|
ICD-9-CM
Chapter V Mental Disorders
International
Classification of Diseases, 9th Revision, Clinical
Modification
|
5.
MENTAL DISORDERS (290-319)
- In the International
Classification of Diseases, 9th Revision (ICD-9),
the corresponding Chapter V, "Mental Disorders,"
includes a glossary which defines the contents of
each category. The introduction to Chapter V in
ICD-9 indicates that the glossary is intended so
that psychiatrists can make the diagnosis based on
the descriptions provided rather than from the
category titles. Lay coders are instructed to code
whatever diagnosis the physician records.
-
- Chapter 5, "Mental
Disorders," in ICD-9-CM uses the standard
classification format with inclusion and exclusion
terms, omitting the glossary as part of the main
text.
-
- The mental disorders
section of ICD-9-CM has been expanded to incorporate
additional psychiatric disorders not listed in
ICD-9. The glossary from ICD-9 does not contain all
these terms. It now appears in Appendix B, which
also contains descriptions and definitions for the
terms added in ICD-9-CM. Some of these were provided
by the American Psychiatric Association's Task Force
on Nomenclature and Statistics who are preparing the
Diagnostic and Statistical Manual, Third Edition
(DSM-III), and others from A Psychiatric Glossary.
-
- The American
Psychiatric Association provided invaluable
assistance in modifying Chapter 5 of ICD-9-CM to
incorporate detail useful to American clinicians and
gave permission to use material from the
aforementioned sources.
-
-
1. Manual of the
International Statistical Classification of
Diseases, Injuries, and Causes of Death, 9th
Revision, World Health
-
Organization, Geneva, Switzerland, 1975.
-
2. American
Psychiatric Association, Task Force on Nomenclature
and Statistics, Robert L. Spitzer, M.D., Chairman.
-
3. A Psychiatric
Glossary, Fourth Edition, American Psychiatric
Association, Washington, D.C., 1975.
-
Excludes:
mental retardation (317-319)
-
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 judgement, but associated with
physical disease, injury, or condition affecting the
brain [e.g., following childbirth] (295.0-298.8)
- 290 Senile
and presenile organic psychotic conditions
- Code first the
associated neurological condition
-
Excludes:
dementia not classified as senile, presenile,
or arteriosclerotic (294.10-294.11)
-
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, uncomplicated
-
Senile dementia:
-
NOS
-
simple type
-
Excludes:
mild memory disturbances, not amounting to
dementia, associated with senile brain disease
(310.1)
-
senile dementia
with:
-
delirium or
confusion (290.3)
-
delusional
[paranoid] features (290.20)
-
depressive
features (290.21)
- 290.1 Presenile
dementia
-
Brain syndrome
with presenile brain disease
-
Excludes:
arteriosclerotic dementia (290.40-290.43)
-
dementia
associated with other cerebral conditions
(294.10-294.11)
- 290.10 Presenile
dementia, uncomplicated
-
Presenile
dementia:
-
NOS
-
simple type
- 290.11 Presenile
dementia with delirium
-
Presenile dementia
with acute confusional state
- 290.12 Presenile
dementia with delusional features
-
Presenile
dementia, paranoid type
- 290.13 Presenile
dementia with depressive features
-
Presenile
dementia, depressed type
- 290.2 Senile
dementia with delusional or depressive features
-
Excludes:
senile dementia:
-
NOS (290.0)
-
with delirium
and/or confusion (290.3)
- 290.20 Senile
dementia with delusional features
-
Senile dementia,
paranoid type
-
Senile psychosis
NOS
- 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
Arteriosclerotic 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
Arteriosclerotic dementia,uncomplicated
-
Arteriosclerotic
dementia:
-
NOS
-
simple type
- 290.41
Arteriosclerotic dementia with delirium
-
Arteriosclerotic
dementia with acute confusional state
- 290.42
Arteriosclerotic dementia with delusional features
-
Arteriosclerotic
dementia, paranoid type
- 290.43
Arteriosclerotic dementia with depressive features
-
Arteriosclerotic
dementia, depressed type
- 290.8 Other
specified senile psychotic conditions
