified
Knowledge acquisition disability NOS Learning disability NOS
Learning disorder NOS
F82 Specific developmental disorder of motor function
Clumsy child syndrome Developmental coordination disorder Developmental
dyspraxia
Excludes1: abnormalities of gait and mobility (R26.-)
lack of coordination (R27.-)
Excludes2: lack of coordination secondary to intellectual disabilities (F70-F79)
F84 Pervasive developmental disorders
Use additional code to identify any associated medical condition and intellectual
disabilities.
F84.0 Autistic disorder Infantile autism Infantile psychosis Kanner's syndrome
Excludes1: Asperger's syndrome (F84.5)
F84.2 Rett's syndrome
Exclude 1: Asperger's syndrome (F84.5) Autistic disorder (F84.0) Other
childhood disintegrative disorder (F84.3)
253
F84.3 Other childhood disintegrative disorder
Dementia infantilis Disintegrative psychosis Heller's syndrome Symbiotic psychosis
Use additional code to identify any associated neurological condition.
Exclude
1:Asperger's syndrome (F84.5) Autistic disorder (F84.0) Rett's
syndrome (F84.2)
F84.5 Asperger's syndrome Asperger's disorder Autistic psychopathy
Schizoid disorder of childhood
F84.8 Other pervasive developmental disorders
Overactive disorder associated with intellectual disabilities and stereotyped
movements
F84.9 Pervasive developmental disorder, unspecified
Atypical autism
F88 Other disorders of psychological development
Developmental agnosia
F89 Unspecified disorder of psychological development
Developmental disorder NOS
Behavioral and emotional disorders with onset usually occurring in childhood and
adolescence (F90-F98)
Note: Codes within categories F90-F98 may be used regardless of the age of a
patient. These disorders generally have onset within the childhood or
adolescent years, but may continue throughout life or not be diagnosed until
adulthood
F90 Attention-deficit hyperactivity disorders
Includes: attention deficit disorder with hyperactivity attention deficit syndrome
with hyperactivity
Excludes2: anxiety disorders (F40.-, F41.-)
mood [affective] disorders (F30-F39) pervasive developmental
disorders (F84.-) schizophrenia (F20.-)
F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive
type
F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive
type
F90.2 Attention-deficit hyperactivity disorder, combined type
F90.8 Attention-deficit hyperactivity disorder, other type
F90.9 Attention-deficit hyperactivity disorder, unspecified type
254
Attention-deficit hyperactivity
disorder of childhood or adolescence
NOS Attention-deficit hyperactivity
disorder NOS
F91 Conduct disorders
Excludes1: antisocial behavior (Z72.81-)
antisocial personality disorder (F60.2)
Excludes2: conduct problems associated with attention-deficit hyperactivity
disorder (F90.-)
mood [affective] disorders (F30-F39) pervasive developmental
disorders (F84.-) schizophrenia (F20.-)
F91.0 Conduct disorder confined to family context
F91.1 Conduct disorder, childhood-onset type
Unsocialized conduct disorder
Conduct disorder, solitary aggressive type
Unsocialized aggressive disorder
F91.2 Conduct disorder, adolescent-onset type
Socialized conduct disorder
Conduct disorder, group type
F91.3 Oppositional defiant disorder F91.8 Other conduct disorders
F91.9 Conduct disorder, unspecified Behavioral disorder NOS Conduct
disorder NOS
Disruptive behavior disorder NOS
F93 Emotional disorders
with onset specific to
childhood
F93.0 Separation anxiety disorder of childhood
Excludes2: mood [affective] disorders (F30-F39) nonpsychotic mental
disorders (F40-F48) phobic anxiety disorder of childhood
(F40.8) social phobia (F40.1)
F93.8 Other childhood emotional disorders
Identity disorder
Excludes2: gender identity disorder of childhood (F64.2)
F93.9 Childhood emotional disorder, unspecified
F94 Disorders of social functioning with onset specific to childhood and
adolescence
F94.0 Selective mutism
Elective mutism
255
Excludes2: pervasive developmental disorders (F84.-)
schizophrenia (F20.-)
specific developmental disorders of speech and language (F80.-)
transient mutism as part of separation anxiety in young children
(F93.0)
F94.1 Reactive attachment disorder of childhood
Use additional code to identify any associated failure to thrive or growth
retardation
Excludes1: disinhibited attachment disorder of childhood (F94.2)
normal variation in pattern of selective attachment
Excludes2: Asperger's syndrome (F84.5)
maltreatment syndromes (T74.-)
sexual or physical abuse in childhood, resulting in psychosocial
problems (Z62.81-)
F94.2 Disinhibited attachment disorder of childhood
Affectionless psychopathy
Institutional syndrome
Excludes1: reactive attachment disorder of childhood (F94.1)
Excludes2: Asperger's syndrome (F84.5)
attention-deficit hyperactivity disorders (F90.-)
hospitalism in children (F43.2-)
F94.8 Other childhood disorders of social functioning
F94.9 Childhood disorder of social functioning, unspecified
F95 Tic disorder
F95.0 Transient tic disorder
F95.1 Chronic motor or vocal tic disorder
F95.2 Tourette's disorder
Combined vocal and
multiple motor tic disorder
[de la Tourette] Tourette's
syndrome
F95.8 Other tic disorders
F95.9 Tic disorder, unspecified
Tic NOS
F98 Other behavioral and emotional disorders with onset usually occurring in
childhood and adolescence
Excludes2: breath-holding spells (R06.89)
256
gender identity disorder of childhood (F64.2) Kleine-Levin
syndrome (G47.13)
obsessive-compulsive disorder (F42)
sleep disorders not due to a substance or known physiological condition
(F51.-)
F98.0 Enuresis not due to a substance or known physiological condition
Enuresis (primary) (secondary) of nonorganic origin
Functional enuresis
Psychogenic enuresis
Urinary incontinence of nonorganic origin
Excludes1: enuresis NOS (R32)
F98.1 Encopresis not due to a substance or known physiological condition
Functional encopresis
Incontinence of feces of nonorganic origin
Psychogenic encopresis
Use additional code to identify the cause of any coexisting constipation.
Excludes1: encopresis NOS (R15.-)
F98.2 Other feeding disorders of infancy and childhood
Excludes1: feeding difficulties (R63.3)
Excludes2: anorexia nervosa and other eating disorders (F50.-)
feeding problems of newborn (P92.-)
pica of infancy or childhood (F98.3)
F98.21 Rumination disorder of infancy
F98.29 Other feeding disorders of infancy and early childhood
F98.3 Pica of infancy and childhood
F98.4 Stereotyped movement disorders
Stereotype/habit disorder
Excludes1: abnormal involuntary movements (R25.-)
Excludes2: compulsions in obsessive-compulsive disorder (F42)
hair plucking (F63.3)
movement disorders of organic origin (G20-G25)
nail-biting (F98.8)
nose-picking (F98.8)
stereotypies that are part of a broader psychiatric condition (F01F95)
thumb-sucking (F98.8) tic disorders
(F95.-) trichotillomania (F63.3)
F98.5 Adult onset fluency disorder
Excludes1: childhood onset fluency disorder (F80.81)
257
dysphasia (R47.02)
fluency disorder in conditions classified elsewhere (R47.82)
fluency disorder (stuttering) following cerebrovascular disease (I69.with
final
characters-23)
tic disorders (F95.-)
F98.8 Other specified behavioral and emotional disorders with onset usually
occurring in childhood and adolescence
Excessive masturbation
Nail-biting Nose-picking Thumb-sucking
F98.9 Unspecified behavioral and emotional disorders with onset usually
occurring in childhood and adolescence
Unspecified mental disorder (F99)
F99 Mental disorder, not otherwise specified
Mental illness NOS
Excludes1: unspecified mental disorder due to known physiological condition (F09)
258
Outline of History of the DSMs
DSM-I – 1952 [129 pages] (Raines) – “Best seller”
Prototype Matching [Example: Schizophrenic Reaction was defined as: “It represents a
group of psychotic disorders characterized by fundamental disturbances in reality
relationships and concept formations, with affective, behavioral, and intellectual
disturbances in varying degrees and mixtures. The disorders are marked by strong
tendency to retreat from reality, by emotional disharmony, unpredictable disturbances in
stream of thought, regressive behavior, and in some, a tendency to ‘deterioration.”]
DSM-II – 1968 [134 pages] (Gruenberg) – “Best seller”
Prototype Matching
100% change of either the name or the definition of disorders in disorders retained
from DSM-I
DSM-III – 1980 [474 pages] (Spitzer) - “Best Seller”
Criteria sets,
Multiaxial system
Much more information about each Disorder
100% change of either the name or definition of disorders retained from DSM-II
DSM-IIIR – 1987 [567 pages] (Spitzer and Williams) – “Best Seller”
Added the category, “Proposed Diagnostic Categories Needing Further Study”
98% change in either the name or definition of the disorder retained from DSM-III
DSM-IV – 1994 [968 pages] (Frances, Pincus and First) – “Best Seller”
Abolished “organic.”
Double entry for Substance-related Disorders
100% change in either name or definition of disorders retained from DSM-IIIR
DSM-IV-TR – 2000 [988 pages] (First and Pincus) – “Best Seller”
Vastly improved text. No substantial criteria set changes.
DSM-5 – 2013 [993 pages] (Kupfer and Regier). [“Best Seller”]
Official Principles:
1] Revisions must be feasible for routine clinical practice
2] Revisions should be guided be research evidence
3] Where possible, continuity should be maintained with previous DSMs
4] No a priori constraints on changes.
Other, unofficial, dynamics:
1] Experts and advocates tend to want to reduce the barriers to their entities being
recognized.
2] APA Assembly wanted DSMs to avoid being a burden on clinicians
3] Kupfer wanted fewer entities.
4] 97% change of either the name or the definition of disorders retained from
DSM-IV-TR.
259
DSM 5
260
ICD-9-CM codes are to be used for coding purposes in the United States through September 30,
2014. ICD-10-CM codes are to be used starting October 1, 2014.
______________________________________________________________________________
____
Disorder, condition, or problem
ICD-9-CM
ICD-10-CM
______________________________________________________________________________
____
Academic or educational problem
V62.3
Z55.9
Acculturation difficulty
V62.4
Z60.3
Acute stress disorder
308.3
F43.0
Adjustment disorders
With anxiety
309.24
F43.22
With depressed mood
309.0
F43.21
With disturbance of conduct
309.3
F43.24
With mixed anxiety and depressed mood
309.28
F43.23
With mixed disturbance of emotions and conduct
309.4
F43.25
Unspecified
309.9
F43.20
Adult antisocial behavior
Adult-onset fluency disorder
Adult physical abuse by nonspouse or nonpartner, Confirmed
Initial encounter
Subsequent encounter
Adult physical abuse by nonspouse or nonpartner, Suspected
Initial encounter
Subsequent encounter
Adult psychological abuse by nonspouse or nonpartner, Confirmed
Initial encounter
Subsequent encounter
Adult psychological abuse by nonspouse or nonpartner, Suspected
Initial encounter
