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Publication: Desk Reference to the Diagnostic Criteria From DSM-5-TR®
https://doi.org/10.1176/appi.books.9780890427828.fm01
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Desk Reference
to the
Diagnostic Criteria
From
DSM-5-TR®
Desk Reference
to the
Diagnostic Criteria
From
DSM-5-TR®
Copyright © 2022 American Psychiatric Association
DSM, DSM-5, and DSM-5-TR are registered trademarks of the American Psychiatric Association. Use of these terms is prohibited without permission of the American Psychiatric Association.
ALL RIGHTS RESERVED. Unless authorized in writing by the American Psychiatric Association, no part of this book may be reproduced or used in a manner inconsistent with the American Psychiatric Association’s copyright. This prohibition applies to unauthorized uses or reproductions in any form, including electronic applications.
Correspondence regarding copyright permissions should be directed to DSM Permissions, American Psychiatric Association Publishing, 800 Maine Ave. SW, Suite 900, Washington, DC 20024-2812.
Manufactured in the United States of America on acid-free paper.
ISBN 978-0-89042-579-4 (Soft) Second Printing, February 2023
ISBN 978-0-89042-580-0 (Spiral) Second Printing, February 2023
ISBN 978-0-89042-581-7 (eBook) Interim Update, December 2024
American Psychiatric Association
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The correct citation for this book is American Psychiatric Association: Desk Reference to the Diagnostic Criteria From DSM-5-TR. Washington, DC, American Psychiatric Association, 2022.
Library of Congress Cataloging-in-Publication Data
Names: American Psychiatric Association, issuing body.
Title: Desk reference to the diagnostic criteria from DSM-5-TR / American Psychiatric Association.
Other titles: Desk reference to the diagnostic criteria from DSM-5-text revision
Description: Washington, DC : American Psychiatric Association Publishing, [2022] | Includes index.
Identifiers: LCCN 2021051783 (print) | LCCN 2021051784 (ebook) | ISBN 9780890425794 (soft ; alk. paper) | ISBN 9780890425800 (spiral ; alk. paper) | ISBN 9780890425817 (ebook)
Subjects: MESH: Diagnostic and statistical manual of mental disorders. 5th ed. | Mental Disorders—diagnosis | Mental Disorders—classification | Handbook
Classification: LCC RC455.2.C4 (print) | LCC RC455.2.C4 (ebook) | NLM WM 34 |DDC 616.89001/2—dc23/eng/20211124
LC record available at https://lccn.loc.gov/2021051783
LC ebook record available at https://lccn.loc.gov/2021051784
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
Text Design—Tammy J. Cordova

Contents

Preface
DSM-5-TR Classification
Section I
DSM-5 Basics
Use of the Manual
Cautionary Statement for Forensic Use of DSM-5
Section II
Diagnostic Criteria and Codes
Neurodevelopmental Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Bipolar and Related Disorders
Depressive Disorders
Anxiety Disorders
Obsessive-Compulsive and Related Disorders
Trauma- and Stressor-Related Disorders
Dissociative Disorders
Somatic Symptom and Related Disorders
Feeding and Eating Disorders
Elimination Disorders
Sleep-Wake Disorders
Sexual Dysfunctions
Gender Dysphoria
Disruptive, Impulse-Control, and Conduct Disorders
Substance-Related and Addictive Disorders
Neurocognitive Disorders
Personality Disorders
Paraphilic Disorders
Other Mental Disorders and Additional Codes
Medication-Induced Movement Disorders and Other Adverse Effects of Medication
Other Conditions That May Be a Focus of Clinical Attention
Index

Preface

The publication of DSM-5-TR brings updates to the diagnostic classification and coding of DSM-5 mental disorders, as well as clarifications to the diagnostic criteria for more than 70 disorders. For quick reference, clinicians may find useful this small and convenient manual that contains only the DSM-5-TR Classification (i.e., the complete list of disorders, subtypes, specifiers, and diagnostic codes by DSM-5-TR chapter), an updated section describing use of the manual, and updated DSM-5 diagnostic criteria sets and coding notes. The Desk Reference to the Diagnostic Criteria From DSM-5-TR is meant to be used in conjunction with the fully updated DSM-5-TR. Proper use of the Desk Reference requires familiarity with the text descriptions for each disorder that accompany the criteria sets. The DSM-5-TR text descriptions have also been comprehensively updated to reflect the most recent literature and the impact of culture, racism, and discrimination on psychiatric diagnosis.
This handy reference provides all updated ICD-10-CM codes, coding notes, and recording procedures included in DSM-5-TR, including diagnostic criteria for the new diagnosis of prolonged grief disorder. Newly available are also symptom codes for indicating current (and past history of) suicidal behavior and nonsuicidal self-injury.
Clinicians will find additional reference information in DSM-5-TR, including Section III: Emerging Measures and Models (containing assessment measures, updated text on psychiatric diagnosis and culture, cultural formulation and interviews, an alternative DSM-5 model for personality disorders, and conditions for further study) and the DSM-5-TR Appendix (containing alphabetical and numerical ICD-10-CM code listings of DSM-5 diagnoses). Assessment measures and additional information are available online at www.psychiatry.org/dsm5.
See www.dsm5.org for periodic DSM-5-TR coding and other updates.

DSM-5-TR Classification

Before each disorder name, ICD-10-CM codes are provided. Blank lines indicate that the ICD-10-CM code depends on the applicable subtype, specifier, or class of substance. For periodic DSM-5-TR coding and other updates, see www.dsm5.org.
Following chapter titles and disorder names, page numbers for the corresponding text or criteria are included in parentheses.
Note for all mental disorders due to another medical condition: Insert the name of the etiological medical condition within the name of the mental disorder due to [the medical condition]. The code and name for the etiological medical condition should be listed first immediately before the mental disorder due to the medical condition.
Neurodevelopmental Disorders (19)
Intellectual Developmental Disorders (19)
___.__
Intellectual Developmental Disorder (Intellectual Disability) (19)
Specify current severity:
F70
Mild
F71
Moderate
F72
Severe
F73
Profound
F88
Global Developmental Delay (24)
F79
Unspecified Intellectual Developmental Disorder (Intellectual Disability) (24)
Communication Disorders (24)
F80.2
Language Disorder (24)
F80.0
Speech Sound Disorder (25)
F80.81
Childhood-Onset Fluency Disorder (Stuttering) (25)
Note: Later-onset cases are diagnosed as F98.5 adult-onset fluency disorder.
F80.82
Social (Pragmatic) Communication Disorder (26)
F80.9
Unspecified Communication Disorder (26)
Autism Spectrum Disorder (27)
F84.0
Autism Spectrum Disorder (27)
Specify current severity: Requiring very substantial support, Requiring substantial support, Requiring support
Specify if: With or without accompanying intellectual impairment, With or without accompanying language impairment
Specify if: Associated with a known genetic or other medical condition or environmental factor (Coding note: Use additional code to identify the associated genetic or other medical condition); Associated with a neurodevelopmental, mental, or behavioral problem
Specify if: With catatonia (use additional code F06.1)
Attention-Deficit/Hyperactivity Disorder (31)
___.__
Attention-Deficit/Hyperactivity Disorder (31)
Specify if: In partial remission
Specify current severity: Mild, Moderate, Severe
Specify whether:
F90.2
Combined presentation
F90.0
Predominantly inattentive presentation
F90.1
Predominantly hyperactive/impulsive presentation
F90.8
Other Specified Attention-Deficit/Hyperactivity Disorder (33)
F90.9
Unspecified Attention-Deficit/Hyperactivity Disorder (34)
Specific Learning Disorder (34)
___.__
Specific Learning Disorder (34)
Specify current severity: Mild, Moderate, Severe
Specify if:
F81.0
With impairment in reading (specify if with word reading accuracy, reading rate or fluency, reading comprehension)
F81.81
With impairment in written expression (specify if with spelling accuracy, grammar and punctuation accuracy, clarity or organization of written expression)
F81.2
With impairment in mathematics (specify if with number sense, memorization of arithmetic facts, accurate or fluent calculation, accurate math reasoning)
Motor Disorders (37)
F82
Developmental Coordination Disorder (37)
F98.4
Stereotypic Movement Disorder (37)
Specify if: With self-injurious behavior, Without self-injurious behavior
Specify if: Associated with a known genetic or other medical condition, neurodevelopmental disorder, or environmental factor
Specify current severity: Mild, Moderate, Severe
Tic Disorders (38)
F95.2
Tourette’s Disorder (38)
F95.1
Persistent (Chronic) Motor or Vocal Tic Disorder (38)
Specify if: With motor tics only, With vocal tics only
F95.0
Provisional Tic Disorder (39)
F95.8
Other Specified Tic Disorder (39)
F95.9
Unspecified Tic Disorder (39)
Other Neurodevelopmental Disorders (40)
F88
Other Specified Neurodevelopmental Disorder (40)
F89
Unspecified Neurodevelopmental Disorder (40)
Schizophrenia Spectrum and Other Psychotic Disorders (41)
The following specifiers apply to Schizophrenia Spectrum and Other Psychotic Disorders where indicated:
aSpecify if: The following course specifiers are only to be used after a 1-year duration of the disorder: First episode, currently in acute episode; First episode, currently in partial remission; First episode, currently in full remission; Multiple episodes, currently in acute episode; Multiple episodes, currently in partial remission; Multiple episodes, currently in full remission; Continuous; Unspecified
bSpecify if: With catatonia (use additional code F06.1)
cSpecify current severity of delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, negative symptoms, impaired cognition, depression, and mania symptoms
F21
Schizotypal (Personality) Disorder (41)
F22
Delusional Disordera,c (41)
Specify whether: Erotomanic type, Grandiose type, Jealous type, Persecutory type, Somatic type, Mixed type, Unspecified type
Specify if: With bizarre content
F23
Brief Psychotic Disorderb,c (43)
Specify if: With marked stressor(s), Without marked stressor(s), With peripartum onset
F20.81
Schizophreniform Disorderb,c (44)
Specify if: With good prognostic features, Without good prognostic features
F20.9
Schizophreniaa,b,c (45)
___.__
Schizoaffective Disordera,b,c (47)
Specify whether:
F25.0
Bipolar type
F25.1
Depressive type
___.__
Substance/Medication-Induced Psychotic Disorderc (48)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced psychotic disorder. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
___.__
Psychotic Disorder Due to Another Medical Conditionc (51)
Specify whether:
F06.2
With delusions
F06.0
With hallucinations
F06.1
Catatonia Associated With Another Mental Disorder (Catatonia Specifier) (52)
F06.1
Catatonic Disorder Due to Another Medical Condition (52)
F06.1
Unspecified Catatonia (53)
Note: Code first R29.818 other symptoms involving nervous and musculoskeletal systems.