-
Presbyophrenic
psychosis
- 290.9 Unspecified
senile psychotic condition
-
Excludes:
alcoholism without psychosis (303.0-303.9)
- 291.0 Alcohol
withdrawal delirium
-
Alcoholic delirium
-
Delirium tremens
-
Excludes:
alcohol withdrawal (291.81)
- 291.1 Alcohol
amnestic syndrome
-
Alcoholic
polyneuritic psychosis
-
Korsakoff's
psychosis, alcoholic
-
Wernicke-Korsakoff
syndrome (alcoholic)
- 291.2 Other
alcoholic dementia
-
Alcoholic dementia
NOS
-
Alcoholism
associated with dementia NOS
-
Chronic alcoholic
brain syndrome
- 291.3 Alcohol
withdrawal hallucinosis
-
Alcoholic:
-
hallucinosis
(acute)
-
psychosis with
hallucinosis
-
Excludes:
alcohol withdrawal with delirium (291.0)
-
schizophrenia
(295.0-295.9) and paranoid states (297.0-297.9)
taking the form of chronic hallucinosis with clear
consciousness in an alcoholic
- 291.4
Idiosyncratic alcohol intoxication
-
Pathologic:
-
alcohol
intoxication
-
drunkenness
-
Excludes:
acute alcohol intoxication (305.0)
-
in alcoholism
(303.0)
-
simple drunkenness
(305.0)
- 291.5 Alcoholic
jealousy
-
Alcoholic:
-
paranoia
-
psychosis,
paranoid type
-
Excludes:
nonalcoholic paranoid states (297.0-297.9)
-
schizophrenia,
paranoid type (295.3)
- 291.8 Other
specified alcoholic psychosis
- 291.81 Alcohol
withdrawal
-
Alcohol:
-
abstinence
syndrome or symptoms
-
withdrawal
syndrome or symptoms
-
Excludes:
alcohol withdrawal:
-
delirium (291.0)
-
hallucinosis
(291.3)
-
delirium tremens
(291.0)
- 291.89 Other
- 291.9 Unspecified
alcoholic psychosis
-
Alcoholic:
-
mania NOS
-
psychosis NOS
-
Alcoholism
(chronic) with psychosis
- Includes:
drug-induced mental disorders
-
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
- 292.0 Drug
withdrawal syndrome
-
Drug:
-
abstinence
syndrome or symptoms
-
withdrawal
syndrome or symptoms
- 292.1 Paranoid
and/or hallucinatory states induced by drugs
- 292.11 Drug-induced
organic delusional syndrome
-
Paranoid state
induced by drugs
- 292.12 Drug-induced
hallucinosis
-
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
-
Drug reaction
resulting in brief psychotic states
-
NOS
-
idiosyncratic
-
pathologic
-
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
dementia
- 292.83 Drug-induced
amnestic syndrome
- 292.84 Drug-induced
organic affective syndrome
-
Depressive state
induced by drugs
- 292.89 Other
-
Drug-induced
organic personality syndrome
- 292.9 Unspecified
drug-induced mental disorder
-
Organic psychosis
NOS due to or associated with drugs
- 293
Transient organic psychotic conditions
- Includes:
transient organic mental disorders not associated
with alcohol or drugs
- Code first the
associated physical or neurological condition
-
Excludes:
confusional state or delirium superimposed
on senile dementia (290.3)
-
dementia due to:
-
alcohol
(291.0-291.9)
-
arteriosclerosis
(290.40-290.43)
-
drugs (292.82)
-
senility (290.0)
- 293.0 Acute
delirium
-
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 organic mental disorders
- 293.81 Organic
delusional syndrome
-
Transient organic
psychotic condition, paranoid type
- 293.82 Organic
hallucinosis syndrome
-
Transient organic
psychotic condition, hallucinatory type
- 293.83 Organic
affective syndrome
-
Transient organic
psychotic condition, depressive type
- 293.84 Organic
anxiety syndrome
- 293.89 Other
- 293.9 Unspecified
transient organic mental disorder
-
Organic psychosis:
-
infective NOS
-
posttraumatic NOS
-
transient NOS
-
Psycho-organic
syndrome
- 294 Other
organic psychotic conditions (chronic)
- Includes:
organic psychotic brain syndromes (chronic), not
elsewhere classified
- 294.0 Amnestic
syndrome
-
Korsakoff's
psychosis or syndrome (nonalcoholic)
-
Excludes:
alcoholic:
-
amnestic syndrome
(291.1)
-
Korsakoff's
psychosis (291.1)
- 294.1 Dementia in
conditions classified elsewhere
- Code first any
underlying physical condition as:
-
dementia in:
-
Alzheimer's
disease (331.0)
-
cerebral lipidoses
(330.1)
-
epilepsy
(345.0-345.9)
-
general paresis
[syphilis] (094.1)
-
hepatolenticular
degeneration (275.1)
-
Huntington's
chorea (333.4)
-
Jakob-Creutzfeldt
disease (046.1)
-
multiple sclerosis
