In the International Classification of Diseases, 9th Revision (ICD-9), the corresponding Chapter V, "Mental Disorders," includes a glossary which defines the contents of each category. The introduction to Chapter V in ICD-9 indicates that the glossary is intended so that psychiatrists can make the diagnosis based on the descriptions provided rather than from the category titles. Lay coders are instructed to code whatever diagnosis the physician records.
Chapter 5, "Mental Disorders," in ICD-9-CM uses the standard classification format with inclusion and exclusion terms, omitting the glossary as part of the main text.
The mental disorders section of ICD-9-CM has been expanded to incorporate additional psychiatric disorders not listed in ICD-9. The glossary from ICD-9 does not contain all these terms. It now appears in Appendix B, which also contains descriptions and definitions for the terms added in ICD-9-CM. Some of these were provided by the American Psychiatric Association's Task Force on Nomenclature and Statistics who are preparing the Diagnostic and Statistical Manual, Third Edition (DSM-III), and others from A Psychiatric Glossary.
The American Psychiatric Association provided invaluable assistance in modifying Chapter 5 of ICD-9-CM to incorporate detail useful to American clinicians and gave permission to use material from the aforementioned sources.
1. Manual of the International Statistical
Classification of Diseases, Injuries, and Causes of Death, 9th Revision, World
Health Organization, Geneva, Switzerland, 1975.
2. American Psychiatric Association, Task Force
on Nomenclature and Statistics, Robert L. Spitzer, M.D., Chairman.
3. A Psychiatric Glossary, Fourth Edition,
American Psychiatric Association, Washington, D.C., 1975.
PSYCHOSES (290-299)
Excludes: mental retardation (317-319)
ORGANIC PSYCHOTIC CONDITIONS (290-294)
Includes: psychotic organic brain syndrome
Excludes: nonpsychotic syndromes of organic etiology (310.0-310.9)
psychoses classifiable
to 295-298 and without impairment of orientation, comprehension, calculation,
learning capacity, and judgement, but associated with physical disease, injury,
or condition affecting the brain [e.g., following childbirth] (295.0-298.8)
Code first the associated
neurological condition
Excludes: dementia
due to alcohol (291.0-291.2)
dementia due to
drugs (292.82)
dementia not
classified as senile, presenile, or arteriosclerotic (294.10-294.11)
psychoses
classifiable to 295-298 occurring in the senium without dementia or delirium
(295.0-298.8)
senility with
mental changes of nonpsychotic severity (310.1)
transient organic
psychotic conditions (293.0-293.9)
290.0 Senile dementia, uncomplicated
Senile dementia:
NOS
simple type
Excludes: mild
memory disturbances, not amounting to dementia, associated with senile brain
disease (310.1)
senile dementia
with:
delirium or
confusion (290.3)
delusional
[paranoid] features (290.20)
depressive
features (290.21)
Brain syndrome with
presenile brain disease
Excludes: arteriosclerotic
dementia (290.40-290.43)
dementia associated
with other cerebral conditions (294.10-294.11)
290.10 Presenile dementia, uncomplicated
Presenile dementia:
NOS
simple type
290.11 Presenile dementia with delirium
Presenile dementia with
acute confusional state
290.12 Presenile dementia with delusional features
Presenile dementia,
paranoid type
290.13 Presenile dementia with depressive features
Presenile dementia,
depressed type
290.2 Senile dementia with delusional or depressive features
Excludes: senile
dementia:
NOS (290.0)
with delirium
and/or confusion (290.3)
290.20 Senile dementia with delusional features
Senile dementia, paranoid
type
Senile psychosis NOS
290.21 Senile dementia with depressive features
290.3 Senile dementia with delirium
Senile dementia with acute
confusional state
Excludes: senile:
dementia NOS
(290.0)
psychosis NOS
(290.20)
Multi-infarct dementia or
psychosis
Use additional code to
identify cerebral atherosclerosis (437.0)
Excludes: suspected
cases with no clear evidence of arteriosclerosis (290.9)
290.40 Vascular dementia, uncomplicated
Arteriosclerotic dementia:
NOS
simple type
290.41 Vascular dementia with delirium
Arteriosclerotic dementia
with acute confusional state
290.42 Vascular dementia with delusions
Arteriosclerotic dementia,
paranoid type
290.43 Vascular dementia with depressed mood
Arteriosclerotic dementia,
depressed type
290.8 Other specified senile psychotic conditions
Presbyophrenic psychosis
290.9 Unspecified senile psychotic condition
Excludes: alcoholism
without psychosis (303.0-303.9)
291.0 Alcohol withdrawal delirium
Alcoholic delirium
Delirium tremens
Excludes: alcohol
withdrawal (291.81)
291.1 Alcohol-induced persisting amnestic disorder
Alcoholic polyneuritic
psychosis
Korsakoff's psychosis,
alcoholic
Wernicke-Korsakoff syndrome
(alcoholic)
291.2 Alcohol-induced persisting dementia
Alcoholic dementia NOS
Alcoholism associated with
dementia NOS
Chronic alcoholic brain
syndrome
291.3 Alcohol-induced psychotic disorder with hallucinations
Alcoholic:
hallucinosis (acute)
psychosis with
hallucinosis
Excludes: alcohol
withdrawal with delirium (291.0)
schizophrenia
(295.0-295.9) and paranoid states (297.0-297.9) taking the form of chronic
hallucinosis with clear consciousness in an alcoholic
291.4 Idiosyncratic alcohol intoxication
Pathologic:
alcohol intoxication
drunkenness
Excludes: acute
alcohol intoxication (305.0)
in alcoholism
(303.0)
simple drunkenness
(305.0)
291.5 Alcohol-induced psychotic disorder with delusions
Alcoholic:
paranoia
psychosis, paranoid type
Excludes: nonalcoholic
paranoid states (297.0-297.9)
schizophrenia,
paranoid type (295.3)
291.8 Other specified alcohol-induced mental disorders
Alcohol:
abstinence syndrome or
symptoms
withdrawal syndrome or
symptoms
Excludes: alcohol
withdrawal:
delirium (291.0)
hallucinosis
(291.3)
delirium tremens
(291.0)
Alcohol-induced anxiety
disorder
Alcohol-induced mood disorder
Alcohol-induced sexual
dysfunction
Alcohol-induced sleep
disorder
291.9 Unspecified alcohol-induced mental disorders
Alcoholic:
mania NOS
psychosis NOS
Alcoholism (chronic) with
psychosis
Alcohol-related disorder
NOS
Includes: organic brain syndrome associated
with consumption of drugs
Use additional code for any
associated drug dependence (304.0-304.9)
Use additional E
code to identify drug
Drug:
abstinence syndrome or
symptoms
withdrawal syndrome or
symptoms
292.1 Drug-induced psychotic disorders
292.11 Drug-induced psychotic disorder with delusions
Paranoid state induced by
drugs
292.12 Drug-induced psychotic disorder with hallucinations
Hallucinatory state induced
by drugs
Excludes: states
following LSD or other hallucinogens, lasting only a few days or less
["bad trips"] (305.3)
292.2 Pathological drug intoxication
Drug reaction resulting in
brief psychotic states
NOS
idiosyncratic
pathologic
Excludes: expected
brief psychotic reactions to hallucinogens ["bad trips"] (305.3)
physiological
side-effects of drugs (e.g., dystonias)
292.8 Other specified drug-induced mental disorders
292.82 Drug-induced persisting dementia
292.83 Drug-induced persisting amnestic disorder
292.84 Drug-induced mood disorder
Depressive state induced by
drugs
Drug-induced anxiety
disorder
Drug-induced organic
personality syndrome
Drug-induced sexual
dysfunction
Drug-induced sleep disorder
Drug intoxication
292.9 Unspecified drug-induced mental disorder
Drug-related disorder NOS
Organic psychosis NOS due
to or associated with drugs
Includes: transient organic mental disorders
not associated with alcohol or drugs
Code first the associated
physical or neurological condition
Excludes: confusional
state or delirium superimposed on senile
dementia (290.3)
dementia due to:
alcohol
(291.0-291.9)
arteriosclerosis
(290.40-290.43)
drugs (292.82)
senility (290.0)
293.0 Delirium due to conditions classified elsewhere
Acute:
confusional state
infective psychosis
organic reaction
posttraumatic organic
psychosis
psycho-organic syndrome
Acute psychosis associated
with endocrine, metabolic, or cerebrovascular disorder
Epileptic:
confusional state
twilight state
Subacute:
confusional state
infective psychosis
organic reaction
posttraumatic organic
psychosis
psycho-organic syndrome
psychosis associated with
endocrine or metabolic disorder
293.8 Other specified transient mental disorders due to conditions classified elsewhere
293.81 Psychotic disorder with delusions in conditions classified elsewhere
Transient organic psychotic
condition, paranoid type
293.82 Psychotic disorder with hallucinations in conditions classified elsewhere
Transient organic psychotic
condition, hallucinatory type
293.83 Mood disorder in conditions classified elsewhere
Transient organic psychotic
condition, depressive type
293.84 Anxiety disorder in conditions classified elsewhere
Catatonic disorder in
conditions classified elsewhere
293.9 Unspecified transient mental disorder in conditions classified elsewhere
Organic psychosis:
infective NOS
posttraumatic NOS
transient NOS
Psycho-organic syndrome
Includes: organic psychotic brain syndromes
(chronic), not elsewhere classified
294.0 Amnestic disorder in conditions classified elsewhere
Korsakoff's psychosis or
syndrome (nonalcoholic)
Code first underlying condition
Excludes: alcoholic:
amnestic syndrome
(291.1)
Korsakoff's
psychosis (291.1)
294.1 Dementia in conditions classified elsewhere
Dementia of the Alzheimer's
type
Code first any underlying
physical condition as:
dementia in:
Alzheimer's disease
(331.0)
cerebral lipidoses
(330.1)
dementia with Lewy
bodies (331.82)
dementia with
Parkinsonism (331.82)
epilepsy (345.0-345.9)
frontal dementia
(331.19)
frontotemporal
dementia (331.19)
general paresis
[syphilis] (094.1)
hepatolenticular
degeneration (275.1)
Huntington's chorea
(333.4)
Jakob-Creutzfeldt
disease (046.1)
multiple sclerosis
(340)
Pick's disease of the
brain (331.11)
polyarteritis nodosa
(446.0)
syphilis (094.1)
Excludes: dementia:
arteriosclerotic
(290.40-290.43)
presenile
(290.10-290.13)
senile (290.0)
epileptic psychosis
NOS (294.8)
294.10 Dementia in conditions classified elsewhere without behavioral disturbance
