Appendix B. DSM-IV Classification: Categories and Codes
NOS = Not Otherwise Specified
An x appearing in a diagnostic code indicates that a specific code number is required.
An ellipsis (...) is used in the names of certain disorders to indicate that the name of a specific mental disorder or general medical condition should be inserted when recording the name (for example, 293.0 Delirium Due to Hypothyroidism).
If criteria are currently met, one of the following severity specifiers may be noted after the diagnosis:
Mild
Moderate
Severe
If criteria are no longer met, one of the following specifiers may be noted:
In Partial Remission
In Full Remission
Prior History.
DISORDERS USUALLY FIRST DIAGONISED IN INFANCY, CHILDHOOD OR ADOLESCENCE
Mental Retardation
Note: These are coded on Axis II.
317 Mild Mental Retardation
318.0 Moderate Mental Retardation
318.1 Severe Mental Retardation
318.2 Profound Mental Retardation
319 Retardation, Severity Unspecified
Learning Disorders
315.00 Reading Disorder
315.1 Mathematics Disorder
315.2 Disorder of Written Expression
315.9 Learning Disorder NOS
Motor Skills Disorder
315.4 Developmental Coordination Disorder
Communication Disorders
315.31 Expressive Language Disorder
315.31 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 Retts 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 CombinedType
.00 Predominantly Inattentive Type
.01 Predominantly Hyperactive-Impulsive Type
314.9 Attention-Deficit/Hyperactivity Disorder NOS
312.8 Conduct Disorder Specify type Childhood Onset Type/Adolescent Onset Type
313.81 Oppositional Defiant Disorder
312.9 Disruptive Behavior Disorder NOS
Feeding and Eating Disorders of Infancy and 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
309.21Separation Anxiety Disorders 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 Delinum (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
290.xx Dementia of the Alzheimer's Type, With Early Onset (also code 331.0 Alzheimer's disease on Axis III)
.10 Uncomplicated
.11 With Delirium
.12 With Delusions
.13 With Depressed Mood Specify if: With Behavioral Disturbance
290.xx Dementia of the Alzheimer's Type, With Late Onset (also code 331.0 Alzheimer s disease on Axis III)
.0 Uncomplicated
.3 With Delirium
.20 With Delusions
.21 With Depressed Mood Specify if: With Behavioral Disturbance
290.xx Vascular Dementia
.40 Uncomplicated
.41 With Delirium
.42 With Delusions
.43 With Depressed Mood Specify if: With Behavioral Disturbance
294.9 Dementia Due to HIV Disease (also code 043.1 HIV infection affecting central nervous system on Axis III)
294.1 Dementia Due to Head Trauma (also code 854.00 head ,injury on Axis III)
294.1 Dementia Due to Parkinson's Disease (also code 332.0 Parkinson dis-ease on Axis III)
294.1 Dementia Due to Huntington's Disease (also code 333.4 Huntington's disease on Axis III)
290.10 Dementia Due to Pick's Disease (also code 331.1 Pick's disease on Axis III)
290.10 Dementia Due to Creutzfeldt-Jakob Disease also code 046.1 Creutzfeldt-Jakob disease on Axis III
294.1 Dementia Due to[Indicate the Genera! 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
294.0Amnestic 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
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 may be applied to Substance Dependence:
With Physiological Dependence/Without Physiological Dependence
Early Full Remission/Early Partial Remission-
Sustained Full Remission/Sustamed Partial Remission
On Agonist Therapy/ In a Controlled Environment
The following specifiers apply to Substance-Induced Disorders as noted:
With Onset During Intoxication With Onset During Withdrawal
Alcohol-Related Disorders
Alcohol Use Disorders
303.90 Alcohol Dependence
305.00 Alcohol Abuse
Alcohol-Induced Disorders
303.00 Alcohol Intoxication
291.8 Alcohol Withdrawal Specify if: With Perceptual Disturbances
291.0 Alcohol Intoxication Delirium
291.0 Alcohol Withdrawal Deorder NOS
291.2 Alcohol Induced Persisting Dementia
291.1 Alcohol-Induced Persisting Amnestic Disorder
291.x Alcohol-Induced Psychotic Disorder
.5 With Delusions
.3 With Hallucinations
291.8 Alcohol-Induced Mood Disorder
291.8 Alcohol-Induced Anxiety Disorder
291.8 Alcohol-Induced Sexual Dysfunction
291.8 Alcohol-Induced Sleep Disorder
291.9 Alcohol-Related Disorder NOS
Amphetamine (or Amphetamine-like)-Related Disorders
Amphetamine Use Disorders
304.40 Amphetamine Dependence
305.70 Amphetamine Abuse
Amphetamine-Induced Disorders
292.89 Amphetamine Intoxicatication Specify if: With Perceptual Disturbances
292.0 Amphetamine Withdraws.
292.81 Amphetamine Intoxication Delirium
292.xx Amphetamine-lnduced Psychotic Disorder
.11 with Delusions
292.84 Amphetamine-lnduced Mood Disorder
292.89 Amphetamine-Induced Anxiety Disorder
292.89 Amphetamine-Induced Sexual Dysfunction
292.89 Amphetamine-lnduced Sleep Disorder
292.9 Amphetamine-Related Disorder
Caffeine-Related Disorders
Caffeine-Induced Disorders
305.90 Carfeine Intoxication
292.89 Caffeine-Induced Anxiety Disorder
292.89 Caffeine-Induced Sleep Disorder
292.9 Caffeine-Related Disorder
Cannabis-Related Disorders
Cannabis Use Disorders
304.30 Cannabis Dependence
305.20 Cannabis Abuse
Cannabis-lnduced Disorders
292.89 Cannabis Intoxication
Specify if: With Perceptual Disturbances
292.81 Cannabis Intoxication De-
292.xx Cannabis-lnduced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.89 Cannabis-lnduced Anxiety Disorder
292.9 Cannabis-Related Disorder NOS
Cocaine-Related Disorders
Cocaine Use Disorders
304.20 Cocaine Dependence3
305.60 Cocaine Abuse
304.60 Inhalant Dependence
Cocaine-Induced Disorders
292.89 Cocaine Intoxication
Specify if: With Perceptual Disturbances
292.0 Cocaine Withdrawal
292.81 Cocaine Intoxication Delinum
292.xx Cocaine-Induced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.84 Cocaine-Induced Mood Disorder
292.89 Cocaine-Induced Anxiety Disorder
292.89 Cocaine-Induced Sexual Dysfunction
292.89 Cocaine-Induced Sleep Disorder
292.9 Cocaine-Related Disorder NOS
Hallucinogen-Related Disorders
Hallucinogen Use Disorders
304.50 Hallucinogen Dependence
305.30 Hallucinogen Abuse
Hallucinogen-Induced Disorder
292.89 Hallucinogen lntoxication
292.89 Hallucinogen Persisting Perception Disorder (Flashbacks)
292.81 Hallucinogen Intoxicationlirium Delirium
292.xx Hallucinogen-Induced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.84 Hallucinogen-lnduced Mood Disorder
292.89 Hallucinogen-lnduced Anxiety Disorder
292.9 Hallucinogen-Related Disorder NOS
Inhalant-Related Disorders
Inhalant Use Disorders
305.90 Inhalant Abuse
Inhalant- lnduced Disorders
292.89 Inhalant Intoxication
292.81 Inhalant Intoxication Delirium
292.82 Inhalant-lnduced Persisting Dementia
292.xx Inhalant-lnduced Psychotic Disorder
.11 With Delusions
.12 With Hallucinatic's
292.84 Inhalant-lnduced Mood Disorder
292.89 Inhalant-lnduced Anxiety Disorder
292.9 Inhalant-Related Disorder
Nicotine-Related Disorders
Nicotine Use Disorder
305.10 Nicotine Dependence3
Nicotine-Induced Disorder
292.0 Nicotine Withdrawal
292.9 Nicotine-Related Disorder NOS
Opioid-Related Disorders
Opioid Use Disorders
304.00 Opioid Dependence
305.50 Opioid Abuse
Opioid-lnduced Disorders
Specify if: With Perceptual Disturbances
292.0 Opioid Withdrawal
292.81 Opioid Intoxication Delirium
292.xx Opioid-lnduced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.84 Opioid-lnduced Mood Disorder
292.89 Opioid-lnduced Sexual Dysfunction
292.89 Opioid-lnduced Sleep Disorder
292.9 Opioid-Related Disorder NOS
Phencyclidine (or Phencyclidine-like)-Related Disorders
Phencyclidine Use Disorders
304.90 Phencyclidine Dependence3
305.90 Phencyclidine Abuse
Phencyclidine-lnduced Disorders
292.89 Phencyclidine Intoxication Specify if: With Perceptual Disturbances
292.81Phencyclidine Intoxication Delirium