(340)
-
Pick's disease of
the brain (331.1)
-
polyarteritis
nodosa (446.0)
-
syphilis (094.1)
-
Excludes:
dementia:
-
arteriosclerotic
(290.40-290.43)
-
presenile
(290.10-290.13)
-
senile (290.0)
-
epileptic
psychosis NOS (294.8)
- 294.10 Dementia in
conditions classified elsewhere without behavioral
disturbance
-
Dementia in
conditions classified elsewhere NOS
- 294.11 Dementia in
conditions classified elsewhere with behavioral
disturbance
-
Aggressive
behavior
-
Combative behavior
-
Violent behavior
-
Wandering off
- 294.8 Other
specified organic brain syndromes (chronic)
-
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 (310.1)
- 294.9 Unspecified
organic brain syndrome (chronic)
-
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
-
Schizophrenia
simplex
-
Excludes:
latent schizophrenia (295.5)
- 295.1
Disorganized type
-
Hebephrenia
-
Hebephrenic type
schizophrenia
- 295.2 Catatonic
type
-
Catatonic
(schizophrenia):
-
agitation
-
excitation
-
excited type
-
stupor
-
withdrawn type
-
Schizophrenic:
-
catalepsy
-
catatonia
-
flexibilitas cerea
- 295.3 Paranoid
type
-
Paraphrenic
schizophrenia
-
Excludes:
involutional paranoid state (297.2)
-
paranoia (297.1)
-
paraphrenia
(297.2)
- 295.4 Acute
schizophrenic episode
-
Oneirophrenia
-
Schizophreniform:
-
attack
-
disorder
-
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
-
Latent
schizophrenic reaction
-
Schizophrenia:
-
borderline
-
incipient
-
prepsychotic
-
prodromal
-
pseudoneurotic
-
pseudopsychopathic
-
Excludes:
schizoid personality (301.20-301.22)
- 295.6 Residual
schizophrenia
-
Chronic
undifferentiated schizophrenia
-
Restzustand
(schizophrenic)
-
Schizophrenic
residual state
- 295.7
Schizo-affective type
-
Cyclic
schizophrenia
-
Mixed
schizophrenic and affective psychosis
-
Schizo-affective
psychosis
-
Schizophreniform
psychosis, affective type
- 295.8 Other
specified types of schizophrenia
-
Acute
(undifferentiated) schizophrenia
-
Atypical
schizophrenia
-
Cenesthopathic
schizophrenia
-
Excludes:
infantile autism (299.0)
- 295.9 Unspecified
schizophrenia
-
Schizophrenia:
-
NOS
-
mixed NOS
-
undifferentiated
NOS
-
Schizophrenic
reaction NOS
-
Schizophreniform
psychosis NOS
- 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 Manic
disorder, single episode
-
Hypomania (mild)
NOS single episode or unspecified
-
Hypomanic
psychosis single episode or unspecified
-
Mania (monopolar)
NOS single episode or unspecified
-
Manic-depressive
psychosis or reaction, single episode or
unspecified:
-
hypomanic, single
episode or unspecified
-
manic, single
episode or unspecified
-
Excludes:
circular type, if there was a previous attack
of depression (296.4)
- 296.1 Manic
disorder, recurrent episode
-
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
-
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
-
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
affective disorder, manic
-
Bipolar disorder,
now manic
-
Manic-depressive
psychosis, circular type but currently manic
-
Excludes:
brief compensatory or rebound mood swings
(296.99)
- 296.5 Bipolar
affective disorder, depressed
-
Bipolar disorder,
now depressed
-
Manic-depressive
psychosis, circular type but currently depressed
-
Excludes:
brief compensatory or rebound mood swings
(296.99)
- 296.6 Bipolar
affective disorder, mixed
-
Manic-depressive
psychosis, circular type, mixed
- 296.7 Bipolar
affective disorder, unspecified
-
Atypical bipolar
affective disorder NOS
-
Manic-depressive
psychosis, circular type, current condition not
specified as either manic or depressive
- 296.8
Manic-depressive psychosis, other and unspecified
- 296.80
Manic-depressive psychosis, unspecified
-
Manic-depressive:
-
reaction NOS
-
syndrome NOS
- 296.81 Atypical
manic disorder
- 296.82 Atypical
depressive disorder
- 296.89 Other
-
Manic-depressive
psychosis, mixed type
- 296.9 Other and
unspecified affective psychoses
-
Excludes:
psychogenic affective psychoses (298.0-298.8)
- 296.90 Unspecified
affective psychosis
-
Affective
psychosis NOS
-
Melancholia NOS
- 296.99 Other
specified affective psychoses
-