Dementia in conditions
classified elsewhere NOS
294.11 Dementia in conditions classified elsewhere with behavioral disturbance
Aggressive behavior
Combative behavior
Violent behavior
Wandering off
294.8 Other persistent mental disorders due to conditions classified elsewhere
Amnestic disorder NOS
Dementia NOS
Epileptic psychosis NOS
Mixed paranoid and
affective organic psychotic states
Use additional code for
associated epilepsy (345.0-345.9)
Excludes: mild
memory disturbances, not amounting to dementia (310.1)
294.9 Unspecified persistent mental disorders due to conditions classified elsewhere
Cognitive disorder NOS
Organic psychosis (chronic)
OTHER PSYCHOSES (295-299)
Use additional code to
identify any associated physical disease, injury, or condition affecting the
brain with psychoses classifiable to 295-298
Includes: schizophrenia of the types described
in 295.0-295.9 occurring in children
Excludes: childhood
type schizophrenia (299.9)
infantile autism
(299.0)
The following fifth-digit
subclassification is for use with category 295:
0 unspecified
1 subchronic
2 chronic
3 subchronic with acute exacerbation
4 chronic with acute exacerbation
5 in remission
Schizophrenia simplex
Excludes: latent
schizophrenia (295.5)
Hebephrenia
Hebephrenic type
schizophrenia
Catatonic (schizophrenia):
agitation
excitation
excited type
stupor
withdrawn type
Schizophrenic:
catalepsy
catatonia
flexibilitas cerea
Paraphrenic schizophrenia
Excludes: involutional
paranoid state (297.2)
paranoia (297.1)
paraphrenia (297.2)
295.4 Schizophreniform disorder
Oneirophrenia
Schizophreniform:
attack
psychosis, confusional
type
Excludes: acute
forms of schizophrenia of:
catatonic type
(295.2)
hebephrenic type
(295.1)
paranoid type
(295.3)
simple type
(295.0)
undifferentiated
type (295.8)
Latent schizophrenic
reaction
Schizophrenia:
borderline
incipient
prepsychotic
prodromal
pseudoneurotic
pseudopsychopathic
Excludes: schizoid
personality (301.20-301.22)
Chronic undifferentiated
schizophrenia
Restzustand (schizophrenic)
Schizophrenic residual
state
295.7 Schizoaffective disorder
Cyclic schizophrenia
Mixed schizophrenic and
affective psychosis
Schizo-affective psychosis
Schizophreniform psychosis,
affective type
295.8 Other specified types of schizophrenia
Acute (undifferentiated)
schizophrenia
Atypical schizophrenia
Cenesthopathic
schizophrenia
Excludes: infantile
autism (299.0)
295.9 Unspecified schizophrenia
Schizophrenia:
NOS
mixed NOS
undifferentiated NOS
undifferentiated type
Schizophrenic reaction NOS
Schizophreniform psychosis
NOS
Includes: episodic affective disorders
Excludes: neurotic
depression (300.4)
reactive depressive
psychosis (298.0)
reactive excitation
(298.1)
The following fifth-digit
subclassification is for use with categories 296.0-296.6:
0 unspecified
1 mild
2 moderate
3 severe, without mention of psychotic behavior
4 severe, specified as with psychotic behavior
5 in partial or unspecified remission
6 in full remission
296.0 Bipolar I disorder, single manic episode
Hypomania (mild) NOS single
episode or unspecified
Hypomanic psychosis single
episode or unspecified
Mania (monopolar) NOS
single episode or unspecified
Manic-depressive psychosis
or reaction, single episode or unspecified:
hypomanic, single episode
or unspecified
manic, single episode or
unspecified
Excludes: circular
type, if there was a previous attack of depression (296.4)
296.1 Manic disorder, recurrent episode
Any condition classifiable
to 296.0, stated to be recurrent
Excludes: circular
type, if there was a previous attack of depression (296.4)
296.2 Major depressive disorder, single episode
Depressive psychosis,
single episode or unspecified
Endogenous depression,
single episode or unspecified
Involutional melancholia,
single episode or unspecified
Manic-depressive psychosis
or reaction, depressed type, single episode or unspecified
Monopolar depression,
single episode or unspecified
Psychotic depression,
single episode or unspecified
Excludes: circular
type, if previous attack was of manic type (296.5)
depression NOS
(311)
reactive depression
(neurotic) (300.4)
psychotic (298.0)
296.3 Major depressive disorder, recurrent episode
Any condition classifiable
to 296.2, stated to be recurrent
Excludes: circular
type, if previous attack was of manic type (296.5)
depression NOS
(311)
reactive depression
(neurotic) (300.4)
psychotic (298.0)
296.4 Bipolar I disorder, most recent episode (or current) manic
Bipolar disorder, now manic
Manic-depressive psychosis,
circular type but currently manic
Excludes: brief
compensatory or rebound mood swings (296.99)
296.5 Bipolar I disorder, most recent episode (or current) depressed
Bipolar disorder, now
depressed
Manic-depressive psychosis,
circular type but currently depressed
Excludes: brief
compensatory or rebound mood swings (296.99)
296.6 Bipolar I disorder, most recent episode (or current) mixed
Manic-depressive psychosis,
circular type, mixed
296.7 Bipolar I disorder, most recent episode (or current) unspecified
Atypical bipolar affective