Subsequent encounter
Adult sexual abuse by nonspouse or nonpartner, Confirmed
Initial encounter
Subsequent encounter
Adult sexual abuse by nonspouse or nonpartner, Suspected
Initial encounter
Subsequent encounter
Agoraphobia
Alcohol-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
V71.01
307.0
Z72.811
F98.5
995.81
995.81
T74.11XA
T74.11XD
995.81
995.81
T76.11XA
T76.11XD
995.82
995.82
T74.31XA
T74.31XD
995.82
995.82
T76.31XA
T76.31XD
995.83
T74.21XA
995.83
T74.21XD
995.83
995.83
300.22
291.89
T76.21XA
T76.21XD
F40.00
F10.180
F10.280
F10.980
261
Alcohol-induced bipolar and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol-induced major neurocognitive disorder, Amnestic
confabulatory type
With moderate or severe use disorder
Without use disorder
Alcohol-induced major neurocognitive disorder, Nonamnestic
confabulatory type
With moderate or severe use disorder
Without use disorder
Alcohol-induced mild neurocognitive disorder
With moderate or severe use disorder
Without use disorder
Alcohol-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol-induced sexual dysfunction
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Alcohol use disorder
Mild
Moderate
Severe
Alcohol withdrawal
With perceptual disturbances
Without perceptual disturbances
Alcohol withdrawal delirium
Amphetamine (or other stimulant)-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
291.89
F10.14
F10.24
F10.94
291.89
F10.14
F10.24
F10.94
291.1
F10.26
F10.96
291.2
F10.27
F10.97
291.89
F10.288
F10.988
291.9
F10.159
F10.259
F10.959
291.89
F10.181
F10.281
F10.981
291.82
F10.182
F10.282
F10.982
303.00
F10.129
F10.229
F10.929
291.0
F10.121
F10.221
F10.921
305.00
303.90
303.90
291.81
291.0
292.89
F10.10
F10.20
F10.20
F10.232
F10.239
F10.231
F15.180
F15.280
F15.980
262
Amphetamine (or other stimulant)-induced bipolar and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Amphetamine (or other stimulant)-induced delirium
Amphetamine (or other stimulant)-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Amphetamine (or other stimulant)-induced obsessive-compulsive
and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Amphetamine (or other stimulant)-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Amphetamine (or other stimulant)-induced sexual dysfunction
With mild disorder
With moderate or severe use disorder
Without use disorder
Amphetamine (or other stimulant)-induced sleep disorder
292.85
With mild use disorder
With moderate or severe use disorder
Without use disorder
Amphetamine or other stimulant intoxication
Amphetamine or other stimulant intoxication, With perceptual
disturbances
With mild disorder
With moderate or severe use disorder
Without use disorder
Amphetamine or other stimulant intoxication, Without perceptual
disturbances
With mild use disorder
With moderate or severe use disorder
Without use disorder
Amphetamine (or other stimulant) intoxication delirium
With mild disorder
With moderate or severe use disorder
Without use disorder
Amphetamine or other stimulant withdrawal
Amphetamine-type substance use disorder
Mild
Moderate
Severe
Anorexia nervosa
Binge-eating/ purging type
Restricting type
Antidepressant discontinuation syndrome
Initial encounter
292.84
F15.14
F15.24
F15.94
F15.921
292.84
F15.14
F15.24
F15.94
292.89
F15.188
F15.288
F15.988
292.9
F15.159
F15.259
F15.959
292.89
F15.181
F15.281
F15.981
F15.182
F15.282
F15.982
292.89
F15.122
F15.222
F15.922
F15.129
F15.229
F15.929
292.81
292.0
305.70
304.40
304.40
307.1
F15.121
F15.221
F15.921
F15.23
F15.10
F15.20
F15.20
F50.02
F50.01
995.29
T43.205A
263
Sequelae
Subsequent encounter
Antisocial personality disorder
Anxiety disorder due to another medical condition
Attention-deficit/ hyperactivity disorder
Combined presentation
Predominantly hyperactive/ impulsive presentation
Predominantly inattentive presentation
Autism spectrum disorder
Avoidant personality disorder
Avoidant/ restrictive food intake disorder
Binge-eating disorder
Bipolar I disorder, Current or most recent episode depressed
In full remission
In partial remission
Mild
Moderate
Severe
With psychotic features
Unspecified
Bipolar I disorder, Current or most recent episode hypomanic
In full remission
In partial remission
Unspecified
Bipolar I disorder, Current or most recent episode manic
In full remission
In partial remission
Mild
Moderate
Severe
With psychotic features
Unspecified
Bipolar I disorder, Current or most recent episode unspecified
Bipolar II disorder
Bipolar and related disorder due to another medical condition
With manic features
With manic- or hypomanic-like episodes
With mixed features
Body dysmorphic disorder
Borderline intellectual functioning
Borderline personality disorder
Brief psychotic disorder
Bulimia nervosa
Caffeine-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Caffeine-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
995.29
995.29
301.7
293.84
T43.205S
T43.205D
F60.2
F06.4
314.01
314.00
314.00
F90.2
F90.1
F90.0
299.00
F84.0
301.82
307.59
307.51
F60.6
F50.8
F50.8
296.56
296.55
296.51
296.52
296.53
296.54
296.50
296.40
296.46
296.45
296.40
F31.76
F31.75
F31.31
F31.32
F31.4
F31.5
F31.9
F31.0
F31.74
F31.73
F31.9
296.46
296.45
296.41
296.42
296.43
296.44
296.40
296.7
296.89
293.83
F31.74
F31.73
F31.11
F31.12
F31.13
F31.2
F31.9
F31.9
F31.81
300.7
V62.89
301.83
298.8
307.51
292.89
F06.33
F06.33
F06.34
F45.22
R41.83
F60.3
F23
F50.2
F15.180
F15.280
F15.980
292.89
F15.182
F15.282
F15.982
264
Caffeine intoxication
Caffeine withdrawal
Cannabis-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cannabis-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cannabis-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cannabis intoxication
Cannabis intoxication, With perceptual disturbances
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cannabis intoxication, Without perceptual disturbances
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cannabis intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cannabis disorder
Mild
Moderate
Severe
Cannabis withdrawal
Catatonia associated with another mental disorder (catatonia specifier)
Central sleep apnea
Central sleep apnea comorbid with opioid use
Cheyne-Stokes breathing
Idiopathic central sleep apnea
Child affected by parental relationship distress
Child neglect, Confirmed
Initial encounter
Subsequent encounter
Child neglect, Suspected
Initial encounter
Subsequent encounter
Child or adolescent antisocial behavior
Child physical abuse, Confirmed
Initial encounter
Subsequent encounter
Child physical abuse, Suspected
Initial encounter
Subsequent encounter
305.90
292.0
292.89
F15.929
F15.93
F12.180
F12.280
F12.980
292.9
F12.159
F12.259
F12.959
292.85
F12.188
F12.288
F12.988
292.89
F12.122
F12.222
F12.922
F12.129
F12.229
F12.929
292.81
F12.121
F12.221
F12.921
305.20
304.30
304.30
292.0
293.89
F12.10
F12.20
F12.20
F12.288
F06.1
780.57
786.04
327.21
V61.29
G47.37
R06.3
G47.31
Z62.898
995.52
995.52
T74.02XA
T74.02XD
995.52
995.52
V71.02
T76.02XA
T76.02XD
Z72.810
995.54
995.54
T74.12XA
T7412XD
995.54
995.54
T76.12XA
T76.12XD
265
Child psychological abuse, Confirmed
Initial encounter
Subsequent encounter
Child psychological abuse, Suspected
Initial encounter
Subsequent disorder
Child sexual abuse, Confirmed
Initial encounter
Subsequent disorder
Child sexual abuse, Suspected
Initial encounter
Subsequent encounter
Childhood-onset fluency disorder (shuttering)
Circadian rhythm sleep-wake disorders
Advanced sleep phase type
Delayed sleep phase type
Irregular sleep-wake type
Non-24-hour sleep-wake type
Shift work type
Unspecified type
Cocaine-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine-induced bipolar and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine-induced obsessive-compulsive and related disorder
With mild use disorder
Without use disorder
Without use disorder
Cocaine-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine-induced sexual dysfunction
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine intoxication
Cocaine intoxication, With perceptual disturbances
With mild use disorder
995.51
995.51
T74.32XA
T74.32XD
995.51
995.51
T76.32XA
T76.32XD
995.53
995.53
T74.22XA
T74.22XD
995.53
995.53
T76.22XA
T76.22XD
307.45
307.45
307.45
307.45
307.45
307.45
292.89
G47.22
G47.21
G47.23
G47.24
G47.26
G47.20
F14.180
F14.280
F14.980
292.84
F14.14
F14.24
F14.94
292.84
F14.14
F14.24
F14.94
292.89
F14.188
F14.288
F14.988
292.9
F14.159
F14.259
F14.959
292.89
F14.181
F14.281
F14.981
292.85
F14.182
F14.282
F14.982
292.89
F14.122
266
With moderate or severe use disorder
Without use disorder
Cocaine intoxication, Without perceptual disturbances
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine intoxication delirium
292.81
With mild use disorder
With moderate or severe use disorder
Without use disorder
Cocaine use disorder
Mild
305.60
Moderate
304.20
Severe
304.20
Cocaine withdrawal
292.0
Conduct disorder
Adolescent-onset type
312.32
Childhood-onset type
312.81
Unspecified onset
312.89
Conversion disorder (functional neurological symptom disorder)
300.11
With abnormal movement
With anesthesia or sensory loss
With attacks or seizures
With mixed symptoms
With special sensory symptoms
With speech symptoms
With swallowing symptoms
With weakness/ paralysis
Conviction in civil or criminal proceedings without imprisonment
V62.5
Cyclothymic disorder
301.13
Delayed ejaculation
302.74
Delirium
Delirium due to another medical condition
293.0
Medication-induced delirium (for ICD-10-CM codes, see specific
292.81
disturbances)
Substance intoxication delirium (see specific substances for codes)
Substance withdrawal delirium (see specific substances for codes)
Delusional disorder
297.1
Dependent personality disorder
301.6
Depersonalization/ derealization disorder
300.66
Depressive disorder due to another medical condition
293.83
With depressive features
With major depressive-like episode
With mixed features
Developmental coordination disorder
315.4
Discord with neighbor, lodger, or landlord
V60.89
Discord with social service provider, including probation officer,
V62.89
case manager, or social services worker
Disinhibited social engagement disorder
313.89
Disruption of family by separation or divorce
V61.03
Disruptive mood dysregulation disorder
296.99
F14.222
F14.922
F14.129
F14.229
F14.929
F14.121
F14.221
F14.921
F14.10
F14.20
F14.20
F14.23
F91.2
F91.1
F91.9
F44.4
F44.6
F44.5
F44.7
F44.6
F44.4
F44.4
F44.4
Z65.0
F34.0
F52.32
F05
F22
F60.7
F48.1
F06.31
F06.32
F06.34
F82
Z59.2
Z64.4
F94.2
Z63.5
F34.8
267
Dissociative amnesia
Dissociative amnesia, with dissociative fugue
Dissociative identity disorder
Encopresis
Enuresis
Erectile disorder
Excoriation (skin-picking) disorder
Exhibitionistic disorder
Exposure to disaster, war, or other hostilities
Extreme poverty
Factitious disorder
Female orgasmic disorder
Female sexual interest/ arousal disorder
Fetishistic disorder
Frotteuristic disorder
Gambling disorder
Gender dysphoria in adolescents and adults
