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DSM-IV

 

Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

 

MENTAL RETARDATION

 

317      Mild Mental Retardation

318.0      Moderate Mental Retardation

318.1      Severe Mental Retardation

318.2      Profound Mental Retardation

319      Mental Retardation, Severity Unspecified

 

LEARNING DISORDERS

      

315.00      Reading Disorder

315.1      Mathematics Disorder

315.2      Disorder of Written Expression

315.9      Learning Disorder NOS  

 

Click The New Science of DYSLEXIA reported by Christine Gorman, Time Magazine, on  July 20, 2003

 

MOTOR SKILLS DISORDER

 

315.4      Developmental Coordination Disorder

 

COMMUNICATION DISORDERS

 

315.31      Expressive Language Disorder

315.32      Mixed Receptive-Expressive Language Disorder

315.39      Phonological Disorder

307.0      Stuttering

307.9      Communication Disorder NOS

 

PERVASIVE DEVELOPMENTAL DISORDERS

 

299.00      Autistic Disorder

299.80      Rett's Disorder

299.10      Childhood Disintegrative Disorder

299.80      Asperger's Disorder

299.80      Pervasive Developmental Disorder NOS

 

ATTENTION-DEFICIT AND DISRUPTIVE BEHAVIOR DISORDERS

 

314.xx      Attention-Deficit/Hyperactivity Disorder

 .01   Combined Type

 .00   Predominantly Inattentive Type

 .01   Predominantly Hyperactive-Impulsive Type

314.9      Attention-Deficit/Hyperactivity Disorder NOS

312.xx      Conduct Disorder

 .81   Childhood-Onset Type

 .82   Adolescent-Onset Type

 .89   Unspecified Onset

313.81      Oppositional Defiant Disorder

312.9      Disruptive Behavior Disorder NOS

 

FEEDING AND EATING DISORDERS OF INFANCY OR EARLY CHILDHOOD

 

307.52      Pica

307.53      Rumination Disorder

307.59      Feeding Disorder of Infancy or Early Childhood

 

TIC DISORDERS

 

307.23      Tourette's Disorder

307.22      Chronic Motor or Vocal Tic Disorder

307.21      Transient Tic Disorder

 

Specify if: Single Episode/Recurrent

 

307.20      Tic Disorder NOS

 

ELIMINATION DISORDERS

 

—.-      Encopresis

 

787.6            With Constipation and Overflow Incontinence

307.7            Without Constipation and Overflow Incontinence

307.6      Enuresis (Not Due to a General Medical Condition)

 

Specify type: Nocturnal Only/Diurnal Only/Nocturnal and Diurnal

 

OTHER DISORDERS OF INFANCY, CHILDHOOD, OR ADOLESCENCE

 

309.21      Separation Anxiety Disorder

 

Specify if: Early Onset

 

313.23      Selective Mutism

313.89      Reactive Attachment Disorder of Infancy or Early Childhood

 

Specify type: Inhibited Type/ Disinhibited Type

 

307.3      Stereotypic Movement Disorder

 

Specify if: With Self-Injurious Behavior

 

313.9      Disorder of Infancy, Childhood, or Adolescence NOS

 

 

 

Delirium, Dementia, and Amnestic and Other Cognitive Disorders

 

DELIRIUM

 

293.0      Delirium Due to . . .  [Indicate the General Medical Condition]

—.-      Substance Intoxication Delirium  (refer to Substance-Related Disorders for substance-specific codes)

—.-      Substance Withdrawal Delirium  (refer to Substance-Related Disorders for substance-specific codes)

—.-      Delirium Due to Multiple Etiologies  (code each of the specific etiologies)

780.09      Delirium NOS

 

DEMENTIA

 

294.xx† †   Dementia of the Alzheimer's Type, With Early Onset  (also code 331.0 Alzheimer's disease on Axis III)

  .10   Without Behavioral Disturbance

  .11   With Behavioral Disturbance

294.xx*   Dementia of the Alzheimer's Type, With Late Onset  (also code 331.0 Alzheimer's disease on Axis III)

  .10   Without Behavioral Disturbance

  .11   With Behavioral Disturbance

290.xx      Vascular Dementia

  .40   Uncomplicated

  .41   With Delirium

  .42   With Delusions

  .43   With Depressed Mood

 