disorder NOS
Manic-depressive psychosis,
circular type, current condition not specified as either manic or depressive
296.8 Other and unspecified bipolar disorders
296.80 Bipolar disorder, unspecified
Bipolar disorder NOS
Manic-depressive:
reaction NOS
syndrome NOS
296.81 Atypical manic disorder
296.82 Atypical depressive disorder
Bipolar II disorder
Manic-depressive psychosis,
mixed type
296.9 Other and unspecified episodic mood disorder
Excludes: psychogenic
affective psychoses (298.0-298.8)
296.90 Unspecified episodic mood disorder
Affective psychosis NOS
Melancholia NOS
Mood disorder NOS
296.99 Other specified episodic mood disorder
Mood swings:
brief compensatory
rebound
Includes: paranoid disorders
Excludes: acute
paranoid reaction (298.3)
alcoholic jealousy
or paranoid state (291.5)
paranoid
schizophrenia (295.3)
Chronic paranoid psychosis
Sander's disease
Systematized delusions
Excludes: paranoid
personality disorder (301.0)
Involutional paranoid state
Late paraphrenia
Paraphrenia (involutional)
297.3 Shared psychotic disorder
Folie à deux
Induced psychosis or
paranoid disorder
297.8 Other specified paranoid states
Paranoia querulans
Sensitiver Beziehungswahn
Excludes: acute
paranoid reaction or state (298.3)
senile paranoid
state (290.20)
297.9 Unspecified paranoid state
Paranoid:
disorder NOS
psychosis NOS
reaction NOS
state NOS
Includes: psychotic conditions due to or
provoked by:
emotional stress
environmental
factors as major part of etiology
298.0 Depressive type psychosis
Psychogenic depressive
psychosis
Psychotic reactive
depression
Reactive depressive
psychosis
Excludes: manic-depressive
psychosis, depressed type (296.2-296.3)
neurotic depression
(300.4)
reactive depression
NOS (300.4)
298.1 Excitative type psychosis
Acute hysterical psychosis
Psychogenic excitation
Reactive excitation
Excludes: manic-depressive
psychosis, manic type (296.0-296.1)
Psychogenic confusion
Psychogenic twilight state
Excludes: acute
confusional state (293.0)
Acute psychogenic paranoid
psychosis
Bouffée délirante
Excludes: paranoid
states (297.0-297.9)
298.4 Psychogenic paranoid psychosis
Protracted reactive paranoid
psychosis
298.8 Other and unspecified reactive psychosis
Brief psychotic disorder
Brief reactive psychosis
NOS
Hysterical psychosis
Psychogenic psychosis NOS
Psychogenic stupor
Excludes: acute
hysterical psychosis (298.1)
Atypical psychosis
Psychosis NOS
Psychotic disorder NOS
Excludes: adult
type psychoses occurring in childhood, as:
affective
disorders (296.0-296.9)
manic-depressive
disorders (296.0-296.9)
schizophrenia
(295.0-295.9)
The following fifth-digit
subclassification is for use with category 299:
0 current or active state
1 residual state
Childhood autism
Infantile psychosis
Kanner's syndrome
Excludes: disintegrative
psychosis (299.1)
Heller's syndrome (299.1)
schizophrenic
syndrome of childhood (299.9)
299.1 Childhood disintegrative disorder
Heller's syndrome
Use additional code to
identify any associated neurological disorder
Excludes: infantile
autism (299.0)
schizophrenic
syndrome of childhood (299.9)
299.8 Other specified pervasive developmental disorders
Asperger's disorder
Atypical childhood
psychosis
Borderline psychosis of
childhood
Excludes: simple
stereotypes without psychotic disturbance (307.3)
299.9 Unspecified pervasive developmental disorder
Child psychosis NOS
Pervasive developmental
disorder NOS
Schizophrenia, childhood
type NOS
Schizophrenic syndrome of
childhood NOS
Excludes: schizophrenia
of adult type occurring in childhood (295.0-295.9)
NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS (300-316)
Excludes: anxiety
in:
acute stress
reaction (308.0)
transient
adjustment reaction (309.24)
neurasthenia
(300.5)
psychophysiological
disorders (306.0-306.9)
separation anxiety
(309.21)
300.00 Anxiety state, unspecified
Anxiety:
neurosis
reaction
state (neurotic)
Atypical anxiety disorder
300.01 Panic disorder without agoraphobia
Panic:
attack
state
Excludes: panic
disorder with agoraphobia (300.21)
300.02 Generalized anxiety disorder
300.1 Dissociative, conversion and factitious disorders
Excludes: adjustment
reaction (309.0-309.9)
anorexia nervosa
(307.1)
gross stress
reaction (308.0-308.9)
hysterical
personality (301.50-301.59)
psychophysiologic
disorders (306.0-306.9)
Astasia-abasia, hysterical
Conversion hysteria or
reaction
Hysterical:
blindness
deafness
paralysis
Hysterical amnesia
Hysterical fugue
300.14 Dissociative identity disorder
300.15 Dissociative disorder or reaction, unspecified
300.16 Factitious disorder with predominantly psychological signs and symptoms
Compensation neurosis
Ganser's syndrome,
hysterical
300.19 Other and unspecified factitious illness
Factitious disorder (with
combined psychological and physical signs and symptoms) (with predominantly
physical signs and symptoms) NOS
Excludes: multiple
operations or hospital addiction syndrome (301.51)
Excludes: anxiety
state not associated with a specific situation or object (300.00-300.09)
obsessional phobias
(300.3)
Anxiety-hysteria NOS
Phobia NOS