Gender dysphoria in children
Generalized anxiety disorder
Genito-pelvic pain/ penetration disorder
Global developmental delay
Hallucinogen persisting perception disorder
High expressed emotion level within family
Histrionic personality disorder
Hoarding disorder
Homelessness
Hypersomnolence disorder
Illness anxiety disorder
Imprisonment or other incarceration
Inadequate housing
Inhalant-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Inhalant-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Inhalant-induced major neurocognitive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Inhalant-induced mild neurocognitive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Inhalant-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
300.12
300.13
300.14
307.7
307.6
302.72
698.4
302.4
V62.22
V60.2
300.19
302.73
302.72
302.81
302.89
312.31
302.85
302.6
300.02
F44.0
F44.1
F44.81
F98.1
F98.0
F52.21
L98.1
F65.2
Z65.5
Z59.5
F68.10
F52.31
F52.22
F65.0
F65.81
F63.0
F64.1
F64.2
F41.1
302.76
315.8
292.89
V61.8
301.50
300.3
V60.0
780.54
300.7
V62.5
V60.1
292.89
F52.6
F88
F16.983
Z63.8
F60.4
F42
Z59.0
G47.10
F45.21
Z65.1
Z59.1
F18.180
F18.280
F18.980
292.84
F18.14
F18.24
F18.94
292.82
F18.17
F18.27
F18.97
292.89
F18.188
F18.288
F18.988
292.9
F18.159
F18.259
F18.959
268
Inhalant intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Inhalant intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Inhalant use disorder
Mild
Moderate
Severe
Insomnia disorder
Insufficient social insurance or welfare support
Intellectual disability (intellectual developmental disorder)
Mild
Moderate
Profound
Severe
Intermittent explosive disorder
Kleptomania
Lack of adequate food or safe drinking water
Language disorder
Low income
Major depressive disorder, Recurrent episode
In full remission
In partial remission
Mild
Moderate
Severe
With psychotic features
Unspecified
Major depressive disorder, Single episode
In full remission
In partial remission
Mild
Moderate
Severe
With psychotic features
Unspecified
Major frontotemporal neurocognitive disorder, Possible
Major frontotemporal neurocognitive disorder, Probable (code first
331.19 [G31.09] frontotemporal disease)
With behavioral disturbance
Without behavioral disturbance
Major neurocognitive disorder due to Alzheimer’s disease, Possible
Major neurocognitive disorder due to Alzheimer’s disease,
Probable (code first 331.0 [G30.9] Alzheimer’s disease)
With behavioral disturbance
Without behavioral disturbance
Major neurocognitive disorder due to another medical condition
292.89
F18.129
F18.229
F18.929
292.81
F18.121
F18.221
F18.921
305.90
304.60
304.60
780.52
V60.2
319
F18.10
F18.20
F18.20
G47.00
Z59.7
312.34
312.32
V60.2
315.39
V60.2
F70
F71
F73
F72
F63.81
F63.3
Z59.4
F80.9
Z59.6
296.36
296.35
296.31
296.32
296.33
296.34
296.30
F33.42
F33.41
F33.0
F33.1
F33.2
F33.3
F33.9
296.26
296.25
296.21
296.22
296.23
296.20
296.20
F32.5
F32.4
F32.0
F32.1
F32.2
F32.3
F32.9
294.11
294.10
F02.81
F02.80
294.11
294.10
F02.81
F02.80
269
With behavioral disturbance
Without behavioral disturbance
Major neurocognitive disorder due to HIV infection (code first 042
[b20] HIV infection)
With behavioral disturbance
Without behavioral disturbance
Major neurocognitive disorder due to Huntington’s disease (code
first 333.4 [G10] Huntington’s disease)
With behavioral disturbance
294.11
294.10
F02.81
F02.80
294.11
294.10
F02.81
F02.80
294.11
F02.81
Without behavioral disturbance
294.10
F02.80
Major neurocognitive disorder with Lewy bodies, Possible
331.9
G31.9
Major neurocognitive disorder with Lewy bodies, Probable (code
first 331.82 [G31.83] Lewy body disease)
With behavioral disturbance
294.11
F02.81
Without behavioral disturbance
294.10
F02.80
Major neurocognitive disorder due to multiple etiologies
With behavioral disturbance
294.11
F02.81
Without behavioral disturbance
294.10
F02.80
Major neurocognitive disorder due to Parkinson’s disease, Possible
331.9
G31.9
Major neurocognitive disorder due to Parkinson’s disease,
Probable (code first 332.0 [g20] Parkinson’s disease)
With behavioral disturbance
294.11
F02.81
Without behavioral disturbance
294.10
F02.80
Major neurocognitive disorder due to prion disease (code first
046.79 [A81.9] prion disease)
With behavioral disturbance
294.11
F02.81
Without behavioral disturbance
294.10
F02.80
Major neurocognitive disorder due to traumatic brain injury (code
first 907.0 late effect of intracranial injury without skull fracture
[s06.2X9S diffuse traumatic brain injury with loss of consciousness of unspecified duration,
sequel])
With behavioral disturbance
294.11
F02.81
Without behavioral disturbance
294.10
F02.80
Major vascular neurocognitive disorder, Possible
331.9
G31.9
Major vascular neurocognitive disorder, Probable
With behavioral disturbance
290.40
F01.51
Without behavioral disturbance
290.40
F01.50
Male hypoactive sexual desire disorder
302.71
F52.0
Malingering
V65.2
Z76.5
Medication-induced acute akathisia
333.99
G25.71
Medication-induced acute dystonia
333.72
G24.02
Medication-induced delirium (for ICD-10-CM codes, see specific
292.81
substances)
Medication-induced postural tremor
333.1
G25.1
Mild frontotemporal neurocognitive disorder
331.83
G31.84
Mild neurocognitive disorder due to Alzheimer’s disease
331.83
G31.84
Mild neurocognitive disorder due to another medical condition
331.83
G31.84
Mild neurocognitive disorder due to HIV infection
331.83
G31.84
Mild neurocognitive disorder due to Huntington’s disease
331.83
G31.84
Mild neurocognitive disorder due to multiple etiologies
331.83
G31.84
270
Mild neurocognitive disorder due to Parkinson’s disease
Mild neurocognitive disorder due to prion disease
Mild neurocognitive disorder due to traumatic brain injury
Mild neurocognitive disorder with Lewy bodies
Mild vascular neurocognirtive disorder
Narcissistic personality disorder
Narcoplepsy
Autosomal dominant cerebellar ataxia, deafness, and
narcolepsy
Autosomal dominant cerebellar, obesity, and type 2 diabetes
Narcolepsy secondary to another medical condition
Narcolepsy with cataplexy but without hypocretin deficiency
Narcolepsy without cataplexy but with hypocretin deficiency
Neuroleptic-induced parkinsonian
Neuroleptic malignant syndrome
331.83
331.83
331.83
331.83
331.83
301.81
G31.84
G31.84
G31.84
G31.84
G31.84
F60.81
347.00
G47.419
347.00
347.10
347.01
347.00
332.1
333.92
G47.419
G47.429
G47.411
G47.419
G21.11
G21.0
Nightmare disorder
Nonadherence to medical treatment
Non-rapid eye movement sleep arousal disorder
Sleep terror type
Sleepwalking type
Obsessive-compulsive disorder
Obsessive-compulsive personality disorder
Obsessive-compulsive and related disorder due to another
medical condition
Obstructive sleep apnea hypopnea
Opioid-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Opioid-induced delirium
Opioid-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Opioid-induced sexual disorder
With mild use disorder
With moderate or severe disorder
Without use disorder
Opioid-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Opioid intoxication
Opioid intoxication, With perceptual disturbances
With mild use disorder
With moderate or severe use disorder
Without use disorder
Opioid intoxication, Without perceptual disturbances
With mild use disorder
With moderate or severe use disorder
307.47
V15.81
F51.5
Z91.19
307.46
307.46
300.3
301.4
294.8
F51.4
F51.3
F42
F60.5
F06.8
327.23
292.89
G47.33
F11.188
F11.288
F11.988
F11.921
292.84
F11.14
F11.24
F11.94
292.89
F11.181
F11.281
F11.981
292.85
F11.182
F11.282
F11.982
292.89
F11.122
F11.222
F11.922
F11.129
F11.229
271
Without use disorder
Opioid intoxication delirium
292.81
With mild disorder
With moderate or severe use disorder
Without use disorder
Opioid use disorder
Mild
305.50
Moderate
304.00
Severe
304.00
Opioid withdrawal
292.0
Opioid withdrawal delirium
292.0
Oppositional defiant disorder
313.81
Other adverse effect of medication
Initial encounter
995.20
Sequelae
995.20
Subsequent encounter
995.20
Other circumstances related to adult abuse by nonspouse or nonpartner
Encounter for mental health services for perpetrator of
V62.83
nonspousal adult abuse
Encounter for mental health services for victim of nonspousal
V65.49
adult abuse
Other circumstances related to child neglect
Encounter for mental health services for perpetrator of
V62.83
nonparental child neglect
Encounter for mental health services for perpetrator of parental
V61.22
child neglect
Encounter for mental health services for victim of child neglect by
V61.21
parent
Encounter for mental health services for victim of nonparental
Z61.21
child neglect
Parental history (past history) of neglect in childhood
V15.42
Other circumstances related to child physical abuse
Encounter for mental health services for perpetrator of
V62.83
nonparental child abuse
Encounter mental health services for perpetrator of parental
V61.22
child abuse
Encounter mental health services for victim of child abuse by
V61.21
parent
Encounter mental health services for victim of nonparental
V61.21
child abuse
Personal history (past history) of physical abuse in childhood
V15.41
Other circumstances related to child psychological abuse
Encounter for mental health services for perpetrator of
V62.83
nonparental child psychological abuse
Encounter for mental health services for perpetrator of parental
V61.22
child psychological disorder abuse
Encounter for mental health services for victim of child
V61.21
psychological abuse by parent
Encounter for mental health services for victim of nonparental
V61.21
child psychological abuse
Personal history (past history) of psychological abuse in childhood V15.42
F11.929
F11.121
F11.221
F11.921
F11.10
F11.20
F11.20
F11.23
F11.23
F91.3
T50.905A
T50.905S
T50.905D
Z69.82
Z69.81
Z69.021
Z69.011
Z69.010
Z69.020
Z62.812
Z69.021
Z69.011
Z69.010
Z69.020
Z62.810
Z69.021
Z69.011
Z69.010
Z69.020
Z62.811
272
Other circumstances to child sexual abuse
Encounter for mental health services for perpetrator of
nonparental child sexual abuse
Encounter for mental health services for perpetrator of parental
child sexual abuse
Encounter for mental health services for victim of child sexual
abuse by parent
Encounter for mental health services for victim of nonparental
child sexual abuse
Personal history (past history) of sexual abuse in childhood
Other circumstances related to spouse or partner abuse, Psychological
Encounter for mental health services for perpetrator of spouse or
partner psychological abuse
Encounter for mental health services for victim of spouse or
partner psychological abuse
Personal history (past history) of spouse or partner
psychological abuse
Other circumstances related to spouse or partner neglect
Encounter for mental health services for perpetrator of spouse or
partner neglect
Encounter for mental health services for victim of spouse or
partner neglect
Personal history (past history) of spouse or partner neglect