Mood swings:
-
brief compensatory
-
rebound
- 297
Paranoid states (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 Paranoia
-
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
paranoid disorder
-
Folie à 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
-
Protracted
reactive paranoid psychosis
- 298.8 Other and
unspecified reactive psychosis
-
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
- 299
Psychoses with origin specific to childhood
- Includes:
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 Infantile
autism
-
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
Disintegrative psychosis
-
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 early childhood psychoses
-
Atypical childhood
psychosis
-
Borderline
psychosis of childhood
-
Excludes:
simple stereotypes without psychotic
disturbance (307.3)
- 299.9 Unspecified
-
Child psychosis
NOS
-
Schizophrenia,
childhood type NOS
-
Schizophrenic
syndrome of childhood NOS
-
Excludes:
schizophrenia of adult type occurring in
childhood (295.0-295.9)
-
NEUROTIC DISORDERS, PERSONALITY
DISORDERS, AND OTHER NONPSYCHOTIC MENTAL
DISORDERS (300-316)
- 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
-
Panic:
-
attack
-
state
- 300.02 Generalized
anxiety disorder
- 300.09 Other
- 300.1 Hysteria
-
Excludes:
adjustment reaction (309.0-309.9)
-
anorexia nervosa
(307.1)
-
gross stress
reaction (308.0-308.9)
-
hysterical
personality (301.50-301.59)
-
psychophysiologic
disorders (306.0-306.9)
- 300.10 Hysteria,
unspecified
- 300.11 Conversion
disorder
-
Astasia-abasia,
hysterical
-
Conversion
hysteria or reaction
-
Hysterical:
-
blindness
-
deafness
-
paralysis
- 300.12 Psychogenic
amnesia
-
Hysterical amnesia
- 300.13 Psychogenic
fugue
-
Hysterical fugue
- 300.14 Multiple
personality
-
Dissociative
identity disorder
- 300.15 Dissociative
disorder or reaction, unspecified
- 300.16 Factitious
illness with psychological symptoms
-
Compensation
neurosis
-
Ganser's syndrome,
hysterical
- 300.19 Other and
unspecified factitious illness
-
Factitious illness
(with physical 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 (300.00-300.09)
-
obsessional
phobias (300.3)
- 300.20 Phobia,
unspecified
-
Anxiety-hysteria
NOS
-
Phobia NOS
- 300.21 Agoraphobia
with panic attacks
-
Fear of:
-
open spaces with
panic attacks
-
streets with panic
attacks
-
travel with panic
attacks
- 300.22 Agoraphobia
without mention of panic attacks
-
Any condition
classifiable to 300.21 without mention of panic
attacks
- 300.23 Social
phobia
-
Fear of:
-
eating in public
-
public speaking
-
washing in public
- 300.29 Other
isolated or simple phobias
-
Acrophobia
-
Animal phobias
-
Claustrophobia
-
Fear of crowds
- 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 Neurotic
depression
-
Anxiety depression
-
Depression with
anxiety
-
Depressive
reaction
-
Dysthymic disorder
-
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 syndrome
-
Depersonalization
disorder
-
Derealization
(neurotic)
-
Neurotic state
with depersonalization episode
-
Excludes:
depersonalization associated with:
-
anxiety
(300.00-300.09)
-
depression (300.4)
-
manic-depressive
disorder or psychosis (296.0-296.9)
-
schizophrenia
(295.0-295.9)
- 300.7
Hypochondriasis
-
Body dysmorphic
disorder
-
Excludes:
hypochondriasis in:
-
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 Other
neurotic 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
-
Occupational
neurosis, including writers' cramp
-
Psychasthenia
-
Psychasthenic
neurosis
- 300.9 Unspecified
neurotic disorder
-
Neurosis NOS
-
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)
-
alcoholic 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
- 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 Compulsive
personality disorder
-
Anancastic
personality
-
Obsessional
personality
-
Excludes:
obsessive-compulsive disorder (300.3)
-
phobic state
(300.20-300.29)
- 301.5 Histrionic
personality disorder
-
Excludes:
hysterical neurosis (300.10-300.19)
- 301.50 Histrionic
personality disorder, unspecified
-
Hysterical
personality NOS
