Comprehensive Psychiatric
ICD-9-CM [CP-ICD-9-CM]
1 July 2014 Edition
1] Introduction …………………………………………………………………Page 2
2] Outline history of ICDs.
Page 5
3] Outline history of DSMs
Page 6
4] Comprehensive alphabetical listing of psychiatric conditions including:
A] DSM-IV-TR conditions
B] DSM-5 conditions\
C] Side effect conditions common with psychiatric medications
D] V-codes of relevance to psychiatry
E] Some conditions suggested for future ICDs/DSMs
Page 7
5] Numerical Listing of Psychiatric Conditions in ICD-9-CM
Page 85
……...............................................
6] Alphabetical listing of DSM-5 Conditions in ICD-9-CM & ICD-10-CM Page 141
7] Summary of Changes from DSM-IV-TR to DSM-5 ……………………Page 161
8] DSM-5 disorders that were not in ICD-IV-TR ……... ………………… Page 164 ..
9] DSM-IV-TR disorders combined in DSM-5…………………………… Page 165
10] Nomenclature changes in DSM-5……………………………………… Page 167….
11] Future in psychiatric diagnosing…………………………………………Page 168…
Please bring suggested improvements to: RogerPeele@aol.com
1
Introduction
This resource for psychiatrists, public and private, in Montgomery
County, Maryland, was developed to present a comprehensive listing of
conditions of interest to psychiatrists. I use the word “psychiatrists” to
remain within my position in Montgomery County’s Behavioral Health and
Crisis Services, “Chief Psychiatrist,” but I’m well aware that the County has
many outstanding clinicians of other professions and would welcome
suggestions from any of them on how this Comprehensive listing could be
improved.
It is important that all of us utilize the DSM definitions. There are
conditions, however, of interests to mental health clinicians that are not in
DSM-5. For some of them, we provide a prototype definition in this edition
of the Comprehensive. We will provide more in future editions of the
Comprehensive.
In terms of nomenclature and coding, this is a confusing time for
American psychiatry with the starting date of using DSM-5 varying among
payers varying among government agencies.
A second confusion is when will we, if ever, switch from ICD-9-CM
to ICD-10-CM. All we can say now is that the switch cannot take place
before 1 October 2015. Sometime during 2015, it will become clearer as top
the switch. Since the US Congress has become involved, the timing remains
uncertain.
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 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. A 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 by the DSM-5 Task
2
Force. This means that F34.8 has two names as far as DSM-5 followers are
concerned.
The APA has gone to the National Center for Health Statistics,
authors of the ICD-CMs, and asked that “Disruptive mood dysregulation
disorder” and other additions and changes introduced by DSM-5 be added to
ICD-9-CM and ICD-10-CM. At this time, we do not know their decision.
As the Multiaxial System gets phased out, it should be easier to
encourage clinicians to make use of V-Codes. V-Codes were somewhat
preempt by Axis IV. With the removal of Axis IV, hopefully, we will see
more frequent use of V-Codes, bringing psychosocial situations into our
diagnosing in a way that allows the collection of data. Axis IV lack of
coding left no convenient way to collect that information..
Concepts Often Mentioned in DSM Discussions.
“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 in an
attempt to achieve reliability. DSM-III, IIIR, IV, IV-TR, and 5 used criteria
sets as a way to achieve reliability.
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
3
Kappa 0.6 – 0.8, great
Kappa 0.4- 0.8, realistic goal
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
4
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
5
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
6
3] Kupfer wanted fewer entities.
4] 97% change of either the name or the definition of disorders retained from
DSM-IV-TR.
Comprehensive Alphabetical Listing of Psychiatric
Conditions in ICD-9-CM
Abnormal involuntary movement 781.0
Abnormal liver function test 790.4
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
7
Abuse, child neglect (nutritional) 995.52
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,
Abuse of antacids, ;
Abuse of herbal or folk remedies,
Abuse of laxatives,
Abuse of steroids or hormones,
Abuse of vitamins,;
Abuse of other non-psychoactive substances,
Academic problem, V62.3

Included as ‘Academic or educational problem’ in DSM-5;
Academic problem as a result of learning related vision problems;
Academic problem as a result of autistic spectrum disorders;
Acarophobia 300.29 [fear of small things, e.q., mites, worms, needles]
8
Acathisia 781.0 [also spelled "akathisia"]
due to drugs 333.99
neuroleptic-induced acute 333.99
Acculturation problem, V62.4
Acculturation difficulty, V62.4
’
In adults:
In Children and Adolescents:
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];
Acute stress disorder, 308.3
Addiction:
alcohol 303.9
gambling, 31231
heroin 304.0
hospital 301.51 [like factitious disorder]
morphine [includes like substances], 304.0
nicotine, 305.1
opioid, 304.0
tobacco, 305.1
Adjustment reactions/disorders, 309 [See separate section for mental stress/trauma]
With anxiety, 309.24
With depressed mood, 309.0
9
With disturbance of conduct, 309.3
With mixed anxiety and depressed mood, 309.28
With mixed disturbance of emotions and conduct, 309.4
With unspecified adjustment disorder, 309.9
Adjustment Insomnia ;
Admission, check up only V70.0
Adolescent antisocial behavior, V71.02
Adult antisocial behavior, V71.01
Adult-onset fluency disorder, 307.0;
Adult physical abuse by nonspouse or non-partner, 995.81
Adult psychological abuse by nonspouse or non-partner, 995.82
Adult sexual abuse by nonspouse or nonpartner, 995.83
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 some clinicians, V61.8
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 without history of panic disorder, 300.22
Ailurophobia 300.29 [fear of cats];
Akathisia, [also acathisia] 781.0;
due to drugs 333.99;
neuroleptic-induced acute 33.99;
10
Alcohol,/alcoholic;
abstinence 291.81;
acute intoxication 305.0;
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:
Fetal Alcohol Syndrome, 760.71
Neurodevelopmental Disorder associated with Prenatal
Alcohol Exposure, 315.8
Alcohol Exposure
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
11
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
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; See “Alcohol Use Disorder” if using DSM-5
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 of alcoholism,V11.3
Korsakoff’s, Korsakov’s, 291.1
suspected damage to fetus affecting management of pregnancy 655.
Alcohol abuse 305.00; DSM-5 prefers “Alcohol Use Disorder, mild, 305.00”
Alcohol dependence, DSM-5 prefers:
Alcohol Use Disorder, moderate, 303.90
or
12
Alcohol Use Disorder, severe. 303.90;
Alcohol-induced anxiety disorder, 291.89;
Alcohol-induced mood disorder, 291.89;

Alcohol-induced bipolar and related disorder in DSM-5;

Alcohol-induced depressive disorder in DSM-5;
Alcohol-induced persisting amnestic disorder, 291.1;
Alcohol induced major neurocognitive disorder, nonamnestic confabulatory type
Alcohol-induced persisting dementia, 291.2;
Alcohol-induced mild neurocognitive disorder, 291.89
Alcohol-induced psychotic disorder with delusions, 291.5;
Alcohol-induced psychotic disorder, 291.9
Alcohol-induced psychotic disorder with hallucinations, 291.3;
Alcohol-induced sexual dysfunctions, 291.89;
Alcohol-induced sleep disorder, 291.82;
Alcohol intoxication, 303.00 [see Acute alcohol intoxication if wanting a breakdown
of this disorder];
Alcohol intoxication delirium, 291.0;
Alcohol-related disorder NOS, 291.9;
Alcohol use disorder; choice of two ICD 9-CM codes;
Mild: 305.00
or ;
Moderate or severe 303.90
Alcohol withdrawal, 291.81;
Alcohol withdrawal delirium, 291.0; [ICD 10-CM: F10.231];
Alcohol intoxication delirium, 291.0;
13
Alcohol withdrawal delirium, 291.0
Alexia, 315.01
[ = 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, depending on additional findings:
1]
1] 995.51 Child psychological abuse, parental alienation,
2] 297.1 Delusional disorder, parental alienation
3] 297.3 Shared psychotic disorder [folie a deux], parental
alienation {this option is in United State’s medical diagnostic systems, ICD-9CM, but not in DSM-5 per se. In most settings, in the United States (and
elsewhere) clinicians can probably use 297.3};
4] 298.8 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;
5] When the parental alienation cause a condition not dominated by
false ideas, then can use V-codes. Two examples:
A] Attention-deficit/hyperactivity disorder, combined type,
314.01
and
Parent-child relational problem, parental alienation, V61.20
B] Conduct disorder, 312.8
and
Child affected by parental relationship distress, parental
alienation, V-61.29
Allergic to penicillin, V14.0
Allergic to antibiotic agent, V14.1
14
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
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, three choices:
294.10 Alzheimer’s disease without behavioral disturbance
294.11 Alzheimer’s disorder with behavioral disturbance
331.0 Alzheimer’s disease [probably choice among most physicians]
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
15
Amylophagia 307.52 [an abnormal craving to eat starch]
Amnestic disorder in conditions classified elsewhere, 294.0
List other disorder first, e.g.:
Concussion with moderate lose of consciousness, 850.2
And
Amnestic disorder in condition classified elsewhere, 294.0
Amnestic disorder, NOS;
Amphetamine abuse, 305.70;

Included as ‘Stimulant Use Disorder’ in DSM-5;
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40;
Amphetamine-induced anxiety disorder, 291.89;