Other circumstances related to spouse or partner, Physical
Encounter for mental health services for perpetrator of spouse or
partner violence, Physical
Encounter for mental health services for victim of spouse or
partner violence, Physical
Personal history (past history) of spouse or partner violence,
Physical
Other circumstances related to spouse or partner violence, Sexual
Encounter for mental health services for perpetrator of spouse or
partner violence, Sexual
Encounter for mental health services for victim of spouse or
partner violence, Sexual
Personal history (past history) of spouse or partner violence,
Sexual
Other counseling or consultation
Other hallucinogen-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other hallucinogen-induced bipolar and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other hallucinogen-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other hallucinogen-induced psychotic disorder
V62.83
Z69.021
V61.22
Z69.011
V61.21
Z69.010
V61.21
Z69.020
V15.41
Z62.810
V61.12
Z69.12
V61.11
Z69.11
V15.42
Z91.411
V61.12
Z69.12
V61.11
Z69.11
V15.42
Z91.412
V61.12
Z69.12
V61.11
Z69.11
V15.41
Z91.410
V61.12
Z69.12
V61.11
Z69.81
V15.41
Z91.410
V65.40
292.89
Z71.9
F16.180
F16.280
F16.980
292.84
F16.14
F16.24
F16.94
292.84
F16.14
F16.24
F16.94
292.9
273
With mild use disorder
With moderate use disorder
Without use disorder
Other hallucinogen intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other hallucinogen intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other hallucinogen use disorder
Mild
Moderate
Severe
Other medication-induced movement disorder
Other medication-induced parkinsonism
Other personal history of psychological trauma
Other personal risk factors
Other problem related to employment
Other problem related to psychosocial circumstances
Other specified anxiety disorder
Other specified attention-deficit/hyperactivity disorder
Other specified bipolar and related disorder
Other specified delirium
Other specified depressive disorder
Other specified disruptive, impulsive-control, and conduct disorder
Other specified dissociative disorder
Other specified elimination disorder
With fecal symptoms
With urinary symptoms
Other specified feeding or eating disorder
Other specified gender dysphoria
Other specified hypersomnolence disorder
Other specified insomnia disorder
Other specified mental disorder
Other specified mental disorder due to another medical condition
Other specified neurodevelopmental disorder
Other specified obsessive-compulsive and related disorder
Other specified paraphilic disorder
Other specified personality disorder
Other specified schizophrenia spectrum and other psychotic disorder
Other specified sexual dysfunction
Other specified sleep-wake disorder
Other specified somatic symptom and related disorder
300.89
Other specified tic disorder
Other specified trauma-and stressor-related disorder
Other (or unknown)substance-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
F16.159
F16.259
F16.959
292.89
F16.129
F16.229
F16.929
292.81
F16.121
F16.221
F16.921
305.30
304.50
304.50
333.99
332.1
V15.49
V15.89
V62.29
V62.89
300.09
314.01
296.89
780.09
311
312.89
300.15
F16.10
F16.20
F16.20
G25.79
G21.19
Z91.49
Z91.89
Z56.9
Z65.8
F41.8
F90.8
F31.89
R41.0
F32.8
F91.8
F44.89
787.60
788.39
307.59
302.6
780.54
780.52
300.9
294.38
315.8
300.3
302.89
301.89
298.8
302.79
780.359
R15.9
N39.498
F50.8
F64.8
G47.19
G47.09
F99
F06.8
F88
F42
F65.89
F60.89
F28
F52.8
G47.8
F45.8
307.20
309.89
292.89
F95.8
F43.8
F19.180
F19.280
F19.980
274
Other (or unknown) substance-induced bipolar and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced delirium
Other (or unknown) substance-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced major neurocognitive
disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced mild neurocognitive
disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced obsessive-compulsive
and related disorder
With mild use disorder
With moderate use disorder
Without use disorder
Other (or unknown) substance-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced sexual dysfunction
292.89
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance-induced sleep disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Other (or unknown) substance use disorder
Mild
Moderate
Severe
Other (or unknown) substance withdrawal
Other (or unknown) substance withdrawal delirium
Other or unspecified stimulant use disorder
292.84
F19.14
F19.24
F19.94
F19.921
292.84
F19.14
F19.24
F19.94
292.82
F19.17
F19.27
F19.97
292.89
F19.188
F19.288
F19.988
292.89
F19.188
F19.288
F19.988
292.9
F19.159
F19.259
F19.959
F19.181
F19.281
F19.981
292.85
F19.182
F19.282
F19.982
292.89
F19.129
F19.229
F19.929
292.81
F19.121
F19.221
F19.921
305.90
304.90
304.90
292.0
292.0
F19.10
F19.20
F19.20
F19.239
F19.231
275
Mild
Moderate
Severe
Overweight or obesity
Panic attack specifier
Panic disorder
Paranoid personality disorder
Parent-child relational problem
Pedophilic disorder
Persistent (chronic) motor or vocal tic disorder
Persistent depressive disorder (dysthymia)
Personal history of military deployment
Personal history of self-harm
Personality change due to another medical condition
Phase of life problem
Phencyclidine-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Phencyclidine-induced bipolar and related disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Phencyclidine-induced depressive disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Phencyclidine-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Phencyclidine intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Phencyclidine intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Phencyclidine use disorder
Mild
Moderate
Severe
Pica
In adults
In children
Posttraumatic stress disorder
Premature (early) ejaculation
Premenstrual dysphoric disorder
Problem related to current military deployment status
problem related to lifestyle
305.70
304.40
304.40
278.00
F15.10
F15.20
F15.20
E66.9
300.01
301.0
V61.20
302.2
307.22
300.4
V62.22
V15.59
310.1
F41.0
F60.0
Z62.820
F65.4
F95.1
F34.1
Z91.82
Z91.5
F07.0
V62.89
Z60.0
292.89
F16.180
F16.280
F16.980
292.84
F16.14
F16.24
F16.94
292.84
F16.14
F16.24
F16.94
292.9
F16.159
F16.259
F16.959
292.89
F16.129
F16.229
F16.929
292.81
F16.121
F16.221
F16.921
305.90
304.60
304.60
307.52
309.81
302.75
625.4
V62.21
V69.9
F16.10
F16.20
F16.320
F50.8
F98.3
F43.10
F52.4
N94.3
Z56.82
Z72.9
276
Problem related to living alone
Problem related to living in a residential institution
Problems related to multiply
Problems related to legal circumstances
Problems related to release from prison
Problems related to unwanted pregnancy
Provisional tic disorder
Psychological factors affecting other medical conditions
Psychotic disorder due to another medical condition
With delusions
With hallucinations
Pyromania
Rapid eye movement sleep behavior disorder
Reactivate attachment disorder
Relationship distress with spouse or intimate partner
Religious or spiritual problem
Restless legs syndrome
Rumination disorder
Schizoaffective disorder
Bipolar Type
Depressive type
Schizoid personality disorder
Schizophrenia
Schizophreniform disorder
Schizotypal personality disorder
Sedative-, hypnotic-, or anxiolytic-induced anxiety disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, or anxiolytic-induced bipolar and related
disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, or anxiolytic-induced major neurocognitive
disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, or anxiolytic-induced mild neurocognitive
disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, anxiolytic-induced sexual dysfunction
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, anxiolytic-induced sleep disorder
V60.3
V60.6
V61.5
V62.5
V62.5
V61.7
307.21
316
Z60.2
Z59.3
Z64.1
Z65.3
Z65.2
Z64.0
F95.0
F54
293.81
293.82
312.33
327.42
313.89
V61.10
V62.89
333.94
307.53
F06.2
F06.0
F63.1
G47.52
F94.1
Z63.0
Z65.8
G25.81
F98.21
295.70
295.70
301.20
295.90
295.40
301.22
292.89
F25.0
F25.1
F60.1
F20.9
F20.81
F21
F13.180
F13.280
F13.980
292.84
F13.14
F13.24
F13.94
292.82
F13.27
F13.97
292.89
F13.288
F13.988
292.9
F13.159
F13.259
F13.959
292.89
F13.181
F13.281
F13.981
292.85
277
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative-, hypnotic-, or anxiolytic intoxication
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative, hypnotic, or anxiolytic intoxication delirium
With mild use disorder
With moderate or severe use disorder
Without use disorder
Sedative, hypnotic, or anxiolytic use disorder
Mild
Moderate
Severe
Sedative, hypnotic, or anxiolytic withdrawal
With perceptual disturbances
Without perceptual disturbances
Sedative, hypnotic, or anxiolytic withdrawal delirium
Selective mutism
Separation anxiety disorder
Sex counseling
V65.49
Sexual masochism disorder
Sexual sadism disorder
Sibling relational problem
Sleep-related hypoventilation
Comorbid sleep-related hypoventilation
Congenital central alveolar hypoventilation
Idiopathic hypoventilation
Social anxiety disorder (social phobia)
Social exclusion or rejection
Social (pragmatic) communication disorder
Somatic symptom disorder
Specific learning disorder
With impairment in mathematics
With impairment in reading
With impairment in written expression
Specific phobia
Animal
Blood-injection-injury
Fear of blood
Fear of injections and transfusions
Fear of injury
Fear of other medical care
Natural environment
Other
Situational
Speech sound disorder
Spouse or partner abuse, Psychological, Confirmed
Initial encounter
Subsequent encounter
F13.182
F13.282
F13.982
292.89
F13.129
F13.229
F13.929
292.81
F13.121
F13.221
F13.921
305.40
304.10
304.10
292.0
312.23
309.21
z70.9
302.83
302.84
V61.8
F13.10
F13.20
F13.20
F13.232
F13.239
F13.231
F94.0
F93.0
F65.51
F65.52
Z62.891
327.26
327.25
327.24
300.23
V62.4
315.39
300.82
G47.36
G47.35
G47.34
F40.10
Z60.4
F80.89
F45.1
315.1
315.00
315.2
F81.2
F81.0
F81.81
300.29
300.29
F40.218
300.29
300.29
300.29
315.39
F40.230
F40.231
F40.233
F40.232
F40.228
F40.298
F40.248
F80.0
995.82
995.82
T74.31XA
T74.31XD
278
Spouse or partner abuse, Psychological, Suspected
Initial encounter
Subsequent encounter
Spouse or partner neglect, Confirmed
Initial encounter
Subsequent encounter
Spouse or partner neglect, Suspected
Initial encounter
Subsequent encounter
Spouse or partner violence, Physical, Confirmed
Initial encounter
Subsequent encounter
Spouse or partner violence, Physical, Suspected
Initial encounter
Subsequent encounter
Spouse or partner violence, Sexual, Confirmed
Initial encounter
Subsequent
Spouse or partner violence, Sexual, Suspected
Initial encounter
Subsequent encounter
Stereotypic movement disorder
Stimulant intoxication (see amphetamine or cocaine intoxication for
specific codes)
Stimulant use disorder (see amphetamine or cocaine use disorder for
specific codes)
Stimulant withdrawal (see amphetamine or cocaine withdrawal for
specific codes)
Substance intoxication delirium (see specific substances for codes)