Specify if: With Behavioral Disturbance

Code presence or absence of a behavioral disturbance in the fifth digit for Dementia Due to a General Medical Condition:

0 = Without Behavioral Disturbance

1 = With Behavioral Disturbance

 

294.1x*      Dementia Due to HIV Disease  (also code 042 HIV on Axis III)

294.1x*      Dementia Due to Head Trauma  (also code 854.00 head injury on Axis III)

294.1x*      Dementia Due to Parkinson's Disease  (also code 332.0 Parkinson's disease on Axis III)

294.1x*      Dementia Due to Huntington's Disease  (also code 333.4 Huntington's disease on Axis III)

294.1x*      Dementia Due to Pick's Disease  (also code 331.1 Pick's disease on Axis III)

294.1x*      Dementia Due to Creutzfeldt-Jakob Disease  (also code 046.1 Creutzfeldt-Jakob disease on Axis III)

294.1x*      Dementia Due to . . .  [Indicate the General Medical Condition not listed above]  (also code the general medical condition on Axis III)

—.–      Substance-Induced Persisting Dementia  (refer to Substance-Related Disorders for substance-specific codes)

—.–      Dementia Due to Multiple Etiologies  (code each of the specific etiologies)

294.8      Dementia NOS

 

AMNESTIC DISORDERS

 

294.0      Amnestic Disorder Due to . . .  [Indicate the General Medical Condition]

Specify if: Transient/Chronic

—.-      Substance-Induced Persisting Amnestic Disorder  (refer to Substance-Related Disorders for substance-specific codes)

294.8      Amnestic Disorder NOS

 

OTHER COGNITIVE DISORDERS

 

294.9      Cognitive Disorder NOS

 

 

 

Mental Disorders Due to a General Medical Condition Not Elsewhere Classified

 

293.89      Catatonic Disorder Due to . . .  [Indicate the General Medical Condition]

310.1      Personality Change Due to . . .  [Indicate the General Medical Condition]

 

Specify type: Labile Type/Disinhibited Type/Aggressive Type/Apathetic

Type/Paranoid Type/Other Type/Combined Type/Unspecified Type

 

293.9      Mental Disorder NOS Due to . . .  [Indicate the General Medical Condition]

 

 

 

Substance-Related Disorders

 

 

The following specifiers apply to Substance Dependence as noted:

 

 a. With Physiological Dependence/Without Physiological Dependence

 b. Early Full Remission/Early Partial Remission Sustained Full Remission/Sustained Partial Remission

 c.  In a Controlled Environment

 d. On Agonist Therapy

 

The following specifiers apply to Substance-Induced Disorders as noted:

IWith Onset During Intoxication/WWith Onset During Withdrawal

 

ALCOHOL-RELATED DISORDERS          Helpful link to Other Stites

 

Alcohol Use Disorders

 

303.90      Alcohol Dependence a,b,c

305.00      Alcohol Abuse

 

Alcohol-Induced Disorders

 

303.00      Alcohol Intoxication

291.81      Alcohol Withdrawal

 

Specify if: With Perceptual Disturbances

 

291.0      Alcohol Intoxication Delirium

291.0      Alcohol Withdrawal Delirium

291.2      Alcohol-Induced Persisting Dementia

291.1      Alcohol-Induced Persisting Amnestic Disorder

291.x      Alcohol-Induced Psychotic Disorder

  .5   With DelusionsI,W

  .3   With HallucinationsI,W

291.89      Alcohol-Induced Mood Disorder I,W

291.89      Alcohol-Induced Anxiety Disorder I,W

291.89      Alcohol-Induced Sexual Dysfunction I

291.89      Alcohol-Induced Sleep Disorder I,W

291.9      Alcohol-Related Disorder NOS

 

AMPHETAMINE (OR AMPHETAMINE-LIKE)–RELATED DISORDERS

 

Amphetamine Use Disorders

 

304.40      Amphetamine Dependence a,b,c

305.70      Amphetamine Abuse

 

Amphetamine-Induced Disorders

 

292.89      Amphetamine Intoxication

 

Specify if: With Perceptual Disturbances

 

292.0      Amphetamine Withdrawal

292.81      Amphetamine Intoxication Delirium

292.xx      Amphetamine-Induced Psychotic Disorder

  .11   With DelusionsI

  .12   With HallucinationsI

292.84      Amphetamine-Induced Mood Disorder I,W

292.89      Amphetamine-Induced Anxiety Disorder I

292.89      Amphetamine-Induced Sexual Dysfunction I

292.89      Amphetamine-Induced Sleep Disorder I,W

292.9      Amphetamine-Related Disorder NOS

 