- 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
- 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
- 301.82 Avoidant
personality
- 301.83 Borderline
personality
- 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
deviations and 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 homosexuality
-
Ego-dystonic
lesbianism
-
Homosexual
conflict disorder
-
Excludes:
homosexual pedophilia (302.2)
- 302.1 Zoophilia
-
Bestiality
- 302.2 Pedophilia
- 302.3
Transvestism
-
Excludes:
trans-sexualism (302.5)
- 302.4
Exhibitionism
- 302.5
Trans-sexualism
-
Excludes:
transvestism (302.3)
- 302.50 With
unspecified sexual history
- 302.51 With asexual
history
- 302.52 With
homosexual history
- 302.53 With
heterosexual history
- 302.6 Disorders
of psychosexual identity
-
Feminism in boys
-
Gender identity
disorder of childhood
-
Excludes:
gender identity disorder in adult (302.85)
-
homosexuality
(302.0)
-
trans-sexualism
(302.50-302.53)
-
transvestism
(302.3)
- 302.7
Psychosexual dysfunction
-
Excludes:
impotence of organic origin (607.84)
-
normal transient
symptoms from ruptured hymen
-
transient or
occasional failures of erection due to fatigue,
anxiety, alcohol, or drugs
- 302.70 Psychosexual
dysfunction, unspecified
- 302.71 With
inhibited sexual desire
- 302.72 With
inhibited sexual excitement
-
Frigidity
-
Impotence
- 302.73 With
inhibited female orgasm
- 302.74 With
inhibited male orgasm
- 302.75 With
premature ejaculation
- 302.76 With
functional dyspareunia
-
Dyspareunia,
psychogenic
- 302.79 With other
specified psychosexual dysfunctions
- 302.8 Other
specified psychosexual disorders
- 302.81 Fetishism
- 302.82 Voyeurism
- 302.83 Sexual
masochism
- 302.84 Sexual
sadism
- 302.85 Gender
identity disorder of adolescent or adult life
- 302.89 Other
-
Nymphomania
-
Satyriasis
- 302.9 Unspecified
psychosexual disorder
-
Pathologic
sexuality NOS
-
Sexual deviation
NOS
- 303
Alcohol dependence syndrome
- Use additional code
to identify any associated condition, as:
-
alcoholic
psychoses (291.0-291.9)
-
drug dependence
(304.0-304.9)
-
physical
complications of alcohol, 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
alcoholic intoxication
-
Acute drunkenness
in alcoholism
- 303.9 Other and
unspecified alcohol dependence
-
Chronic alcoholism
-
Dipsomania
-
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
-
Heroin
-
Meperidine
-
Methadone
-
Morphine
-
Opium
-
Opium alkaloids
and their derivatives
-
Synthetics with
morphine-like effects
- 304.1 Barbiturate
and similarly acting sedative or hypnotic dependence
-
Barbiturates
-
Nonbarbiturate
sedatives and tranquilizers with a similar effect:
-
chlordiazepoxide
-
diazepam
-
glutethimide
-
meprobamate
-
methaqualone
- 304.2 Cocaine
dependence
-
Coca leaves and
derivatives
- 304.3 Cannabis
dependence
-
Hashish
-
Hemp
-
Marihuana
- 304.4 Amphetamine
and other psychostimulant dependence
-
Methylphenidate
-
Phenmetrazine
- 304.5
Hallucinogen dependence
-
Dimethyltryptamine
[DMT]
-
Lysergic acid
diethylamide [LSD] and derivatives
-
Mescaline
-
Psilocybin
- 304.6 Other
specified drug dependence
-
Absinthe addiction
-
Glue sniffing
-
Excludes:
tobacco dependence (305.1)
- 304.7
Combinations of opioid type drug with any other
- 304.8
Combinations of drug dependence excluding opioid
type drug
- 304.9 Unspecified
drug dependence
-
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:
alcohol dependence syndrome (303.0-303.9)
-
drug dependence
(304.0-304.9)
-
drug withdrawal
syndrome (292.0)
-
poisoning by drugs
or medicinal substances (960.0-979.9)
-
The following
fifth-digit subclassification is for use with codes
305.0, 305.2-305.9
-
0 unspecified
-
1 continuous
-
2 episodic
-
3 in remission
- 305.0 Alcohol
abuse
-
Drunkenness NOS
-
Excessive drinking
of alcohol NOS
-
"Hangover"
(alcohol)
-
Inebriety NOS
-
Excludes:
acute alcohol intoxication in alcoholism
(303.0)
-
alcoholic
psychoses (291.0-291.9)
- 305.1 Tobacco use
disorder
-
Tobacco dependence
-
Excludes:
history of tobacco use (V15.82)
- 305.2 Cannabis
abuse
- 305.3
Hallucinogen abuse
-
Acute intoxication
from hallucinogens ["bad trips"]
-