Included in DSM-5 as ‘Amphetamine (or other stimulant)-induced anxiety
disorder’; ICD 9-CM: 292.89
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
Amphetamine (or other stimulant)-induced depressive disorder, 292.84
Amphetamine (or other stimulant)-induced delirium, 292.81
Amphetamine (or other stimulant)-induced obsessive-compulsive and related
disorder, 292.89;
Amphetamine-induced psychotic disorder, with delusions, 292.11;
Amphetamine-induced psychotic disorder, with hallucinations, 292.12;
Amphetamine-induced sexual disorder, 292.89;
Amphetamine-induced sleep disorder, 292.85;
16
Amphetamine intoxication, 292.89;
Amphetamine intoxication delirium, 292.81;
Amphetamine-related disorder, NOS, 292.9;
Amphetamine use disorder. Code depends on whether seen as mild or seen as
moderate/severe:
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40;
Amphetamine withdrawal, 292.0;
Anacidity, gastric, psychogenic 306.4;
Anancastic syndrome, 301.4
Anankastic syndrome, 301.4
Angina psychogenic 306.2
Anorexia 783.0
hysterical 300.11
Anorexia nervosa, 307.1;
Antidepressant discontinuation syndrome ;
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;
“Antisocial Syndrome” often preferred when allowed
Anxiety disorders in conditions listed elsewhere, 293.84
Anxiety disorder, alcohol induced, 291.89
Anxiety disorder, drug induced, 292.89
Anxiety disorder, NOS, 300.00
17
Anxiety disorder, Other, 300.09
Anxiety disorder, Unspecified, 300.00
Anxiolytic abuse,
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
Anxiolytic dependence, 304.10;
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
Anxiolytic-induced anxiety disorder, 292.89
Anxiolytic-induced major neurocognitive disorder, 292.82
Anxiolytic-induced mood disorder, 291.84
Anxiolytic-induced persisting amnestic disorder, 291.83
Anxiolytic-induced persisting dementia, 292.82;
Anxiolytic-induced psychotic disorder with delusions, 292.11;
Anxiolytic-induced psychotic disorder with hallucinations, 292.12;
Anxiolytic-induced sexual dysfunctions, 292.89;
Anxiolytic-induced sleep disorder, 292.85;
Anxiolytic intoxication, 292.89;
Anxiolytic intoxication delirium, 292.81
Anxiolytic-related disorder NOS, 292.9
Anxiolytic withdrawal, 292.0
Anxiolytic withdrawal delirium, 292.81;
Apathy 799.25
Apepsia, psychogenic 306.4
Aphagia, psychogenic 307.1
18
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
Aphonia, psychogenic 306.1
Appetite
depraved 307.52
19
excessive 7833.6
psychogenic 307.51
lack or loss (see also Anorexia) 783.0
nonorganic origin 307.59
perverted 307.52
Apprehension, apprehensiveness, 300.00
Arrhythmia, psychogenic 306.2
Arthralgia, psychogenic 307.89
Arthrodesis status, psychogenic 307.89
Asperger’s disorder, 299.80;
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
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
20
Ataxia psychogenic 307.9
Atonia, psychogenic 306.4
Autogynephilia 302.89
At risk for falling, V15.88
Attention-deficit/hyperactive disorder [ADHD]
Attention-deficit/hyperactive disorder, NOS, 314.9
Attention-deficit/hyperactive disorder, predominantly hyperactive type,
314.01;
Attention-deficit/hyperactive disorder, predominantly inattentive type,
314.00
Attenuated psychosis syndrome, 298.8
Autistic disorder, 299.00;
Autism spectrum disorder. 299.00;
Avitaminosis D. 268.9
[Often means Vitamin D serum levels: <37 nmol/l or <15 ng/ml.]
Avoidant personality disorder, 301.82
Avoidant/ restrictive food intake disorder, 307.59
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
adult V71.01
child V71.02
21
Bereavement, 309.0;
Bergeron’s disease (= hysteroepilepsy) 300.11;
Binge eating disorder 307.51
Bipolar disorders:
Bipolar I disorder, most recent episode depressed, mild, 296.51
Bipolar I disorder, most recent episode depressed, moderate, 296.52;
Bipolar I disorder, most recent episode depressed, severe without psychotic
features, 296.53;
Bipolar I disorder, most recent episode depressed, with psychotic features,
296.54;
Bipolar I disorder, most recent episode depressed, in partial remission, 296.55;
Bipolar I disorder, most recent episode depressed, in full remission, 296.56;
Bipolar I disorder, most recent episode depressed, unspecified, 296.50;
Bipolar I disorder, most recent episode manic, mild, 296.41;
Bipolar I disorder, most recent episode manic, moderate, 296.42;
Bipolar I disorder, most recent episode manic, severe without psychotic
features, 296.43
Bipolar I disorder, most recent episode manic, with psychotic features, 296.44;
Bipolar I disorder, most recent episode manic, in partial remission, 296.45;
Bipolar I disorder, most recent episode manic, in full remission, 296.46;
Bipolar I disorder, most recent episode manic, unspecified, 296.40;
Bipolar I disorder, most recent episode mixed, mild, 296.61;
Bipolar I disorder, most recent episode mixed, moderate, 296.62;
Bipolar I disorder, most recent episode mixed, severe without psychotic
features, 296.63;
Bipolar I disorder, most recent episode mixed, with psychotic features, 296.64;
Bipolar I disorder, most recent episode mixed, in partial remission, 296.65;
Bipolar I disorder, most recent episode mixed, in full remission, 296.66;
Bipolar I disorder, most recent episode mixed, unspecified, 296.60;
Bipolar I disorder, most recent episode, unspecified, 296.80
22
Bipolar I disorder, single manic episode, mild, 296.01;
Bipolar I disorder, single manic episode, moderate, 296.02;
Bipolar I disorder, single manic episode, severe without psychotic features,
296.03;
Bipolar I disorder, single manic episode, with psychotic features, 296.04;
Bipolar I disorder, single manic episode, in partial remission, 296.05;
Bipolar I disorder, single manic episode, in full remission, 296.06;
Bipolar I disorder, single manic episode, unspecified, 296.00;
Bipolar II disorder, 296.89;
Bipolar disorder, NOS, 296.80;
Bipolar disorder, unspecified, 296.80;
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;
Body Mass Index (BMI), see V-codes, V85.2x
Borderline intellectual functioning, V62.89;
Borderline personality disorder, 301.83
“Borderline syndrome” often preferred when allowed
Bouffee délirante 298.3
Brain death, 348.89
Breath, holder, child 312.81
Breathing-related sleep disorder, 780.57;
Central sleep apnea comorbid with opioid use, 780.57
Cheyne-Stokes breathing, 786.04;
Idiopathic central sleep apnea, 327.21
23
Breathing, tic 307.20
Brief psychotic disorder, 298.8;
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 one’s own body odor is offending people]
Bruxism 306.8
sleep related 327.53
Bullying, [the perpetrator]
Mild 312.01
Moderate 312.02
Severe 312.03
Unspecified 312.00
Bullying, [the victim],
Adults:
Emotional, 995.82
Multiple forms, 995.85
Physical, 995.81
Psychological, 995.82
Child:
Emotional, 995.51
Multiple forms, 995.59
Physical, 995.54
Psychological, 995.51
Bulimia nervosa, 307.51
Cachexia 799.4
24
Cachexia, senile 797
Caffeine disorders [heading]
Caffeine-induced anxiety disorders, 292.89;
Caffeine-induced sleep disorder;
Caffeine intoxication, 305.99
Caffeine-related disorder, NOS, 292.9
Caffeine withdrawal, 292.0
Caffeine use disorder:
Mild: 305.70;
Moderate: 304.40;
Severe: 304.40
Cannabis abuse, 305.20
Cannabis Use disorder’;
Mild: 305.20;
Moderate: 304.30;
Severe: 304.30
Cannabis dependence, 304.5;
Cannabis-induced anxiety disorder, 292.89;
Cannabis-induced psychotic disorder with delusions, 292.11;
Cannabis induced psychotic disorder, select 292.11 supra or 29112 infra
Cannabis-induced psychotic disorder with hallucinations, 292.12
Cannabis intoxication, 292.89
Cannabis intoxication, with perceptual disturbances, has insight that perceptions
are not real, 292.11
Cannabis intoxication, with perceptual disturbance, lacks insight that perception
are not real, 292.12
Cannabis intoxication, Without perceptual disturbances, 292.89’
Cannabis intoxication delirium, 292.81;
Cannabis-induced disorder, NOS. 292.9;
25
Cannabis withdrawal disorder, 292.0
Cancerphobia 300.29
Carcinomaphobia 300.29
Cardioneurosis 306.2
[= Overly anxious as to having a cardiac illness sans a cardiac condition]
Cardiophobia 300.29;
Care (of) family member (handicapped) (sick), creating problem for family V61.49;
Carrier of hepatitis B V02.60;
Carrier 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 see Narcolepsy;
Catatonic disorder due to [name condition], 293.89.
Catatonia associated with another mental disorder, 293.89
Examples:
catatonic disorder, 293.89 due to hypercalcemia, 275.42
catatonic disorder, 293.89 associated with brief psychotic disorder,
298.8
DSM-5 suggests two diagnoses for people with catatonic
schizophrenia, but ICD-9-CM has one: 295.2x, which, when clarifying the
“x” is more informative [0 = unspecified; 1 = subchronic, 2 = chronic; 3 =
subchronic with acute exacerbation; 4 = chronic with acute exacerbation; in
remission] than using both 293.89 and 295.90.
Catatonic disorder due to major depressive episode,
Use both 293.89 and the major depressive disorder code that is appropriate
for that patient’s depression
Catatonia disorder due to neuroleptic malignant syndrome,
26
Use both 293.89 and 333.92
Catatonia due to psychosis
Use both 293.89 and 298.9 when patient has delusions and hallucinations that
are not part of a recognized syndrome beyond catatonia
Catatonia, lethal, 791.99
[= Rigidity and fever sans being on neuroleptics. Can be fatal]
Catatonia, unspecified, use both:
781.99, other symptoms involving nervous and musculoskeletal systems, and
293.89; catatonia
Cephalagia, see Cephalgia
Cephalgia, 784.0
nonorganic origin 307.81
psychogenic 307.81
tension 307.81
Change cognitive or personality change of other type, nonpsychotic 310.1
Change personality (nonpsychotic) NEC 310.1
Change psychogenic 306.1
Childhood disintegration disorder, 299.10;
Child antisocial behavior, V71.02;
Childhood disturbances of emotions specific to children or adolescents, 313;
Child affected by parental relationship distress, V61.29
Child neglect, 995.52
Child physical abuse, 995.54
Child physical abuse, 995.54
Child psychological abuse,995.51
Child psychological abuse, 995.51
Child sexual abuse, 995.53
Chorea hereditary 333.4
27
Chorea variabilis 307.23
Chronic Motor or Vocal disorder, 307.22;
Circadian rhythm sleep disorder, 307.45;
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
[= erotomania = delusion that a specific person is in love with them]
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
paranoid state 297.2
paraphrenia 297.2
Clumsiness syndrome 315.4
Cocaine abuse, 305.60
Cocaine dependence, 304.20
Cocaine-induced anxiety disorder, 292.89;
Cocaine-induced mood disorder, 292.84 ;
Cocaine-induced depressive disorder; 292.84
Cocaine-induced bipolar or related disorder; 292.84
Cocaine-induced psychotic disorder with delusions, 292.11;
Cocaine-induced psychotic disorder with hallucinations, 292.12;
Cocaine-induced psychotic disorder; 292.9
Cocaine-induced sexual dysfunction, 292.89;
28
Cocaine-induced sleep disorder, 292.89;
Cocaine intoxication, 292.89;
Cocaine intoxication delirium, 292.81;
Cocaine-related disorder NOS, 292.9;
Cocaine use disorder
Mild, 305.60
Moderate, 304.20
Severe, 304.20
Cocaine withdrawal, 292.0
Cocaine-induced obsessive-compulsive and related disorder; 292.89
Cocainism (see Cocaine use disorder supra)
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
[Probably should not be use. Instead, use the diagnosis that captures the
signs and symptoms that the patient has.]
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
29
states (mixed) 300.3
swearing 300.3
tics and spasms 307.00
water drinking NEC 307.9
Conduct disturbance, hyperkinetic 314.2
Conduct disturbance, NOS, 312;
Conduct disorder; with the following types and codes;

Adolescent-onset type,312.82

Childhood-onset type, 312.81

Unspecified onset, 312.89
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
30
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
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
31
Creutzfeldt-Jakob disease (CJD) 046.19
Creutzfeldt-Jakob disease (CJD), with dementia, with behavioral disturbance
046.19 or 294.11. The former code tends to be used by the rest of medicine.
Creutzfeldt-Jakob disease (CJD), with dementia, without behavioral disturbance
046.19 or 294.10. The former code tends to be used by the rest of medicine.
Crisis, psychosexual identity 302.6
Cruelty in children 312.9
Crying, constant,
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
child 780.95
infant 780.92
newborn 780.92
Cultural deprivation V62.4
Cyclothymic personality disorder, 301.13;
“Cyclothymic syndrome” often preferred when allowed.
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
32
Defect speech, developmental 315.39
Deficiency, B (complex) NEC 266.9
beriberi 265.0
pellagra 265.2
Deficiency, niacin 265.2
Deficiency, vitamin D (calciferol) (ergosterol) 268.9
Deficiency, vitamin P 269.1
Degenerative brain, in alcoholism 303.9 or 331.7, the later, 331.7, tends to be used by
the rest of medicine.
Degenerative brain cortical, alcoholic 303.9 or 334.4, the latter, 334.4, tends to be
used by the rest of medicine]
Delays in development, a heading in ICD-9-CM with the following options,
Reading disorder, unspecified, 315.00
Alexia, 315.01 [Lack of ability to understand written language; manifestation
of aphasia]
Developmental dyslexia, 315.02 [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
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
33
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
Delirium due to [name of disorder], 293.0;
Delirium NOS, 780.09
Delirium, other, 780.09
Delirium, unclassified, 780.09
Delusional disorder, 297.1;
Dementias, See neurocognitive disorders as DSM-5 uses “neurocognitive disorder”
for “dementia”