CAFFEINE-RELATED DISORDERS

 

Caffeine-Induced Disorders (232)

 

305.90      Caffeine Intoxication (232)

292.89      Caffeine-Induced Anxiety Disorder I (479)

292.89      Caffeine-Induced Sleep Disorder I (655)

292.9      Caffeine-Related Disorder NOS (234)

 

CANNABIS-RELATED DISORDERS (234)

 

Cannabis Use Disorders (236)

 

304.30      Cannabis Dependence a,b,c (236)

305.20      Cannabis Abuse (236)

 

Cannabis-Induced Disorders (237)

 

292.89      Cannabis Intoxication (237)

 

Specify if: With Perceptual Disturbances

 

292.81      Cannabis Intoxication Delirium (143)

292.xx      Cannabis-Induced Psychotic Disorder (338)

  .11   With DelusionsI

  .12   With HallucinationsI

292.89      Cannabis-Induced Anxiety Disorder I (479)

292.9      Cannabis-Related Disorder NOS (241)

 

COCAINE-RELATED DISORDERS (241)

 

Cocaine Use Disorders (242)

 

304.20      Cocaine Dependence a,b,c (242)

305.60      Cocaine Abuse (243)

 

Cocaine-Induced Disorders (244)

 

292.89      Cocaine Intoxication (244)

 

Specify if: With Perceptual Disturbances

 

292.0      Cocaine Withdrawal (245)

292.81      Cocaine Intoxication Delirium (143)

292.xx      Cocaine-Induced Psychotic Disorder (338)

  .11   With DelusionsI

  .12   With HallucinationsI

292.84      Cocaine-Induced Mood Disorder I,W (405)

292.89      Cocaine-Induced Anxiety Disorder I,W (479)

292.89      Cocaine-Induced Sexual Dysfunction I (562)

292.89      Cocaine-Induced Sleep Disorder I,W (655)

292.9      Cocaine-Related Disorder NOS (250)

 

HALLUCINOGEN-RELATED DISORDERS (250)

 

Hallucinogen Use Disorders (251)

 

304.50      Hallucinogen Dependence b,c (251)

305.30      Hallucinogen Abuse (252)

 

Hallucinogen-Induced Disorders (252)

 

292.89      Hallucinogen Intoxication (252)

292.89      Hallucinogen Persisting Perception Disorder (Flashbacks) (253)

292.81      Hallucinogen Intoxication Delirium (143)

292.xx      Hallucinogen-Induced Psychotic Disorder (338)

  .11   With DelusionsI

  .12   With HallucinationsI

292.84      Hallucinogen-Induced Mood Disorder I (405)

292.89      Hallucinogen-Induced Anxiety Disorder I (479)

292.9      Hallucinogen-Related Disorder NOS (256)

 

INHALANT-RELATED DISORDERS (257)

 

Inhalant Use Disorders (258)

 

304.60      Inhalant Dependence b,c (258)

305.90      Inhalant Abuse (259)

 

Inhalant-Induced Disorders (259)

 

292.89      Inhalant Intoxication (259)

292.81      Inhalant Intoxication Delirium (143)

292.82      Inhalant-Induced Persisting Dementia (168)

292.xx      Inhalant-Induced Psychotic Disorder (338)

  .11   With DelusionsI

  .12   With HallucinationsI

292.84      Inhalant-Induced Mood Disorder I (405)

292.89      Inhalant-Induced Anxiety Disorder I (479)

292.9      Inhalant-Related Disorder NOS (263)

 

NICOTINE-RELATED DISORDERS (264)

 

Nicotine Use Disorder (264)

 

305.1      Nicotine Dependence a,b (264)

 

Nicotine-Induced Disorder (265)

 

292.0      Nicotine Withdrawal (265)

292.9      Nicotine-Related Disorder NOS (269)

 

OPIOID-RELATED DISORDERS (269)

 

Opioid Use Disorders (270)

 

304.00      Opioid Dependence a,b,c,d (270)

305.50      Opioid Abuse (271)

 

Opioid-Induced Disorders (271)

 