F28
Other Specified Schizophrenia Spectrum and Other Psychotic Disorder (54)
F29
Unspecified Schizophrenia Spectrum and Other Psychotic Disorder (55)
Bipolar and Related Disorders (57)
The following specifiers apply to Bipolar and Related Disorders where indicated:
aSpecify: With anxious distress (specify current severity: mild, moderate, moderate-severe, severe); With mixed features; With rapid cycling; With melancholic features; With atypical features; With mood-congruent psychotic features; With mood-incongruent psychotic features; With catatonia (use additional code F06.1); With peripartum onset; With seasonal pattern
bSpecify: With anxious distress (specify current severity: mild, moderate, moderate-severe, severe); With mixed features; With rapid cycling; With peripartum onset; With seasonal pattern
___.__
Bipolar I Disordera (57)
___.__
Current or most recent episode manic
F31.11
Mild
F31.12
Moderate
F31.13
Severe
F31.2
With psychotic features
F31.73
In partial remission
F31.74
In full remission
F31.9
Unspecified
F31.0
Current or most recent episode hypomanic
F31.71
In partial remission
F31.72
In full remission
F31.9
Unspecified
___.__
Current or most recent episode depressed
F31.31
Mild
F31.32
Moderate
F31.4
Severe
F31.5
With psychotic features
F31.75
In partial remission
F31.76
In full remission
F31.9
Unspecified
F31.9
Current or most recent episode unspecified
F31.81
Bipolar II Disorder (62)
Specify current or most recent episode: Hypomanicb, Depresseda
Specify course if full criteria for a mood episode are not currently met: In partial remission, In full remission
Specify severity if full criteria for a major depressive episode are currently met: Mild, Moderate, Severe
F34.0
Cyclothymic Disorder (66)
Specify if: With anxious distress (specify current severity: mild, moderate, moderate-severe, severe)
___.__
Substance/Medication-Induced Bipolar and Related Disorder (66)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced bipolar and related disorder. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
___.__
Bipolar and Related Disorder Due to Another Medical Condition (69)
Specify if:
F06.33
With manic features
F06.33
With manic- or hypomanic-like episode
F06.34
With mixed features
F31.89
Other Specified Bipolar and Related Disorder (70)
F31.9
Unspecified Bipolar and Related Disorder (71)
F39
Unspecified Mood Disorder (71)
Depressive Disorders (81)
F34.81
Disruptive Mood Dysregulation Disorder (81)
___.__
Major Depressive Disorder (82)
Specify: With anxious distress (specify current severity: mild, moderate, moderate-severe, severe); With mixed features; With melancholic features; With atypical features; With mood-congruent psychotic features; With mood-incongruent psychotic features; With catatonia (use additional code F06.1); With peripartum onset; With seasonal pattern
___.__
Single episode
F32.0
Mild
F32.1
Moderate
F32.2
Severe
F32.3
With psychotic features
F32.4
In partial remission
F32.5
In full remission
F32.9
Unspecified
___.__
Recurrent episode
F33.0
Mild
F33.1
Moderate
F33.2
Severe
F33.3
With psychotic features
F33.41
In partial remission
F33.42
In full remission
F33.9
Unspecified
F34.1
Persistent Depressive Disorder (84)
Specify: With anxious distress (specify current severity: mild, moderate, moderate-severe, severe); With atypical features
Specify if: In partial remission, In full remission
Specify if: Early onset, Late onset
Specify if: With pure dysthymic syndrome; With persistent major depressive episode; With intermittent major depressive episodes, with current episode; With intermittent major depressive episodes, without current episode
Specify current severity: Mild, Moderate, Severe
F32.81
Premenstrual Dysphoric Disorder (86)
___.__
Substance/Medication-Induced Depressive Disorder (87)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced depressive disorder. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
___.__
Depressive Disorder Due to Another Medical Condition (89)
Specify if:
F06.31
With depressive features
F06.32
With major depressive–like episode
F06.34
With mixed features
F32.89
Other Specified Depressive Disorder (90)
F32.A
Unspecified Depressive Disorder (91)
F39
Unspecified Mood Disorder (92)
Anxiety Disorders (99)
F93.0
Separation Anxiety Disorder (99)
F94.0
Selective Mutism (100)
___.__
Specific Phobia (100)
Specify if:
F40.218
Animal
F40.228
Natural environment
___.__
Blood-injection-injury
F40.230
Fear of blood
F40.231
Fear of injections and transfusions
F40.232
Fear of other medical care
F40.233
Fear of injury
F40.248
Situational
F40.298
Other
F40.10
Social Anxiety Disorder (101)
Specify if: Performance only
F41.0
Panic Disorder (102)
___.__
Panic Attack Specifier (103)
F40.00
Agoraphobia (104)
F41.1
Generalized Anxiety Disorder (105)
___.__
Substance/Medication-Induced Anxiety Disorder (105)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced anxiety disorder. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
F06.4
Anxiety Disorder Due to Another Medical Condition (108)
F41.8
Other Specified Anxiety Disorder (108)
F41.9
Unspecified Anxiety Disorder (109)
Obsessive-Compulsive and Related Disorders (111)
The following specifier applies to Obsessive-Compulsive and Related Disorders where indicated:
aSpecify if: With good or fair insight, With poor insight, With absent insight/delusional beliefs
F42.2
Obsessive-Compulsive Disordera (111)
Specify if: Tic-related
F45.22
Body Dysmorphic Disordera (112)
Specify if: With muscle dysmorphia
F42.3
Hoarding Disordera (113)
Specify if: With excessive acquisition
F63.3
Trichotillomania (Hair-Pulling Disorder) (114)
F42.4
Excoriation (Skin-Picking) Disorder (114)
___.__
Substance/Medication-Induced Obsessive-Compulsive and Related Disorder (114)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced obsessive-compulsive and related disorder. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
F06.8
Obsessive-Compulsive and Related Disorder Due to Another Medical Condition (117)
Specify if: With obsessive-compulsive disorder–like symptoms, With appearance preoccupations, With hoarding symptoms, With hair-pulling symptoms, With skin-picking symptoms
F42.8
Other Specified Obsessive-Compulsive and Related Disorder (118)
F42.9
Unspecified Obsessive-Compulsive and Related Disorder (119)
Trauma- and Stressor-Related Disorders (121)
F94.1
Reactive Attachment Disorder (121)
Specify if: Persistent
Specify current severity: Severe
F94.2
Disinhibited Social Engagement Disorder (122)
Specify if: Persistent
Specify current severity: Severe
F43.10
Posttraumatic Stress Disorder (123)
Specify whether: With dissociative symptoms
Specify if: With delayed expression
___.__
Posttraumatic Stress Disorder in Individuals Older Than 6 Years (123)
___.__
Posttraumatic Stress Disorder in Children 6 Years and Younger (125)
F43.0
Acute Stress Disorder (127)
___.__
Adjustment Disorders (129)
Specify if: Acute, Persistent (chronic)
Specify whether:
F43.21
With depressed mood
F43.22
With anxiety
F43.23
With mixed anxiety and depressed mood
F43.24
With disturbance of conduct
F43.25
With mixed disturbance of emotions and conduct
F43.20
Unspecified
F43.81
Prolonged Grief Disorder (130)
F43.89
Other Specified Trauma- and Stressor-Related Disorder (131)
F43.9
Unspecified Trauma- and Stressor-Related Disorder (132)
Dissociative Disorders (133)
F44.81
Dissociative Identity Disorder (133)
F44.0
Dissociative Amnesia (133)
Specify if:
F44.1
With dissociative fugue
F48.1
Depersonalization/Derealization Disorder (134)
F44.89
Other Specified Dissociative Disorder (134)
F44.9
Unspecified Dissociative Disorder (135)
Somatic Symptom and Related Disorders (137)
F45.1
Somatic Symptom Disorder (137)
Specify if: With predominant pain
Specify if: Persistent
Specify current severity: Mild, Moderate, Severe
F45.21
Illness Anxiety Disorder (137)
Specify whether: Care-seeking type, Care-avoidant type
___.__
Functional Neurological Symptom Disorder (Conversion Disorder) (138)
Specify if: Acute episode, Persistent
Specify if: With psychological stressor (specify stressor), Without psychological stressor
Specify symptom type:
F44.4
With weakness or paralysis
F44.4
With abnormal movement
F44.4
With swallowing symptoms
F44.4
With speech symptom
F44.5
With attacks or seizures
F44.6
With anesthesia or sensory loss
F44.6
With special sensory symptom
F44.7
With mixed symptoms
F54
Psychological Factors Affecting Other Medical Conditions (139)
Specify current severity: Mild, Moderate, Severe, Extreme
___.__
Factitious Disorder (139)
Specify: Single episode, Recurrent episodes
F68.10
Factitious Disorder Imposed on Self
F68.A
Factitious Disorder Imposed on Another
F45.8
Other Specified Somatic Symptom and Related Disorder (140)
F45.9
Unspecified Somatic Symptom and Related Disorder (141)
Feeding and Eating Disorders (143)
The following specifiers apply to Feeding and Eating Disorders where indicated:
aSpecify if: In remission
bSpecify if: In partial remission, In full remission
cSpecify current severity: Mild, Moderate, Severe, Extreme
___.__
Picaa (143)
F98.3
In children and adolescents
F50.83
In adults
___.__
Rumination Disordera (143)
F98.21
In infants, children, and adolescents
F50.84
In adults
F50.82
Avoidant/Restrictive Food Intake Disordera (144)
___.__
Anorexia Nervosab,c (144)
Specify whether:
F50.01
Restricting type
F50.02
Binge-eating/purging type
___.__
Bulimia Nervosa (145)
F50.21
Mild
F50.22
Moderate
F50.23
Severe
F50.24
Extreme
F50.25
In partial remission
F50.25
In full remission
F50.20
Unspecified
___.__
Binge-Eating Disorder (146)
F50.810
Mild
F50.811
Moderate
F50.812
Severe
F50.813
Extreme
F50.814
In partial remission
F50.814
In full remission
F50.819
Unspecified
F50.89
Other Specified Feeding or Eating Disorder (147)
F50.9
Unspecified Feeding or Eating Disorder (148)
Elimination Disorders (149)
F98.0
Enuresis (149)
Specify whether: Nocturnal only, Diurnal only, Nocturnal and diurnal
F98.1
Encopresis (149)
Specify whether: With constipation and overflow incontinence, Without constipation and overflow incontinence
___.__
Other Specified Elimination Disorder (150)
N39.498
With urinary symptoms
R15.9
With fecal symptoms
___.__
Unspecified Elimination Disorder (150)
R32
With urinary symptoms
R15.9
With fecal symptoms
Sleep-Wake Disorders (151)
The following specifiers apply to Sleep-Wake Disorders where indicated:
aSpecify if: Episodic, Persistent, Recurrent
bSpecify if: Acute, Subacute, Persistent
cSpecify current severity: Mild, Moderate, Severe
F51.01
Insomnia Disordera (151)
Specify if: With mental disorder, With medical condition, With another sleep disorder
F51.11
Hypersomnolence Disorderb,c (152)
Specify if: With mental disorder, With medical condition, With another sleep disorder
___.__
Narcolepsyc (153)
Specify whether:
G47.411
Narcolepsy with cataplexy or hypocretin deficiency (type 1)
G47.419
Narcolepsy without cataplexy and either without hypocretin deficiency or hypocretin unmeasured (type 2)
G47.421
Narcolepsy with cataplexy or hypocretin deficiency due to a medical condition
G47.429
Narcolepsy without cataplexy and without hypocretin deficiency due to a medical condition
Breathing-Related Sleep Disorders (154)
G47.33
Obstructive Sleep Apnea Hypopneac (154)
___.__
Central Sleep Apnea (155)
Specify current severity
Specify whether:
G47.31
Idiopathic central sleep apnea
R06.3
Cheyne-Stokes breathing
G47.37
Central sleep apnea comorbid with opioid use
Note: First code opioid use disorder, if present.