Conditions in DSM-5 reflecting the change from “Dementia” to
“Neurocognitive”:
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;
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 or 294.10, rest of medicine uses
the former;
Without behavioral disturbance, code 331.1 or 294.11. The rest of
medicine uses the former];
Creutzfeldt-Jakob disease, code 046.11 if not distinguishing if there is
behavioral disturbance. If distinguishing between with or without behavioral
disturbances, then want to use 294.10 or 294.11 as shjown in the following
examples. ;
34


Creutzfeldt-Jakob disease with behavioral disturbance, 046.11[294.10]
Creutzfeldt-Jakob disease without behavioral disturbance, 46.11[294.11]
Drug-induced persisting dementia, 292.82;

For these disorders, list drug when known, e.g.
o E851 Barbiturates
o E852.2 bromine compounds
o E855.4 Anticholinergics
o E858.8 Other specific medications. Example, “E858.8 tamoxifen”
Dementia associated with head trauma,
If head trauma included late effect of fracture of skull, then code 905.0.
If late effect of intracranial injury without skull fracture, then 907.0. If one
wants to detail the trauma in greater detail, see ICD-9-CM codes 850 to 854,
[ICD-9-CM page 1023]. Further, differentiate with or without behavioral
disturbance. Two examples:
Late effect of intracranial injury without skull fracture, without
behavioral disturbance, 907.0 [294.11]
Late effect of intracranial injury with skull fracture, with behavioral
disturbance, 905.0 [294.10]
Dementia associated with Lewy bodies, code 331.82 if not distinguishing. If
distinguishing:


With behavioral disturbance, code 331.82 [294.10];
Without behavioral disturbance, code 331.82[294.11];
Folic-acid deficiency associated with dementia, 266.2. If distinguishing
between with behavioral disturbance and without behavioral disturbance:
With behavioral disturbance, code 266.2[294.10];
Without behavioral disturbance, code 266.2[294.11];
Dementia associated with Frontotemporal lobe degeneration, code 331.19. If
distinguishing between with behavioral disturbance and without behavioral
disturbance:


With behavioral disturbance, code 331.19 [294.10]
Without behavioral disturbance, code 331.19 [294.11]
General paresis, 094.1. If distinguishing between with behavioral
disturbance and without behavioral disturbance:


With behavioral disturbance, code 094.1[294.10];
Without behavioral disturbance, code 094.1[294.11];
35
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, 294.11 if not distinguishing between with behavioral
disturbance or without behavioral disturbance. If distinguishing:


With behavioral disturbance, code 042[294.11];
Without behavioral disturbance, code 042[294.10];
Huntington’s disease, code 333.4, if not distinguishing if there is behavioral
disturbance. If distinguishing;


With behavioral disturbance, 333.4 [294.11];
Without behavioral disturbance, 333.4 [294.10];
Hypercalcemia associated with dementia, 275.42, if not distinguishing
between with behavioral disturbance and without behavioral disturbance. If
distinguishing:
With behavioral disturbance, code 275.42[294.10]

Without behavioral disturbance, code 275.42[294.11]
Hypothyroidism associated with dementia, 244.9, if not distinguishing
between with behavioral disturbance and without behavioral disturbance. If
distinguishing:
;

With behavioral disturbance, code 244.9[294.10]
Without behavioral disturbance, code 244.9[294.11]
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
If there is a wish to distinguish between with behavioral disturbance and
without behavioral disturbance with each of the three conditions supra:
With behavioral disturbance, code:
Communicating hydrocephalus 331.3[294.10]
Obstructive hydrocephalus 331.4 [294.10]
Idiopathic normal pressure hydrocephalus 331.5[294.10]
36
Without behavioral disturbance, code:
Communicating hydrocephalus 331.3[294.11]
Obstructive hydrocephalus 331.3[294.11]
Idiopathic normal pressure hydrocephalus 331.5[294.11]
Inhalant-induced major neurocognitive disorder, 292.82
Inhalant-induced mild neurocognitive disorder, 292.82
Jakob-Creutzfeldt disease, 046.19
With behavioral disturbance, code 046.1;
Without behavioral disturbance, code 046.1;
Major neurocognitive disorder due to Alzheimer’s disease,
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10;
;
Major neurocognitive disorder due to another medical condition ;
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder due to HIV infection, code first 042 HIV
infection);
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder due to Huntington’s disease, code first 333.4
Huntington’s disease);
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder with Lewy bodies, code first 331.82
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder due to multiple etiologies, 331.89 ’
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder due to Parkinson’s disease, 332.0
37
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder due to prion disease, code first 046.78
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Major neurocognitive disorder due to traumatic brain injury’ (code first 907.0
late effect of intracranial injury without skull fracture, then add one of the
following [
With behavioral disturbance, 294.11
Without behavioral disturbance, 294.10
Mild frontotemporal neurocognitive disorder, 331.83
Mild neurocognitive disorder due to Alzheimer’s disease, 331.83
Mild neurocognitive disorder due to another medical condition,331.83
Mild neurocognitive disorder due to HIV infection, 331.83
Mild neurocognitive disorder due to Huntington’s disease, 331.83
Mild neurocognitive disorder due to multiple etiologies,331.83
Mild neurocognitive disorder due to Parkinson’s disease, 331.8
Mild neurocognitive disorder due to prion disease, 331.83
Mild neurocognitive disorder due to traumatic brain injury, 331.83
Mild neurocognitive disorder with Lewy bodies, 331.83
Mild vascular neurocognitive disorder, 331.83
Multiple sclerosis with dementia, if not distinguishing between as to whether the
patient has behavioral disturbance, 340. If distinguishing, then:


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]
38
Parkinsonism associated with dementia;

With behavioral disturbance, code 331.82[294.11];
Without behavioral disturbance, code 331.82[294.10];
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];




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;
39




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
Without behavioral disturbance:290.40
Major vascular neurocognitive disorder, 331.9
With behavioral disturbance, 331.9 [294.11]
Without behavioral disturbance, 331.9 [294.10]
If it 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:
1] when no psychiatric syndrome is being diagnosed
or
2] when the syndrome being diagnosed does not include this symptom, yet
the symptom is severe enough to be of clinical concern
Dependent personality disorder, 301.6
Depersonalization disorder, 300.6
Depressive disorder NOS, 311
Depressive episodes with short-duration hypomania, 296.89
Developmental coordination disorder, 315.4
Diagnosis deferrer, 799.9
40
Discord with neighbor, lodger, or landlord, V60.89
Discord with social service provider, including probation officer, case manager, or
social services worker, V62.89
Disinhibited social engagements disorder, 313.89
Disruption of family by separation or divorce, V61.03
Disorder of infancy, childhood, or adolescence NOS, 313.9
Disorder of written expression, 315.2;
Disruptive mood dysregulation disorder [DMDD], 296.99
Disruptive behavior disorder NOS, 312.9;
Dissociative amnesia, 300.12;
Dissociative disorder unspecified, 300.15;
Dissociative fugue, 300.13;
Dissociative identity disorder, 300.14;
DMDD = Disruptive Mood Dysregulation Disorder
Drug-induced mental disorders, 292;
Drug dependence, see use disorders
Dyspareunia, 625.0
Dyspareunia, psychogenic, 302.76
Dyssomonia other,
If non-organic, 307.47
If not known, 780.56
Dysthymic disorders, 300.4
Dystonia, focal, 333.79
[= a condition that affects a muscle or group of muscles in a specific
part of the body causing involuntary muscular contractions and abnormal
postures. In musicians, the condition is referred to as Musician's Focal
Dystonia, or simply musician's dystonia. In sports, it is commonly referred
to as “the yips.”]
Eating disorder, other, 307.59
41
Eating disorders during pregnancy, 783.6 [V22.2]
Eating disorders, unspecified, 307.50;
Encopresis with constipation and overflow incontinence, 307.6
Encopresis without constipation and overflow incontinence, 307.7
Enuresis, 307.6
Epilepsy associated with dementia. Some of the major epilepsies listed in ICD-9-CM
are:
Generalized convulsive epilepsy, code 345.1
Generalized non-convulsive epilepsy, 345.0.
So, four of the common choices are:



Generalized convulsive epilepsy with behavioral disturbance, 345.1 [294.10]
Generalized convulsive disorder without behavioral disturbance
345.1[294.11]
Generalized non-convulsive epilepsy with behavioral disturbance Without
behavioral disturbance, code 345.1/345.0[294.11]
Generalized convulsive disorder without behavioral disturbance:,
345.1[294.11]
Excoriation (skin-picking) disorder, 698.4”
Exhibitionism, 302.4;
Exposure to disaster, war, or other hostilities, V62.22,
Expressive language disorder, 315.31;
[DSM-5 folds this into “Language disorder, 315.39,” but in so doing, loses
some specificity.]
Extreme Poverty, V60.2
Factitious disorder with combined psychological and physical signs and symptoms,
300.19;
Factitious disorder with predominately physical signs and symptoms, 300.19;
Factitious disorder with predominately psychological signs and symptoms, 300.16
Factitious disorder, NOS, 300.19
Factitious disorder, Other, 300.19
Factitious disorder, Unspecified, 300.19
42
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 [state the disorder in the name, e.g.,
“Family history of bipolar I disorder, V19.8”]
Feeding disorder of infancy and early childhood, 307.59;

Included as ‘Avoidant/restrictive food intake disorder, 307.59’ in DSM-5;
Female hyposexual sexual desire disorder, 625.8
Female orgasmic disorder, 302.73
Female sexual arousal disorder, 302.72;

Included as ‘Female sexual interest/arousal disorder, 302.72’ in DSM-5
Female sexual interest/arousal disorder, 302.72’
Fetal Alcohol syndrome, 760.71;
Fetishism, 302.81
Fibromyalgia, 729.1;
Frotteurism, 302.89;

Included as ‘Frotteuristic disorder, 302.89’ in DSM-5;
Frotteuristic disorder, 302.89’
Gambling disorder, 312.31

Included as Pathological gambling, 312.31’ in DSM-IV
Generalized Anxiety Disorder, 300.2
Gender dysphoria in adolescents and adults, 302.85
Gender dysphoria in children, 302.6
Gender dysphoria, other,302.6
Gender dysphoria, unspecified, 302.6
Gender identity disorder in adolescents, 302.85;

Included as ‘Gender dysphoria in adolescents and adults’ in DSM-5
43
Gender identity disorder in adults, 302.85;

Included as ‘Gender dysphoria in adolescents and adults, 302.85’ in DSM-5
Gender identity disorder in children, 302.6
Included as Gender dysphoria in children, 301.6 in DSM-5
Gender identity disorder NOS, 302.6;
Global developmental delay, 315.8;
Hallucinations, alcohol-induced 291.3
Hallucinations, auditory 780.1
Would only be used if not part of another diagnosis the patient has.
Hallucinations, drug-induced 292.12
Hallucinations, gustatory 780.1
Would only be used if not part of another diagnosis the patient has.
Hallucinations, olfactory 780.1
Would only be used if not part of another diagnosis the patient has.
Hallucinations, tactile 780.1
Would only be used if not part of another diagnosis the patient has.
Hallucinations, visual 368.16
Would only be used if not part of another diagnosis the patient has.
Hallucinations, unspecified, 780.1
Would only be used if not part of another diagnosis the patient has.
Hallucinogen abuse, 305.30;