292.89      Opioid Intoxication (271)

 

Specify if: With Perceptual Disturbances

 

292.0      Opioid Withdrawal (272)

292.81      Opioid Intoxication Delirium (143)

292.xx      Opioid-Induced Psychotic Disorder (338)

  .11   With DelusionsI

  .12   With HallucinationsI

 

292.84      Opioid-Induced Mood Disorder I (405)

292.89      Opioid-Induced Sexual Dysfunction I (562)

292.89      Opioid-Induced Sleep Disorder I,W (655)

292.9      Opioid-Related Disorder NOS (277)

 

PHENCYCLIDINE (OR PHENCYCLIDINE-LIKE)–RELATED DISORDERS (279)

 

Phencyclidine Use Disorders (279)

 

304.60      Phencyclidine Dependence b,c (279)

305.90      Phencyclidine Abuse (280)

 

Phencyclidine-Induced Disorders (280)

 

292.89      Phencyclidine Intoxication (280)

 

Specify if: With Perceptual Disturbances

 

292.81      Phencyclidine Intoxication Delirium (143)

292.xx      Phencyclidine-Induced Psychotic Disorder (338)

  .11   With DelusionsI

  .12   With HallucinationsI

292.84      Phencyclidine-Induced Mood Disorder I (405)

292.89      Phencyclidine-Induced Anxiety Disorder I (479)

292.9      Phencyclidine-Related Disorder NOS (283)

 

SEDATIVE-, HYPNOTIC-, OR ANXIOLYTIC-RELATED DISORDERS (284)

 

Sedative, Hypnotic, or Anxiolytic Use Disorders (285)

 

304.10 Sedative, Hypnotic, or Anxiolytic Dependence a,b,c (285)

305.40 Sedative, Hypnotic, or Anxiolytic Abuse (286)

 

Sedative-, Hypnotic-, or Anxiolytic-Induced Disorders (286)

 

292.89 Sedative, Hypnotic, or Anxiolytic Intoxication (286)

292.0 Sedative, Hypnotic, or Anxiolytic Withdrawal (287)

 

Specify if: With Perceptual Disturbances

 

292.81 Sedative, Hypnotic, or Anxiolytic Intoxication Delirium (143)

292.81 Sedative, Hypnotic, or Anxiolytic Withdrawal Delirium (143)

292.82 Sedative-, Hypnotic-, or Anxiolytic-Induced Persisting Dementia (168)

292.83 Sedative-, Hypnotic-, or Anxiolytic-Induced Persisting Amnestic Disorder (177)

292.xx Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disorder (338)

  .11   With DelusionsI,W

  .12   With HallucinationsI,W

292.84 Sedative-, Hypnotic-, or Anxiolytic-Induced Mood Disorder I,W (405)

292.89 Sedative-, Hypnotic-, or Anxiolytic-Induced Anxiety Disorder W (479)

292.89 Sedative-, Hypnotic-, or Anxiolytic-Induced Sexual Dysfunction I (562)

292.89 Sedative-, Hypnotic-, or Anxiolytic-Induced Sleep Disorder I,W (655)

292.9 Sedative-, Hypnotic-, or Anxiolytic-Related Disorder NOS (293)

 

POLYSUBSTANCE-RELATED DISORDER (293)

 

304.80 Polysubstance Dependence a,b,c,d (293)

 

OTHER (OR UNKNOWN) SUBSTANCE–RELATED DISORDERS (294)

 

Other (or Unknown) Substance Use Disorders (295)

 

304.90 Other (or Unknown) Substance Dependence a,b,c,d (192)

305.90 Other (or Unknown) Substance Abuse (198)

 

Other (or Unknown) Substance– Induced Disorders (295)

 

292.89 Other (or Unknown) Substance Intoxication (199)

 

Specify if: With Perceptual Disturbances

 

292.0 Other (or Unknown) Substance Withdrawal (201)

 

Specify if: With Perceptual Disturbances

 

292.81 Other (or Unknown) Substance–Induced Delirium (143)

292.82 Other (or Unknown) Substance–Induced Persisting Dementia (168)

292.83 Other (or Unknown) Substance–Induced Persisting Amnestic Disorder (177)

292.xx Other (or Unknown) Substance–Induced Psychotic Disorder (338)