300.21 Agoraphobia with panic disorder
Fear of:
open spaces with panic
attacks
streets with panic attacks
travel with panic attacks
Panic disorder with
agoraphobia
Excludes: agoraphobia
without panic disorder (300.22)
panic disorder
without agoraphobia (300.01)
300.22 Agoraphobia without mention of panic attacks
Any condition classifiable
to 300.21 without mention of panic attacks
Fear of:
eating in public
public speaking
washing in public
300.29 Other isolated or specific phobias
Acrophobia
Animal phobias
Claustrophobia
Fear of crowds
300.3 Obsessive-compulsive disorders
Anancastic neurosis
Compulsive neurosis
Obsessional phobia [any]
Excludes: obsessive-compulsive
symptoms occurring in:
endogenous
depression (296.2-296.3)
organic states
(e.g., encephalitis) schizophrenia (295.0-295.9)
Anxiety depression
Depression with anxiety
Depressive reaction
Neurotic depressive state
Reactive depression
Excludes: adjustment
reaction with depressive symptoms (309.0-309.1)
depression NOS
(311)
manic-depressive
psychosis, depressed type (296.2-296.3)
reactive depressive
psychosis (298.0)
Fatigue neurosis
Nervous debility
Psychogenic:
asthenia
general fatigue
Use additional code to
identify any associated physical disorder
Excludes: anxiety
state (300.00-300.09)
neurotic depression
(300.4)
psychophysiological
disorders (306.0-306.9)
specific
nonpsychotic mental disorders following organic brain damage (310.0-310.9)
300.6 Depersonalization disorder
Derealization (neurotic)
Neurotic state with
depersonalization episode
Excludes: depersonalization
associated with:
anxiety
(300.00-300.09)
depression (300.4)
manic-depressive
disorder or psychosis (296.0-296.9)
schizophrenia
(295.0-295.9)
Body dysmorphic disorder
Excludes: hypochondriasis
in:
hysteria (300.10-300.19)
manic-depressive
psychosis, depressed type (296.2-296.3)
neurasthenia
(300.5)
obsessional
disorder (300.3)
schizophrenia
(295.0-295.9)
Briquet's disorder
Severe somatoform disorder
300.82 Undifferentiated somatoform disorder
Atypical somatoform
disorder
Somatoform disorder NOS
300.89 Other somatoform disorders
Occupational neurosis,
including writers' cramp
Psychasthenia
Psychasthenic neurosis
300.9 Unspecified nonpsychotic mental disorder
Psychoneurosis NOS
Includes: character neurosis
Use additional code to
identify any associated neurosis or psychosis, or physical condition
Excludes: nonpsychotic
personality disorder associated with organic brain syndromes (310.0-310.9)
301.0 Paranoid personality disorder
Fanatic personality
Paranoid personality
(disorder)
Paranoid traits
Excludes: acute
paranoid reaction (298.3)
alcoholic paranoia
(291.5)
paranoid
schizophrenia (295.3)
paranoid states
(297.0-297.9)
301.1 Affective personality disorder
Excludes: affective
psychotic disorders (296.0-296.9)
neurasthenia
(300.5)
neurotic depression
(300.4)
301.10 Affective personality disorder, unspecified
301.11 Chronic hypomanic personality disorder
Chronic hypomanic disorder
Hypomanic personality
301.12 Chronic depressive personality disorder
Chronic depressive disorder
Depressive character or
personality
Cycloid personality
Cyclothymia
Cyclothymic personality
301.2 Schizoid personality disorder
Excludes: schizophrenia
(295.0-295.9)
301.20 Schizoid personality disorder, unspecified
301.21 Introverted personality
301.22 Schizotypal personality disorder
301.3 Explosive personality disorder
Aggressive:
personality
reaction
Aggressiveness
Emotional instability
(excessive)
Pathological emotionality
Quarrelsomeness
Excludes: dyssocial
personality (301.7)
hysterical neurosis
(300.10-300.19)
301.4 Obsessive-compulsive personality disorder
Anancastic personality
Obsessional personality
Excludes: obsessive-compulsive
disorder (300.3)
phobic state
(300.20-300.29)
301.5 Histrionic personality disorder
Excludes: hysterical
neurosis (300.10-300.19)
301.50 Histrionic personality disorder, unspecified
Hysterical personality NOS
301.51 Chronic factitious illness with physical symptoms
Hospital addiction syndrome
Multiple operations
syndrome
Munchausen syndrome
301.59 Other histrionic personality disorder
Personality:
emotionally unstable
labile
psychoinfantile
301.6 Dependent personality disorder
Asthenic personality
Inadequate personality
Passive personality
Excludes: neurasthenia
(300.5)
passive-aggressive
personality (301.84)
301.7 Antisocial personality disorder
Amoral personality
Asocial personality
Dyssocial personality
Personality disorder with
predominantly sociopathic or asocial manifestation
Excludes: disturbance
of conduct without specifiable personality disorder (312.0-312.9)
explosive
personality (301.3)
301.8 Other personality disorders
301.81 Narcissistic personality disorder
301.82 Avoidant personality disorder
301.83 Borderline personality disorder
301.84 Passive-aggressive personality
Personality:
eccentric
"haltlose" type
immature
masochistic
psychoneurotic
Excludes: psychoinfantile
personality (301.59)
301.9 Unspecified personality disorder
Pathological personality
NOS
Personality disorder NOS
Psychopathic:
constitutional state
personality (disorder)