Part of Hallucinogen Use Disorder’ in DSM-5;
Mild: 305.30;
Moderate: 304.50;
Severe: 304.50;

Hallucinogen dependence, 304.50
Part of Hallucinogen Use Disorder’ in DSM-5;
Mild: 305.30;
44
Moderate: 304.50;
Severe: 304.50;
Hallucinogen-induced anxiety disorder, 292.89;

Included as “Hallucinogen-induced anxiety disorder” in DSM-5;
Hallucinogen-induced mood disorder, 292.84;
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;
Hallucinogen intoxication, 292.89;

Included as ‘Other hallucinogen intoxication’ in DSM-5
Hallucinogen intoxication delirium, 292.81;
Hallucinogen persisting perception disorder, 292.89,
Hallucinogen-related disorder NOS, 292.9
High expressed emotion level within family, V61.8;
Historical trauma. [Not in any DSM as such]
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. Use
the ICD-9-CM code for the clinical manifestations and use the 995 codes and Vcodes to capture the traumas if recent. However, ICD-9-CM does not have
historical trauma per se. so we are suggesting V62.89. Fro example:
Dysthmia,300.4 [DSM-5 uses “persistent depressive disorder”
Historical trauma, V61.8.
History of physical abuse,* V15.41
45
History of Rape, V15.41
History of emotional abuse, V15.42
History of neglect, V15.42
History of traumatic brain injury, V15.52 Excludes: personal history of
cerebrovascular accident (cerebral infarction) without residual deficits (V12.54)
History of tobacco use, V15.82 Excludes: tobacco dependence (305.1)
History of fall, V15.88
Histrionic personality disorder, 301.5;
Hoarding disorder, 300.3
Introduced by DSM-5
Homelessness, V60.0
Hypersomnolence disorder, 780.54
Hypersomnia related to [name psychiatric or another medical disorder if
applicable], 307.44;
Hypersomnia, primary, 307.44;
Hypnotic abuse, 305.40. Use the name of the hypnotic rather than “hypnotic” if the
hypnotic is specific.

Included as Hypnotic Use Disorder’ in DSM-5
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
Hypnotic dependence, 304.10. Use the name of the hypnotic rather than “hypnotic”
if the hypnotic is specific.

Included as Hypnotic Use Disorder’ in DSM-5
Mild: 305.40;
Moderate: 304.10;
Severe: 304.10;
46
Hypnotic-induced anxiety disorder, 291.89. Use the name of the hypnotic rather
than “hypnotic” if the hypnotic is specific.
Hypnotic-induced mood disorder, 291.84. Use the name of the hypnotic rather than
“hypnotic” if the hypnotic is specific.
Hypnotic-induced persisting amnestic disorder, 291.83. Use the name of the
hypnotic rather than “hypnotic” if the hypnotic is specific.
Hypnotic-induced persisting dementia, 292.82. Use the name of the hypnotic rather
than “hypnotic” if the hypnotic if specific.
Hypnotic-induced psychotic disorder with delusions, 292.11. Use the name of the
hypnotic rather than “hypnotic” if the hypnotic is specific.
Hypnotic-induced psychotic disorder with hallucinations, 292.12. Use the name of
the hypnotic rather than “hypnotic” if the hypnotic is specific.
Hypnotic-induced sexual dysfunctions, 291.89. Use the name of the hypnotic rather
than “hypnotic” if the hypnotic is specific.
Hypnotic-induced sleep disorder, 291.89. Use the name of the hypnotic rather than
“hypnotic” if the hypnotic is specific.
Hypnotic intoxication, 292.89. Use the name of the hypnotic rather than “hypnotic”
if the hypnotic is specific.
Hypnotic intoxication delirium, 292.81. Use the name of the hypnotic rather than
“hypnotic” if the hypnotic is specific.
Hypnotic-related disorder NOS, 292.9. Use the name of the hypnotic rather than
“hypnotic” if the hypnotic is specific.
Hypnotic withdrawal, 292.0. Use the name of the hypnotic rather than “hypnotic” if
the hypnotic is specific.
Hypnotic withdrawal delirium, 292.81. Use the name of the hypnotic rather than
“hypnotic” is the hypnotic is specific.
Hypoactive sexual desire disorder, 302.71
Hypochondriasis, 300.7

Included as ‘Illness anxiety disorder' in DSM-5; 300.7
Identity disorder, 313.82
Imprisonment or other incarceration. V62.5
Impulse-control disorder NOS, 312.30
47
Impulsiveness, 799.23
use this entity:
1] When no psychiatric syndrome is being diagnosed
Or
2] When the syndrome being diagnosed does not include
“impulsiveness,” and the impulsiveness is of clinical concern.
Inadequate housing , V60.1
Inadequate material resources, includes economic problems and poverty, V60.2
Inhalant abuse disorder, 305.90
Included within Inhalant Use Disorder in DSM-5
Inhalant dependence, 304.60
Included within Inhalant Use Disorder in DSM-5
Inhalant-induced anxiety disorder, 292.89
Inhalant-induced depressive disorder, 292.84
Inhalant-induced psychotic disorder , 292.9
;
Inhalant intoxication, 292.89
Inhalant intoxication delirium, 292.81
Inhalant use disorder
Mild use disorder: 305.90;
Moderate, 304.60
Severe use: 304.60;
;
Irritability, 799.22
Use this entity
1] When no psychiatric syndrome is being diagnosed
Or
2] When the syndrome being diagnosed does not include “irritability”
and irritability is of clinical concern.
Insomnia, 780.52;
48
 Included as ‘Insomnia disorder’ in DSM-5.

Insomnia disorder, 780.52;
1] When no other psychiatric syndrome is being diagnosed
Or
2] When the syndrome being diagnosed does not include “insomnia.”
Insomnia related to [name disorder], 307.42
Insufficient social insurance or welfare support, V60.2;
Intermittent explosive disorder, 312.34
Internet gaming disorder, 312.39.
In DSM-5 as a Condition for Further Study
Kleptomania, 312.32,
Lack of adequate food, V60.2
Lack of housing, V60.0
Lack of safe drinking water, V60.2
Learning disorder NOS, 315.9;
Low income, V60.2
Major depressive disorder, recurrent episode;
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;
Major depressive disorder, single episode;
49
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;
Malingering, V65.2
Maltreatment, child
Mathematical disorder, 315.1