  .11   With DelusionsI,W

  .12   With HallucinationsI,W

292.84 Other (or Unknown) Substance–Induced Mood Disorder I,W (405)

292.89 Other (or Unknown) Substance–Induced Anxiety Disorder I,W (479)

292.89 Other (or Unknown) Substance–Induced Sexual Dysfunction I (562)

292.89 Other (or Unknown) Substance–Induced Sleep Disorder I,W (655)

292.9 Other (or Unknown) Substance–Related Disorder NOS (295)

 

 

 

Schizophrenia and Other Psychotic Disorders

  

295.xx Schizophrenia (298)

The following Classification of Longitudinal Course applies to all subtypes of Schizophrenia:

 

Episodic With Interepisode Residual Symptoms (specify if: With Prominent Negative Symptoms)/Episodic With No Interepisode Residual Symptoms

 

Continuous (specify if: With Prominent Negative Symptoms)

 

Single Episode In Partial Remission (specify if: With Prominent Negative Symptoms)/Single Episode In Full Remission

 

Other or Unspecified Pattern

 

.30 Paranoid Type (313)

.10 Disorganized Type (314)

.20 Catatonic Type (315)

.90 Undifferentiated Type (316)

.60 Residual Type (316)

295.40 Schizophreniform Disorder (317)

 

Specify if: Without Good Prognostic Features/With Good Prognostic Features

 

295.70 Schizoaffective Disorder (319)

 

Specify type: Bipolar Type/Depressive Type

 

297.1 Delusional Disorder (323)

 

Specify type: Erotomanic Type/Grandiose Type/Jealous Type/Persecutory Type/Somatic Type/Mixed Type/Unspecified Type

 

298.8 Brief Psychotic Disorder (329)

 

Specify if: With Marked Stressor(s)/Without Marked Stressor(s)/With Postpartum Onset

 

297.3 Shared Psychotic Disorder (332)

293.xx Psychotic Disorder Due to . . .  [Indicate the General Medical Condition] (334)

  .81   With Delusions

  .82   With Hallucinations

—.– Substance-Induced Psychotic Disorder  (refer to Substance-Related Disorders for substance-specific codes)

 

Specify if: With Onset During Intoxication/With Onset During Withdrawal

 

298.9 Psychotic Disorder NOS

 

 

 

Mood Disorders

  

Code current state of Major Depressive Disorder or Bipolar I Disorder in fifth digit:

1 = Mild

2 = Moderate

3 = Severe Without Psychotic Features

4 = Severe With Psychotic Features

Specify: Mood-Congruent Psychotic Features/Mood-Incongruent Psychotic

Features

5 = In Partial Remission

6 = In Full Remission

0 = Unspecified

 

The following specifiers apply (for current or most recent episode) to Mood Disorders as noted:

 

a Severity/Psychotic/Remission Specifiers/ b Chronic/cWith Catatonic Features / d With Melancholic Features / eWith Atypical Features / fWith Postpartum Onset

 

The following specifiers apply to Mood Disorders as noted:

 

g With or Without Full Interepisode Recovery / h With Seasonal Pattern / i With Rapid Cycling

 

DEPRESSIVE DISORDERS

 

296.xx Major Depressive Disorder (369)

  .2x   Single Episodea,b,c,d,e,f

  .3x   Recurrenta,b,c,d,e,f,g,h

300.4 Dysthymic Disorder (376)

 

Specify if: Early Onset/Late Onset

 

Specify: With Atypical Features

 

311 Depressive Disorder NOS (381)

 

BIPOLAR DISORDERS

 

296.xx Bipolar I Disorder (382)

  .0x   Single Manic Episodea,c,f

 

Specify if: Mixed

 

  .40   Most Recent Episode Hypomanicg,h,i

  .4x   Most Recent Episode Manica,c,f,g,h,i

  .6x   Most Recent Episode Mixeda,c,f,g,h,i

  .5x   Most Recent Episode Depresseda,b,c,d,e,f,g,h,i

  .7   Most Recent Episode Unspecifiedg,h,i

 

296.89 Bipolar II Disorder a,b,c,d,e,f,g,h,i (392)

 

Specify (current or most recent episode): Hypomanic/Depressed

 

301.13 Cyclothymic Disorder (398)

296.80 Bipolar Disorder NOS (400)

293.83 Mood Disorder Due to . . .  [Indicate the General Medical Condition] (401)

 