___.__
Sleep-Related Hypoventilation (156)
Specify current severity
Specify whether:
G47.34
Idiopathic hypoventilation
G47.35
Congenital central alveolar hypoventilation
G47.36
Comorbid sleep-related hypoventilation
___.__
Circadian Rhythm Sleep-Wake Disordersa (156)
Specify whether:
G47.21
Delayed sleep phase type (157)
Specify if: Familial, Overlapping with non-24-hour sleep-wake type
G47.22
Advanced sleep phase type (157)
Specify if: Familial
G47.23
Irregular sleep-wake type (157)
G47.24
Non-24-hour sleep-wake type (157)
G47.26
Shift work type (157)
G47.20
Unspecified type (157)
Parasomnias (158)
__.__
Non–Rapid Eye Movement Sleep Arousal Disorders (158)
Specify whether:
F51.3
Sleepwalking type
Specify if: With sleep-related eating, With sleep-related sexual behavior (sexsomnia)
F51.4
Sleep terror type
F51.5
Nightmare Disorderb,c (158)
Specify if: During sleep onset
Specify if: With mental disorder, With medical condition, With another sleep disorder
G47.52
Rapid Eye Movement Sleep Behavior Disorder (159)
G25.81
Restless Legs Syndrome (160)
___.__
Substance/Medication-Induced Sleep Disorder (161)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced sleep disorder. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify whether: Insomnia type, Daytime sleepiness type, Parasomnia type, Mixed type
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
G47.09
Other Specified Insomnia Disorder (163)
G47.00
Unspecified Insomnia Disorder (164)
G47.19
Other Specified Hypersomnolence Disorder (164)
G47.10
Unspecified Hypersomnolence Disorder (165)
G47.8
Other Specified Sleep-Wake Disorder (165)
G47.9
Unspecified Sleep-Wake Disorder (165)
Sexual Dysfunctions (167)
The following specifiers apply to Sexual Dysfunctions where indicated:
aSpecify whether: Lifelong, Acquired
bSpecify whether: Generalized, Situational
cSpecify current severity: Mild, Moderate, Severe
F52.32
Delayed Ejaculationa,b,c (167)
F52.21
Erectile Disordera,b,c (167)
F52.31
Female Orgasmic Disordera,b,c (168)
Specify if: Never experienced an orgasm under any situation
F52.22
Female Sexual Interest/Arousal Disordera,b,c (169)
F52.6
Genito-Pelvic Pain/Penetration Disordera,c (170)
F52.0
Male Hypoactive Sexual Desire Disordera,b,c (171)
F52.4
Premature (Early) Ejaculationa,b,c (172)
___.__
Substance/Medication-Induced Sexual Dysfunctionc (173)
Note: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced sexual dysfunction. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given.
Specify if: With onset during intoxication, With onset during withdrawal, With onset after medication use
F52.8
Other Specified Sexual Dysfunction (175)
F52.9
Unspecified Sexual Dysfunction (175)
Gender Dysphoria (177)
The following specifier and note apply to Gender Dysphoria where indicated:
aSpecify if: With a disorder/difference of sex development
bNote: Code the disorder/difference of sex development if present, in addition to gender dysphoria.
__.__
Gender Dysphoria (177)
F64.2
Gender Dysphoria in Childrena,b
F64.0
Gender Dysphoria in Adolescents and Adultsa,b
Specify if: Posttransition
F64.8
Other Specified Gender Dysphoria (178)
F64.9
Unspecified Gender Dysphoria (179)
Disruptive, Impulse-Control, and Conduct Disorders (181)
F91.3
Oppositional Defiant Disorder (181)
Specify current severity: Mild, Moderate, Severe
F63.81
Intermittent Explosive Disorder (182)
__.__
Conduct Disorder (183)
Specify if: With limited prosocial emotions
Specify current severity: Mild, Moderate, Severe
Specify whether:
F91.1
Childhood-onset type
F91.2
Adolescent-onset type
F91.9
Unspecified onset
F60.2
Antisocial Personality Disorder (185)
F63.1
Pyromania (185)
F63.2
Kleptomania (185)
F91.8
Other Specified Disruptive, Impulse-Control, and Conduct Disorder (186)
F91.9
Unspecified Disruptive, Impulse-Control, and Conduct Disorder (186)
Substance-Related and Addictive Disorders (187)
Substance-Related Disorders (190)
Alcohol-Related Disorders (192)
___.__
Alcohol Use Disorder (192)
Specify if: In a controlled environment
Specify current severity/remission:
F10.10
Mild
F10.11
In early remission
F10.11
In sustained remission
F10.20
Moderate
F10.21
In early remission
F10.21
In sustained remission
F10.20
Severe
F10.21
In early remission
F10.21
In sustained remission
___.__
Alcohol Intoxication (193)
F10.120
With mild use disorder
F10.220
With moderate or severe use disorder
F10.920
Without use disorder
___.__
Alcohol Withdrawal (194)
Without perceptual disturbances
F10.130
With mild use disorder
F10.230
With moderate or severe use disorder
F10.930
Without use disorder
With perceptual disturbances
F10.132
With mild use disorder
F10.232
With moderate or severe use disorder
F10.932
Without use disorder
___.__
Alcohol-Induced Mental Disorders (195)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset during withdrawal
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
___.__
Alcohol-Induced Psychotic Disordera (48)
F10.159
With mild use disorder
F10.259
With moderate or severe use disorder
F10.959
Without use disorder
___.__
Alcohol-Induced Bipolar and Related Disordera (66)
F10.14
With mild use disorder
F10.24
With moderate or severe use disorder
F10.94
Without use disorder
___.__
Alcohol-Induced Depressive Disordera (87)
F10.14
With mild use disorder
F10.24
With moderate or severe use disorder
F10.94
Without use disorder
___.__
Alcohol-Induced Anxiety Disordera (105)
F10.180
With mild use disorder
F10.280
With moderate or severe use disorder
F10.980
Without use disorder
___.__
Alcohol-Induced Sleep Disordera (161)
Specify whether Insomnia type
F10.182
With mild use disorder
F10.282
With moderate or severe use disorder
F10.982
Without use disorder
___.__
Alcohol-Induced Sexual Dysfunctiona (173)
Specify if: Mild, Moderate, Severe
F10.181
With mild use disorder
F10.281
With moderate or severe use disorder
F10.981
Without use disorder
___.__
Alcohol Intoxication Deliriumb,c (242)
F10.121
With mild use disorder
F10.221
With moderate or severe use disorder
F10.921
Without use disorder
___.__
Alcohol Withdrawal Deliriumb,c (243)
F10.131
With mild use disorder
F10.231
With moderate or severe use disorder
F10.931
Without use disorder
___.__
Alcohol-Induced Major Neurocognitive Disorder (259)
Specify if: Persistent
___.__
Amnestic-confabulatory type
F10.26
With moderate or severe use disorder
F10.96
Without use disorder
___.__
Nonamnestic-confabulatory type
F10.27
With moderate or severe use disorder
F10.97
Without use disorder
___.__
Alcohol-Induced Mild Neurocognitive Disorder (259)
Specify if: Persistent
F10.188
With mild use disorder
F10.288
With moderate or severe use disorder
F10.988
Without use disorder
F10.99
Unspecified Alcohol-Related Disorder (195)
Caffeine-Related Disorders (195)
F15.920
Caffeine Intoxication (195)
F15.93
Caffeine Withdrawal (196)
___.__
Caffeine-Induced Mental Disorders (196)
Note: Disorders are listed in their order of appearance in the manual.
Specify With onset during intoxication, With onset during withdrawal, With onset after medication use. Note: When taken over the counter, substances in this class can also induce the relevant substance-induced mental disorder.