292.xx Phencyclidine-lnduced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.84 Phencyclidine-lnduced Mood Disorder
292.89 Phencyclidine-lnduced Anxiety Disorder
292.39 Phencyclidine-Related Disorder NOS
Sedative, Hypnotic, or Anxiolytic-Related Disorders
Sedative, Hypnotic, or Anxiolytic Use Disorders
304.10 Sedative, Hypnotic, or Anxiolytic Dependence
305.40 Sedative, Hypnotic, or Anxiolytic Abuse
Sedative-, Hypnotic, or Anxiolytic-lnduced Disorders
292.89 Sedative, Hypnotic, or Anxiolytic Intoxication
292.0 Sedative, Hypnotic, or Anxiolytic Withdrawal Specify if: With Perceptual Disturbances
292.81 Sedative, Hypnotic, or Anxiolytic Intoxication Delirium
292.81 Sedative, Hypnotic or Anxiolytic Withdrawal Delirium
292.82 Sedative-. Hypnotic-, or- Anxiolytic-lnduced Persisting Dementia
292.83 Sedative-. Hypnotic-, or- Anxiolytic-lnduced Persisting Amnestic Disorder
292.xx Sedative-, Hypnotic-, or Anxiolytic-lnduced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.84 Sedative-, Hypnotic- or Anxiolytic - lnduced Mood Disorder
292.84 Sedative-, Hypnotic- or Anxiolytic - lnduced Anxiety Disorder
292.89 Sedative-, Hypnotic-, or Anxiolytic-lnduced Sexual Dysfunction
292.89 Sedative-, Hypnotic-, or Anxiolytic-lnduced Sleep Disorder
292.9 Sedative-, Hypnotic-, or Anxiolytic-Related Disorder NOS
Polysubstance-Related Disorder
304.80 Polysubstance Dependence
Other (or Unknown) Substance-Related Disorders
Other (or Unknown) Substance Use Disorders
304.90 Other (or Unknown) Substance Dependence
305.90 Other (or Unknown) Substance Abuse
Other (or Unknown) Substance-lnduced Disorders
292.89 Other (or Unknown) Substance Intoxication Specify if: With Perceptual Disturbances
292.0 Other (or Unknown) Substance Withdrawal Specify if: With Perceptual Disturbances
292.81 Other (or Unknown) Substance-Induced Delirium
292.82 Other (or Unknown) Substance-Induced Persisting Dementia
292.83 Other (or Unknown) Substance-Induced Persisting Amnestic Disorder
292.xx Other (or Unknown) Substance-Induced Psychotic Disorder
.11 With Delusions
.12 With Hallucinations
292.84 Other (or Unknown) Substance-Induced Mood Disorder
292.89 Other (or Unknown Substance-Induced Anxiety Disorder
292.89 Other (or Unknown1 Substance-Induced Sexual Dysfunction
292.89 Other (or Unknown. Substance-Induced Sleep Disorder
292.9 Other (or Unknown Substance-Related Disorder NOS
SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS
295.xxx Schizophrenia
The following Classification of Longitudnal course applies to all subtypes of of Schizophrenia:
Episodic With Interepisode Residual Symptoms (specify if 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
.10 Disorganized Type
.20 Catatonic Type
.90 UndifferentiatedType
.60 Residual Type
295.40 Schizophrenitorm Disorder Specify if: Without Good Prognostic Features/With Good Prognostic Features
295.70 Schizoaffective Disorder Specify Type: Bipolar Type/Depressive Type
297.1 Dlusional Disorder Specify type :Erotomanic Type/ Grandiose Type / Jealous Type/ Persecutory Type/Somatic Type/Mixed Type/Unspecified Type
298.8 Brief Psychotic Disorder Specify if: With Marked Stressor(s) / Without Marked Stressor(s) / with Postpartum Onset
297.3 Shared Psychotic Disorder
293.xx Psychotic Disorder Due to [Indicate the General Medical condition]
.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= Mold
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:
Severity / Psychotic / Remission Specifiers / Chronic / With Catatonic Features / With Melancholic Features / With Atypical Features/ With Postpartum Onset
The following specifiers apply to Mood Disorders as noted:
With or Without Full interepisode Recover/ With Seasonal Pattern/With Rapid Cycling
Depressive Disorders
296.xx Major Depressive Disorder
.2x Single Episode
.3x recurrent
300.4 Dysthymic Disorder Specify if : Early Onset / Late Onset Specify: With Atypical Features
311 depressive Disorder NOS
Biplolar disorders
296.xx Bipolar I Disorder
.0x Single Manic Episode Specify if : mixed
.40 Most Recent Episode Hypomanic
.4x Most Recent Episode Manic
.6x most recent Episode Mixed
.5x Most Recent Episode Depressed Unspecified
296.89 Bipolar II Disorder Specify (current or most recent episode): Hypomanic/ Depressed