In DSM-5 as Specific learning disorder: With impairment in mathematics,
315.1
Medication-induced acute akathisia, 333.99
Medication-induced acute dystonia, 333.72
Medication-induced delirium, 292.81
Medication-induced postural tremor, 333.1
Medication-induced movement disorder, 333.90;
Medication-induced postural tremor, 333.1;
Mental retardation, use “Intellectual disability” instead
Mild frontotemporal neurocognitive disorder, 331.83
Mild neurocognitive disorder due to Alzheimer’s disease, 331.83
Mild neurocognitive disorder due to another medical condition, 331.83
Mild neurocognitive disorder due to HIV infection, 331.83
Mild neurocognitive disorder due to Huntington’s disease, 331.83
Mild neurocognitive disorder due to multiple etiologies, 331.83
Mild neurocognitive disorder due to Parkinson’s disease, 331.83
Mild neurocognitive disorder due to prion disease, 331.83
Mild neurocognitive disorder due to traumatic brain injury 331.83
50
Mild neurocognitive disorder with Lewy bodies , 331.83
Mild vascular neurocognitive disorder , 331.83
Mixed receptive-expressive language disorder, 315.31
Moderate mental retardation, 318.0 [IQ 35-49]
Mood disorder due to [name disorder], 293.83
Mood disorder NOS, 296.90
Narcissistic personality disorder, 301.89
Often better to use “Narcissistic Syndrome, 30189”
Narcissistic syndrome, 301.89
Narcolepsy, 347
Narcolepsy secondary to another medical condition, 347.10
Narcolepsy with cataplexy but without hypocretin deficiency, 347.01
Narcolepsy without cataplexy but with hypocretin deficiency, 347.00
ND-PAE = Neurodevelopmental disorder associated with prenatal alcohol exposure,
315.8
Neglect of child, V61.21
Neglect of child, 995.5 [if focus of attention in on the victim]
Nervousness, 799.21
Use this entity:
1] When no psychiatric syndrome is being diagnosed
Or
2] When the syndrome being diagnosed does not include
“nervousness” and the nervousness is of clinical concern]
Neurasthenia, 300.5 ;
Neurobehavioral disorder associated with prenatal alcohol exposure [ND-PAE],
instead use “Neurodevelopmental disorder associated with prenatal alcohol
exposure”
Neurodevelopmental disorder associated with prenatal alcohol exposure [ND-PAE],
315.8
51
Neuroleptic-induced acute akathisia, 333.99;
Neuroleptic-induced acute dystonia, 333.7
Neuroleptic-induced parkinsonism, 332.1
Neuroleptic-induced tardive dyskinesia, 333.85
Neuroleptic malignant syndrome, 333.92
Niacin deficiency 265.2
Nicotine dependence, 305.10
Nicotine-related disorder NOS, 292.9
Nicotine withdrawal, 292.0
Nightmare disorder, 307.47
No diagnosis, 799.9;
Non-adherence to medical treatment, V15.81
No disease found, V71.9;
Noncompliance with treatment, V15.81
Non-adherence to medical treatment, V15.81
Non-dependent abuse of drugs, 305
Non-organic psychoses, other, 298.8
Nonpsychotic mental disorder, unspecified, 300.89
Non-rapid-eye-movement-sleep arousal disorder
Sleep terror type, 307.46
Sleepwalking type, 307.46
Non-suicidal self-injury, 300.9
Obesity, 298.00
Obsessive-compulsive disorder, 300.3
Obsessive-compulsive personality disorder, 301.4
Often Anancastic syndrome will be preferable, 301.4
Obsessive-compulsive and related disorder due to another medical condition, 294.8,
Occupational problem, V62.2
52
Olfactory reference disorder, 300.3
[= Person is preoccupied with the belief that they are emitting a foul or
offensive odor]
Opioid abuse, 305.50;
Included as ‘Opioid use disorder’ in DSM-5
Mild: 305.50
Moderate, 304.00
Severe disorder: 304.00
Unspecified opioid-elated disorder, 292.9
Opioid dependence, 304.00
Included as ‘Opioid use disorder’ in DSM-5
Mild: 305.50
Moderate, 304.00
Severe, 304.00
Opioid-induced mood disorder, 292.84
Included as “Opioid-induced depressive disorder” in DSM-5
Opioid-induced psychotic disorder with delusions, 292.11
Opioid-induced psychotic disorder with hallucinations, 292.12
Opioid-induced sexual disorder, 292.89;
Opioid-induced sleep disorder, 292.89;
Opioid-induced delirium
Opioid intoxication, 292.89
Opioid intoxication delirium, 292.89
Opioid-related disorder NOS, 292.9;
Opioid withdrawal, 292.0
Opioid-related disorder, unspecified, 292.9
Oppositional defiant disorder, 313.81
Other adverse effect of medication, 995.20
53
Other circumstances related to adult abuse by non-spouse or non-partner:
Encounter for mental health services for perpetrator of non-spousal adult
abuse, V62.83
Encounter for mental health services for victim of non-spousal adult abuse,
V65.49
Other circumstances related to child neglect:
Encounter for mental health services for perpetrator of non-parental child
neglect, V62.83
Encounter for mental health services for perpetrator of parental child
neglect, V61.22
Encounter for mental health services for victim of child neglect by parent,
V61.21
Encounter for mental health services for victim of non-parental child neglect,
V61.21
Personal history [past history] of neglect in childhood, V15.42
Other circumstances related to child physical abuse:
Encounter for mental health services for perpetrator of non-parental child
physical abuse, V62.83
Encounter mental health services for perpetrator of parental child physical
abuse, V61.22
Encounter mental health services for victim of child physical abuse by
parent, V61.21
Encounter for mental health services for victim of non-parental child
physical abuse, V61.21
Personal history (past history) of physical abuse in childhood, V15.41
Other circumstances to child sexual abuse:
Encounter for mental health services for perpetrator of nonparental child
sexual abuse, V62.83
;
Encounter for mental health services for perpetrator of parental child sexual
abuse, V61.22
54
Encounter for mental health services for victim of child sexual abuse by
parent, V61.21
Encounter for mental health services for victim of non-parental child sexual
abuse, V61.21
;
Personal history (past history) of sexual abuse in childhood, V15.41
Other circumstances related to adult abuse by nonspouse or non-partner:
Encounter for mental health services for perpetrator of non-spousal adult
abuse, V62.83
Encounter for mental health services for victim of non-spousal adult abuse,
V61.11
Other circumstances related to spouse or partner psychological abuse:
Encounter for mental health services for perpetrator of spouse or partner
psychological abuse, V61.12
Encounter for mental health services for victim of spouse or partner
psychological abuse, V61.11
Personal history (past history) of spouse or partner psychological abuse,
V15.42
Other circumstances related to spouse or partner neglect:
Encounter for mental health services for perpetrator of spouse partner
neglect, V61.12
Encounter for mental health services for victim of spouse or partner neglect,
V61.11
Personal history (past history) of spouse or partner neglect, V15.42
Other circumstances related to spouse or partner physical violence:
Encounter for mental health services for perpetrator of spouse or partner
physical violence, V61.12
Encounter for mental health services for victim of spouse or partner physical
violence, V61.11
55
Personal history (past history) of spouse or partner physical violence,
V15.41
Other circumstances related to spouse or partner sexual violence:
Encounter for mental health services for perpetrator of spouse or partner
sexual violence, V61.12
Encounter for mental health services for victim of spouse or partner sexual
violence, V61.11
Personal history (past history) of spouse or partner sexual violence, V15.41
Other counseling or consultation, V65.40
Other hallucinogen-induced anxiety disorder, 292.89
Other hallucinogen-induced bipolar and related disorder, 292.84;
Other hallucinogen-induced depressive disorder, 292.84;
Other hallucinogen-induced psychotic disorder, 292.9;
Other hallucinogen intoxication, 292.89;
Other hallucinogen intoxication delirium, 292.81;
Other hallucinogen use disorder
Mild: 305.30;
Moderate: 304.50;
Severe: 304.50];
Other medication-induced movement disorder, 333.99
Other medication-induced parkinsonism, 332.1
Other personal history of psychological trauma, V15.49
Other personal risk factors, V15.89
Other problem related to employment, V62.29
Other problem related to psychosocial circumstances, V62.89
Other specified anxiety disorder, 300.09
56
Other specified attention-deficit/hyperactivity disorder, 314.01
Other specified bipolar and related disorder, 296.89
Other specified delirium, 780.09
Other specified depressive disorder, 311
Other specified disruptive, impulsive-control, and conduct disorder, 312.89
Other specified dissociative disorder, 300.15
Other specified elimination disorder
With fecal symptoms, 787.60
With urinary symptoms, 788.39
Other specified feeding or eating disorder, 307.59
Other specified gender dysphoria, 302.6
Other specified hypersomnolence disorder, 780.54
Other specified insomnia disorder, 780.52
Other specified mental disorder, 300.9
Other specified mental disorder due to another medical condition, 294.38
Other specified neurodevelopmental disorder, 315.8
Other specified obsessive-compulsive and related disorder, 300.3
Other specified paraphilic disorder, 302.89
Other specified personality disorder, 301.89
Other specified schizophrenia spectrum and other psychotic disorder, 298.8
Other specified sexual dysfunction, 302.79
Other specified sleep-wake disorder, 780.359
Other specified somatic symptom and related disorder, 300.89
Other specified tic disorder, 307.20
57
Other specified trauma-and stressor-related disorder, 309.89
Other (or unknown)substance-induced anxiety disorder, 292.89
Other (or unknown) substance-induced bipolar and related disorder, 292.84
Other (or unknown) substance-induced delirium, 292.81
Other (or unknown) substance-induced depressive disorder, 292.84
Other (or unknown) substance-induced major neurocognitive disorder, 292.82
Other (or unknown) substance-induced mild neurocognitive disorder, 292.89
Other (or unknown) substance-induced obsessive-compulsive disorder, 292.89
Other (or unknown) substance-induced psychotic disorder, 292.9
Other (or unknown) substance-induced bipolar and related disorder, 292.84
Other (or unknown) substance-induced depressive disorder, 292.84
Other (or unknown) substance-induced sexual dysfunction, 292.89
Other (or unknown) substance-induced sleep disorder, 292.85
Other (or unknown) substance intoxication, 292.89
Other (or unknown) substance intoxication delirium, 292.81
Other (or unknown) substance use disorder
Mild, 305.90
Moderate, 304.90
Severe, 304.90
Other (or unknown) substance withdrawal, 292.0
Other (or unknown) substance withdrawal delirium, 292.0
Other or unspecified stimulant use disorder
Mild, 305.70
Moderate, 304.40
Severe, 304.40
Other female sexual dysfunction due to [name disorder], 625.8
58
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
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,
Pain disorders related to psychological factors, 307.80
Psychogenic pain, site unspecified 307.80
Psychogenic pain, site specified, 307.89 [Code first the site of the pain]
Panic disorder, 300.01
Panic disorder with agoraphobia, 300.21;

Included as ‘Panic Disorder’ in DSM-5;
Panic disorder without agoraphobia, 300.01;

Included as ‘Panic Disorder’ in DSM-5;
Paranoid personality disorder, 301.0
Partner abuse, 995.82
Pathological gambling, 312.31
59