Excludes: sexual
disorder manifest in:
organic brain
syndrome (290.0-294.9, 310.0-310.9)
psychosis (295.0-298.9)
302.0 Ego-dystonic sexual orientation
Ego-dystonic lesbianism
Sexual orientation conflict
disorder
Excludes: homosexual
pedophilia (302.2)
Bestiality
Excludes: trans-sexualism
(302.5)
Excludes: transvestism
(302.3)
302.50 With unspecified sexual history
302.52 With homosexual history
302.53 With heterosexual history
302.6 Gender identity disorder in children
Feminism in boys
Gender identity disorder
NOS
Excludes: gender
identity disorder in adult (302.85)
trans-sexualism
(302.50-302.53)
transvestism
(302.3)
302.7 Psychosexual dysfunction
Excludes: decreased
sexual desire NOS (799.81)
impotence of
organic origin (607.84)
normal transient
symptoms from ruptured hymen
transient or
occasional failures of erection due to fatigue, anxiety, alcohol, or drugs
302.70 Psychosexual dysfunction, unspecified
Sexual dysfunction NOS
302.71 Hypoactive sexual desire disorder
Excludes: decreased
sexual desire NOS (799.81)
302.72 With inhibited sexual excitement
Female sexual arousal
disorder
Frigidity
Impotence
Male erectile disorder
302.73 Female orgasmic disorder
302.76 Dyspareunia, psychogenic
302.79 With other specified psychosexual dysfunctions
Sexual aversion disorder
302.8 Other specified psychosexual disorders
302.85 Gender identity disorder in adolescents or adults
Excludes: gender identity disorder NOS (302.6)
gender identity
disorder in children (302.6)
Frotteurism
Nymphomania
Satyriasis
302.9 Unspecified psychosexual disorder
Paraphilia NOS
Pathologic sexuality NOS
Sexual deviation NOS
Sexual disorder NOS
Use additional code to
identify any associated condition, as:
alcoholic
psychoses (291.0-291.9)
drug dependence
(304.0-304.9)
physical
complications of alcohol, such as:
cerebral
degeneration (331.7)
cirrhosis of
liver (571.2)
epilepsy
(345.0-345.9)
gastritis
(535.3)
hepatitis
(571.1)
liver damage NOS
(571.3)
Excludes: drunkenness
NOS (305.0)
The following fifth-digit
subclassification is for use with category 303:
0 unspecified
1 continuous
2 episodic
3 in remission
303.0 Acute alcoholic intoxication
Acute drunkenness in
alcoholism
303.9 Other and unspecified alcohol dependence
Chronic alcoholism
Dipsomania
Excludes: nondependent
abuse of drugs (305.1-305.9)
The following fifth-digit subclassification
is for use with category 304:
0 unspecified
1 continuous
2 episodic
3 in remission
Heroin
Meperidine
Methadone
Morphine
Opium
Opium alkaloids and their
derivatives
Synthetics with
morphine-like effects
304.1 Sedative, hypnotic or anxiolytic dependence
Barbiturates
Nonbarbiturate sedatives
and tranquilizers with a similar effect:
chlordiazepoxide
diazepam
glutethimide
meprobamate
methaqualone
Coca leaves and derivatives
Hashish
Hemp
Marihuana
304.4 Amphetamine and other psychostimulant dependence
Methylphenidate
Phenmetrazine
Dimethyltryptamine [DMT]
Lysergic acid diethylamide
[LSD] and derivatives
Mescaline
Psilocybin
304.6 Other specified drug dependence
Absinthe addiction
Glue sniffing
Inhalant dependence
Phencyclidine dependence
Excludes: tobacco
dependence (305.1)
304.7 Combinations of opioid type drug with any other
304.8 Combinations of drug dependence excluding opioid type drug
304.9 Unspecified drug dependence
Drug addiction NOS
Drug dependence NOS
Note: Includes cases where a person, for whom no
other diagnosis is possible, has come under medical care because of the
maladaptive effect of a drug on which he is not dependent and that he has taken
on his own initiative to the detriment of his health or social functioning.
Excludes: alcohol
dependence syndrome (303.0-303.9)
drug dependence
(304.0-304.9)
drug withdrawal
syndrome (292.0)
poisoning by drugs
or medicinal substances (960.0-979.9)
The following fifth-digit
subclassification is for use with codes 305.0, 305.2-305.9
0 unspecified
1 continuous
2 episodic
3 in remission
Drunkenness NOS
Excessive drinking of
alcohol NOS
"Hangover"
(alcohol)
Inebriety NOS
Excludes: acute
alcohol intoxication in alcoholism (303.0)
alcoholic psychoses
(291.0-291.9)
Tobacco dependence
Excludes: history
of tobacco use (V15.82)
Acute intoxication from
hallucinogens ["bad trips"]
LSD reaction
305.4 Sedative, hypnotic or anxiolytic abuse
305.7 Amphetamine or related acting sympathomimetic abuse
305.8 Antidepressant type abuse
305.9 Other, mixed, or unspecified drug abuse
Caffeine intoxication
Inhalant abuse
"Laxative habit"
Misuse of drugs NOS
Nonprescribed use of drugs
or patent medicinals
Phencyclidine abuse
Includes: psychogenic:
physical symptoms
not involving tissue damage
physiological
manifestations not involving tissue damage
Excludes: hysteria
(300.11-300.19)
physical symptoms
secondary to a psychiatric disorder classified elsewhere
psychic factors
associated with physical conditions involving tissue damage classified
elsewhere (316)
specific
nonpsychotic mental disorders following organic brain damage (310.0-310.9)
Psychogenic paralysis
Psychogenic torticollis
Excludes: Gilles
de la Tourette's syndrome (307.23)