LSD reaction
- 305.4 Barbiturate
and similarly acting sedative or hypnotic abuse
- 305.5 Opioid
abuse
- 305.6 Cocaine
abuse
- 305.7 Amphetamine
or related acting sympathomimetic abuse
- 305.8
Antidepressant type abuse
- 305.9 Other,
mixed, or unspecified drug abuse
-
"Laxative habit"
-
Misuse of drugs
NOS
-
Nonprescribed use
of drugs or patent medicinals
- 306
Physiological malfunction arising from mental
factors
- Includes:
psychogenic:
-
physical symptoms
not involving tissue damage
-
physiological
manifestations not involving tissue damage
-
Excludes:
hysteria (300.11-300.19)
-
physical symptoms
secondary to a psychiatric disorder classified
elsewhere
-
psychic factors
associated with physical conditions involving tissue
damage classified elsewhere (316)
-
specific
nonpsychotic mental disorders following organic
brain damage (310.0-310.9)
- 306.0
Musculoskeletal
-
Psychogenic
paralysis
-
Psychogenic
torticollis
-
Excludes:
Gilles de la Tourette's syndrome (307.23)
-
paralysis as
hysterical or conversion reaction (300.11)
-
tics
(307.20-307.22)
- 306.1 Respiratory
-
Psychogenic:
-
air hunger
-
cough
-
hiccough
-
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)
-
globus hystericus
(300.11)
-
mucous colitis
(316 and 564.9)
-
psychogenic:
-
cardiospasm (316
and 530.0)
-
duodenal ulcer
(316 and 532.0-532.9)
-
gastric ulcer (316
and 531.0-531.9)
-
peptic ulcer NOS
(316 and 533.0-533.9)
-
vomiting NOS
(307.54)
- 306.5
Genitourinary
-
Excludes:
enuresis, psychogenic (307.6)
-
frigidity (302.72)
-
impotence (302.72)
-
psychogenic
dyspareunia (302.76)
- 306.50 Psychogenic
genitourinary malfunction, unspecified
- 306.51 Psychogenic
vaginismus
-
Functional
vaginismus
- 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
- 306.9 Unspecified
psychophysiological malfunction
-
Psychophysiologic
disorder NOS
-
Psychosomatic
disorder NOS
- 307
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 Stammering
and stuttering
-
Excludes:
dysphasia (784.5)
-
lisping or lalling
(307.9)
-
retarded
development of speech (315.31-315.39)
- 307.1 Anorexia
nervosa
-
Excludes:
eating disturbance NOS (307.50)
-
feeding problem
(783.3)
-
of nonorganic
origin (307.59)
-
loss of appetite
(783.0)
-
of nonorganic
origin (307.59)
- 307.2 Tics
-
Excludes:
nail-biting or thumb-sucking (307.9)
-
stereotypes
occurring in isolation (307.3)
-
tics of organic
origin (333.3)
- 307.20 Tic
disorder, unspecified
- 307.21 Transient
tic disorder of childhood
- 307.22 Chronic
motor tic disorder
- 307.23 Gilles de la
Tourette's disorder
-
Motor-verbal tic
disorder
- 307.3 Stereotyped
repetitive movements
-
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)
-
those of
unspecified cause (780.50-780.59)
- 307.40 Nonorganic
sleep disorder, unspecified
- 307.41 Transient
disorder of initiating or maintaining sleep
-
Hyposomnia
associated with acute or intermittent emotional
reactions or conflicts
-
Insomnia
associated with acute or intermittent emotional
reactions or conflicts
-
Sleeplessness
associated with acute or intermittent emotional
reactions or conflicts
- 307.42 Persistent
disorder of initiating or maintaining sleep
-
Hyposomnia,
insomnia, or sleeplessness associated with:
-
anxiety
-
conditioned
arousal
-
depression (major)
(minor)
-
psychosis
- 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)
- 307.45 Phase-shift
disruption of 24-hour sleep-wake cycle
-
Irregular
sleep-wake rhythm, nonorganic origin
-
Jet lag syndrome
-
Rapid time-zone
change
-
Shifting
sleep-work schedule
- 307.46 Somnambulism
or night terrors
- 307.47 Other
dysfunctions of sleep stages or arousal from sleep
-
Nightmares:
-
NOS
-
REM-sleep type
-
Sleep drunkenness
- 307.48 Repetitive
intrusions of sleep
-
Repetitive
intrusion of sleep with:
-
atypical
polysomnographic features
-
environmental
disturbances
-
repeated REM-sleep
interruptions
- 307.49 Other
-
"Short-sleeper"
-
Subjective
insomnia complaint
- 307.5 Other and
unspecified disorders of eating
-
Excludes:
anorexia:
-
nervosa (307.1)
-
of unspecified
cause (783.0)
-
overeating, of
unspecified cause (783.6)
-
vomiting:
-
NOS (787.0)