Parent-child relational problem; V61.20
Pedophilia, 302.2
Included as ‘Pedophilic disorder’ in DSM-5
Pedophilic disorder, 302.2
Pellagra 265.2
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:
When allowed, “syndrome” may be preferred to “personality
disorder.’
Example:
“Borderline syndrome.”
Anancastic, 301.4
Anankastic, 301.4
Antisocial, 3017
Compulsive, 401.4
Cyclothymic, 301.13
Dependent, 301.6
Depressed, 301.12
Dual, 301.14
Due to known condition,
Name and code first underlying physiological condition, then
disorder/syndrome.
Example:
Glioblastoma, frontal lobe, 191.1
Passive-aggressive syndrome, 301.84
60
Emotionally unstable, 301.59
Explosive, 301.3
Histrionic, 301.50
Labile, 301.59
Multiple, 300.14
Narcissistic, 301.81
Not Otherwise Specified, 301.9
Obsessive, 301.4
Obsessive-compulsive, 301.4
Other, 301.89
Paranoid, 301.0
Passive-aggressive, 301.84
Passive-dependent, 301.6
Schizoid, 301.20
Schizotypal, 301.22
Unclassified, 301.9
Pervasive personality disorder NOS, 299.80;
Phase of life problem, V62.89;
Phencyclidine Abuse, 305.90;
Phencyclidine Dependence, 304.90;
Phencyclidine-induced anxiety disorder, 291.89;
Phencyclidine-induced mood disorder, 292.84
Phencyclidine-induced psychotic disorder, with delusions, 292.11
Phencyclidine-induced psychotic disorder, with hallucinations, 292.12
Phencyclidine intoxication, 292.89;
Phencyclidine intoxication delirium, 292.81
Phencyclidine-related disorder NOS, 292.9
61
Phencyclidine use disorder
Continuous: 305.91
Episodic, 305.92
In remission: 305.93
Mild: 305.90
Moderate: 304.60
Severe: 304.60
Unspecified: 305.90
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.
Ablutophobia- Fear of washing or bathing.
Acarophobia- Fear of itching or of the insects that cause itching.
Acerophobia- Fear of sourness.
Achluophobia- Fear of darkness.
Acousticophobia- Fear of noise.
Acrophobia- Fear of heights.
Aerophobia- Fear of drafts, air swallowing, or airbourne noxious substances.
Aeroacrophobia- Fear of open high places.
Aeronausiphobia- Fear of vomiting secondary to airsickness.
Agateophobia- Fear of insanity.
Agliophobia- Fear of pain.
Agoraphobia- Fear of open spaces or of being in crowded, public places like
markets. Fear of leaving a safe place.
Agraphobia- Fear of sexual abuse.
Agrizoophobia- Fear of wild animals.
Agyrophobia- Fear of streets or crossing the street.
Aichmophobia- Fear of needles or pointed objects.
Ailurophobia- Fear of cats.
Albuminurophobia- Fear of kidney disease.
Alektorophobia- Fear of chickens.
Algophobia- Fear of pain.
Alliumphobia- Fear of garlic.
Allodoxaphobia- Fear of opinions.
Altophobia- Fear of heights.
62
Amathophobia- Fear of dust.
Amaxophobia- Fear of riding in a car.
Ambulophobia- Fear of walking.
Amnesiphobia- Fear of amnesia.
Amychophobia- Fear of scratches or being scratched.
Anablephobia- Fear of looking up.
Ancraophobia- Fear of wind. (Anemophobia)
Androphobia- Fear of men.
Anemophobia- Fear of air drafts or wind.(Ancraophobia)
Anginophobia- Fear of angina, choking or narrowness.
Anglophobia- Fear of England or English culture, etc.
Angrophobia - Fear of anger or of becoming angry.
Ankylophobia- Fear of immobility of a joint.
Anthrophobia or Anthophobia- Fear of flowers.
Anthropophobia- Fear of people or society.
Antlophobia- Fear of floods.
Anuptaphobia- Fear of staying single.
Apeirophobia- Fear of infinity.
Aphenphosmphobia- Fear of being touched. (Haphephobia)
Apiphobia- Fear of bees.
Apotemnophobia- Fear of persons with amputations.
Arachibutyrophobia- Fear of peanut butter sticking to the roof of the mouth.
Arachnephobia or Arachnophobia- Fear of spiders.
Arithmophobia- Fear of numbers.
Arrhenphobia- Fear of men.
Arsonphobia- Fear of fire.
Asthenophobia- Fear of fainting or weakness.
Astraphobia or Astrapophobia- Fear of thunder and lightning.(Ceraunophobia,
Keraunophobia)
Astrophobia- Fear of stars or celestial space.
Asymmetriphobia- Fear of asymmetrical things.
Ataxiophobia- Fear of ataxia. (muscular incoordination)
Ataxophobia- Fear of disorder or untidiness.
Atelophobia- Fear of imperfection.
Atephobia- Fear of ruin or ruins.
Athazagoraphobia- Fear of being forgotton or ignored or forgetting.
Atomosophobia- Fear of atomic explosions.
Atychiphobia- Fear of failure.
Aulophobia- Fear of flutes.
Aurophobia- Fear of gold.
Auroraphobia- Fear of Northern lights.
Autodysomophobia- Fear of one that has a vile odor.
Automatonophobia- Fear of ventriloquist's dummies, animatronic creatures, wax
statues - anything that falsly represents a sentient being.
Automysophobia- Fear of being dirty.
63
Autophobia- Fear of being alone or of oneself.
Aviophobia or Aviatophobia- Fear of flying.
Bacillophobia- Fear of microbes.
Bacteriophobia- Fear of bacteria.
Ballistophobia- Fear of missiles or bullets.
Bolshephobia- Fear of Bolsheviks.
Barophobia- Fear of gravity.
Basophobia or Basiphobia- Inability to stand. Fear of walking or falling.
Bathmophobia- Fear of stairs or steep slopes.
Bathophobia- Fear of depth.
Batophobia- Fear of heights or being close to high buildings.
Batrachophobia- Fear of amphibians, such as frogs, newts, salamanders, etc.
Belonephobia- Fear of pins and needles. (Aichmophobia)
Bibliophobia- Fear of books.
Blennophobia- Fear of slime.
Bogyphobia- Fear of bogeys or the bogeyman.
Botanophobia- Fear of plants.
Bromidrosiphobia or Bromidrophobia- Fear of body smells.
Brontophobia- Fear of thunder and lightning.
Bufonophobia- Fear of toads.
Chiraptophobia- Fear of being touched.
Chirophobia- Fear of hands.
Chiroptophobia- Fear of bats.
Cholerophobia- Fear of anger or the fear of cholera.
Chorophobia- Fear of dancing.
Chrometophobia or Chrematophobia- Fear of money.
Chromophobia or Chromatophobia- Fear of colors.
Chronophobia- Fear of time.
Chronomentrophobia- Fear of clocks.
Cibophobia- Fear of food.(Sitophobia, Sitiophobia)
Claustrophobia- Fear of confined spaces.
Cleithrophobia or Cleisiophobia- Fear of being locked in an enclosed place.
Cleptophobia- Fear of stealing.
Climacophobia- Fear of stairs, climbing, or of falling downstairs.
Clinophobia- Fear of going to bed.
Clithrophobia or Cleithrophobia- Fear of being enclosed.
Cnidophobia- Fear of stings.
Cometophobia- Fear of comets.
Coimetrophobia- Fear of cemeteries.
Coitophobia- Fear of coitus.
Contreltophobia- Fear of sexual abuse.
Coprastasophobia- Fear of constipation.
Coprophobia- Fear of feces.
Consecotaleophobia- Fear of chopsticks.
Coulrophobia- Fear of clowns.
64
Counterphobia- The preference by a phobic for fearful situations.
Cremnophobia- Fear of precipices.
Cryophobia- Fear of extreme cold, ice or frost.
Crystallophobia- Fear of crystals or glass.
Cyberphobia- Fear of computers or working on a computer.
Cyclophobia- Fear of bicycles.
Cymophobia or Kymophobia- Fear of waves or wave like motions.
Cynophobia- Fear of dogs or rabies.
Cypridophobia or Cypriphobia or Cyprianophobia or Cyprinophobia - Fear of
prostitutes or venereal disease.
Decidophobia- Fear of making decisions.
Defecaloesiophobia- Fear of painful bowels movements.
Deipnophobia- Fear of dining or dinner conversations.
Dementophobia- Fear of insanity.
Demonophobia or Daemonophobia- Fear of demons.
Demophobia- Fear of crowds. (Agoraphobia)
Dendrophobia- Fear of trees.
Dentophobia- Fear of dentists.
Dermatophobia- Fear of skin lesions.
Dermatosiophobia or Dermatophobia or Dermatopathophobia- Fear of skin
disease.
Dextrophobia- Fear of objects at the right side of the body.
Diabetophobia- Fear of diabetes.
Didaskaleinophobia- Fear of going to school.
Dikephobia- Fear of justice.
Dinophobia- Fear of dizziness or whirlpools.
Diplophobia- Fear of double vision.
Dipsophobia- Fear of drinking.
Dishabiliophobia- Fear of undressing in front of someone.
Disposophobia- Fear of throwing stuff out. Hoarding.
Domatophobia- Fear of houses or being in a house.(Eicophobia, Oikophobia)
Doraphobia- Fear of fur or skins of animals.
Doxophobia- Fear of expressing opinions or of receiving praise.
Dromophobia- Fear of crossing streets.
Dutchphobia- Fear of the Dutch.
Dysmorphophobia- Fear of deformity.
Dystychiphobia- Fear of accidents.
Ecclesiophobia- Fear of church.
Ecophobia- Fear of home.
Eicophobia- Fear of home surroundings.(Domatophobia, Oikophobia)
Eisoptrophobia- Fear of mirrors or of seeing oneself in a mirror.
Electrophobia- Fear of electricity.
Eleutherophobia- Fear of freedom.
Elurophobia- Fear of cats. (Ailurophobia)
65
Emetophobia- Fear of vomiting.
Enetophobia- Fear of pins.
Enochlophobia- Fear of crowds.
Enosiophobia or Enissophobia- Fear of having committed an unpardonable sin or
of criticism.
Entomophobia- Fear of insects.
Eosophobia- Fear of dawn or daylight.
Ephebiphobia- Fear of teenagers.
Epistaxiophobia- Fear of nosebleeds.
Epistemophobia- Fear of knowledge.
Equinophobia- Fear of horses.
Eremophobia- Fear of being oneself or of lonliness.
Ereuthrophobia- Fear of blushing.
Ergasiophobia- 1) Fear of work or functioning. 2) Surgeon's fear of operating.
Ergophobia- Fear of work.
Erotophobia- Fear of sexual love or sexual questions.
Euphobia- Fear of hearing good news.
Eurotophobia- Fear of female genitalia.
Erythrophobia or Erytophobia or Ereuthophobia- 1) Fear of redlights. 2) Blushing.
3) Red.
Febriphobia or Fibriphobia or Fibriophobia- Fear of fever.
Felinophobia- Fear of cats. (Ailurophobia, Elurophobia, Galeophobia,
Gatophobia)
Francophobia- Fear of France or French culture. (Gallophobia, Galiophobia)
Frigophobia- Fear of cold or cold things.(Cheimaphobia, Cheimatophobia,
Psychrophobia)
Galeophobia or Gatophobia- Fear of cats.
Gallophobia or Galiophobia- Fear France or French culture. (Francophobia)
Gamophobia- Fear of marriage.
Geliophobia- Fear of laughter.
Gelotophobia- Fear of being laughed at.
Geniophobia- Fear of chins.
Genophobia- Fear of sex.
Genuphobia- Fear of knees.
Gephyrophobia or Gephydrophobia or Gephysrophobia- Fear of crossing bridges.
Germanophobia- Fear of Germany or German culture.
Gerascophobia- Fear of growing old.
Gerontophobia- Fear of old people or of growing old.
Geumaphobia or Geumophobia- Fear of taste.
Glossophobia- Fear of speaking in public or of trying to speak.
Gnosiophobia- Fear of knowledge.
Graphophobia- Fear of writing or handwriting.
Gymnophobia- Fear of nudity.
Gynephobia or Gynophobia- Fear of women.
66
Hadephobia- Fear of hell.
Hagiophobia- Fear of saints or holy things.
Hamartophobia- Fear of sinning.
Haphephobia or Haptephobia- Fear of being touched.
Harpaxophobia- Fear of being robbed.
Hedonophobia- Fear of feeling pleasure.
Heliophobia- Fear of the sun.
Hellenologophobia- Fear of Greek terms or complex scientific terminology.
Helminthophobia- Fear of being infested with worms.
Hemophobia or Hemaphobia or Hematophobia- Fear of blood.
Heresyphobia or Hereiophobia- Fear of challenges to official doctrine or of
radical deviation.
Herpetophobia- Fear of reptiles or creepy, crawly things.
Heterophobia- Fear of the opposite sex. (Sexophobia)
Hexakosioihexekontahexaphobia- Fear of the number 666.
Hierophobia- Fear of priests or sacred things.
Hippophobia- Fear of horses.
Hippopotomonstrosesquipedaliophobia- Fear of long words.
Hobophobia- Fear of bums or beggars.
Hodophobia- Fear of road travel.
Hormephobia- Fear of shock.
Homichlophobia- Fear of fog.
Homilophobia- Fear of sermons.
Hominophobia- Fear of men.
Homophobia- Fear of sameness, monotony or of homosexuality or of becoming
homosexual.
Hoplophobia- Fear of firearms.
Hydrargyophobia- Fear of mercurial medicines.
Hydrophobia- Fear of water or of rabies.
Hydrophobophobia- Fear of rabies.
Hyelophobia or Hyalophobia- Fear of glass.
Hygrophobia- Fear of liquids, dampness, or moisture.
Hylephobia- Fear of materialism or the fear of epilepsy.
Hylophobia- Fear of forests.
Hypengyophobia or Hypegiaphobia- Fear of responsibility.
Hypnophobia- Fear of sleep or of being hypnotized.
Hypsiphobia- Fear of height.
Iatrophobia- Fear of going to the doctor or of doctors.
Ichthyophobia- Fear of fish.
Ideophobia- Fear of ideas.
Illyngophobia- Fear of vertigo or feeling dizzy when looking down.
Iophobia- Fear of poison.
Insectophobia - Fear of insects.
Isolophobia- Fear of solitude, being alone.
67
Isopterophobia- Fear of termites, insects that eat wood.
Ithyphallophobia- Fear of seeing, thinking about or having an erect penis.
Japanophobia- Fear of Japanese.
Judeophobia- Fear of Jews.
Kainolophobia or Kainophobia- Fear of anything new, novelty.
Kakorrhaphiophobia- Fear of failure or defeat.
Katagelophobia- Fear of ridicule.
Kathisophobia- Fear of sitting down.
Katsaridaphobia- Fear of cockroaches.
Kenophobia- Fear of voids or empty spaces.
Keraunophobia or Ceraunophobia- Fear of thunder and lightning.(Astraphobia,
Astrapophobia)
Kinetophobia or Kinesophobia- Fear of movement or motion.
Kleptophobia- Fear of stealing.
Koinoniphobia- Fear of rooms.
Kolpophobia- Fear of genitals, particularly female.
Kopophobia- Fear of fatigue.
Koniophobia- Fear of dust. (Amathophobia)
Kosmikophobia- Fear of cosmic phenomenon.
Kymophobia- Fear of waves. (Cymophobia)
Kynophobia- Fear of rabies.
Kyphophobia- Fear of stooping.
Lachanophobia- Fear of vegetables.
Laliophobia or Lalophobia- Fear of speaking.
Leprophobia or Lepraphobia- Fear of leprosy.
Leukophobia- Fear of the color white.
Levophobia- Fear of things to the left side of the body.
Ligyrophobia- Fear of loud noises.
Lilapsophobia- Fear of tornadoes and hurricanes.
Limnophobia- Fear of lakes.
Linonophobia- Fear of string.
Liticaphobia- Fear of lawsuits.
Lockiophobia- Fear of childbirth.
Logizomechanophobia- Fear of computers.
Logophobia- Fear of words.
Luiphobia- Fear of lues, syphillis.
Lutraphobia- Fear of otters.
Lygophobia- Fear of darkness.
Lyssophobia- Fear of rabies or of becoming mad.
Nebulaphobia- Fear of fog. (Homichlophobia)
Necrophobia- Fear of death or dead things.
68
Nelophobia- Fear of glass.
Neopharmaphobia- Fear of new drugs.
Neophobia- Fear of anything new.
Nephophobia- Fear of clouds.
Noctiphobia- Fear of the night.
Nomatophobia- Fear of names.
Nosocomephobia- Fear of hospitals.
Nosophobia or Nosemaphobia- Fear of becoming ill.
Nostophobia- Fear of returning home.
Novercaphobia- Fear of your step-mother.
Nucleomituphobia- Fear of nuclear weapons.
Nudophobia- Fear of nudity.
Numerophobia- Fear of numbers.
Nyctohylophobia- Fear of dark wooded areas or of forests at night
Nyctophobia- Fear of the dark or of night.
Obesophobia- Fear of gaining weight.(Pocrescophobia)
Ochlophobia- Fear of crowds or mobs.
Ochophobia- Fear of vehicles.
Octophobia - Fear of the figure 8.
Odontophobia- Fear of teeth or dental surgery.
Odynophobia or Odynephobia- Fear of pain. (Algophobia)
Oenophobia- Fear of wines.
Oikophobia- Fear of home surroundings, house.(Domatophobia,
Eicophobia)
Olfactophobia- Fear of smells.
Ombrophobia- Fear of rain or of being rained on.
Ommetaphobia or Ommatophobia- Fear of eyes.
Omphalophobia- Fear of belly buttons.
Oneirophobia- Fear of dreams.
Oneirogmophobia- Fear of wet dreams.
Onomatophobia- Fear of hearing a certain word or of names.
Ophidiophobia- Fear of snakes. (Snakephobia)
Ophthalmophobia- Fear of being stared at.
Opiophobia- Fear medical doctors experience of prescribing needed pain
medications for patients.
Optophobia- Fear of opening one's eyes.
Ornithophobia- Fear of birds.
Orthophobia- Fear of property.
Osmophobia or Osphresiophobia- Fear of smells or odors.
Ostraconophobia- Fear of shellfish.
Ouranophobia or Uranophobia- Fear of heaven.
Pagophobia- Fear of ice or frost.
Panthophobia- Fear of suffering and disease.
69
Panophobia or Pantophobia- Fear of everything.
Papaphobia- Fear of the Pope.
Papyrophobia- Fear of paper.
Paralipophobia- Fear of neglecting duty or responsibility.
Paraphobia- Fear of sexual perversion.
Parasitophobia- Fear of parasites.
Paraskavedekatriaphobia- Fear of Friday the 13th.
Parthenophobia- Fear of virgins or young girls.
Pathophobia- Fear of disease.
Patroiophobia- Fear of heredity.
Parturiphobia- Fear of childbirth.
Peccatophobia- Fear of sinning or imaginary crimes.
Pediculophobia- Fear of lice.
Pediophobia- Fear of dolls.
Pedophobia- Fear of children.
Peladophobia- Fear of bald people.
Pellagrophobia- Fear of pellagra.
Peniaphobia- Fear of poverty.
Pentheraphobia- Fear of mother-in-law. (Novercaphobia)
Phagophobia- Fear of swallowing or of eating or of being eaten.
Phalacrophobia- Fear of becoming bald.
Phallophobia- Fear of a penis, esp erect.
Pharmacophobia- Fear of taking medicine.
Phasmophobia- Fear of ghosts.
Phengophobia- Fear of daylight or sunshine.
Philemaphobia or Philematophobia- Fear of kissing.
Philophobia- Fear of falling in love or being in love.
Philosophobia- Fear of philosophy.
Phobophobia- Fear of phobias.
Photoaugliaphobia- Fear of glaring lights.
Photophobia- Fear of light.
Phonophobia- Fear of noises or voices or one's own voice; of telephones.
Phronemophobia- Fear of thinking.
Phthiriophobia- Fear of lice. (Pediculophobia)
Phthisiophobia- Fear of tuberculosis.
Placophobia- Fear of tombstones.
Plutophobia- Fear of wealth.
Pluviophobia- Fear of rain or of being rained on.
Pneumatiphobia- Fear of spirits.
Pnigophobia or Pnigerophobia- Fear of choking of being smothered.
Pocrescophobia- Fear of gaining weight. (Obesophobia)
Pogonophobia- Fear of beards.
Poliosophobia- Fear of contracting poliomyelitis.
Politicophobia- Fear or abnormal dislike of politicians.
Polyphobia- Fear of many things.
Poinephobia- Fear of punishment.
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Ponophobia- Fear of overworking or of pain.
Porphyrophobia- Fear of the color purple.
Potamophobia- Fear of rivers or running water.
Potophobia- Fear of alcohol.
Pharmacophobia- Fear of drugs.
Proctophobia- Fear of rectums.
Prosophobia- Fear of progress.
Psellismophobia- Fear of stuttering.
Psychophobia- Fear of mind.
Psychrophobia- Fear of cold.
Pteromerhanophobia- Fear of flying.
Pteronophobia- Fear of being tickled by feathers.
Pupaphobia - Fear of puppets.
Pyrexiophobia- Fear of Fever.
Pyrophobia- Fear of fire.
Radiophobia- Fear of radiation, x-rays.
Ranidaphobia- Fear of frogs.
Rectophobia- Fear of rectum or rectal diseases.
Rhabdophobia- Fear of being severely punished or beaten by a rod, or of
being severely criticized. Also fear of magic.(wand)
Rhypophobia- Fear of defecation.
Rhytiphobia- Fear of getting wrinkles.
Rupophobia- Fear of dirt.
Russophobia- Fear of Russians.
Samhainophobia: Fear of Halloween.
Sarmassophobia- Fear of love play. (Malaxophobia)
Satanophobia- Fear of Satan.
Scabiophobia- Fear of scabies.
Scatophobia- Fear of fecal matter.
Scelerophibia- Fear of bad men, burglars.
Sciophobia Sciaphobia- Fear of shadows.
Scoleciphobia- Fear of worms.
Scolionophobia- Fear of school.
Scopophobia or Scoptophobia- Fear of being seen or stared at.
Scotomaphobia- Fear of blindness in visual field.
Scotophobia- Fear of darkness. (Achluophobia)
Scriptophobia- Fear of writing in public.
Selachophobia- Fear of sharks.
Selaphobia- Fear of light flashes.
Selenophobia- Fear of the moon.
Seplophobia- Fear of decaying matter.
Sesquipedalophobia- Fear of long words.
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Sexophobia- Fear of the opposite sex. (Heterophobia)
Siderodromophobia- Fear of trains, railroads or train travel.
Siderophobia- Fear of stars.
Sinistrophobia- Fear of things to the left or left-handed.
Sinophobia- Fear of Chinese, Chinese culture.
Sitophobia or Sitiophobia- Fear of food or eating. (Cibophobia)
Snakephobia- Fear of snakes. (Ophidiophobia)
Soceraphobia- Fear of parents-in-law.
Social Phobia- Fear of being evaluated negatively in social situations.
Sociophobia- Fear of society or people in general.
Somniphobia- Fear of sleep.
Sophophobia- Fear of learning.
Soteriophobia - Fear of dependence on others.
Spacephobia- Fear of outer space.
Spectrophobia- Fear of specters or ghosts.
Spermatophobia or Spermophobia- Fear of germs.
Spheksophobia- Fear of wasps.
Stasibasiphobia or Stasiphobia- Fear of standing or walking.
(Ambulophobia)
Staurophobia- Fear of crosses or the crucifix.
Stenophobia- Fear of narrow things or places.
Stygiophobia or Stigiophobia- Fear of hell.
Suriphobia- Fear of mice.
Symbolophobia- Fear of symbolism.
Symmetrophobia- Fear of symmetry.
Syngenesophobia- Fear of relatives.
Syphilophobia- Fear of syphilis.
Tachophobia- Fear of speed.
Taeniophobia or Teniophobia- Fear of tapeworms.
Taphephobia Taphophobia- Fear of being buried alive or of cemeteries.
Tapinophobia- Fear of being contagious.
Taurophobia- Fear of bulls.
Technophobia- Fear of technology.
Teleophobia- 1) Fear of definite plans. 2) Religious ceremony.
Telephonophobia- Fear of telephones.
Teratophobia- Fear of bearing a deformed child or fear of monsters or
deformed people.
Testophobia- Fear of taking tests.
Tetanophobia- Fear of lockjaw, tetanus.
Teutophobia- Fear of German or German things.
Textophobia- Fear of certain fabrics.
Thaasophobia- Fear of sitting.
Thalassophobia- Fear of the sea.
Thanatophobia or Thantophobia- Fear of death or dying.
72
Theatrophobia- Fear of theatres.
Theologicophobia- Fear of theology.
Theophobia- Fear of gods or religion.
Thermophobia- Fear of heat.
Tocophobia- Fear of pregnancy or childbirth.
Tomophobia- Fear of surgical operations.
Tonitrophobia- Fear of thunder.
Topophobia- Fear of certain places or situations, such as stage fright.
Toxiphobia or Toxophobia or Toxicophobia- Fear of poison or of being
accidently poisoned.
Traumatophobia- Fear of injury.
Tremophobia- Fear of trembling.
Trichinophobia- Fear of trichinosis.
Trichopathophobia or Trichophobia- Fear of hair. (Chaetophobia,
Hypertrichophobia)
Triskaidekaphobia- Fear of the number 13.
Tropophobia- Fear of moving or making changes.
Trypanophobia- Fear of injections.
Tuberculophobia- Fear of tuberculosis.
Tyrannophobia- Fear of tyrants.
Uranophobia or Ouranophobia- Fear of heaven.
Urophobia- Fear of urine or urinating.
Vaccinophobia- Fear of vaccination.
Venustraphobia- Fear of beautiful women.
Verbophobia- Fear of words.
Verminophobia- Fear of germs.
Vestiphobia- Fear of clothing.
Virginitiphobia- Fear of rape.
Vitricophobia- Fear of step-father.
Walloonphobia- Fear of the Walloons.
Wiccaphobia: Fear of witches and witchcraft.
Xanthophobia- Fear of the color yellow or the word yellow.
Xenoglossophobia- Fear of foreign languages.
Xenophobia- Fear of strangers or foreigners.
Xerophobia- Fear of dryness.
Xylophobia- 1) Fear of wooden objects. 2) Forests.
Xyrophobia-Fear of razors.
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Zelophobia- Fear of jealousy.
Zeusophobia- Fear of God or gods.
Zemmiphobia- Fear of the great mole rat.
Zoophobia- Fear of animals.
Phobic disorders, 300.2;
Phonological disorder, 315.39;
Physical abuse of adult, V61.1;
Physical abuse of adult [if the victim], 995.81;
Physical abuse of child, V61.21;
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;
Polysubstance dependence, 304.80;
Presenile dementia, 290.1;
Psychic factors associated with diseases classified elsewhere, 316
List with the other condition, e.g.:
Asthma with psychic factors 493.9 [316]
Post-traumatic stress disorder, 309.81
Premature ejaculation, 302.75
Premenstrual dysphoric disorder, 625.4
Primary hypersomnia, 307.44;
Primary insomnia, 307.42;
Profound mental retardation, 318.2
“Intellectual disability” is preferred. Avoid “mental retardation
Problem related to living alone, V60.3
Problem related to living in a residential institution, V60.6
74
Problems related to multiparity, V61.5
Problems related to legal circumstances, V62.5
Problems related to release from prison, V62.5
Problems related to unwanted pregnancy, V61.7
Pseudobulbar effect, 310.81
Pseudocyesis, 300.89
Psychogenic pain, site unspecified, 307.80
Psychogenic pain, site specified, 307.89. Specify site first.
Psychophysiologic Insomnia, 407.42
Psychological factors affecting medical conditions, 316
List with the other condition, e.g.:
Asthma with psychological factors 493.9 [316]
Psychotic disorder due to [name somatic illness] with delusions, 293.81;
Psychotic disorder due to [name somatic illness] with hallucinations, 293.82;
Psychotic disorder NOS, 298.9
Pyromania, 312.33;
Rapid eye movement sleep behavior disorder, 327.42
Reactive attachment disorder of infancy or early childhood, 313.89
Use additional code to identify any associated failure to thrive or growth
retardation
Reading disorder, unspecified, 315.00
Reference disorder, olfactory, 300.3
Reference syndrome, olfactory, 300.3
Relational problem Not Otherwise Specified, V62.81;
75
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
Restless legs syndrome [RLS], 333.94; [ICD 10-CM: G25.81]