F15.980
Caffeine-Induced Anxiety Disorder (105)
F15.982
Caffeine-Induced Sleep Disorder (161)
Specify whether Insomnia type, Daytime sleepiness type, Mixed type
F15.99
Unspecified Caffeine-Related Disorder (197)
Cannabis-Related Disorders (197)
___.__
Cannabis Use Disorder (197)
Specify if: In a controlled environment
Specify current severity/remission:
F12.10
Mild
F12.11
In early remission
F12.11
In sustained remission
F12.20
Moderate
F12.21
In early remission
F12.21
In sustained remission
F12.20
Severe
F12.21
In early remission
F12.21
In sustained remission
___.__
Cannabis Intoxication (199)
Without perceptual disturbances
F12.120
With mild use disorder
F12.220
With moderate or severe use disorder
F12.920
Without use disorder
With perceptual disturbances
F12.122
With mild use disorder
F12.222
With moderate or severe use disorder
F12.922
Without use disorder
___.__
Cannabis Withdrawal (199)
F12.13
With mild use disorder
F12.23
With moderate or severe use disorder
F12.93
Without use disorder
__.__
Cannabis-Induced Mental Disorders (200)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset during withdrawal, With onset after medication use. Note: When prescribed as medication, substances in this class can also induce the relevant substance-induced mental disorder.
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
__.__
Cannabis-Induced Psychotic Disordera (48)
F12.159
With mild use disorder
F12.259
With moderate or severe use disorder
F12.959
Without use disorder
___.__
Cannabis-Induced Anxiety Disordera (105)
F12.180
With mild use disorder
F12.280
With moderate or severe use disorder
F12.980
Without use disorder
___.__
Cannabis-Induced Sleep Disordera (161)
Specify whether Insomnia type, Daytime sleepiness type, Mixed type
F12.188
With mild use disorder
F12.288
With moderate or severe use disorder
F12.988
Without use disorder
___.__
Cannabis Intoxication Deliriumb,c (242)
F12.121
With mild use disorder
F12.221
With moderate or severe use disorder
F12.921
Without use disorder
F12.921
Pharmaceutical Cannabis Receptor Agonist–Induced Deliriumb,c (244)
Note: When pharmaceutical cannabis receptor agonist medication taken as prescribed. The designation “taken as prescribed” is used to differentiate medication-induced delirium from substance intoxication delirium.
F12.99
Unspecified Cannabis-Related Disorder (200)
Hallucinogen-Related Disorders (201)
___.__
Phencyclidine Use Disorder (201)
Specify if: In a controlled environment
Specify current severity/remission:
F16.10
Mild
F16.11
In early remission
F16.11
In sustained remission
F16.20
Moderate
F16.21
In early remission
F16.21
In sustained remission
F16.20
Severe
F16.21
In early remission
F16.21
In sustained remission
___.__
Other Hallucinogen Use Disorder (202)
Specify the particular hallucinogen
Specify if: In a controlled environment
Specify current severity/remission:
F16.10
Mild
F16.11
In early remission
F16.11
In sustained remission
F16.20
Moderate
F16.21
In early remission
F16.21
In sustained remission
F16.20
Severe
F16.21
In early remission
F16.21
In sustained remission
___.__
Phencyclidine Intoxication (204)
F16.120
With mild use disorder
F16.220
With moderate or severe use disorder
F16.920
Without use disorder
___.__
Other Hallucinogen Intoxication (205)
F16.120
With mild use disorder
F16.220
With moderate or severe use disorder
F16.920
Without use disorder
F16.983
Hallucinogen Persisting Perception Disorder (206)
___.__
Phencyclidine-Induced Mental Disorders (206)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset after medication use. Note: When prescribed as medication, substances in this class can also induce the relevant substance-induced mental disorder.
___.__
Phencyclidine-Induced Psychotic Disordera (48)
F16.159
With mild use disorder
F16.259
With moderate or severe use disorder
F16.959
Without use disorder
___.__
Phencyclidine-Induced Bipolar and Related Disordera (66)
F16.14
With mild use disorder
F16.24
With moderate or severe use disorder
F16.94
Without use disorder
___.__
Phencyclidine-Induced Depressive Disordera (87)
F16.14
With mild use disorder
F16.24
With moderate or severe use disorder
F16.94
Without use disorder
___.__
Phencyclidine-Induced Anxiety Disordera (105)
F16.180
With mild use disorder
F16.280
With moderate or severe use disorder
F16.980
Without use disorder
___.__
Phencyclidine Intoxication Delirium (242)
Specify if: Acute, Persistent
Specify if: Hyperactive, Hypoactive, Mixed level of activity
F16.121
With mild use disorder
F16.221
With moderate or severe use disorder
F16.921
Without use disorder
___.__
Hallucinogen-Induced Mental Disorders (206)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset after medication use. Note: When prescribed as medication, substances in this class can also induce the relevant substance-induced mental disorder.
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
___.__
Other Hallucinogen–Induced Psychotic Disordera (48)
F16.159
With mild use disorder
F16.259
With moderate or severe use disorder
F16.959
Without use disorder
___.__
Other Hallucinogen–Induced Bipolar and Related Disordera (66)
F16.14
With mild use disorder
F16.24
With moderate or severe use disorder
F16.94
Without use disorder
___.__
Other Hallucinogen–Induced Depressive Disordera (87)
F16.14
With mild use disorder
F16.24
With moderate or severe use disorder
F16.94
Without use disorder
___.__
Other Hallucinogen-Induced Anxiety Disordera (105)
F16.180
With mild use disorder
F16.280
With moderate or severe use disorder
F16.980
Without use disorder
___.__
Other Hallucinogen Intoxication Deliriumb,c (242)
F16.121
With mild use disorder
F16.221
With moderate or severe use disorder
F16.921
Without use disorder
F16.921
Ketamine or Other Hallucinogen–Induced Deliriumb,c (244)
Note: When ketamine or other hallucinogen medication taken as prescribed. The designation “taken as prescribed” is used to differentiate medication-induced delirium from substance intoxication delirium.
F16.99
Unspecified Phencyclidine-Related Disorder (207)
F16.99
Unspecified Hallucinogen-Related Disorder (207)
Inhalant-Related Disorders (207)
___.__
Inhalant Use Disorder (207)
Specify the particular inhalant
Specify if: In a controlled environment
Specify current severity/remission:
F18.10
Mild
F18.11
In early remission
F18.11
In sustained remission
F18.20
Moderate
F18.21
In early remission
F18.21
In sustained remission
F18.20
Severe
F18.21
In early remission
F18.21
In sustained remission
___.__
Inhalant Intoxication (209)
F18.120
With mild use disorder
F18.220
With moderate or severe use disorder
F18.920
Without use disorder
___.__
Inhalant-Induced Mental Disorders (210)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication
___.__
Inhalant-Induced Psychotic Disordera (48)
F18.159
With mild use disorder
F18.259
With moderate or severe use disorder
F18.959
Without use disorder
___.__
Inhalant-Induced Depressive Disordera (87)
F18.14
With mild use disorder
F18.24
With moderate or severe use disorder
F18.94
Without use disorder
___.__
Inhalant-Induced Anxiety Disordera (105)
F18.180
With mild use disorder
F18.280
With moderate or severe use disorder
F18.980
Without use disorder
___.__
Inhalant Intoxication Delirium (242)
Specify if: Acute, Persistent
Specify if: Hyperactive, Hypoactive, Mixed level of activity
F18.121
With mild use disorder
F18.221
With moderate or severe use disorder
F18.921
Without use disorder
___.__
Inhalant-Induced Major Neurocognitive Disorder (259)
Specify if: Persistent
F18.17
With mild use disorder
F18.27
With moderate or severe use disorder
F18.97
Without use disorder
___.__
Inhalant-Induced Mild Neurocognitive Disorder (259)
Specify if: Persistent
F18.188
With mild use disorder
F18.288
With moderate or severe use disorder
F18.988
Without use disorder
F18.99
Unspecified Inhalant-Related Disorder (210)
Opioid-Related Disorders (210)
___.__
Opioid Use Disorder (210)
Specify if: On maintenance therapy, In a controlled environment
Specify current severity/remission:
F11.10
Mild
F11.11
In early remission
F11.11
In sustained remission
F11.20
Moderate
F11.21
In early remission
F11.21
In sustained remission
F11.20
Severe
F11.21
In early remission
F11.21
In sustained remission
___.__
Opioid Intoxication (212)
Without perceptual disturbances
F11.120
With mild use disorder
F11.220
With moderate or severe use disorder
F11.920
Without use disorder
With perceptual disturbances
F11.122
With mild use disorder
F11.222
With moderate or severe use disorder
F11.922
Without use disorder
___.__
Opioid Withdrawal (213)
F11.13
With mild use disorder
F11.23
With moderate or severe use disorder
F11.93
Without use disorder
___.__
Opioid-Induced Mental Disorders (214)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset during withdrawal, With onset after medication use. Note: When prescribed as medication, substances in this class can also induce the relevant substance-induced mental disorder.
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
___.__
Opioid-Induced Depressive Disordera (87)
F11.14
With mild use disorder
F11.24
With moderate or severe use disorder
F11.94
Without use disorder
___.__
Opioid-Induced Anxiety Disordera (105)
F11.188
With mild use disorder
F11.288
With moderate or severe use disorder
F11.988
Without use disorder
___.__
Opioid-Induced Sleep Disordera (161)
Specify whether Insomnia type, Daytime sleepiness type, Mixed type
F11.182
With mild use disorder
F11.282
With moderate or severe use disorder
F11.982
Without use disorder
___.__
Opioid-Induced Sexual Dysfunctiona (173)
Specify if: Mild, Moderate, Severe
F11.181
With mild use disorder
F11.281
With moderate or severe use disorder
F11.981
Without use disorder
___.__
Opioid Intoxication Deliriumb,c (242)
F11.121
With mild use disorder
F11.221
With moderate or severe use disorder
F11.921
Without use disorder
___.__
Opioid Withdrawal Deliriumb,c (243)
F11.188
With mild use disorder
F11.288
With moderate or severe use disorder
F11.988
Without use disorder
___.__
Opioid-Induced Deliriumb,c (244)
Note: The designation “taken as prescribed” is used to differentiate medication-induced delirium from substance intoxication delirium and substance withdrawal delirium.