301.13 Cyclothymic Disorder
296.80 Bipolar Disorder NOS
293.83 Mood Disorder Due to [Indicate the General Medical Condition] 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) 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
ANXIETY DISORDERS
300.01 Panic Disorder Without Agoraphobia
300.21 Panic Disorder With Agoraphobia
300.22 Agoraphobia Without History of Panic Disorder
300.29 Specific Phobia Specify type: Animal Type/ Natural Environment Type/ Blood-lnjection-Injury/ Other Type
300.23 Social Phobia Specify if: Generalized
300.3 Obsessive-Compulsive Disorder Specify if : With Poor Insight
309.81 Posttraumatic Stress Disorder Specify if Acute/Chronic Specify if With Delayed Onset
308.3 Acute Stress Disorder
300.02 Generalized Anxiety Disorder
293.89 Anxiety Disorder due to [Indicate the General Medical Condition] Specify if : With Generalized Anxiety / With Panic Attacks / Withy Obsessive Compulsive Symptoms
——.- Substance-Induced Anxiety Disorder (refer to Substance-Related Disorders for substance-specific codes) Specify if: With Generalized Anxiety /With Panic Attacks/With Obsessive 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
SOMATOFORM DISORDERS
300.81 Somatization Disorder
300.81 Undifferentiated Somatotorm Disorder
300.11 Conversion Disorder Specify type: With Motor Symptom or Deficit /With Sensory Symptom or Deficit/ With Sensory Convulsions/With Mixed Presentation
307.xxPain Disorder
.80 Associated With Psychological Factors
.89 Associated With Both Psychological Factors and a General Medical Condition Specify if : Acute/ Chronic
300.7 Hypochondnasis Specify if: With Poor Insight
300.7 Body Dysmorphic Disorder
300.81Somatoform Disorder NOS
FACTITIOUS DISORDERS
300.xx Factitious Disorder
.16 With Predominantly Psychological Signs and Symptoms
.19 With Predominantly Physical Sign s and Symptoms
.19 With Combined Psychological and Physical Sign at Symptoms
300.19 Factitious Disorder NOS
DISSOCIATIVE DISORDERS
300.12 Dissociative Amnesia
300.13 Dissociative Fugue
300.14 Dissociative Identity Disorder
300.6 Depersonalization Disorder
300.15 Dissociative Disorder NOS
SEXUAL AND GENDER IDENTITY DISORDERS
Sexual Dysfunctions
The following specifiers apply to all primary Sexual Dysfunctions
Life long Type / Acquired Type
Genralized Type / Situational Type
Due to psychological factors / Due to Combined Factors
Sexual Desire Disorders
302.71 Hypoactive Sexual Desire Disorder
302.79 Sexual Aversion Disorder
Sexual Arousal Disorders
302.72 Female Sexual Arousal Disorder
302.72 Male Erectile Disorder
Orgasmic Disorders
302.73 Female Orgasmic Disorder
302.74 Male Orgasmic Disorder
302.75 Premature Emulation
Sexual Pain Disorders
302.76 Dyspareunia (Not Due to General Medical Condition)
306.51 Vaginismus (Not Due to General Medical Condition)
Sexual Dysfunction Due to a General Medical Condition
625.8 Female Hypoactive Sexual Desire Disorder Due to...[Indicate the General Medical Condition]
608.89 Male Hypoactive Sexual Desire Disorder Due to …[Indicate the General Medical Condition]
607.84 Male Erectile Disorder Due to...[Indicate the General Medical Condition]
625.0 Female Dyspareunia Due to [Indicate the General Medical Condition]
608.89 Male Dyspareunia Due to... [Indicate the Genral Medical Condition]
625.8 Other Female Sexual Dysfunction Due to… [Indicate the Genral Medical Condition]
608.89 Other Male Sexual Dysfunction Due to... [Indicate the Genral Medical Condition]
Substance Induced Sexual Dyfunction (refer to Substance Related Disorders for substance-specific codes 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
Paraphilias
302.4 Exhibitionism
302.81 Fetishism
302.89 Frotteunsm
302.2 Pedophilia Specify if: Sexually Attracted to Males / Sexually Attracted to Females / Sexually Attracted to Both Specify if: Limited to Incest Specify if: Exclusive Type / Nonexclusive Type
302.83 Sexual Masochism
302.84 Sexual Sadism
302.3 Transvestic Fetishism Specify if: With Gender Dysphona
302.82 Voyeurism
302.9 Paraphilia NOS
Gender Identity Disorders
302.xx Gender Identity Disorder
.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
302.9 Sexual Disorder NOS
EATING DISORDERS
307.1 Anorexia Nervosa Specify type: Restricting Type; Binge-Eating/Purging Type