Included in DSM -5
Rett’s disorder, 330.8;
Rett’s syndrome, 330.8
Rumination disorder, 307.53;
Schizoaffective disorder, 295.70
Bipolar Type, 295.70
Depressive type, 295.70
Schizoid personality disorder, 301.20;
Schizophrenia, 295.90;
Schizophrenia, catatonic type, 295.20 ;
Schizophrenia, disorganized type, 295.10;
Schizophrenia, paranoid type, 295.30;
Schizophrenia, residual type, 295.60;
Schizophrenia, undifferentiated type, 295.90;
Schizophreniform disorder, 295.40
Schizotypal personality disorder, 301.22
Sedative abuse, 305.40
Sedative dependence, 304.10
Sedative-induced anxiety disorder, 291.89
Sedative-induced mood disorder, 291.84
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Sedative-induced persisting amnestic disorder, 291.83
Sedative-induced persisting dementia, 292.82
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
Sedative intoxication, 292.89;
Sedative intoxication delirium, 292.81;
Sedative-related disorder Not Otherwise Specified, 292.9;
Sedative withdrawal, 292.0;
Sedative withdrawal delirium, 292.81;
Sedative-, hypnotic-, or anxiolytic-induced major neurocognitive, 292.82
Sedative-, hypnotic-, or anxiolytic-induced mild neurocognitive, 292.89
Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder, 292.9
Sedative-, hypnotic-, anxiolytic-induced sexual dysfunction, 292.89
Sedative-, hypnotic-, anxiolytic-induced sleep disorder, 292.85
Sedative-, hypnotic-, or anxiolytic intoxication, 292.89
Sedative, hypnotic, or anxiolytic intoxication delirium, 292.81
Sedative, hypnotic, or anxiolytic use disorder
Mild, 305.40
Moderate, 304.10
Severe, 304.10
Sedative, hypnotic, or anxiolytic withdrawal, 292.0
77
Sedative, hypnotic, or anxiolytic withdrawal delirium, 292.0
Selective mutism; 313.23
Senile dementia, 290.2
Senile dementia with delirium, 290.3
Separation anxiety disorder, 309.21
Severe mental retardation, 318.1
Preferred “Intellectual disorder, severe”
Sexual abuse, adult, 995.83
Sexual abuse, child, 995.53
Sexual abuse, to child,
Encounter for mental health services for perpetrator of nonparental child sexual
abuse, V62.83
Encounter for mental health services for perpetrator of parental child sexual
abuse, V61.22
Encounter for mental health services for victim of child sexual abuse by parent,
V61.21
Encounter for mental health services for victim of nonparental child sexual abuse
V61.21
Personal history (past history) of sexual abuse in childhood, V15.41
Sexual other circumstances related to spouse or partner violence:
Encounter for mental health services for perpetrator of spouse or partner
violence, sexual V61.12
Encounter for mental health services for victim of spouse partner violence or
sexual, V61.11
Personal history (past history) of spouse or partner violence, V15.41
Sexual abuse of adult, V61.1
78
Sexual abuse of adult [the victim], 995.81
Sexual abuse of child, V61.21
Sexual abuse of child [the victim], 995.53
Sexual aversion disorder, 302.79
Sexual disorder Not Otherwise Specified, 302.9
Sexual dysfunction, Not Otherwise Specified, 302.70
Sexual masochism, 302.83
Sexual masochism disorder, 302.83;
Sexual sadism, 302.84;
Sexual sadism disorder, 302.84;
Shared psychotic disorder, 297.3
Sibling relational problem, V61.8
Sleep apnea, unspecified, 780.57
Sleep-related movement disorder, 780.58
Sleep-related hypoventilation:
Idiopathic hypoventilation: 327.24
Congenital central alveolar hypoventilation: 327.25
Comorbid sleep-related hypoventilation: 327.26
Sleep disturbance, other, 780.59
Sleep disturbance, unspecified, 780.50
Sleep terror disorder, 307.46
Sleep walking disorder, 307.46
Sleep disorders of nonorganic origin, 307.4
Social anxiety disorder (social phobia), 300.23, F40.10;
79
Social communication disorder, 315.29.
Social phobia, 300.23;
Social exclusion or rejection, V62.4
Social (pragmatic) communication disorder, 315.39
Somatic symptom disorder, 300.82
Somatization disorder, 300.81
Somatoform disorder, 300.81 [ICD 10-CM: F45];
Spouse or partner abuse, Psychological, 995.82
Spouse or partner neglect, 995.85
Spouse or partner violence, physical, 995.81
Spouse or partner violence, Sexual, 995.81
Stereotypic movement disorder, 307.3;
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
Included in DSM-5 as:
Adult-onset fluency disorder, 307.0
Childhood-onset fluency disorder (stuttering), 315.35
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);
80
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
Suicidal ideation, V62.84
Tic disorder, Not Otherwise Specified, 307.20
Tourette’s disorder, 307.23
Tobacco use disorder;
Tobacco-induced sleep disorder, 292.85;
Tobacco-induced sleep disorder, 292.85;
Tobacco use disorder: [all coded the same]
Mild: 305.1 ;
Moderate: 305.1
Severe: 305.1
Unspecified, 305.1
Transgenerational trauma. See “Historical trauma” supra.
Not a DSM-5 condition and not an ICD-9-CM condition specifically, but
could be seen as an “Other” in either.
Transient ischemic attack (TIA), and cerebral infarction without residual deficits,
V12.54
Transient global amnesia, 437.7
Transient tic disorder, 307.21;
81
Transvestic or fetishism, 302.3;
Transvestic disorder, 302.3’
Trauma, complex. See “Complex trauma” supra.
Trauma, historical. See “Historical trauma” supra.
Not a DSM-5 condition and not an ICD-9-CM condition specifically, but
could be seen as an “Other” in either.
Trichotillomania, 312.39
Unavailability or inaccessibility of health care facilities, V63.9
Unavailability or inaccessibility of other agencies, V63.8
Uncomplicated bereavement, V62.82
Unspecified alcohol-related disorder, 291.9
Unspecified anxiety disorder, 300.00
F90.9
Unspecified attention-deficit/ hyperactivity disorder, 314.01
Unspecified bipolar and related disorder, 296.8
Unspecified caffeine-related disorder, 292.9
Unspecified cannabis-related disorder, 292.9
Unspecified catatonia, 781.99
Unspecified communication disorder, 307.9
Unspecified delirium, 780.09
Unspecified depressive disorder, 311
Unspecified disruptive, impulse-control, and conduct disorder, 312.9
Unspecified dissociative disorder, 300.15
Unspecified elimination disorder
With fecal symptoms, 787.60
82
With urinary symptoms, 788.30
Undifferentiated somatoform disorder, 300.81’
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
Vascular dementia, with delirium, 290.41
Vascular dementia, with delusions, 290.42
Vascular dementia, with depressed mood, 290.43
Vascular dementia, uncomplicated, 290.40
Vitamin D deficiency 268.9
Vocal tic disorder, 307.22
Voyeurism, 302.82
Voyeuristic disorder, 302.82
83
Zoophilia, 302.1
Zoophobia, 300.29
84
Numerical Listing of ICD-9-CM Codes
Related to Psychiatric Conditions
[DSM-5 Nomenclature and Conditions are
not yet part of ICD-9-CM]
---------------------------------------------------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
85
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
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
86
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)
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
87
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
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
88
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
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
89
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
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
90
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:
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
91
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
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)
92
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
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)
93
295.1 Disorganized type
[0-5]
Hebephrenia
Hebephrenic type schizophrenia
295.2 Catatonic type
[0-5]
Catatonic (schizophrenia):
agitation
excitation
excited type
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)
94
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
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
95
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
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
96
296.80 Bipolar disorder, unspecified
Bipolar disorder NOS
Manic-depressive:
reaction NOS
syndrome NOS
296.81 Atypical manic disorder
296.82 Atypical depressive disorder
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
97
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
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
98
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)
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
99
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
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
100
Conversion hysteria or reaction
Hysterical:
blindness
deafness
paralysis
300.12 Dissociative amnesia
Hysterical amnesia
300.13 Dissociative fugue
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
101
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
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
102
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:
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)
103
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
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
104
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
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
105
301.83 Borderline personality disorder
301.84 Passive-aggressive personality
301.89 Other
Personality:
eccentric
"haltlose" type
immature
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
106
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)
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
107
302.81 Fetishism
302.82 Voyeurism
302.83 Sexual masochism
302.84 Sexual sadism
302.85 Gender identity disorder in adolescents or adults
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
108
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
2
episodic
3
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
109
Psilocybin
304.6 Other specified drug dependence
[0-3]
Absinthe addiction
Glue sniffing
Inhalant dependence
Phencyclidine dependence
Excludes: tobacco dependence (305.1)
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)
110
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
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
111
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
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
112
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
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)
113
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)
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
114
Hyposomnia, insomnia, or sleeplessness associated with:
anxiety
conditioned arousal
depression (major) (minor)
psychosis
Idiopathic insomnia
Paradoxical insomnia
Primary insomnia
Psychophysiological insomnia
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
115
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)
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:
116
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)
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
117
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
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)
118
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
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
119
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
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
311