F11.921
When opioid medication taken as prescribed (244)
F11.988
During withdrawal from opioid medication taken as prescribed (244)
F11.99
Unspecified Opioid-Related Disorder (214)
Sedative-, Hypnotic-, or Anxiolytic-Related Disorders (215)
___.__
Sedative, Hypnotic, or Anxiolytic Use Disorder (215)
Specify if: In a controlled environment
Specify current severity/remission:
F13.10
Mild
F13.11
In early remission
F13.11
In sustained remission
F13.20
Moderate
F13.21
In early remission
F13.21
In sustained remission
F13.20
Severe
F13.21
In early remission
F13.21
In sustained remission
___.__
Sedative, Hypnotic, or Anxiolytic Intoxication (217)
F13.120
With mild use disorder
F13.220
With moderate or severe use disorder
F13.920
Without use disorder
___.__
Sedative, Hypnotic, or Anxiolytic Withdrawal (218)
Without perceptual disturbances
F13.130
With mild use disorder
F13.230
With moderate or severe use disorder
F13.930
Without use disorder
With perceptual disturbances
F13.132
With mild use disorder
F13.232
With moderate or severe use disorder
F13.932
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Mental Disorders (219)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset during withdrawal, With onset after medication use. Note: When prescribed as medication, substances in this class can also induce the relevant substance-induced mental disorder.
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disordera (48)
F13.159
With mild use disorder
F13.259
With moderate or severe use disorder
F13.959
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Bipolar and Related Disordera (66)
F13.14
With mild use disorder
F13.24
With moderate or severe use disorder
F13.94
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Depressive Disordera (87)
F13.14
With mild use disorder
F13.24
With moderate or severe use disorder
F13.94
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Anxiety Disordera (105)
F13.180
With mild use disorder
F13.280
With moderate or severe use disorder
F13.980
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Sleep Disordera (161)
Specify whether Insomnia type, Daytime sleepiness type, Parasomnia type, Mixed type
F13.182
With mild use disorder
F13.282
With moderate or severe use disorder
F13.982
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Sexual Dysfunctiona (173)
Specify if: Mild, Moderate, Severe
F13.181
With mild use disorder
F13.281
With moderate or severe use disorder
F13.981
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic Intoxication Deliriumb,c (242)
F13.121
With mild use disorder
F13.221
With moderate or severe use disorder
F13.921
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic Withdrawal Deliriumb,c (243)
F13.131
With mild use disorder
F13.231
With moderate or severe use disorder
F13.931
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Deliriumb,c (244)
Note: The designation “taken as prescribed” is used to differentiate medication-induced delirium from substance intoxication delirium and substance withdrawal delirium.
F13.921
When sedative, hypnotic, or anxiolytic medication taken as prescribed (244)
F13.931
During withdrawal from sedative, hypnotic, or anxiolytic medication taken as prescribed (244)
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Major Neurocognitive Disorder (259)
Specify if: Persistent
F13.27
With moderate or severe use disorder
F13.97
Without use disorder
___.__
Sedative-, Hypnotic-, or Anxiolytic-Induced Mild Neurocognitive Disorder (259)
Specify if: Persistent
F13.188
With mild use disorder
F13.288
With moderate or severe use disorder
F13.988
Without use disorder
F13.99
Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder (219)
Stimulant-Related Disorders (220)
___.__
Stimulant Use Disorder (220)
Specify if: In a controlled environment
Specify current severity/remission:
___.__
Mild
F15.10
Amphetamine-type substance
F14.10
Cocaine
F15.10
Other or unspecified stimulant
___.__
Mild, In early remission
F15.11
Amphetamine-type substance
F14.11
Cocaine
F15.11
Other or unspecified stimulant
___.__
Mild, In sustained remission
F15.11
Amphetamine-type substance
F14.11
Cocaine
F15.11
Other or unspecified stimulant
___.__
Moderate
F15.20
Amphetamine-type substance
F14.20
Cocaine
F15.20
Other or unspecified stimulant
___.__
Moderate, In early remission
F15.21
Amphetamine-type substance
F14.21
Cocaine
F15.21
Other or unspecified stimulant
___.__
Moderate, In sustained remission
F15.21
Amphetamine-type substance
F14.21
Cocaine
F15.21
Other or unspecified stimulant
___.__
Severe
F15.20
Amphetamine-type substance
F14.20
Cocaine
F15.20
Other or unspecified stimulant
___.__
Severe, In early remission
F15.21
Amphetamine-type substance
F14.21
Cocaine
F15.21
Other or unspecified stimulant
___.__
Severe, In sustained remission
F15.21
Amphetamine-type substance
F14.21
Cocaine
F15.21
Other or unspecified stimulant
___.__
Stimulant Intoxication (222)
Specify the particular intoxicant
Without perceptual disturbances
___.__
Amphetamine-type substance or other stimulant intoxication
F15.120
With mild use disorder
F15.220
With moderate or severe use disorder
F15.920
Without use disorder
___.__
Cocaine intoxication
F14.120
With mild use disorder
F14.220
With moderate or severe use disorder
F14.920
Without use disorder
With perceptual disturbances
___.__
Amphetamine-type substance or other stimulant intoxication
F15.122
With mild use disorder
F15.222
With moderate or severe use disorder
F15.922
Without use disorder
___.__
Cocaine intoxication
F14.122
With mild use disorder
F14.222
With moderate or severe use disorder
F14.922
Without use disorder
___.__
Stimulant Withdrawal (224)
Specify the particular substance that causes the withdrawal syndrome
___.__
Amphetamine-type substance or other stimulant withdrawal
F15.13
With mild use disorder
F15.23
With moderate or severe use disorder
F15.93
Without use disorder
___.__
Cocaine withdrawal
F14.13
With mild use disorder
F14.23
With moderate or severe use disorder
F14.93
Without use disorder
___.__
Stimulant-Induced Mental Disorders (224)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset during withdrawal, With onset after medication use. Note: When prescribed as medication, amphetamine-type substances and other stimulants can also induce the relevant substance-induced mental disorder.
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Psychotic Disordera (48)
F15.159
With mild use disorder
F15.259
With moderate or severe use disorder
F15.959
Without use disorder
___.__
Cocaine-Induced Psychotic Disordera (48)
F14.159
With mild use disorder
F14.259
With moderate or severe use disorder
F14.959
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Bipolar and Related Disordera (66)
F15.14
With mild use disorder
F15.24
With moderate or severe use disorder
F15.94
Without use disorder
___.__
Cocaine-Induced Bipolar and Related Disordera (66)
F14.14
With mild use disorder
F14.24
With moderate or severe use disorder
F14.94
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Depressive Disordera (87)
F15.14
With mild use disorder
F15.24
With moderate or severe use disorder
F15.94
Without use disorder
___.__
Cocaine-Induced Depressive Disordera (87)
F14.14
With mild use disorder
F14.24
With moderate or severe use disorder
F14.94
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Anxiety Disordera (105)
F15.180
With mild use disorder
F15.280
With moderate or severe use disorder
F15.980
Without use disorder
___.__
Cocaine-Induced Anxiety Disordera (105)
F14.180
With mild use disorder
F14.280
With moderate or severe use disorder
F14.980
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Obsessive-Compulsive and Related Disordera (114)
F15.188
With mild use disorder
F15.288
With moderate or severe use disorder
F15.988
Without use disorder
___.__
Cocaine-Induced Obsessive-Compulsive and Related Disordera (114)
F14.188
With mild use disorder
F14.288
With moderate or severe use disorder
F14.988
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Sleep Disordera (161)
Specify whether Insomnia type, Daytime sleepiness type, Mixed type
F15.182
With mild use disorder
F15.282
With moderate or severe use disorder
F15.982
Without use disorder
___.__
Cocaine-Induced Sleep Disordera (161)
Specify whether Insomnia type, Daytime sleepiness type, Mixed type
F14.182
With mild use disorder
F14.282
With moderate or severe use disorder
F14.982
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Sexual Dysfunctiona (173)
Specify if: Mild, Moderate, Severe
F15.181
With mild use disorder
F15.281
With moderate or severe use disorder
F15.981
Without use disorder
___.__
Cocaine-Induced Sexual Dysfunctiona (173)
Specify if: Mild, Moderate, Severe
F14.181
With mild use disorder
F14.281
With moderate or severe use disorder
F14.981
Without use disorder
___.__
Amphetamine-Type Substance (or Other Stimulant) Intoxication Deliriumb,c (242)
F15.121
With mild use disorder
F15.221
With moderate or severe use disorder
F15.921
Without use disorder
___.__
Cocaine Intoxication Deliriumb,c (242)
F14.121
With mild use disorder
F14.221
With moderate or severe use disorder
F14.921
Without use disorder
F15.921
Amphetamine-Type (or Other Stimulant) Medication–Induced Deliriumb,c (244)
Note: When amphetamine-type or other stimulant medication taken as prescribed. The designation “taken as prescribed” is used to differentiate medication-induced delirium from substance intoxication delirium.
___.__
Amphetamine-Type Substance (or Other Stimulant)–Induced Mild Neurocognitive Disorder (259)
Specify if: Persistent
F15.188
With mild use disorder
F15.288
With moderate or severe use disorder
F15.988
Without use disorder
___.__
Cocaine-Induced Mild Neurocognitive Disorder (259)
Specify if: Persistent
F14.188
With mild use disorder
F14.288
With moderate or severe use disorder
F14.988
Without use disorder
___.__
Unspecified Stimulant-Related Disorder (225)
F15.99
Amphetamine-type substance or other stimulant
F14.99
Cocaine
Tobacco-Related Disorders (225)
___.__
Tobacco Use Disorder (225)
Specify if: On maintenance therapy, In a controlled environment
Specify current severity/remission:
Z72.0
Mild
F17.200
Moderate
F17.201
In early remission
F17.201
In sustained remission
F17.200
Severe
F17.201
In early remission
F17.201
In sustained remission
F17.203
Tobacco Withdrawal (227)
Note: The ICD-10-CM code indicates the comorbid presence of a moderate or severe tobacco use disorder, which must be present in order to apply the code for tobacco withdrawal.