paralysis as
hysterical or conversion reaction (300.11)
tics
(307.20-307.22)
Psychogenic:
air hunger
cough
hiccough
hyperventilation
yawning
Excludes: psychogenic
asthma (316 and 493.9)
Cardiac neurosis
Cardiovascular neurosis
Neurocirculatory asthenia
Psychogenic cardiovascular
disorder
Excludes: psychogenic
paroxysmal tachycardia (316 and 427.2)
Psychogenic pruritus
Excludes: psychogenic:
alopecia (316 and
704.00)
dermatitis (316
and 692.9)
eczema (316 and
691.8 or 692.9)
urticaria (316 and
708.0-708.9)
Aerophagy
Cyclical vomiting,
psychogenic
Diarrhea, psychogenic
Nervous gastritis
Psychogenic dyspepsia
Excludes: cyclical
vomiting NOS (536.2)
globus hystericus
(300.11)
mucous colitis (316
and 564.9)
psychogenic:
cardiospasm (316
and 530.0)
duodenal ulcer
(316 and 532.0-532.9)
gastric ulcer (316
and 531.0-531.9)
peptic ulcer NOS
(316 and 533.0-533.9)
vomiting NOS
(307.54)
Excludes: enuresis,
psychogenic (307.6)
frigidity (302.72)
impotence (302.72)
psychogenic
dyspareunia (302.76)
306.50 Psychogenic genitourinary malfunction, unspecified
Functional vaginismus
306.52 Psychogenic dysmenorrhea
Excludes: hysterical
blindness or deafness (300.11)
psychophysical
visual disturbances (368.16)
306.8 Other specified psychophysiological malfunction
Bruxism
Teeth grinding
306.9 Unspecified psychophysiological malfunction
Psychophysiologic disorder
NOS
Psychosomatic disorder NOS
Note: This category is intended for use if the
psychopathology is manifested by a single specific symptom or group of symptoms
which is not part of an organic illness or other mental disorder classifiable
elsewhere.
Excludes: those
due to mental disorders classified elsewhere
those of organic
origin
Excludes: dysphasia
(784.5)
lisping or lalling
(307.9)
retarded development
of speech (315.31-315.39)
Excludes: eating
disturbance NOS (307.50)
feeding problem
(783.3)
of nonorganic
origin (307.59)
loss of appetite
(783.0)
of nonorganic
origin (307.59)
Excludes: nail-biting
or thumb-sucking (307.9)
stereotypes
occurring in isolation (307.3)
tics of organic
origin (333.3)
307.20 Tic disorder, unspecified
Tic disorder NOS
307.22 Chronic motor or vocal tic disorder
Motor-verbal tic disorder
307.3 Stereotypic movement disorder
Body-rocking
Head banging
Spasmus nutans
Stereotypes NOS
Excludes: tics
(307.20-307.23)
of organic origin
(333.3)
307.4 Specific disorders of sleep of nonorganic origin
Excludes: narcolepsy
(347.00-347.11)
those of
unspecified cause (780.50-780.59)
307.40 Nonorganic sleep disorder, unspecified
307.41 Transient disorder of initiating or maintaining sleep
Hyposomnia associated with
acute or intermittent emotional reactions or conflicts
Insomnia associated with
acute or intermittent emotional reactions or conflicts
Sleeplessness associated
with acute or intermittent emotional reactions or conflicts
307.42 Persistent disorder of initiating or maintaining sleep
Hyposomnia, insomnia, or
sleeplessness associated with:
anxiety
conditioned arousal
depression (major) (minor)
psychosis
307.43 Transient disorder of initiating or maintaining wakefulness
Hypersomnia associated with
acute or intermittent emotional reactions or conflicts
307.44 Persistent disorder of initiating or maintaining wakefulness
Hypersomnia associated with
depression (major) (minor)
307.45 Circadian rhythm sleep disorder
Irregular sleep-wake
rhythm, nonorganic origin
Jet lag syndrome
Rapid time-zone change
Shifting sleep-work
schedule
Night terror disorder
Night terrors
Sleep terror disorder
Sleepwalking
Somnambulism
307.47 Other dysfunctions of sleep stages or arousal from sleep
Nightmare disorder
Nightmares:
NOS
REM-sleep type
Sleep drunkenness
307.48 Repetitive intrusions of sleep
Repetitive intrusion of
sleep with:
atypical polysomnographic
features
environmental disturbances
repeated REM-sleep
interruptions
"Short-sleeper"
Subjective insomnia
complaint
307.5 Other and unspecified disorders of eating
Excludes: anorexia:
nervosa (307.1)
of unspecified
cause (783.0)
overeating, of
unspecified cause (783.6)
vomiting:
NOS (787.0)
cyclical (536.2)
psychogenic
(306.4)
307.50 Eating disorder, unspecified
Eating disorder NOS
Overeating of nonorganic
origin
Perverted appetite of
nonorganic origin
Regurgitation, of
nonorganic origin, of food with reswallowing
Excludes: obsessional
rumination (300.3)
Feeding disorder of infancy
or early childhood
Infantile feeding
disturbances of nonorganic origin
Loss of appetite of
nonorganic origin
Enuresis (primary)
(secondary) of nonorganic origin
Excludes: enuresis
of unspecified cause (788.3)
Encopresis (continuous)
(discontinuous) of nonorganic origin
Excludes: encopresis
of unspecified cause (787.6)
307.8 Pain disorders related to psychological factors
307.80 Psychogenic pain, site unspecified
Excludes: headache:
NOS (784.0)
migraine
(346.0-346.9)
Code first to site of pain
Excludes: pain
disorder exclusively attributed to psychological factors (307.80)
psychogenic pain
(307.80)
307.9 Other and unspecified special symptoms or syndromes, not elsewhere classified
Communication disorder NOS