(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]
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)
120
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
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
121
312.33 Pyromania
312.34 Intermittent explosive disorder
312.35 Isolated explosive disorder
312.39 Other
Trichotillomania
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)
122
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
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
123
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
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)
124
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
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)
125
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
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)
126
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)
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
127
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
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)
128
327.40 Organic parasomnia, unspecified
327.41 Confusional arousals
327.42 REM sleep behavior disorder
327.43 Recurrent isolated sleep paralysis
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
129
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)
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)
130
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)
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)
131
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)
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)
132
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)
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
133
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
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
134
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
338.29
Other chronic pain
338.3
neoplasm 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:
135
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
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)
136
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
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)
137
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
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
138
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
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
139
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
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)
140
DSM 5’s Conditions Found in
ICD-9-CM and ICD-10-CM
ICD-9-CM codes are to be used in the United States to the foreseeable future. At some date, not
yet set, but at least beyond 30 September 2015, the use of ICD-10-CM may be allowed.
______________________________________________________________________________
____
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
V71.01
Z72.811
Adult-onset fluency disorder
307.0
F98.5
Adult physical abuse by nonspouse or nonpartner, Confirmed
Initial encounter
995.81
T74.11XA
Subsequent encounter
995.81
T74.11XD
Adult physical abuse by nonspouse or nonpartner, Suspected
Initial encounter
995.81
T76.11XA
Subsequent encounter
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
995.83
T74.21XA
Subsequent encounter
995.83
T74.21XD
Adult sexual abuse by nonspouse or nonpartner, Suspected
Initial encounter
995.83
T76.21XA
Subsequent encounter
995.83
T76.21XD
Agoraphobia
300.22
F40.00
Alcohol-induced anxiety disorder
291.89
With mild use disorder
F10.180
With moderate or severe use disorder
F10.280
Without use disorder
F10.980
141
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
142
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
143
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
144
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
145
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
146
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
147
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
148
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
149
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
150
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
151
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
152
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
153
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
154
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
155
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
156
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
157
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
158
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
159
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
160
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.
161
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.
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
162
Removes Polysubstance-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
163
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.
164
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)
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”)
165
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”)
166
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
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
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
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
167
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.
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.
168
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
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.
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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. Sometime in the future, when we have a better understanding of
course of conditions, many patients now diagnosed with several conditions will be
diagnosed with only one.
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..
Please bring improvements to the attention of Roget Peele, MD, DLFAPA.
Email: RogerPeele@aol.co,
Phone 24 777 3351
Address: PO Box 1040, Rockville, MD, 20849-1040
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