-
cyclical (536.2)
-
psychogenic
(306.4)
- 307.50 Eating
disorder, unspecified
- 307.51 Bulimia
-
Overeating of
nonorganic origin
- 307.52 Pica
-
Perverted appetite
of nonorganic origin
- 307.53 Psychogenic
rumination
-
Regurgitation, of
nonorganic origin, of food with reswallowing
-
Excludes:
obsessional rumination (300.3)
- 307.54 Psychogenic
vomiting
- 307.59 Other
-
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 Psychalgia
- 307.80 Psychogenic
pain, site unspecified
- 307.81 Tension
headache
-
Excludes:
headache:
-
NOS (784.0)
-
migraine
(346.0-346.9)
- 307.89 Other
-
Psychogenic
backache
-
Excludes:
pains not specifically attributable to a
psychological cause (in):
-
back (724.5)
-
joint (719.4)
-
limb (729.5)
-
lumbago (724.2)
-
rheumatic (729.0)
- 307.9 Other and
unspecified special symptoms or syndromes, not
elsewhere classified
-
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
-
Brief or acute
posttraumatic stress disorder
-
Excludes:
prolonged posttraumatic emotional disturbance
(309.81)
- 308.4 Mixed
disorders as reaction to stress
- 308.9 Unspecified
acute reaction to stress
- 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 Brief
depressive reaction
-
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
reaction with anxious mood
- 309.28 Adjustment
reaction with mixed emotional features
-
Adjustment
reaction with anxiety and depression
- 309.29 Other
-
Culture shock
- 309.3 With
predominant disturbance of conduct
-
Conduct
disturbance as adjustment reaction
-
Destructiveness as
adjustment reaction
-
Excludes:
destructiveness in child (312.9)
-
disturbance of
conduct NOS (312.9)
-
dyssocial behavior
without manifest psychiatric disorder
(V71.01-V71.02)
-
personality
disorder with predominantly sociopathic or asocial
manifestations (301.7)
- 309.4 With mixed
disturbance of emotions and conduct
- 309.8 Other
specified adjustment reactions
- 309.81 Prolonged
posttraumatic stress disorder
-
Chronic
posttraumatic stress disorder
-
Concentration camp
syndrome
-
Excludes:
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
organic 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 Organic
personality syndrome
-
Cognitive or
personality change of other type, of nonpsychotic
severity
-
Mild memory
disturbance
-
Organic
psychosyndrome of nonpsychotic severity
-
Presbyophrenia NOS
-
Senility with
mental changes of nonpsychotic severity
- 310.2
Postconcussion syndrome
-
Postcontusion
syndrome or encephalopathy
-
Posttraumatic
brain syndrome, nonpsychotic
-
Status
postcommotio cerebri
-
Excludes:
any organic psychotic conditions following
head injury (293.0-294.0)
-
frontal lobe
syndrome (310.0)
-
postencephalitic
syndrome (310.8)
- 310.8 Other
specified nonpsychotic mental disorders following
organic brain damage
-
Postencephalitic
syndrome
-
Other focal
(partial) organic psychosyndromes
- 310.9 Unspecified
nonpsychotic mental disorder following organic brain
damage
- 311
Depressive disorder, not elsewhere classified
-
Depressive
disorder NOS
-
Depressive state
NOS
-
Depression NOS
-
Excludes:
acute reaction to major stress with
depressive symptoms (308.0)
-
affective
personality disorder (301.10-301.13)
-
affective
psychoses (296.0-296.9)
-
brief depressive
reaction (309.0)
-
depressive states
associated with stressful events (309.0-309.1)
-
disturbance of
emotions specific to childhood and adolescence, with
misery and unhappiness (313.1)
-
mixed adjustment
reaction with depressive symptoms (309.4)
-
neurotic
depression (300.4)
-
prolonged
depressive adjustment reaction (309.1)
-
psychogenic
depressive psychosis (298.0)
- 312
Disturbance of conduct, not elsewhere classified
-
Excludes:
adjustment reaction with disturbance of
conduct (309.3)
-
drug dependence
(304.0-304.9)
-
dyssocial behavior
without manifest psychiatric disorder
(V71.01-V71.02)
-
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
-
Aggressive
outburst
-
Anger reaction
-
Unsocialized
aggressive disorder
- 312.1
Undersocialized conduct disorder, unaggressive type
-
Childhood truancy,
unsocialized
-
Solitary stealing
-
Tantrums