Specify type: With Depressive Features/With Major Depressive–Like

Episode/With Manic Features/With Mixed Features

 

—.– Substance-Induced Mood Disorder  (refer to Substance-Related Disorders for

substance-specific codes) (405)

 

Specify type: With Depressive Features/With Manic Features/With Mixed

Features

 

Specify if: With Onset During Intoxication/With Onset During Withdrawal

 

296.90 Mood Disorder NOS (410)

 

 

 

Anxiety Disorders

 

 

300.01 Panic Disorder Without Agoraphobia (433)

300.21 Panic Disorder With Agoraphobia (433)

300.22 Agoraphobia Without History of Panic Disorder (441)

300.29 Specific Phobia (443)

 

Specify type: Animal Type/Natural Environment Type/Blood-Injection-Injury

Type/Situational Type/Other Type

 

300.23 Social Phobia (450)

 

Specify if: Generalized

 

300.3 Obsessive-Compulsive Disorder (456)

 

Specify if: With Poor Insight

 

309.81 Posttraumatic Stress Disorder (463)

 

Specify if: Acute/Chronic

 

Specify if: With Delayed Onset

 

308.3 Acute Stress Disorder (469)

300.02 Generalized Anxiety Disorder (472)

293.84 Anxiety Disorder Due to . . .  [Indicate the General Medical Condition] (476)

 

Specify if: With Generalized Anxiety/With Panic Attacks/With Obsessive-

Compulsive Symptoms

 

—.– Substance-Induced Anxiety Disorder  (refer to Substance-Related Disorders for

substance-specific codes) (479)

 

Specify if: With Generalized Anxiety/With Panic Attacks/With Obsessive-

Compulsive Symptoms/With Phobic Symptoms

 

Specify if: With Onset During Intoxication/With Onset During Withdrawal

 

300.00 Anxiety Disorder NOS (484)

 

 

 

Somatoform Disorders

  

300.81 Somatization Disorder (486)

300.82 Undifferentiated Somatoform Disorder (490)

300.11 Conversion Disorder (492)

 

Specify type: With Motor Symptom or Deficit/With Sensory Symptom or Deficit/With Seizures or Convulsions/With Mixed Presentation

 

307.xx Pain Disorder (498)

  .80   Associated With Psychological Factors

  .89   Associated With Both Psychological Factors and a General Medical Condition

 

Specify if: Acute/Chronic

 

300.7 Hypochondriasis

 

Specify if: With Poor Insight

 

300.7 Body Dysmorphic Disorder

300.82 Somatoform Disorder NOS

 

 

 

Factitious Disorders

 

 300.xx Factitious Disorder

 

  .16   With Predominantly Psychological Signs and Symptoms

  .19   With Predominantly Physical Signs and Symptoms

  .19   With Combined Psychological and Physical Signs and Symptoms

 

300.19 Factitious Disorder NOS

 

 

 

Dissociative Disorders

  

300.12 Dissociative Amnesia (520)

300.13 Dissociative Fugue (523)

300.14 Dissociative Identity Disorder (526)

300.6 Depersonalization Disorder (530)

300.15 Dissociative Disorder NOS (532)

 

 

 

Sexual and Gender Identity Disorders

 

SEXUAL DYSFUNCTIONS (535)

The following specifiers apply to all primary Sexual Dysfunctions:

 

Lifelong Type/Acquired Type

 

Generalized Type/Situational Type

 

Due to Psychological Factors/Due to Combined Factors

 

Sexual Desire Disorders (539)

 

302.71 Hypoactive Sexual Desire Disorder (539)

302.79 Sexual Aversion Disorder (541)

 

Sexual Arousal Disorders (543)

 

302.72 Female Sexual Arousal Disorder (543)

302.72 Male Erectile Disorder (545)

 

Orgasmic Disorders (547)

 

302.73 Female Orgasmic Disorder (547)

302.74 Male Orgasmic Disorder (547)

302.75 Premature Ejaculation (550)

 

Sexual Pain Disorders (552)

 

302.76 Dyspareunia (Not Due to a General Medical Condition) (554)

306.51 Vaginismus (Not Due to a General Medical Condition) (554)

 

Sexual Dysfunction Due to a General Medical Condition (556)

 

625.8 Female Hypoactive Sexual Desire Disorder Due to . . .  [Indicate the General

Medical Condition] (558)