Substance withdrawal delirium (see specific substances for codes)
Substance/ medication-induced anxiety disorder (see specific
substances for codes)
Substance/ medication-induced bipolar and related disorder (see
specific substances for codes)
Substance/ medication-induced depressive disorder (see specific
substances for codes)
Substance/ medication-induced major or mild neurocognitive
disorder (see specific substances for codes)
Substance/ medication-induced obsessive-compulsive and related
disorder (see specific substances for codes)
Substance/ medication-induced psychotic disorder (see specific
substances for codes)
Substance/ medication-induced sexual dysfunction (see specific
substances for codes)
Substance/medication-induced sleep disorder (see specific
substances for codes)
Tardive akathisia
Tardive dyskinesia
Tardive dystonia
Target of (perceived) adverse discrimination or persecution
Tobacco-induced sleep disorder
995.82
995.82
T76.31XA
T76.31XD
995.85
995.85
T74.01XA
T74.01XD
995.85
995.85
T76.01XA
T76.01XD
995.81
995.81
T74.11XA
T74.11XD
995.81
995.81
T76.11XA
T76.11XD
995.83
995.83
T74.21XA
T74.21XD
995.83
995.83
307.3
T76.21XA
T76.21XD
F98.4
333.99
333.85
333.72
V62.4
292.85
G25.71
G24.01
G24.09
Z60.5
279
With moderate or severe use disorder
Tobacco use disorder
Mild
Moderate
Severe
Tobacco withdrawal
Tourette’s disorder
Transvestic disorder
Trichotillomania (hair-pulling disorder)
Unavailability or inaccessibility of health care facilities
Unavailability or inaccessibility of other agencies
Uncomplicated bereavement
Unspecified alcohol-related disorder
Unspecified anxiety disorder
Unspecified attention-deficit/ hyperactivity disorder
Unspecified bipolar and related disorder
Unspecified caffeine-related disorder
Unspecified cannabis-related disorder
Unspecified catatonia (code first 781.99[R29.818] other symptoms
involving nervous and musculoskeletal systems)
Unspecified communication disorder
Unspecified delirium
Unspecified depressive disorder
Unspecified disruptive, impulse-control, and conduct disorder
Unspecified dissociative disorder
Unspecified elimination disorder
With fecal symptoms
With urinary symptoms
F17.208
305.1
305.1
305.1
292.0
307.23
302.3
312.39
V63.9
V63.8
V62.82
291.9
300.00
314.01
296.80
292.9
292.9
293.89
Z72.0
F17.200
F17.200
F17.203
F95.2
F65.1
F63.2
Z75.3
Z75.4
Z63.4
F10.99
F41.9
F90.9
F31.9
F15.99
F12.99
F06.1
307.9
780.09
311
312.9
300.15
F80.9
R41.0
F32.9
F91.9
F44.9
787.60
788.30
R15.9
R32
280
Summary of Changes from DSM-IV-TR to DSM-5
1] Abolished Multiaxial System
2] Separated Not-Otherwise Specified into “Other” and “Unclassified,”
3] In addiction to “Other,” “Unclassified,” and Mild Neurocognitive Disorders, added
twenty-seven Disorders,
4] Combined twenty-two Disorders,
5] Eliminated two Disorders,
7] Decreases total number of coded conditions from 374 to 324.
6] Increased number of uncoded specifiers. . .
7] Included more ICD-9-CM V-Codes, Other Conditions that May Be a Focus of Clinical
Attention, from 22 in DSM-IV-TR to 88 in DSM-5,
8] Included more ICD-9-CM abuse codes [995.xx] from 5 in DSM-IV-TR to 44 in DSM5.
9] Made more than 400 changes in the criteria sets of the Disorders carried over from
DSM-IV-TR.
OUTLINE OF DSM-5’S CHANGES
DSM-5 consists of Three Sections and an Appendix:
Section One will give an introduction and information on how to use DSM-5
Section Two will have the Disorders ready for clinical use.
Section Three will have conditions that require further research before their
consideration as formal Disorders, as well as cultural formulations, V-Codes, and
glossary.
Section One
Will NOT have a Multiaxial system.
281
Section Two:
1] Neurodevelopmental Disorders
Adds Social Communication Disorder
2] Schizophrenia Spectrum and other Psychotic Disorders
3] Bipolar Disorders
4] Depressive Disorders
Adds Disruptive Mood Dysregulation Disorder
Adds Premenstrual Dysphoric Disorder
5] Anxiety Disorders
6] Obsessive-Compulsive and Related Disorders
Adds Excoriation [skin picking] Disorder
Adds Hoarding Disorder
7] Trauma- and Stressor- Related Disorders
8] Dissociative Disorders
9] Somatic Symptom Disorders
Adds Somatic Symptom Disorder
10] Feeding and Eating Disorders
Adds Binge eating disorder
11] Elimination Disorders
12] Sleep-Wake Disorders
Adds Central Sleep Apnea
Adds Confusional Arousals
Adds Eye Movement Behavioral Disorder
Adds Restless Leg Syndrome
13]Sexual Dysfunctions
Removes Sexual Aversion Disorder
14] Gender Dysphoria
15] Disruptive, Impulse Control and Conduct Disorders
16] Substance Use Disorders and Addictive Disorders
Removes Polysybstance-related Disorders
Adds Caffeine Withdrawal
Adds Cannabis Withdrawal
17] Neurocognitive Disorders]
Major Neurocognitive Disorder with Lewy Body Disease
Mild Neurocognitive Disorder
18] Personality Disorders
19] Paraphilic Disorders
20] Other
282
DSM-5’s Disorders Not in DSM-IV-TR
1] Thirty eight Other Disorders* [usually, but not always, coded xxx.x8]
NOT NEW TO ICD-9-CM OR ICD-10-CM
2] Thirty Unspecified Disorders* [usually, but not always, coded xxx.x9]
NOT NEW TO ICD-9-CM OR ICD-10-CM
3] Social Communication Disorder [code 315.39]
4] Disruptive Mood Dysregulation Disorder [code 296.99]
5] Premenstrual Dysphoric Disorder [code 625.4]
NOT NEW TO ICD-9-CM OR ICD-10-CM
6] Hoarding Disorder [code 300.3]
7] Excoriation Disorder [code 698.4]
NOT NEW TO ICD-9-CM OR ICD-10-CM
8] Disinhibited Social Engagement Disorder [code 313.89]
9] Binge Eating Disorder [code 307.51]
10] Central Sleep Apnea [code 327.23]
11] Sleep-Related Hypoventilation [code 780.57]
12] Rapid Eye Movement Sleep Behavior Disorder [code 327.42]
NOT NEW TO ICD-9-CM OR ICD-10-CM
13] Restless Legs Syndrome [code 333.94]
NOT NEW TO ICD-9-CM OR ICD-10-CM
14] Caffeine Withdrawal [code 292.0]
NOT NEW TO ICD-9-CM OR ICD-10-CM
15] Cannabis Withdrawal [code 292.0]
NOT NEW TO ICD-9-CM OR ICD-10-CM
16] Major Neurocognitive Disorder with Lewy Body Disease [codes 331.82]
NOT NEW TO ICD-9-CM OR ICD-10-CM
17] Ten Mild Neurocognitive Disorders [all coded 331.83]
NOT NEW TO ICD-9-CM OR ICD-10-CM
* DSM-5’s Other and Unclassified replaces DSM-IV-TR’s Not Otherwise Specified.
283
DSM-IV-TR Disorders Combined in DSM-5
1. Autism Spectrum Disorder (combined four Disorders: Autistic Disorder,
Asperger’s Disorder, Childhood Disintegrative Disorder, AND Rett’s disorder)
2. Language Disorder (Expressive Language Disorder + Mixed Receptive
Expressive Language Disorder)
3. Specific Learning Disorder (Reading Disorder, Math Disorder, and Disorder of
Written Expression)
4. Delusional Disorder (Shared Psychotic Disorder AND Delusional Disorder)
5. Panic Disorder (Panic Disorder Without Agoraphobia AND Panic Disorder With
Agoraphobia)
6. Dissociative Amnesia (Dissociative Fugue AND Dissociative Amnesia)
284
7. Somatic Symptom Disorder (combined three Disorders: Somatization Disorder,
Undifferentiated Somatoform Disorder, AND Pain Disorder)
8. Insomnia Disorder (Primary Insomnia AND Insomnia Related to Another
Mental Disorder)
9. Hypersomnolence Disorder (Primary Hypersomnia AND Hypersomnia Related
to Another Mental Disorder)
10. Non-Rapid Eye Movement Sleep Arousal Disorders (Sleepwalking Disorder
AND Sleep Terror Disorder)
11. Genito-Pelvic Pain/Penetration Disorder (Vaginismus AND Dyspareunia)
12. Alcohol Use Disorder (Alcohol Abuse AND Alcohol Dependence, and replaces
with “Mild” and “Moderate/Severe”)
13. Cannabis Use Disorder (Cannabis Abuse AND Cannabis Dependence)
14. Phencyclidine Use Disorder (Phencyclidine Abuse AND Phencyclidine
Dependence and replaces with “Mild” and “Moderate/Severe”)
15. Other Hallucinogen Use Disorder (Hallucinogen Abuse AND Hallucinogen
Dependence and replaces with “Mild” and “Moderate/Severe”)
16. Inhalant Use Disorder (Inhalant Abuse AND Inhalant Dependence and replaces
with “Mild” and “Moderate/Severe”)
17. Opioid Use Disorder (Opioid Abuse AND Opioid Dependence and replaces with
“Mild” and “Moderate/Severe”)
18. Sedative, Hypnotic, or Anxiolytic Use Disorder (Sedative/Hypnotic/Anxiolytic
Abuse AND Sedative/Hypnotic/Anxiolytic Dependence and replaces with “Mild”
and “Moderate/Severe”)
19. Stimulant Use Disorder (Combines four: Amphetamine Abuse; Amphetamine
Dependence; Cocaine Abuse; AND Cocaine Dependence and replaces with
“Mild” and “Moderate/Severe”)
20. Stimulant Intoxication (Amphetamine Intoxication AND Cocaine Intoxication
and replaces with “Mild” and “Moderate/Severe”)
21. Stimulant Withdrawal (Amphetamine Withdrawal AND Cocaine Withdrawal
and replaces with “Mild” and “Moderate/Severe”)
285
Nomenclature Changes
DSM-IV-TR
Dementia
Alcohol-induced persisting amnestic disorder
“Mood” in the title of many disorders
Nicotine
General medical condition
[to some dementias]
[to some dementias]
Autistic disorder
Dissociative fugue
Social phobia
Dysthymia
Hypochondriasis
Pedophilia
DSM-5
Neurocognitive disorder [24 times]
Alcohol-induced major cognitive disorder, amnestic
confabulatory type
“Depressive” or “Bipolar” [11 times]
Tobacco [5 times]
Another medical condition [12 times]
“Probably” added to the name of some neurocognitive
disorder [7 times]
“Possible” added to the name of some neurocognitive
disorder [4 times]
Autism spectrum disorder
Dissociative amnesia with dissociative fugue
Social anxiety disorder
Persistent depressive disorder
Illness anxiety disorder
Pedophilic disorder
286
Transvestic fetishism
Exhibitionism
Female sexual arousal disorder
Male orgasmic disorder
Dyspareunia
Frotteurism
Stuttering
Transient tic disorder
Chronic motor or vocal tic disorder
Sleep terror disorder
Sleepwalking disorder
Feeding disorder of infancy or early childhood
Reading disorder
Mathematics disorder
Disorder of written expression
Phonology disorder
Narcolepsy
Breathing-related sleep disorder
Transvestic disorder
Exhibitionistic disorder
Female sexual interest/arousal disorder
Delayed ejaculation
Genito-pelvic pain/penetration disorder
Frotteuristic disorder
Fluency disorder [2 times]
Provisional tic disorder
Persistent motor or tic disorder
Non-rapid eye movement sleep arousal disorder, sleep
terror type
Non-rapid eye movement sleep arousal disorder,
sleepwalking type
Avoidant/restrictive food intake disorder
Specific learning disorder, with impairment in reading
Specific learning disorder, with impairment in
mathematics
Specific learning disorder, with impairment in written
expression
Speech sound disorder
Five types:
1] Autosomal dominant cerebellar ataxia, and narcolepsy
2] Autosomal dominant narcolepsy, obesity, and type 2
diabetes
3] Narcolepsy without cataplexy but with hypocretin
deficiency
4] Narcolepsy with cataplexy but without hypocretin
deficiency
5] Narcolepsy secondary to another medical condition
Central sleep apnea
RDoC:
287
{Research Domain Criteria}
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RDoC: {Research Domain Criteria}
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Background