___.__
Tobacco-Induced Mental Disorders (228)
F17.208
Tobacco-Induced Sleep Disorder, With moderate or severe use disorder (161)
Specify whether Insomnia type, Daytime sleepiness type, Mixed type
Specify With onset during withdrawal, With onset after medication use
F17.209
Unspecified Tobacco-Related Disorder (228)
Other (or Unknown) Substance–Related Disorders (228)
___.__
Other (or Unknown) Substance Use Disorder (228)
Specify if: In a controlled environment
Specify current severity/remission:
F19.10
Mild
F19.11
In early remission
F19.11
In sustained remission
F19.20
Moderate
F19.21
In early remission
F19.21
In sustained remission
F19.20
Severe
F19.21
In early remission
F19.21
In sustained remission
___.__
Other (or Unknown) Substance Intoxication (230)
Without perceptual disturbances
F19.120
With mild use disorder
F19.220
With moderate or severe use disorder
F19.920
Without use disorder
With perceptual disturbances
F19.122
With mild use disorder
F19.222
With moderate or severe use disorder
F19.922
Without use disorder
___.__
Other (or Unknown) Substance Withdrawal (231)
Without perceptual disturbances
F19.130
With mild use disorder
F19.230
With moderate or severe use disorder
F19.930
Without use disorder
With perceptual disturbances
F19.132
With mild use disorder
F19.232
With moderate or severe use disorder
F19.932
Without use disorder
___.__
Other (or Unknown) Substance–Induced Mental Disorders (232)
Note: Disorders are listed in their order of appearance in the manual.
aSpecify With onset during intoxication, With onset during withdrawal, With onset after medication use. Note: When prescribed as medication or taken over the counter, substances in this class can also induce the relevant substance-induced mental disorder.
bSpecify if: Acute, Persistent
cSpecify if: Hyperactive, Hypoactive, Mixed level of activity
__.__
Other (or Unknown) Substance–Induced Psychotic Disordera (48)
F19.159
With mild use disorder
F19.259
With moderate or severe use disorder
F19.959
Without use disorder
___.__
Other (or Unknown) Substance–Induced Bipolar and Related Disordera (66)
F19.14
With mild use disorder
F19.24
With moderate or severe use disorder
F19.94
Without use disorder
___.__
Other (or Unknown) Substance–Induced Depressive Disordera (87)
F19.14
With mild use disorder
F19.24
With moderate or severe use disorder
F19.94
Without use disorder
___.__
Other (or Unknown) Substance–Induced Anxiety Disordera (105)
F19.180
With mild use disorder
F19.280
With moderate or severe use disorder
F19.980
Without use disorder
___.__
Other (or Unknown) Substance–Induced Obsessive-Compulsive and Related Disordera (114)
F19.188
With mild use disorder
F19.288
With moderate or severe use disorder
F19.988
Without use disorder
___.__
Other (or Unknown) Substance–Induced Sleep Disordera (161)
Specify whether Insomnia type, Daytime sleepiness type, Parasomnia type, Mixed type
F19.182
With mild use disorder
F19.282
With moderate or severe use disorder
F19.982
Without use disorder
___.__
Other (or Unknown) Substance–Induced Sexual Dysfunctiona (173)
Specify if: Mild, Moderate, Severe
F19.181
With mild use disorder
F19.281
With moderate or severe use disorder
F19.981
Without use disorder
___.__
Other (or Unknown) Substance Intoxication Deliriumb,c (242)
F19.121
With mild use disorder
F19.221
With moderate or severe use disorder
F19.921
Without use disorder
___.__
Other (or Unknown) Substance Withdrawal Deliriumb,c (243)
F19.131
With mild use disorder
F19.231
With moderate or severe use disorder
F19.931
Without use disorder
___.__
Other (or Unknown) Medication–Induced Deliriumb,c (244)
Note: The designation “taken as prescribed” is used to differentiate medication-induced delirium from substance intoxication delirium and substance withdrawal delirium.
F19.921
When other (or unknown) medication taken as prescribed (244)
F19.931
During withdrawal from other (or unknown) medication taken as prescribed (244)
___.__
Other (or Unknown) Substance–Induced Major Neurocognitive Disorder (259)
Specify if: Persistent
F19.17
With mild use disorder
F19.27
With moderate or severe use disorder
F19.97
Without use disorder
___.__
Other (or Unknown) Substance–Induced Mild Neurocognitive Disorder (259)
Specify if: Persistent
F19.188
With mild use disorder
F19.288
With moderate or severe use disorder
F19.988
Without use disorder
F19.99
Unspecified Other (or Unknown) Substance–Related Disorder (232)
Non-Substance-Related Disorders (233)
F63.0
Gambling Disorder (233)
Specify if: Episodic, Persistent
Specify if: In early remission, In sustained remission
Specify current severity: Mild, Moderate, Severe
Neurocognitive Disorders (235)
___.__
Delirium (242)
Specify if: Acute, Persistent
Specify if: Hyperactive, Hypoactive, Mixed level of activity
aNote: For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced delirium. See also the criteria set and corresponding recording procedures in the manual for more information.
Specify whether:
___.__
Substance intoxication deliriuma
___.__
Substance withdrawal deliriuma
___.__
Medication-induced deliriuma
F05
Delirium due to another medical condition
F05
Delirium due to multiple etiologies
F05
Other Specified Delirium (246)
F05
Unspecified Delirium (246)
Major and Mild Neurocognitive Disorders (247)
Refer to the following sequence for coding and recording major and mild neurocognitive disorders (NCDs) in context with specific diagnoses listed, exceptions as noted:
Major and mild NCDs: Specify whether due to [any of the following medical etiologies]: Alzheimer’s disease, Frontotemporal degeneration, Lewy body disease, Vascular disease, Traumatic brain injury, Substance/medication use, HIV infection, Prion disease, Parkinson’s disease, Huntington’s disease, Another medical condition, Multiple etiologies, Unknown etiology
Major and mild NCDs: Code first the specific medical etiology for the major or mild NCD. Note: No etiological medical code is used for major vascular NCD, major NCDs due to possible etiologies, substance/medication-induced major or mild NCD, or major or mild NCD due to unknown etiology.
aMajor NCD only: Next code severity (placeholder “x” in 4th character of diagnostic codes below) as follows: .Ay mild, .By moderate, .Cy severe. Note: Not applicable to any substance/medication-induced NCD.
bMajor NCD only: Then code any accompanying behavioral or psychological disturbance (placeholder “y” in 5th and 6th characters of diagnostic codes below): .x11 with agitation; .x4 with anxiety; .x3 with mood symptoms; .x2 with psychotic disturbance; .x18 with other behavioral or psychological disturbance (e.g., apathy); .x0 without accompanying behavioral or psychological disturbance. Note: In cases where there is more than one type of associated behavioral or psychological disturbance, each is coded separately. See coding table on pp. 251–253 for more information.
cMild NCD only (exceptions: see note d below): Code either F06.70 without behavioral disturbance or F06.71 with behavioral disturbance (e.g., apathy, agitation, anxiety, mood symptoms, psychotic disturbance, or other behavioral symptoms). Coding note for mild NCDs only: Use additional disorder code(s) to indicate clinically significant psychiatric symptoms due to the same medical condition causing the mild NCD (e.g., F06.2 psychotic disorder due to Alzheimer’s disease with delusions; F06.32 depressive disorder due to Parkinson’s disease, with major depressive–like episode.) Note: The additional codes for mental disorders due to another medical condition are included with disorders with which they share phenomenology (e.g., for depressive disorders due to another medical condition, see “Depressive Disorders”).
dMild NCD due to possible or unknown etiology: Code only G31.84. No additional medical code is used. Note: “With behavioral disturbance” and “Without behavioral disturbance” cannot be coded but should still be recorded.
Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease (254)
F02.[xy]
Major Neurocognitive Disorder Due to Probable Alzheimer’s Diseasea,b
Note: Code first G30.9 Alzheimer’s disease.
F03.[xy]
Major Neurocognitive Disorder Due to Possible Alzheimer’s Diseasea,b
Note: No additional medical code.
___.__
Mild Neurocognitive Disorder Due to Probable Alzheimer’s Diseasec
Note: Code first G30.9 Alzheimer’s disease.
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
G31.84
Mild Neurocognitive Disorder Due to Possible Alzheimer’s Diseased
Major or Mild Frontotemporal Neurocognitive Disorder (255)
F02.[xy]
Major Neurocognitive Disorder Due to Probable Frontotemporal Degenerationa,b
Note: Code first G31.09 frontotemporal degeneration.
F03.[xy]
Major Neurocognitive Disorder Due to Possible Frontotemporal Degenerationa,b
Note: No additional medical code.
___.__
Mild Neurocognitive Disorder Due to Probable Frontotemporal Degenerationc
Note: Code first G31.09 frontotemporal degeneration.
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
G31.84
Mild Neurocognitive Disorder Due to Possible Frontotemporal Degenerationd
Major or Mild Neurocognitive Disorder With Lewy Bodies (256)
F02.[xy]
Major Neurocognitive Disorder With Probable Lewy Bodiesa,b
Note: Code first G31.83 Lewy body disease.
F03.[xy]
Major Neurocognitive Disorder With Possible Lewy Bodiesa,b
Note: No additional medical code.
___.__
Mild Neurocognitive Disorder With Probable Lewy Bodiesc
Note: Code first G31.83 Lewy body disease.
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
G31.84
Mild Neurocognitive Disorder With Possible Lewy Bodiesd
Major or Mild Vascular Neurocognitive Disorder (257)
F01.[xy]
Major Neurocognitive Disorder Probably Due to Vascular Diseasea,b
Note: No additional medical code.
F03.[xy]
Major Neurocognitive Disorder Possibly Due to Vascular Diseasea,b
Note: No additional medical code.
___.__
Mild Neurocognitive Disorder Probably Due to Vascular Diseasec
Note: Code first I67.9 cerebrovascular disease.
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
G31.84
Mild Neurocognitive Disorder Possibly Due to Vascular Diseased
Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury (258)
Note: Code first S06.2XAS diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequela.
F02.[xy]
Major Neurocognitive Disorder Due to Traumatic Brain Injurya,b
___.__
Mild Neurocognitive Disorder Due to Traumatic Brain Injuryc
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
Substance/Medication-Induced Major or Mild Neurocognitive Disorder (259)
Note: No additional medical code is used. For applicable ICD-10-CM codes, refer to the substance classes under Substance-Related and Addictive Disorders for the specific substance/medication-induced major or mild NCD. See also the criteria set and corresponding recording procedures in the manual for more information.