 

608.89 Male Hypoactive Sexual Desire Disorder Due to . . .  [Indicate the General

Medical Condition] (558)

 

607.84 Male Erectile Disorder Due to . . .  [Indicate the General Medical Condition] (558)

 

625.0 Female Dyspareunia Due to . . .  [Indicate the General Medical Condition] (558)

 

608.89 Male Dyspareunia Due to . . .  [Indicate the General Medical Condition] (558)

 

625.8 Other Female Sexual Dysfunction Due to . . .  [Indicate the General Medical

Condition] (558)

 

608.89 Other Male Sexual Dysfunction Due to . . .  [Indicate the General Medical

Condition] (558)

 

—.– Substance-Induced Sexual Dysfunction  (refer to Substance-Related Disorders for

substance-specific codes) (562)

 

Specify if: With Impaired Desire/With Impaired Arousal/With Impaired

Orgasm/With Sexual Pain

 

Specify if: With Onset During Intoxication

 

302.70 Sexual Dysfunction NOS (565)

 

PARAPHILIAS (566)

 

302.4 Exhibitionism (569)

 

302.81 Fetishism (569)

302.89 Frotteurism (570)

302.2 Pedophilia (571)

 

Specify if: Sexually Attracted to Males/Sexually Attracted to Females/Sexually

Attracted to Both

 

Specify if: Limited to Incest

 

Specify type: Exclusive Type/Nonexclusive Type

 

302.83 Sexual Masochism (572)

302.84 Sexual Sadism (573)

302.3 Transvestic Fetishism (574)

 

Specify if: With Gender Dysphoria

 

302.82 Voyeurism (575)

302.9 Paraphilia NOS (576)

 

GENDER IDENTITY DISORDERS (576)

 

302.xx Gender Identity Disorder (576)

  .6   in Children

  .85   in Adolescents or Adults

 

Specify if: Sexually Attracted to Males/Sexually Attracted to Females/Sexually

Attracted to Both/Sexually Attracted to Neither

 

302.6 Gender Identity Disorder NOS (582)

302.9 Sexual Disorder NOS (582)

 

 

 

Eating Disorders

 

307.1      Anorexia Nervosa (583)

Specify type: Restricting Type; Binge-Eating/Purging Type

307.51 Bulimia Nervosa (589)

Specify type: Purging Type/Nonpurging Type

307.50 Eating Disorder NOS (594)

 

 

 

Sleep Disorders

 

PRIMARY SLEEP DISORDERS

 

Dyssomnias

 

307.42 Primary Insomnia

307.44 Primary Hypersomnia

Specify if: Recurrent

347 Narcolepsy)

780.59 Breathing-Related Sleep Disorder

307.45 Circadian Rhythm Sleep Disorder

Specify type: Delayed Sleep Phase Type/Jet Lag Type/Shift Work Type/Unspecified Type

307.47 Dyssomnia NOS

 

Parasomnias

 

307.47 Nightmare Disorder

307.46 Sleep Terror Disorder

307.46 Sleepwalking Disorder

307.47 Parasomnia NOS

 

SLEEP DISORDERS RELATED TO ANOTHER MENTAL DISORDER

 

307.42   Insomnia Related to . . .  [Indicate the Axis I or Axis II Disorder]

307.44 Hypersomnia Related to . . .  [Indicate the Axis I or Axis II Disorder]

 

OTHER SLEEP DISORDERS

 

780.xx Sleep Disorder Due to . . .  [Indicate the General Medical Condition]

  .52   Insomnia Type

  .54   Hypersomnia Type

  .59   Parasomnia Type

  .59   Mixed Type

—.– Substance-Induced Sleep Disorder  (refer to Substance-Related Disorders for substance-specific codes)

Specify type: Insomnia Type/Hypersomnia Type/Parasomnia Type/Mixed Type

Specify if: With Onset During Intoxication/With Onset During Withdrawal

 

 

Impulse-Control Disorders  

 

312.34 Intermittent Explosive Disorder

312.32 Kleptomania

312.33 Pyromania

312.31 Pathological Gambling

312.39 Trichotillomania

312.30 Impulse-Control Disorder NOS

 

 

 

Adjustment Disorders

 

309.xx Adjustment Disorder

 

  .0   With Depressed Mood

  .24   With Anxiety

  .28   With Mixed Anxiety and Depressed Mood

  .3   With Disturbance of Conduct

  .4   With Mixed Disturbance of Emotions and Conduct

  .9   Unspecified

 

Specify if: Acute/Chronic

 

 

 

Personality Disorders

 

Note: These are coded on Axis II.