Method

RDoC Matrix

Example Studies

Developmental and Environmental Aspects

Discussion

Process and Final Product
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Draft 3.1: June, 2011
Over the past several decades, an increasingly comprehensive body of research in
genetics, neuroscience, and behavioral science has transformed our understanding of how
the brain produces adaptive behavior, and the ways in which normal functioning becomes
disrupted in various forms of mental disorders. In order to speed the translation of this
new knowledge to clinical issues, the NIMH included in its new strategic plan Strategy
1.4: “Develop, for research purposes, new ways of classifying mental disorders based on
dimensions of observable behavior and neurobiological measures.” (For the full text,
see http://www.nimh.nih.gov/about/strategic-planningreports/index.shtml#strategic-objective1). The implementation of this strategy has
been named the Research Domain Criteria Project (RDoC). The purpose of this document
is to describe the RDoC project in order to acquaint the field with its nature and direction,
and to facilitate commentary from scientists and other interested stakeholders regarding
both general and specific aspects of the RDoC approach.
Background
Across all areas of medicine, research in genomics, cell biology, and pathophysiology is
revolutionizing diagnosis and treatment. In disorders as diverse as cancer, heart disease,
diabetes, and inflammatory bowel disease, the discovery of identifiable subtypes within
broad clinical phenotypes has led to more specific, more effective treatments or
identification of new targets for prevention. Research in mental disorders is also
developing quickly: Novel data about genomic factors and the role of particular brain
circuits are reported almost monthly. However, new findings on mental disorders have
had limited clinical impact, partly because they map only moderately onto current
diagnostic categories for mental illness. Thus, some of the risk genes for psychotic
disorders appear to be associated with both schizophrenia and bipolar disorder and the
same prefrontal region has been implicated in depression and PTSD. In contrast to cancer
and heart disease, where research has identified subtypes of common disease, it appears
that the biological findings with mental disorders are relatively non-specific; could
specificity in fact exist, but not for the currently recognized clinical categories? This
question leads to a consideration of how current categories were derived.
Currently, diagnosis in mental disorders is based on clinical observation and patients’
phenomenological symptom reports. This system, implemented with the innovative
Diagnostic and Statistical Manual-III (DSM-III) in 1980 and refined in the current DSMIV-TR (Text Revision), has served well to improve diagnostic reliability in both clinical
practice and research. The diagnostic categories represented in the DSM-IV and the
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International Classification of Diseases-10 (ICD-10, containing virtually identical
disorder codes) remain the contemporary consensus standard for how mental disorders
are diagnosed and treated, and are formally implemented in insurance billing, FDA
requirements for drug trials, and many other institutional usages. By default, current
diagnoses have also become the predominant standard for reviewing and awarding
research grants.
However, in antedating contemporary neuroscience research, the current diagnostic
system is not informed by recent breakthroughs in genetics; and molecular, cellular and
systems neuroscience. Indeed, it would have been surprising if the clusters of complex
behaviors identified clinically were to map on a one-to-one basis onto specific genes or
neurobiological systems. As it turns out, most genetic findings and neural circuit maps
appear either to link to many different currently recognized syndromes or to distinct
subgroups within syndromes. If we assume that the clinical syndromes based on
subjective symptoms are unique and unitary disorders, we undercut the power of biology
to identify illnesses linked to pathophysiology and we limit the development of more
specific treatments. Imagine treating all chest pain as a single syndrome without the
advantage of EKG, imaging, and plasma enzymes. In the diagnosis of mental disorders
when all we had were subjective complaints (cf. chest pain), a diagnostic system limited
to clinical presentation could confer reliability and consistency but not validity. To date,
there has been general consensus that the science is not yet well enough developed to
permit neuroscience-based classification. However, at some point, it is necessary to
instantiate such approaches if the field is ever to reach the point where advances in
genomics, pathophysiology, and behavioral science can inform diagnosis in a meaningful
way. RDoC represents the beginning of such a long-term project.
RDoC is intended as a framework to guide classification of patients for research studies,
not as an immediately useful clinical tool. While the hope is that a new way forward for
clinical diagnosis will emerge sooner rather than later, the initial steps must be to build a
sufficient research foundation that can eventually inform the best approaches for clinical
diagnosis and treatment. It is hoped that by creating a framework that interfaces directly
with genomics, neuroscience, and behavioral science, progress in explicating etiology
and suggesting new treatments will be markedly facilitated.
Method
RDoC will follow three guiding principles, all diverging from current diagnostic
approaches.
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
First, RDoC is conceived as a dimensional system (reflecting, e.g., circuit-level
measurements, behavioral activity, etc.) spanning the range from normal to abnormal. As
with dimensions like hypertension or cholesterolemia in other areas of medicine, this
approach incurs both the problem and advantage of defining cutpoints for the definition
and extent of pathology – e.g., mild, moderate, and severe. (To the extent that DSM-V
introduces dimensions in addition to classes, the crosswalks to RDoC dimensions may be
enhanced.)

Second, RDoC is agnostic about current disorder categories. The intent is to
generate classifications stemming from basic behavioral neuroscience. Rather than
starting with an illness definition and seeking its neurobiological underpinnings, RDoC
begins with current understandings of behavior-brain relationships and links them to
clinical phenomena.

Third, RDoC will use several different units of analysis in defining constructs for
study (e.g., imaging, physiological activity, behavior, and self-reports of symptoms).
Indeed, RDoC, as a research framework, has been developed with the explicit goal of
permitting investigators to choose an independent variable from one of several different
units of analysis. The details of this approach are explained next.
The RDoC research framework can be considered as a matrix whose rows correspond to
specified dimensions of function; these are explicitly termed “Constructs,” i.e., a concept
summarizing data about a specified functional dimension of behavior (and implementing
genes and circuits) that is subject to continual refinement with advances in science.
Constructs represent the fundamental unit of analysis in this system, and it is anticipated
that most studies would focus on one construct (or perhaps compare two constructs on
relevant measures). Related constructs are grouped into major Domains of functioning,
reflecting contemporary thinking about major aspects of motivation, cognition, and social
behavior; the five domains are Negative Valence Systems (i.e., systems for aversive
motivation), Positive Valence Systems, Cognitive Systems, Systems for Social Processes,
and Arousal/Regulatory Systems. The columns of the matrix represent different classes
of variables (or units of analysis) used to study the domains/constructs. Seven such
classes have been specified; these are genes, molecules, cells, neural circuits, physiology
(e.g. cortisol, heart rate, startle reflex), behaviors, and self-reports. Circuits represent the
core aspect of these classes of variables – both because they are central to the various
biological and behavioral levels of analysis, and because they are used to constrain the
number of constructs that are defined. Investigators can select any level of analysis to be
the independent variable for classification (or multiple levels in some cases, e.g.,
behavioral functioning stratified by a genetic polymorphism), and dependent variables
can be selected from multiple columns. In addition, since constructs are typically studied
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in the context of particular scientific paradigms, a column for “paradigms” has been
added; obviously, however, paradigms do not represent units of analysis.
Three criteria guided the selection of the draft list of candidate constructs presented here.
First, the inclusion of a construct was constrained by whether a particular brain circuit or
area could reasonably be specified that implements that dimension of behavior. Given the
complexity of the brain and of behavior, this was more ambiguous in some cases than
others; some constructs, such as attention, reflect activity spread relatively diffusely over
many brain areas, while attachment behavior may similarly reflect neurotransmitter and
hormonal functions (e.g., oxytocin) acting at disparate locations throughout the brain.
Second, an attempt was made to maintain a reasonable “grain size” that would permit a
tractable listing of the major functional dimensions of behavior. While it is recognized
that there may be important and meaningful sub-constructs that could be considered (e.g.,
various types of aggression), an overly specified list could result in an unwieldy and
excessively long listing. Third, the constructs are based on current literatures that have
provided a neurobehavioral research base for each of the entries.
The draft RDoC matrix is listed in the table below, followed by examples of how the
classification system might be used and several points of clarification. Dimensional
constructs are listed in the rows. Below the matrix, several constructs are listed to provide
examples of brain circuits and/or neurotransmitters that help define and constrain each
one, along with a brief indication, where appropriate, of constructs representing the
dimension’s opposite pole; note that listings of circuit components and neurotransmitters
are meant to be illustrative, not exhaustive. Constructs are grouped into five major
domain areas as listed above. It is important to emphasize that these particular
domains and constructs are simply starting points that are not definitive or set in
concrete. We expect these to change dynamically with input from the field, and as future
research is conducted. The keys here are the overall framework that we are suggesting,
and the process for its development.
Research Domain Criteria Matrix
————— Units of Analysis —————
Domain
Construct
Genes Molecules Cells Circuits Physiology Behavior
Self- Paradigms
Reports
Subconstruct
Negative Valence Systems
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————— Units of Analysis —————
Domain
Construct
Genes Molecules Cells Circuits Physiology Behavior
Self- Paradigms
Reports
Subconstruct
Acute threat (“fear”)
Potential threat (“anxiety”)
Sustained threat
Loss
Frustrative nonreward
Positive Valence Systems
Approach motivation
Reward valuation
Effort valuation / Willingness to
work
Expectancy / Reward prediction
error
Action selection / Preferencebased decision making
Initial responsiveness to reward
Sustained responsiveness to
reward
Reward learning
Habit
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————— Units of Analysis —————
Domain
Construct
Genes Molecules Cells Circuits Physiology Behavior
Self- Paradigms
Reports
Subconstruct
Cognitive Systems
Attention
Perception
Visual Perception
Auditory Perception
Olfactory Somatosensory
Multimodal Perception
Declarative memory
Language behavior
Cognitive (effortful) control
Goal Selection
Updating
Representation and
Maintenance
Response Selection,
Inhibition or Suppression
Performance Monitoring
Working memory
*** The Working Memory Workshop created a Matrix with a different format.
Please see the Working Memory Workshop Proceedings document
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————— Units of Analysis —————
Domain
Genes Molecules Cells Circuits Physiology Behavior
Construct
Self- Paradigms
Reports
Subconstruct
to view the Matrix for Working Memory and its subconstructs. ***
Active Maintenance
Flexible Updating
Limited Capacity
Interference Control
Systems for Social Processes
Affiliation and attachment
Attachment formation and
maintenance
Social Communication
Reception of
Facial Communication
Production of
Facial Communication
Reception of
Non-Facial Communication
Production of
Non-Facial Communication
Perception and Understanding of Self
Agency
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————— Units of Analysis —————
Domain
Construct
Genes Molecules Cells Circuits Physiology Behavior
Self- Paradigms
Reports
Subconstruct
Self-Knowledge
Perception and Understanding of Others
Animacy Perception
Action Perception
Understanding Mental States
Arousal and Regulatory Systems
Arousal
Circadian Rhythms
Sleep and wakefulness
Notes regarding the Units of Analysis