307.51 Bulimia Nervosa Specify type: Purging Type/ NonpurgingType
307.50 Eating Disorder NOS
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/UnspecifiedType
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 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 0ning Intoxication/ With 0nset During Withdrawal
IMPULSE-CONTROL DISORDERS NOT ELSEWHERE CLASSIFIED
312.34 Intermittent Explosive Disorder
312.32 Kleptomania
312.33 Pyromania
312.31 Pathological Gambling
312.39 Tnchotillomania
312.30 Impulse-Control Disorder NOS
ADJUSTMENT DISORDERS
309.xx Adjustment Disorder
.0 With Depressed Mooc
.24 With Anxiety
.28 With Mixed anxiety and Depressed Mood
.3 With Disturbance or 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 CONDITION 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-lnduced Parkinsonism
333.92 Neurolepnc Malignant Syn drome
333.7 Neuroleptic-lnduced Acute Dystonia
333.99 Neuroleptic-lnduced Acute Akathisia
333.82 Neuroleptic-lnduced Tardive Dyskinesia
333.1 Medication-Induced Postural Tremor
333.90 Medication-Induced Movement Disorder NOS
Other Medication-Induced Disorder
995.2 Adverse Effects of Medcation NOS
Relational Problems
V61.9 Relational Problem Related to a Mental Disorder or General Medical Condition-
V61.1 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 995.5 if focus of atten tion is on victim)
V61.21 Sexual Abuse of Child (code 995.5, if focus of attention is on victim)
V61.21 Neglect of Child (code 995.5 if focus of attention is on victim)
V61.1 Physical Abuse of Adult (code 995.81 if focus of attention is on victim)
V61.1 Sexual Abuse of Adult (code 995.81 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
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 Unspecificied Mental Disorder (nonpsychotic)
V71.09 No Diagnosis or Conditionon 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
Axis I Clinical Disorders Other Conditions That May Be a Focus of Clinical Attention
Axisll Personality Disorders Mental Retardation
Axis IV Psychosocial and Environmental Problems
Problems with primary support group
Problems related to tie social environment
Educational problems
Occupational problems
Housing problems
Economic problems
Problems related to interaction with the legal system/crime
Other psychosocial and environmental problems
Axis V Global Assessment of Functioning (GAF)
Code: 100 to 91 Superior functioning wide range of activities life's problems never seem to get out of hand is sought out by others because of his or her many positive qualities No symptoms.
Code: 90 to 81 Absent or minimal symptoms: good functioning in all areas; interestec and involved in a wide range of activities. Socially effective, generally satisfied with life, no more than everyday, problems or concerns
Code: 80 to 71 If symptoms are present, they are transient and expectable reactions psychosocial stressors; no more than slight impairment in social. Occupational, or school functioning.
Code: 70 to 61: Some mild symptoms OR some difficulty in social, occupational, or school functioning; but generally functioning pretty well, has some meaningful interpersonal relationships.
Code: 60 to 51: Moderate symptoms OR moderate difficulty in social, occupational, or school functioning.
Code: 50 to 41: Serious symptoms OR any serious impairment in social, occupational, or school functioning.
Code: 40 to 31: Some impairment in real ity testing or communi cation OR major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood.
Code: 30 to 21: Behavior is consdierably influenced by delusions OR serious impairment in communication or judgment OR inability to function in almost all areas.
Code: 20 to 11: Some danger of hurting self or others OR occasionally fails to maintain minimal personal hygiene OR gross impairment in communication.
Code: 10 to 0: Persistent danger of se verely hurting self or others OR persistent in ability to maintain minimal personal hygiene OR serious suicidal act with clear expectation of death.
Code: 0: Inadequate information
Used with permission. American Psychiatric Association: Diagnostic and Statiscal Manual of Mental Disorders. Fourth Edition. Washington, DC, American Psychiatric Association. 1994.