- 312.2 Socialized
conduct disorder
-
Childhood truancy,
socialized
-
Group delinquency
-
Excludes:
gang activity without manifest psychiatric
disorder (V71.01)
- 312.3 Disorders
of impulse control, not elsewhere classified
- 312.30 Impulse
control disorder, unspecified
- 312.31 Pathological
gambling
- 312.32 Kleptomania
- 312.33 Pyromania
- 312.34 Intermittent
explosive disorder
- 312.35 Isolated
explosive disorder
- 312.39 Other
- 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
- 312.9 Unspecified
disturbance of conduct
-
Delinquency
(juvenile)
- 313
Disturbance of emotions specific to childhood
and adolescence
-
Excludes:
adjustment reaction (309.0-309.9)
-
emotional disorder
of neurotic type (300.0-300.9)
-
masturbation,
nail-biting, thumb-sucking, and other isolated
symptoms (307.0-307.9)
- 313.0 Overanxious
disorder
-
Anxiety and
fearfulness of childhood and adolescence
-
Overanxious
disorder of childhood and adolescence
-
Excludes:
abnormal separation anxiety (309.21)
-
anxiety states
(300.00-300.09)
-
hospitalism in
children (309.83)
-
phobic state
(300.20-300.29)
- 313.1 Misery and
unhappiness disorder
-
Excludes:
depressive neurosis (300.4)
- 313.2
Sensitivity, shyness, and social withdrawal disorder
-
Excludes:
infantile autism (299.0)
-
schizoid
personality (301.20-301.22)
-
schizophrenia
(295.0-295.9)
- 313.21 Shyness
disorder of childhood
-
Sensitivity
reaction of childhood or adolescence
- 313.22 Introverted
disorder of childhood
-
Social withdrawal
of childhood or adolescence
-
Withdrawal
reaction of childhood or adolescence
- 313.23 Elective
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
disorder
- 313.82 Identity
disorder
- 313.83 Academic
underachievement disorder
- 313.89 Other
- 313.9 Unspecified
emotional disturbance of childhood
- 314
Hyperkinetic syndrome of childhood
-
Excludes:
hyperkinesis as symptom of underlying
disordercode the underlying disorder
- 314.0 Attention
deficit disorder
-
Adult
-
Child
- 314.00 Without
mention of hyperactivity
-
Predominantly
inattentive type
- 314.01 With
hyperactivity
-
Combined type
-
Overactivity NOS
-
Predominantly
hyperactive/impulsive type
-
Simple disturbance
of attention with overactivity
- 314.1
Hyperkinesis with developmental delay
-
Developmental
disorder of hyperkinesis
- Use additional code
to identify any associated neurological disorder
- 314.2
Hyperkinetic conduct disorder
-
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 Specific
arithmetical disorder
-
Dyscalculia
- 315.2 Other
specific learning difficulties
-
Excludes:
specific arithmetical disorder (315.1)
-
specific reading
disorder (315.00-315.09)
- 315.3
Developmental speech or language disorder
- 315.31
Developmental language disorder
-
Developmental
aphasia
-
Expressive
language disorder
-
Word deafness
-
Excludes:
acquired aphasia (784.3)
-
elective mutism
(309.83, 313.0, 313.23)
- 315.32 Receptive
language disorder (mixed)
-
Receptive
expressive language disorder
- 315.39 Other
-
Developmental
articulation disorder
-
Dyslalia
-
Excludes:
lisping and lalling (307.9)
-
stammering and
stuttering (307.0)
- 315.4
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
- 316
Psychic factors associated with diseases
classified elsewhere
-
Psychologic
factors in physical conditions classified elsewhere
- Use additional code
to identify the associated physical condition, as:
-
psychogenic:
-
asthma (493.9)
-
dermatitis (692.9)
-
duodenal ulcer
(532.0-532.9)
-
eczema (691.8,
692.9)
-
gastric ulcer
(531.0-531.9)
-
mucous colitis
(564.9)
-
paroxysmal
tachycardia (427.2)
-
ulcerative colitis
(556)
-
urticaria
(708.0-708.9)
-
psychosocial
dwarfism (259.4)
-
Excludes:
physical symptoms and physiological
malfunctions, not involving tissue damage, of mental
origin (306.0-306.9)
-
MENTAL RETARDATION (317-319)
- Use additional
code(s) to identify any associated psychiatric or
physical condition(s)
- 317 Mild
mental retardation
-
High-grade defect
-
IQ 50-70
-
Mild mental
subnormality
- 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
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