“Circuits” can refer to measurements of particular circuits as studied by
neuroimaging techniques, and/or other measures validated by animal models or
functional neuroimaging (e.g., emotion-modulated startle, event-related potentials).

“Physiology” refers to measures that are well-established indices of certain
constructs, but that do necessarily not tap circuits directly (e.g., heart rate, event-related
potentials).

“Behavior” can refer variously to behavioral tasks (e.g., a working memory task),
or to behavioral observations.

“Self-reports” refer to interview scales, questionnaires, or other instruments that
may encompass normal-range and/or abnormal aspects of the dimension of interest.
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Examples of Constructs (individual entries) within Domains (boldface)
Negative Valence Systems


Fear (opposite pole, – fearlessness): amygdala, hippocampus, interactions with
ventromedial PFC
Potential threat: HPA axis, BNST, hippocampus; CRF, cortisol
Positive Valence Systems


Approach motivation (opposite pole – anhedonia): mesolimbic dopamine pathway
Habit-based behavior (including OCD spectrum): orbitofrontal cortex, thalamus,
dorsal striatum
Cognitive Systems


Working memory: dorsolateral PFC, other areas in PFC
Cognitive (Effortful) control (opposite pole – impulsivity, disinhibition,
externalizing): anterior cingulate gyrus, various areas of medial and lateral PFC
Systems for Social Processes

Social dominance: distributed cortical activity, mesolimbic dopamine systems;
testosterone, serotonin

Facial expression recognition: ventral visual stream, fusiform gyrus

Self-representational circuits: dorsal & posterior ACC, insula
Arousal/Regulatory Processes

Stress regulation: raphe nuclei circuits; serotonin

Facilitated stimulus processing: locus coeruleus circuit; norepinephrine

Readiness for stimulus processing and responding: brain resting state network
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Abbreviations:

PFC: Pre-frontal cortex

HPA: hypothalamic-pituitary axis

BNST: bed nucleus of the stria terminalis

CRF: corticotrophin releasing factor

OCD: obsessive-compulsive disorder

ACC: anterior cingulate cortex
Given that RDoC is a classification framework, how might the scheme work in actual
practice, given the goals of (1) permitting widely differing independent variables and (2)
implementing a dimensional system that allows variance extending down into what
would be regarded as sub-threshold psychopathology? Two general approaches are as
follows. The first is to include all patients presenting for treatment at a given type of
treatment facility, as in the second example below; the statistical approach then becomes
one of regression. The second approach is to specify a particular criterion for selecting
multiple groups – e.g., patients who score more than one standard deviation below the
mean on a cognitive task, patients who show significant activation in a specified brain
area on a neuroimaging task – and compare these to other patients not meeting the
criterion and/or to a non-clinical control group. In any case, exclusions for co-morbid
conditions would be expected to be much less stringent (although the usual exclusions
such as other medical or neurological disorders, extreme substance abuse, etc. could still
apply). Manuscripts submitted under RDoC will be expected to state how many patients
were screened for inclusion in the study, and the reasons for exclusion.
Example Studies
Two example studies are listed in order to illustrate the types of studies that might be
conducted within the RDoC framework. For clarity, the variables used to classify subjects
are reiterated at the end of each example.
1.
Recent studies have shown that a number of genes reported to confer risk for
schizophrenia, such as DISC1 (“Disrupted in schizophrenia”) and neuregulin, actually
appear to be similar in risk for unipolar and bipolar mood disorders. These findings are
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consistent with a number of recent papers questioning the classical Kraepelinian
distinction between schizophrenia and bipolar disorder; however, little data are available
to evaluate psychotic disorders as a spectrum since studies almost always focus on one or
the other, and patients falling short of DSM/ICD criteria are excluded. Thus, in one
potential design, inclusion criteria might simply consist of all patients seen for evaluation
at a psychotic disorders treatment unit. The independent variable might comprise two
groups of patients: One group would be positive and the other negative for one or more
risk gene configurations (SNP or CNV), with the groups matched on demographics such
as age, sex, and education. Dependent variables could be responses to a set of cognitive
paradigms, and clinical status on a variety of symptom measures. Analyses would be
conducted to compare the pattern of differences in responses to the cognitive or
emotional tasks in patients who are positive and negative for the risk configurations. The
results of studies of this type could contribute to knowledge about the particular types and
severity of behavioral and/or neurobiological deficits that tend to be associated with a
given risk gene; in turn, such results could help build a foundation to study mechanisms
by which a particular candidate gene contributes to adverse effects. Eventually such
research might lead to redefining how psychotic disorders are conceptualized.
Classification variables: In this example, the domain under study is Cognition (possibly
comparing two to three constructs such as working memory versus declarative memory).
The independent variable for classification is the risk gene configuration(s), and the
dependent variables comprise performance on the various cognitive tasks. (It is possible
that DSM diagnosis, or some other set of psychiatric symptoms, might serve as a second
independent, between-subjects variable; however, an emphasis on studying mechanisms
would dictate that the sample not be constrained to patients with only schizophrenia or
bipolar disorder – i.e., inclusion criteria should incorporate those with schizoaffective
disorder, delusional disorder, psychotic disorder NOS, etc.)
2.
A large number of studies have examined neuroimaging responses to various
types of emotional challenges in patients with a particular mood or anxiety disorder,
compared to non-clinical controls. Frequently, the conclusion is that disorder X is
characterized by an abnormality in task Y – such as emotion regulation, activation of a
particular circuit or brain area (e.g., amygdala, ventromedial PFC), or response to some
emotion-related task. However, such abnormal mechanisms appear to be involved in
many different disorders, while on the other hand, not all patients with a given diagnosis
necessarily show the abnormality – suggesting that there are fundamental mechanisms in
common across these disorders. A design to study fear circuitry might thus have as
inclusion criteria all patients presenting at an anxiety disorders clinic. Classification
variables: The construct of interest is Fear/extinction, in the domain of Negative Affect.
The independent variable for grouping would be the extent of responding to fearful
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stimuli using a measure such as amygdala response (from fMRI) or fear-potentiated
startle (i.e., a circuit-level variable). Dependent variables would be symptom measures on
various fear and distress measures, in order to test hypotheses about mechanisms by
which hyper-reactivity and hypo-reactivity to threat cues affect the nature and severity of
presenting symptoms. As an outcome of such research, these results might generate
predictive validity studies leading to improved treatment selection or new
pharmacological targets for intervention.
Developmental and Environmental Aspects
The RDoC concept is organized around basic neural circuits, their genetic and
molecular/cellular building blocks, and the dimensions of functioning that they
implement. There are two highly important areas of mental disorders research that are
thus not represented in the matrix per se, but are considered to be critical elements in
research fostered by RDoC. These two areas are developmental aspects and interactions
with the environment. The intent is that the RDoC matrix will enhance the study of both
areas by promoting a systematic focus on their relationship to specific circuits and
functions.
Developmental aspects. Mental disorders are increasingly viewed as
neurodevelopmental disorders in one way or another. Therefore, addressing development
issues across various phases of the life span represents a critical consideration that is
implicit to the RDoC framework, and might be considered as a third dimension in the
matrix. The types of constructs typically found in the child temperament literature are
(not coincidentally) similar to the RDoC domains, and many areas of the child
psychopathology literature (e.g., broadly addressed to Internalizing or Externalizing
problems) serve as a more compatible model for a dimensionally-based approach
compared to the highly specified categories of adult psychopathology. Four brief
examples might be given of life-span goals that could be addressed within the RDoC
framework: (1) Further explicate the longitudinal course of adolescent brain maturation
and synaptic pruning to identify genes and circuit development factors associated with
departures from normal developmental functioning, and points in prodromal stages where
intervention might particularly be targeted; (2) Evaluate the extent to which the
recruitment of additional cortical areas during task performance or emotional challenge in
elderly subjects predicts resilience against onset or deterioration of course in mental
disorders; (3) Generate improved explication of the construct of cognitive control (or
effortful control), relative to disentangling current controversies regarding ADHD,
juvenile bipolar disorder, conduct disorder, etc.; (4) Specify the mechanisms regarding
developmental changes in systems for fear and distress across puberty (including the
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effects of the social environment), that could explain clinical data indicating that
adolescent anxiety disorders often precede depression.
Environmental aspects: The central nervous system is exquisitely sensitive to
interactions with various elements of its environment virtually from the moment of
conception. The social and physical environment comprises sources of both risk and
protection for many different disorders occurring at all points along the life span, and
methods for studying such phenomena as gene expression, neural plasticity, and various
types of learning are rapidly advancing. As with developmental aspects, environmental
influences may thus be considered as another critical dimension of the RDoC matrix. The
effects of a particular interaction with the environment, e.g., the effects of early child
abuse, may pose risk for a wide variety of disorders. As another example, illicit drug use
may cause sensitization of mesolimbic dopamine circuits that generalizes to other drugs
of abuse and addictive behaviors. Thus, it is hoped that a research program organized
around the relevant circuit-based dimensions that are affected, independent of a particular
disorder, will accelerate knowledge regarding such environmental influences along the
entire range of analysis from genes to behavior.
Discussion
1.
As mentioned above, the current organization is focused on (and constrained by)
circuit definitions in order to (1) avoid an over-specification and proliferation of
constructs, and (2) provide an organizing point that facilitates the integration both of
genetic, molecular, and cellular levels of analysis regarding sub-components of circuits,
and of behavioral and self-report levels of analysis regarding the kinds of behaviors that
circuits implement. The intent is not to arbitrarily exclude constructs, but rather to foster
thinking about how constructs are related at various levels of analysis. For example,
extraversion is not listed in the draft matrix, but might be considered to represent another
aspect of social dominance -- in that they are both typically described in terms of activity
in mesolimbic dopamine systems, and thus may reflect different aspects of what is
fundamentally the same dimension.
2.
The framework is directed toward constructs most germane to mental disorders,
and makes no claim to span the entire gamut of functional behavior. For instance, circuits
relevant to thermoregulation and reproductive behavior are not included.
3.
The number of constructs might well be viewed as sparse by many scientists. The
attempt has been to include relatively high-level constructs in order to avoid an overspecification of functions that could become unwieldy and also necessitate unnecessarily
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frequent revisions to the list as research progresses. However, the framework is meant to
foster, not discourage, research that explicates mechanisms within and across the
constructs as listed. As stated above, the current framework should be viewed as a
starting point and part of a work in progress.
4.
The complexity of the brain is such that circuits and constructs will necessarily
have considerable overlap, and arbitrary separations are unavoidable. For instance, the
basolateral amygdala is well-known to be involved with both threat and appetitive
processing. This reflects the hierarchical nature of the nervous system, and the difficulty
of creating a system that encompasses various levels in one framework. It should also be
noted that some constructs, such as emotional regulation or homeostasis, are not listed
here; these are considered superordinate principles of nervous system activity that operate
across many different circuits.
5.
Research with post-mortem tissue samples may be appropriate for studies within
the RDoC framework, where the hypotheses and other variables are conceived in terms of
relevant domains and constructs.
6.
The RDoC framework is explicitly agnostic with respect to current definitions of
disorders. For instance, depression as a clinical syndrome has been related to abnormal
activity in the amygdala, anterior cingulate cortex, nucleus accumbens, and multiple
monoamine systems, while also strongly comorbid with multiple anxiety disorders, eating
disorders, etc. The idea is that studying the individual mechanisms may lead to better
understanding of current disorders, or perhaps new and novel definitions of disorders, but
in either case improved information about treatment choices.
7.
As mentioned above, the aim of RDoC is to create a framework for grouping
participants in research studies, in order to create a foundational research literature that
informs future versions of nosologies based upon genetics and behavioral neuroscience.
RDoC is not intended for clinical diagnosis at the current time. In the future, research
supported by RDoC could inform diagnostic approaches using new laboratory
procedures, behavioral assessments, and novel instruments to provide enhanced treatment
and prevention interventions. It is also hoped that RDoC will support enhanced
development of new pharmacological and psychosocial interventions based upon
neurobiological and behavioral mechanisms.
Process and Final Product
The NIMH intends that the RDoC process be as transparent as possible. An internal
NIMH steering group, advised by a small group of external experts, has created the initial
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RDoC framework and devised the list of candidate domains, constructs, and classes of
variables. NIMH issued a companion Request for Information (RFI) in the NIH Guide to
seek input about all aspects of this first draft of the RDoC matrix and process. These
comments were taken into account in further refining the initial version of the matrix.
A series of workshops is currently in progress as an initial step in defining the
specifications for each construct. At a minimum, one workshop will be held for each of
the five domains. However, in order to gain experience with the process, the first
workshop focused on the construct of working memory. Each workshop involves experts
from various areas that span the RDoC’s units of analysis. Participants are asked to
discuss and decide upon current findings, paradigms, and procedures relevant to each
level of analysis, along with critical research questions. Proceedings of each workshop
are posted on the RDoC page of the NIMH web site for continuing commentary and
suggestions for changes. Depending on the nature and extent of comments, a second
workshop may be held to achieve consensus on final specifications.
The final specification for each construct will consist of:
1.
A definition of the construct’s functional aspects, summary of relevant circuitry,
and relationship to other constructs;
2.
A list of current state-of-the art measures, paradigms, and procedures at each level
of analysis;
3.
Current pressing research questions and issues pertaining to the construct,
including one or two salient examples of the groupings of DSM/ICD categories that
might be included in studies addressing these questions.
The intent of the RDoC is to accelerate the pace of new discoveries by fostering research
that translates findings from basic science into new treatments addressing fundamental
mechanisms that cut across current diagnostic categories. The research specifications are
intended to guide investigators in conducting such integrative research by including
cutting-edge variables in research applications. However, since RDoC is a research
framework, use of such variables is not required; indeed, one goal is to speed the pace of
new information at all levels of analysis. For this reason, RDoC will incorporate a
mechanism for continual evaluation of new findings, and inclusion into the
domain/construct specifications. While the exact procedures remain to be worked out, it
is anticipated that the NIMH steering group will work together with subject-area experts
from each of the relevant domains to accept nominations (from the evaluation team or
from scientists in the field) for modifications and additional listings.
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Although the formal period for commenting under the RFI has terminated, NIMH
welcomes continuing commentary regarding any aspect of the RDoC project, including,
but not limited to, the following points. Comments may be emailed
to rdoc@mail.nih.gov.
1.
The overall RDoC framework, including the organization of the Domains and
Constructs, and the Units of Analysis.
2.
Particular constructs that should be added, deleted, merged, or changed.
3.
Criteria for determining what constructs should be included or modified.
4.
“Grain size” of the constructs.
5.
Criteria for making changes to the domain and construct specifications.
NIMH staff is looking forward to working with all groups of interested stakeholders as
the RDoC project is developed.
Future of the DSMs
While there were some suggestions about the future of the DSMs in the
development of DSM-5, nothing was settled, nothing was settled as to “what next?”.
There are a number of key decisions that will need to be addressed:
Timing of the publications
There have been 7 to 19 years between the DSMs in the past. This is a problem in
two ways:
1] Diagnostic changes in psychiatry should be based on the timing of the
scientific developments, not on publications dates.
2] Even though DSMs have been quite similar since DSM-III [1980], the massive
number of minor changes with each edition has meant that clinicians are faced with
having to learn hundreds of minor details with each DSM, whereas a few changes each
year would be more clinician-friendly.
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As a result of the above, there has been talk of future DSMs, being published
much more frequently and titled "DSM-5.1," "DSM-5.2," and so forth. This concept has
been tied to making the DSMs of the future a “living document.”
Diagnostic by Criteria Sets or by Prototype Matching
DSM-I [1952] and DSM-II [1968] defined conditions the way most of medicine
does, prototype matching, a paragraph describing the key features of the conditions, for
example as seen in Merck Manual. DSM-III [1980], DSM-IIIR [1987], DSM-IV [1994],
and DSM-5 [2013] used criteria set because it was felt that criteria sets would improve
the reliability of the definitions, would improve the chances that two clinicians examining
the same patient would arrive at the same diagnosis. There is some talk of future ICDCMs having definitions of disorders that would be in the form of prototype matching. If
that comes to pass, then it may be appealing for psychiatry to return to prototype
matching. If so, there would be a strong wish to select prototype-matching wording that
would achieve the reliability of the criteria set approach.
DSM Decision Making
What should be DSM decision making process? In the development of recent
DSMs, much of the decision-making power had resided in whoever held the position of
Director of Division of Research of the APA Headquarters. Harold Pincus and Darrel
Regier have carried out their role as head of the Research office very admirably. What
has been missing is APA governance into DSM content issues until nearly the end. In the
future, APA governance should participate in content decisions from the beginning.
Can Future DSMs Facilitate Identifying Etiologies?
Can Future DSMs Indicate Treatment Choices?
Can a future DSM better facilitate the uncovering of etiological agents than has
been true of recent DSMs? Outside sleep conditions, the only new etiological agent in
DSM-5 after 18 years of using DSM-IV is Lewy body neurocognitive disorder. A dozen
years ago, Steve Hyman, past Director of NIMH highlighted the issue:
Steve Hyman, Past-Director of NIMH:
•
“Despite these successes [of the DSMs], there are clear problems and
unresolved controversies related to DSM-IV-TR, the most recent version of DSM.
If a relative strength of DSM is its focus on reliability, a fundamental weakness
lies in the problems related to validity. Not only persisting but looming larger is
the question of whether DSM-IV-TR truly carves nature at the joints – that is,
whether the entities described in the manual are truly ‘natural kinds’ and not
arbitrary chimeras. In reifying DSM-IV-TR diagnoses, one increases the risk that
science will get stuck, and the very studies that are needed to better define
phenotypes are held back. Except for IQ tests to diagnose mental retardation and
polysomnography to diagnose sleep disorders [polysomnography was inexplicitly
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excluded from DSM-IV-TR criteria sets], diagnostic tests for mental disorders do
not yet exists.”
More recently, 2011, Hyman sent one of us [RP] the following email, using, R =
Revision:
• “The most important goal is to help the APA get out of
the DSM-III-R-R-R rut without blowing up clinical practice. Whatever it
takes.”
Of course, DSM-5 did not get American psychiatry out of the rut. DSM-5 is the third
“R” in his quote.
Getting out of the rut might be achieved by moving closer to the style of diagnosing
in the rest of medicine. Approaches to getting unstuck might include:
1] Not totally focused on defining DSM’s psychopathology by syndromes, but
focus more on defining signs and championing the concept that signs alone can be
satisfactory identification of a person’s psychiatric condition. Recent DSMs have
structured all psychopathology into syndromes. Where the etiology is known, this can
lead to a stretch of the word, “syndrome.” For example two of fourteen signs constitute a
“syndrome” for inhalant use disorder. Mental trauma can be a contributing factor to
almost every Disorder in DSM-5, yet there are only about a dozen disorders that include
mental trauma in the definition. Restated, where the etiology is known, such as the
substance-related disorders, the manifestations as to somatic signs can sometimes reach
the meaning of “syndrome” -- but not the mental signs.
2] Not including “clinically significant distress or disability” in the definition.
The rest of medicine does not separate the definition of a condition by with “clinically
significant distress or disability.” Psychiatry should do the same. “Laceration,”
“contusion,” and “headache” can all be defined without including the phrase, “clinically
significant distress or disability.” Psychiatry should do the same, should define
“delusion,” “dysphoric,” and “phobia” without trying to build into the definition whether
it is clinically significant.
3] Including treatment results in conceptualizing psychopathology. DSM-IV and
DSM-5 avoided any criteria that reflected treatment results. DSM-IIR allowed only one
criterion set to mention treatment results. Allowing treatment results to be part of the
definition of psychopathology might help uncover etiologies. Even if not “etiological,” a
diagnostic system closer to treatment results could move the DSMs closer to the needs of
clinicians.
4] Working harder to establish hierarchies of diagnoses. It seem quite unlikely
that the large number of patients who end up with two or more psychiatric disorders
using a recent DSM approach to psychopathology is the way nature has divided up
psychopathology.
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It remains important than County psychiatrists adhere to DSM-5’s definitions.
We do not want an idiosyncratic language. At the same time, it is important to think
through how we can become more like the rest of medicine to where etiologies can be
identified or to where the diagnostic system indicates which treatments would be
indicated..
The only clearly new etiological agent in DSM-5 is Lewy bodies. Obviously
Hyman is correct. We must get unstuck.
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