|
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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