 

301.0 Paranoid Personality Disorder

301.20 Schizoid Personality Disorder

301.22 Schizotypal Personality Disorder

301.7 Antisocial Personality Disorder

301.83 Borderline Personality Disorder

301.50 Histrionic Personality Disorder

301.81 Narcissistic Personality Disorder

301.82 Avoidant Personality Disorder

301.6 Dependent Personality Disorder

301.4 Obsessive-Compulsive Personality Disorder

301.9 Personality Disorder NOS

 

 

 

Other Conditions That May Be a Focus of Clinical Attention

  

PSYCHOLOGICAL FACTORS AFFECTING MEDICAL CONDITION

 

316 . . .  [Specified Psychological Factor] Affecting . . .  [Indicate the General Medical Condition]

 

Choose name based on nature of factors:

 

Mental Disorder Affecting Medical Condition

Psychological Symptoms Affecting Medical Condition

Personality Traits or Coping Style Affecting Medical Condition

Maladaptive Health Behaviors Affecting Medical Condition

Stress-Related Physiological Response Affecting Medical Condition

Other or Unspecified Psychological Factors Affecting Medical Condition

 

MEDICATION-INDUCED MOVEMENT DISORDERS

 

332.1 Neuroleptic-Induced Parkinsonism

333.92 Neuroleptic Malignant Syndrome

333.7 Neuroleptic-Induced Acute Dystonia

333.99 Neuroleptic-Induced Acute Akathisia

333.82 Neuroleptic-Induced Tardive Dyskinesia

333.1 Medication-Induced Postural Tremor

333.90 Medication-Induced Movement Disorder NOS

 

OTHER MEDICATION-INDUCED DISORDER

 

995.2 Adverse Effects of Medication NOS

 

RELATIONAL PROBLEMS

 

V61.9 Relational Problem Related to a Mental Disorder or General Medical Condition

V61.20 Parent-Child Relational Problem

V61.10 Partner Relational Problem

V61.8 Sibling Relational Problem

V62.81 Relational Problem NOS

 

PROBLEMS RELATED TO ABUSE OR NEGLECT

 

V61.21 Physical Abuse of Child

      (code 995.54 if focus of attention is on victim)

V61.21 Sexual Abuse of Child

      (code 995.53 if focus of attention is on victim)

V61.21 Neglect of Child

      (code 995.52 if focus of attention is on victim)

 

—.– Physical Abuse of Adult

 

V61.12   (if by partner)

V62.83   (if by person other than partner)

              (code 995.81 if focus of attention is on victim)

 

—.– Sexual Abuse of Adult

 

V61.12   (if by partner)

V62.83   (if by person other than partner)

               (code 995.83 if focus of attention is on victim)

 

ADDITIONAL CONDITIONS THAT MAY BE A FOCUS OF CLINICAL ATTENTION

 

V15.81 Noncompliance With Treatment

V65.2 Malingering

V71.01 Adult Antisocial Behavior

V71.02 Child or Adolescent Antisocial Behavior

V62.89 Borderline Intellectual Functioning

 

Note: This is coded on Axis II.

 

780.9 Age-Related Cognitive Decline

V62.82 Bereavement

V62.3 Academic Problem

V62.2 Occupational Problem

313.82 Identity Problem

V62.89 Religious or Spiritual Problem

V62.4 Acculturation Problem

V62.89 Phase of Life Problem

 

Additional Codes

300.9 Unspecified Mental Disorder (nonpsychotic)

V71.09 No Diagnosis or Condition on Axis I

799.9 Diagnosis or Condition Deferred on Axis I

V71.09 No Diagnosis on Axis II

799.9 Diagnosis Deferred on Axis II

 

 

Multiaxial System

 

Axis I     Clinical Disorders

               Other Conditions That May Be a Focus of Clinical Attention

 Axis II    Personality Disorders

               Mental Retardation

 Axis III   General Medical Conditions

 Axis IV   Psychosocial and Environmental Problems

 Axis V    Global Assessment of Functioning

Copyright 2000 American Psychiatric Association, All Rights Reserved.