Coding note: The ICD-10-CM code depends on whether or not there is a comorbid substance use disorder present for the same class of substance. In any case, an additional separate diagnosis of a substance use disorder is not given. Note: The accompanying symptom specifiers for major NCD (“With agitation,” “With anxiety,” “With mood symptoms,” “With psychotic disturbance,” “With other behavioral or psychological disturbance,” “Without accompanying behavioral or psychological disturbance”) cannot be coded but should still be recorded. The accompanying symptom specifiers for mild NCD (“With behavioral disturbance” and “Without behavioral disturbance”) also cannot be coded but should still be recorded.
Specify if: Persistent
___.__
Substance/Medication-Induced Major Neurocognitive Disorder
Specify current NCD severity: Mild, Moderate, Severe
___.___
Substance/Medication-Induced Mild Neurocognitive Disorder
Major or Mild Neurocognitive Disorder Due to HIV Infection (262)
Note: Code first B20 HIV infection.
F02.[xy]
Major Neurocognitive Disorder Due to HIV Infectiona,b
___.__
Mild Neurocognitive Disorder Due to HIV Infectionc
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
Major or Mild Neurocognitive Disorder Due to Prion Disease (263)
Note: Code first A81.9 prion disease.
F02.[xy]
Major Neurocognitive Disorder Due to Prion Diseasea,b
___.__
Mild Neurocognitive Disorder Due to Prion Diseasec
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
Major or Mild Neurocognitive Disorder Due to Parkinson’s Disease (263)
F02.[xy]
Major Neurocognitive Disorder Probably Due to Parkinson’s Diseasea,b
Note: Code first G20.C Parkinson’s disease.
F03.[xy]
Major Neurocognitive Disorder Possibly Due to Parkinson’s Diseasea,b
Note: No additional medical code.
___.__
Mild Neurocognitive Disorder Probably Due to Parkinson’s Diseasec
Note: Code first G20.C Parkinson’s disease.
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
G31.84
Mild Neurocognitive Disorder Possibly Due to Parkinson’s Diseased
Major or Mild Neurocognitive Disorder Due to Huntington’s Disease (264)
Note: Code first G10 Huntington’s disease.
F02.[xy]
Major Neurocognitive Disorder Due to Huntington’s Diseasea,b
___.__
Mild Neurocognitive Disorder Due to Huntington’s Diseasec
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
Major or Mild Neurocognitive Disorder Due to Another Medical Condition (265)
Note: Code first the other medical condition.
F02.[xy]
Major Neurocognitive Disorder Due to Another Medical Conditiona,b
___.__
Mild Neurocognitive Disorder Due to Another Medical Conditionc
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
Major or Mild Neurocognitive Disorder Due to Multiple Etiologies (265)
F02.[xy]
Major Neurocognitive Disorder Due to Multiple Etiologiesa,b
Note: Code first all the etiological medical conditions (with the exception of cerebrovascular disease, which is not coded). Then code F02.[xy]a,b once for major NCD due to all etiologies that apply. Code also F01.[xy]a,b for major NCD probably due to vascular disease, if present. Code also the relevant substance/medication-induced major NCDs if substances or medications play a role in the etiology.
___.__
Mild Neurocognitive Disorder Due to Multiple Etiologiesc
Note: Code first all the etiological medical conditions, including I67.9 cerebrovascular disease, if present. Then code F06.70 or F06.71 once (see below for 5th character) for mild NCD due to all etiologies that apply, including mild NCD probably due to vascular disease, if present. Code also the relevant substance/medication-induced mild NCDs if substances or medications play a role in the etiology.
F06.71
With behavioral disturbance
F06.70
Without behavioral disturbance
Major or Mild Neurocognitive Disorder Due to Unknown Etiology (266)
Note: No additional medical code.
F03.[xy]
Major Neurocognitive Disorder Due to Unknown Etiologya,b
G31.84
Mild Neurocognitive Disorder Due to Unknown Etiologyd
R41.9
Unspecified Neurocognitive Disorder (267)
Note: No additional medical code.
Personality Disorders (269)
Cluster A Personality Disorders
F60.0
Paranoid Personality Disorder (269)
F60.1
Schizoid Personality Disorder (270)
F21
Schizotypal Personality Disorder (271)
Cluster B Personality Disorders
F60.2
Antisocial Personality Disorder (271)
F60.3
Borderline Personality Disorder (272)
F60.4
Histrionic Personality Disorder (273)
F60.81
Narcissistic Personality Disorder (273)
Cluster C Personality Disorders
F60.6
Avoidant Personality Disorder (274)
F60.7
Dependent Personality Disorder (274)
F60.5
Obsessive-Compulsive Personality Disorder (275)
Other Personality Disorders
F07.0
Personality Change Due to Another Medical Condition (275)
Specify whether: Labile type, Disinhibited type, Aggressive type, Apathetic type, Paranoid type, Other type, Combined type, Unspecified type
F60.89
Other Specified Personality Disorder (276)
F60.9
Unspecified Personality Disorder (277)
Paraphilic Disorders (279)
The following specifier applies to Paraphilic Disorders where indicated:
aSpecify if: In a controlled environment, In full remission
F65.3
Voyeuristic Disordera (279)
F65.2
Exhibitionistic Disordera (279)
Specify whether: Sexually aroused by exposing genitals to prepubertal children, Sexually aroused by exposing genitals to physically mature individuals, Sexually aroused by exposing genitals to prepubertal children and to physically mature individuals
F65.81
Frotteuristic Disordera (280)
F65.51
Sexual Masochism Disordera (280)
Specify if: With asphyxiophilia
F65.52
Sexual Sadism Disordera (281)
F65.4
Pedophilic Disorder (281)
Specify whether: Exclusive type, Nonexclusive type
Specify if: Sexually attracted to males, Sexually attracted to females, Sexually attracted to both
Specify if: Limited to incest
F65.0
Fetishistic Disordera (282)
Specify: Body part(s), Nonliving object(s), Other
F65.1
Transvestic Disordera (282)
Specify if: With fetishism, With autogynephilia
F65.89
Other Specified Paraphilic Disorder (283)
F65.9
Unspecified Paraphilic Disorder (283)
Other Mental Disorders and Additional Codes (285)
F06.8
Other Specified Mental Disorder Due to Another Medical Condition (285)
F09
Unspecified Mental Disorder Due to Another Medical Condition (285)
F99
Other Specified Mental Disorder (286)
F99
Unspecified Mental Disorder (286)
Z03.89
No Diagnosis or Condition (286)
Medication-Induced Movement Disorders and Other Adverse Effects of Medication (287)
___.__
Medication-Induced Parkinsonism (287)
G21.11
Antipsychotic Medication– and Other Dopamine Receptor Blocking Agent–Induced Parkinsonism (287)
G21.19
Other Medication-Induced Parkinsonism (287)
G21.0
Neuroleptic Malignant Syndrome (291)
G24.02
Medication-Induced Acute Dystonia (293)
G25.71
Medication-Induced Acute Akathisia (295)
G24.01
Tardive Dyskinesia (297)
G24.09
Tardive Dystonia (299)
G25.71
Tardive Akathisia (299)
G25.1
Medication-Induced Postural Tremor (300)
G25.79
Other Medication-Induced Movement Disorder (301)
___.__
Antidepressant Discontinuation Syndrome (301)
T43.205A
Initial encounter
T43.205D
Subsequent encounter
T43.205S
Sequelae
___.__
Other Adverse Effect of Medication (303)
T50.905A
Initial encounter
T50.905D
Subsequent encounter
T50.905S
Sequelae
Other Conditions That May Be a Focus of Clinical Attention (305)
Suicidal Behavior and Nonsuicidal Self-Injury (306)
Suicidal Behavior (306)
___.__
Current Suicidal Behavior (306)
T14.91XA
Initial encounter
T14.91XD
Subsequent encounter
Z91.51
History of Suicidal Behavior (307)
Nonsuicidal Self-Injury (307)
R45.88
Current Nonsuicidal Self-Injury (307)
Z91.52
History of Nonsuicidal Self-Injury (307)
Abuse and Neglect (307)
Child Maltreatment and Neglect Problems (308)
Child Physical Abuse (308)
___.__
Child Physical Abuse, Confirmed (308)
T74.12XA
Initial encounter
T74.12XD
Subsequent encounter
___.__
Child Physical Abuse, Suspected (308)
T76.12XA
Initial encounter
T76.12XD
Subsequent encounter
___.__
Other Circumstances Related to Child Physical Abuse (308)
Z69.010
Encounter for mental health services for victim of child physical abuse by parent
Z69.020
Encounter for mental health services for victim of nonparental child physical abuse
Z62.810
Personal history (past history) of physical abuse in childhood
Z69.011
Encounter for mental health services for perpetrator of parental child physical abuse
Z69.021
Encounter for mental health services for perpetrator of nonparental child physical abuse
Child Sexual Abuse (308)
___.__
Child Sexual Abuse, Confirmed (308)
T74.22XA
Initial encounter
T74.22XD
Subsequent encounter
___.__
Child Sexual Abuse, Suspected (309)
T76.22XA
Initial encounter
T76.22XD
Subsequent encounter
___.__
Other Circumstances Related to Child Sexual Abuse (309)
Z69.010
Encounter for mental health services for victim of child sexual abuse by parent
Z69.020
Encounter for mental health services for victim of nonparental child sexual abuse
Z62.810
Personal history (past history) of sexual abuse in childhood
Z69.011
Encounter for mental health services for perpetrator of parental child sexual abuse
Z69.021
Encounter for mental health services for perpetrator of nonparental child sexual abuse
Child Neglect (309)
___.__
Child Neglect, Confirmed (309)
T74.02XA
Initial encounter
T74.02XD
Subsequent encounter
___.__
Child Neglect, Suspected (309)
T76.02XA
Initial encounter
T76.02XD
Subsequent encounter
___.__
Other Circumstances Related to Child Neglect (309)
