DSM-5 Coding Update - Psychiatry
DSM-5?
Coding Update
Supplement to
Diagnostic and Statistical Manual of Mental disorders,
Fifth Edition
American Psychiatric Association
March 2014
DSM-5? Coding Update
Supplement to
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
Copyright ? 2014 American Psychiatric Association. All rights reserved. Unless authorized in writing by the American Psychiatric Association (APA), no part of this supplement may be reproduced or used in a manner inconsistent with the APA's copyright. This prohibition applies to unauthorized uses or reproductions in any form, including electronic applications.
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This supplement and the digital versions of DSM-5? (including the DSM-5? Diagnostic Criteria Mobile App, DSM-5? eBook, and DSM-5? on ) are updated periodically to reflect any coding updates, changes, or corrections, and any other information necessary for compensation in mental health practice. For the latest updates, please go to .
ICD-9-CM codes are followed by ICD-10-CM codes in parentheses as in DSM-5.
DSM and DSM-5 are registered trademarks of the American Psychiatric Association. Use of these terms is prohibited without permission of the American Psychiatric Association.
Contents
Updates at a Glance ........................................................................ 3
Updates in Detail ............................................................................. 4
Neurodevelopmental Disorders...................................................4
Intellectual Disability (Intellectual Developmental Disorder) Language Disorder
Bipolar and Related Disorders.....................................................5
Bipolar I Disorder, Current or most recent episode hypomanic In partial remission In full remission
Anxiety Disorders .........................................................................6
Selective Mutism
Obsessive-Compulsive and Related Disorders ..........................6
Trichotillomania (Hair-Pulling Disorder)
Trauma- and Stressor-Related Disorders ...................................7
Adjustment Disorders
Sleep-Wake Disorders..................................................................8
Insomnia Disorder Hypersomnolence Disorder
Disruptive, Impulse-Control, and Conduct Disorders ................9
Conduct Disorder, Adolescent-onset type Kleptomania
Neurocognitive Disorders ............................................................10
Major Neurocognitive Disorder Due to Alzheimer's Disease Major Frontotemporal Neurocognitive Disorder Major Neurocognitive Disorder With Lewy Bodies Major Vascular Neurocognitive Disorder Major Neurocognitive Disorder Due to Parkinson's Disease
DSM-5 Coding Update, page 2 of 22 Copyright ? 2014 American Psychiatric Association. All rights reserved.
Updates at a Glance
Disorder
Intellectual Disability (Intellectual Developmental Disorder)
Language Disorder Bipolar I Disorder, Current or most recent episode
hypomanic, In partial remission Bipolar I Disorder, Current or most recent episode
hypomanic, In full remission Selective Mutism Trichotillomania (Hair-Pulling Disorder) Adjustment Disorders
Insomnia Disorder Hypersomnolence Disorder Conduct Disorder, Adolescent-onset type Kleptomania
Original 319 (70) Mild 319 (71) Moderate 319 (72) Severe 319 (73) Profound 315.39 (F80.9) 296.45 (F31.73)
296.46 (F31.74)
312.23 (F94.0) 312.39 (F63.2) No specifiers for
"acute" and "persistent (chronic)"
780.52 (G47.00) 780.54 (G47.10) 312.32 (F91.2) 312.32 (F63.3)
Update 317 (70) Mild 318.0 (71) Moderate 318.1 (72) Severe 318.2 (73) Profound 315.32 (F80.2) 296.45 (F31.71)
296.46 (F31.72)
313.23 (F94.0) 312.39 (F63.3) Add specifiers
"acute" and "persistent (chronic)"
307.42 (F51.01) 307.44 (F51.11) 312.82 (F91.2) 312.32 (F63.2)
Major Neurocognitive Disorders With Possible Etiologies
The following coding updates ensure that insurance reimbursement can be obtained when the specifier "With
behavioral disturbance" is used for the possible major neurocognitive disorders. The possible major
neurocognitive disorders should be coded in the same way as their respective probable major neurocognitive
disorders, as noted below. For excerpts of the DSM-5 sections with these changes, see pp. 10?22 of this
Coding Update.
Major Neurocognitive Disorder Possibly Due to Vascular Disease
331.9 (G31.9)
290.40 (F01.51) With behavioral
disturbance
or
290.40 (F01.50)
Without behavioral
disturbance
Major Neurocognitive Disorder Due to Possible Alzheimer's Disease (Note: Code first 331.0 (G30.9) Alzheimer's disease.)
No coding of etiological medical condition
Code etiological medical condition first (noted at left
Major Neurocognitive Disorder Due to Possible Frontotemporal Lobar Degeneration
331.9 (G31.9)
(Note: Code first 331.19 (G31.09) frontotemporal disease.)
with each disorder) then code
294.11 (F02.81) With behavioral
Major Neurocognitive Disorder With Possible Lewy
disturbance
Bodies (Note: Code first 331.82 (G31.83) Lewy body disease.)
or 294.10 (F02.80)
Major Neurocognitive Disorder Possibly Due to Parkinson's Disease
Without behavioral disturbance
(Note: Code first 332.0 (G20) Parkinson's disease.)
DSM-5 Coding Update, page 3 of 22 Copyright ? 2014 American Psychiatric Association. All rights reserved.
Updates in Detail
Replacement codes and other notes are in boldface type to aid visual reference only. Shaded areas denote disorders with changes.
Neurodevelopmental Disorders
ICD-9-CM coding change for Intellectual Disability (Intellectual Developmental Disorder) (ICD-10-CM code remains UNCHANGED) Codes are found on the following pages: DSM-5: pp. xiii, 33 (also delete coding note), 848, 872; Desk Reference: pp. ix, 18 (also delete coding note)
DSM-5 Classification, Neurodevelopmental Disorders, Intellectual Disabilities, Intellectual Disability (Intellectual Developmental Disorder), p. xiii (Desk Reference, p. ix): The ICD-9-CM code "319" should be deleted and replaced with blank lines: "___.__". ICD-9-CM codes should be inserted as follows: 317 (F70) Mild 318.0 (F71) Moderate 318.1 (F72) Severe 318.2 (F73) Profound
DSM-5 criteria for Intellectual Disability (Intellectual Developmental Disorder) should be revised as follows, p. 33 (Desk Reference, p. 18): DELETE the coding note. ADD ICD-9-CM codes as follows: Specify current severity (see Table 1): 317 (F70) Mild 318.0 (F71) Moderate 318.1 (F72) Severe 318.2 (F73) Profound
Alphabetical Listing, p. 848 (not applicable to Desk Reference) Adjust the ICD-9-CM codes for Intellectual disability (intellectual developmental disorder) as follows (change placement of Profound as shown below): DELETE 319 ADD ICD-9-CM codes: 317 (F70) Mild 318.0 (F71) Moderate 318.1 (F72) Severe 318.2 (F73) Profound
Numerical Listing (ICD-9-CM), p. 872 (not applicable to Desk Reference): DELETE "319 Intellectual disability (intellectual developmental disorder)" ADD the following: 317 Intellectual disability (intellectual developmental disorder), Mild 318.0 Intellectual disability (intellectual developmental disorder), Moderate 318.1 Intellectual disability (intellectual developmental disorder), Severe 318.2 Intellectual disability (intellectual developmental disorder), Profound BEFORE 319 Unspecified intellectual disability (intellectual developmental disorder)
DSM-5 Coding Update, page 4 of 22 Copyright ? 2014 American Psychiatric Association. All rights reserved.
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