Z69.010
Encounter for mental health services for victim of child neglect by parent
Z69.020
Encounter for mental health services for victim of nonparental child neglect
Z62.812
Personal history (past history) of neglect in childhood
Z69.011
Encounter for mental health services for perpetrator of parental child neglect
Z69.021
Encounter for mental health services for perpetrator of nonparental child neglect
Child Psychological Abuse (309)
___.__
Child Psychological Abuse, Confirmed (310)
T74.32XA
Initial encounter
T74.32XD
Subsequent encounter
___.__
Child Psychological Abuse, Suspected (310)
T76.32XA
Initial encounter
T76.32XD
Subsequent encounter
___.__
Other Circumstances Related to Child Psychological Abuse (310)
Z69.010
Encounter for mental health services for victim of child psychological abuse by parent
Z69.020
Encounter for mental health services for victim of nonparental child psychological abuse
Z62.811
Personal history (past history) of psychological abuse in childhood
Z69.011
Encounter for mental health services for perpetrator of parental child psychological abuse
Z69.021
Encounter for mental health services for perpetrator of nonparental child psychological abuse
Adult Maltreatment and Neglect Problems (310)
Spouse or Partner Violence, Physical (310)
___.__
Spouse or Partner Violence, Physical, Confirmed (311)
T74.11XA
Initial encounter
T74.11XD
Subsequent encounter
___.__
Spouse or Partner Violence, Physical, Suspected (311)
T76.11XA
Initial encounter
T76.11XD
Subsequent encounter
___.__
Other Circumstances Related to Spouse or Partner Violence, Physical (311)
Z69.11
Encounter for mental health services for victim of spouse or partner violence, physical
Z91.410
Personal history (past history) of spouse or partner violence, physical
Z69.12
Encounter for mental health services for perpetrator of spouse or partner violence, physical
Spouse or Partner Violence, Sexual (311)
___.__
Spouse or Partner Violence, Sexual, Confirmed (311)
T74.21XA
Initial encounter
T74.21XD
Subsequent encounter
___.__
Spouse or Partner Violence, Sexual, Suspected (311)
T76.21XA
Initial encounter
T76.21XD
Subsequent encounter
___.__
Other Circumstances Related to Spouse or Partner Violence, Sexual (311)
Z69.81
Encounter for mental health services for victim of spouse or partner violence, sexual
Z91.410
Personal history (past history) of spouse or partner violence, sexual
Z69.12
Encounter for mental health services for perpetrator of spouse or partner violence, sexual
Spouse or Partner Neglect (311)
___.__
Spouse or Partner Neglect, Confirmed (312)
T74.01XA
Initial encounter
T74.01XD
Subsequent encounter
___.__
Spouse or Partner Neglect, Suspected (312)
T76.01XA
Initial encounter
T76.01XD
Subsequent encounter
___.__
Other Circumstances Related to Spouse or Partner Neglect (312)
Z69.11
Encounter for mental health services for victim of spouse or partner neglect
Z91.412
Personal history (past history) of spouse or partner neglect
Z69.12
Encounter for mental health services for perpetrator of spouse or partner neglect
Spouse or Partner Abuse, Psychological (312)
___.__
Spouse or Partner Abuse, Psychological, Confirmed (312)
T74.31XA
Initial encounter
T74.31XD
Subsequent encounter
___.__
Spouse or Partner Abuse, Psychological, Suspected (312)
T76.31XA
Initial encounter
T76.31XD
Subsequent encounter
___.__
Other Circumstances Related to Spouse or Partner Abuse, Psychological (313)
Z69.11
Encounter for mental health services for victim of spouse or partner psychological abuse
Z91.411
Personal history (past history) of spouse or partner psychological abuse
Z69.12
Encounter for mental health services for perpetrator of spouse or partner psychological abuse
Adult Abuse by Nonspouse or Nonpartner (313)
___.__
Adult Physical Abuse by Nonspouse or Nonpartner, Confirmed (313)
T74.11XA
Initial encounter
T74.11XD
Subsequent encounter
___.__
Adult Physical Abuse by Nonspouse or Nonpartner, Suspected (313)
T76.11XA
Initial encounter
T76.11XD
Subsequent encounter
___.__
Adult Sexual Abuse by Nonspouse or Nonpartner, Confirmed (313)
T74.21XA
Initial encounter
T74.21XD
Subsequent encounter
___.__
Adult Sexual Abuse by Nonspouse or Nonpartner, Suspected (313)
T76.21XA
Initial encounter
T76.21XD
Subsequent encounter
___.__
Adult Psychological Abuse by Nonspouse or Nonpartner, Confirmed (313)
T74.31XA
Initial encounter
T74.31XD
Subsequent encounter
___.__
Adult Psychological Abuse by Nonspouse or Nonpartner, Suspected (314)
T76.31XA
Initial encounter
T76.31XD
Subsequent encounter
___.__
Other Circumstances Related to Adult Abuse by Nonspouse or Nonpartner (314)
Z69.81
Encounter for mental health services for victim of nonspousal or nonpartner adult abuse
Z69.82
Encounter for mental health services for perpetrator of nonspousal or nonpartner adult abuse
Relational Problems (314)
___.__
Parent-Child Relational Problem (314)
Z62.820
Parent–Biological Child (314)
Z62.821
Parent–Adopted Child (314)
Z62.822
Parent–Foster Child (314)
Z62.898
Other Caregiver–Child (314)
Z62.891
Sibling Relational Problem (315)
Z63.0
Relationship Distress With Spouse or Intimate Partner (315)
Problems Related to the Family Environment (315)
Z62.29
Upbringing Away From Parents (315)
Z62.898
Child Affected by Parental Relationship Distress (315)
Z63.5
Disruption of Family by Separation or Divorce (315)
Z63.8
High Expressed Emotion Level Within Family (315)
Educational Problems (316)
Z55.0
Illiteracy and Low-Level Literacy (316)
Z55.1
Schooling Unavailable and Unattainable (316)
Z55.2
Failed School Examinations (316)
Z55.3
Underachievement in School (316)
Z55.4
Educational Maladjustment and Discord With Teachers and Classmates (316)
Z55.8
Problems Related to Inadequate Teaching (316)
Z55.9
Other Problems Related to Education and Literacy (316)
Occupational Problems (316)
Z56.82
Problem Related to Current Military Deployment Status (316)
Z56.0
Unemployment (317)
Z56.1
Change of Job (317)
Z56.2
Threat of Job Loss (317)
Z56.3
Stressful Work Schedule (317)
Z56.4
Discord With Boss and Workmates (317)
Z56.5
Uncongenial Work Environment (317)
Z56.6
Other Physical and Mental Strain Related to Work (317)
Z56.81
Sexual Harassment on the Job (317)
Z56.9
Other Problem Related to Employment (317)
Housing Problems (317)
Z59.01
Sheltered Homelessness (317)
Z59.02
Unsheltered Homelessness (317)
Z59.10
Inadequate Housing (317)
Z59.2
Discord With Neighbor, Lodger, or Landlord (317)
Z59.3
Problem Related to Living in a Residential Institution (317)
Z59.9
Other Housing Problem (317)
Economic Problems (318)
Z59.41
Food Insecurity (318)
Z58.6
Lack of Safe Drinking Water (318)
Z59.5
Extreme Poverty (318)
Z59.6
Low Income (318)
Z59.71
Insufficient Health Insurance (318)
Z59.72
Insufficient Welfare Support (318)
Z59.9
Other Economic Problem (318)
Problems Related to the Social Environment (318)
Z60.2
Problem Related to Living Alone (318)
Z60.3
Acculturation Difficulty (318)
Z60.4
Social Exclusion or Rejection (318)
Z60.5
Target of (Perceived) Adverse Discrimination or Persecution (318)
Z60.9
Other Problem Related to Social Environment (319)
Problems Related to Interaction With the Legal System (319)
Z65.0
Conviction in Criminal Proceedings Without Imprisonment (319)
Z65.1
Imprisonment or Other Incarceration (319)
Z65.2
Problems Related to Release From Prison (319)
Z65.3
Problems Related to Other Legal Circumstances (319)
Problems Related to Other Psychosocial, Personal, and Environmental Circumstances (319)
Z72.9
Problem Related to Lifestyle (319)
Z64.0
Problems Related to Unwanted Pregnancy (319)
Z64.1
Problems Related to Multiparity (319)
Z64.4
Discord With Social Service Provider, Including Probation Officer, Case Manager, or Social Services Worker (319)
Z65.4
Victim of Crime (319)
Z65.4
Victim of Terrorism or Torture (319)
Z65.5
Exposure to Disaster, War, or Other Hostilities (319)
Problems Related to Access to Medical and Other Health Care (320)
Z75.3
Unavailability or Inaccessibility of Health Care Facilities (320)
Z75.4
Unavailability or Inaccessibility of Other Helping Agencies (320)
Circumstances of Personal History (320)
Z91.49
Personal History of Psychological Trauma (320)
Z91.82
Personal History of Military Deployment (320)
Other Health Service Encounters for Counseling and Medical Advice (320)
Z31.5
Genetic Counseling (320)
Z70.9
Sex Counseling (320)
Z71.3
Dietary Counseling (320)
Z71.9
Other Counseling or Consultation (320)
Additional Conditions or Problems That May Be a Focus of Clinical Attention (320)
Z91.83
Wandering Associated With a Mental Disorder (320)
Z63.4
Uncomplicated Bereavement (321)
Z60.0
Phase of Life Problem (321)
Z65.8
Religious or Spiritual Problem (321)
Z72.811
Adult Antisocial Behavior (321)
Z72.810
Child or Adolescent Antisocial Behavior (321)
Z91.199
Nonadherence to Medical Treatment (322)
E66.9
Overweight or Obesity (322)
Z76.5
Malingering (322)
R41.81
Age-Related Cognitive Decline (322)
R41.83
Borderline Intellectual Functioning (323)
R45.89
Impairing Emotional Outbursts (323)

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Go to Desk Reference to the Diagnostic Criteria From DSM-5-TR<sup>®</sup>
Desk Reference to the Diagnostic Criteria From DSM-5-TR®
Pages: i - liii

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Published in print: 18 March 2022
Published online: 11 December 2024
© American Psychiatric Association Publishing

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