Hair plucking
Lalling
Lisping
Masturbation
Nail-biting
Thumb-sucking
Includes: catastrophic stress
combat fatigue
gross stress
reaction (acute)
transient disorders
in response to exceptional physical or mental stress which usually subside
within hours or days
Excludes: adjustment
reaction or disorder (309.0-309.9)
chronic stress
reaction (309.1-309.9)
308.0 Predominant disturbance of emotions
Anxiety as acute reaction
to exceptional [gross] stress
Emotional crisis as acute
reaction to exceptional [gross] stress
Panic state as acute
reaction to exceptional [gross] stress
308.1 Predominant disturbance of consciousness
Fugues as acute reaction to
exceptional [gross] stress
308.2 Predominant psychomotor disturbance
Agitation states as acute
reaction to exceptional [gross] stress
Stupor as acute reaction to
exceptional [gross] stress
308.3 Other acute reactions to stress
Acute situational
disturbance
Acute stress disorder
Excludes: prolonged
posttraumatic emotional disturbance (309.81)
308.4 Mixed disorders as reaction to stress
308.9 Unspecified acute reaction to stress
Includes: adjustment disorders
reaction
(adjustment) to chronic stress
Excludes: acute
reaction to major stress (308.0-308.9)
neurotic disorders
(300.0-300.9)
309.0 Adjustment disorder with depressed mood
Grief reaction
Excludes: affective
psychoses (296.0-296.9)
neurotic depression
(300.4)
prolonged
depressive reaction (309.1)
psychogenic
depressive psychosis (298.0)
309.1 Prolonged depressive reaction
Excludes: affective
psychoses (296.0-296.9)
brief depressive
reaction (309.0)
neurotic depression
(300.4)
psychogenic
depressive psychosis (298.0)
309.2 With predominant disturbance of other emotions
309.21 Separation anxiety disorder
309.22 Emancipation disorder of adolescence and early adult life
309.23 Specific academic or work inhibition
309.24 Adjustment disorder with anxiety
309.28 Adjustment disorder with mixed anxiety and depressed mood
Adjustment reaction with
anxiety and depression
Culture shock
309.3 Adjustment disorder with disturbance of conduct
Conduct disturbance as
adjustment reaction
Destructiveness as
adjustment reaction
Excludes: destructiveness
in child (312.9)
disturbance of
conduct NOS (312.9)
dyssocial behavior
without manifest psychiatric disorder (V71.01-V71.02)
personality
disorder with predominantly sociopathic or asocial manifestations (301.7)
309.4 Adjustment disorder with mixed disturbance of emotions and conduct
309.8 Other specified adjustment reactions
309.81 Posttraumatic stress disorder
Chronic posttraumatic
stress disorder
Concentration camp syndrome
Posttraumatic stress
disorder NOS
Excludes: acute
stress disorder (308.3)
posttraumatic brain
syndrome:
nonpsychotic
(310.2)
psychotic (293.0-293.9)
309.82 Adjustment reaction with physical symptoms
309.83 Adjustment reaction with withdrawal
Elective mutism as
adjustment reaction
Hospitalism (in children)
NOS
309.9 Unspecified adjustment reaction
Adaptation reaction NOS
Adjustment reaction NOS
Excludes: neuroses,
personality disorders, or other nonpsychotic conditions occurring in a form
similar to that seen with functional disorders but in association with a physical
condition (300.0-300.9, 301.0-301.9)
Lobotomy syndrome
Postleucotomy syndrome
[state]
Excludes: postcontusion
syndrome (310.2)
310.1 Personality change due to conditions classified elsewhere
Cognitive or personality
change of other type, of nonpsychotic severity
Organic psychosyndrome of
nonpsychotic severity
Presbyophrenia NOS
Senility with mental
changes of nonpsychotic severity
Excludes: memory
loss of unknown cause (780.93)
Postcontusion syndrome or
encephalopathy
Posttraumatic brain
syndrome, nonpsychotic
Status postcommotio cerebri
Excludes: any
organic psychotic conditions following head injury (293.0-294.0)
frontal lobe
syndrome (310.0)
postencephalitic
syndrome (310.8)
310.8 Other specified nonpsychotic mental disorders following organic brain damage
Mild memory disturbance
Postencephalitic syndrome
Other focal (partial)
organic psychosyndromes
310.9 Unspecified nonpsychotic mental disorder following organic brain damage
Depressive disorder NOS
Depressive state NOS
Depression NOS
Excludes: acute
reaction to major stress with depressive symptoms (308.0)
affective
personality disorder (301.10-301.13)
affective psychoses
(296.0-296.9)
brief depressive
reaction (309.0)
depressive states
associated with stressful events (309.0-309.1)
disturbance of
emotions specific to childhood and adolescence, with misery and unhappiness
(313.1)
mixed adjustment
reaction with depressive symptoms (309.4)
neurotic depression
(300.4)
prolonged
depressive adjustment reaction (309.1)
psychogenic
depressive psychosis (298.0)
Excludes: adjustment
reaction with disturbance of conduct (309.3)
drug dependence
(304.0-304.9)
dyssocial behavior
without manifest psychiatric disorder (V71.01-V71.02)
personality
disorder with predominantly sociopathic or asocial manifestations (301.7)
sexual deviations
(302.0-302.9)
The following fifth-digit
subclassification is for use with categories 312.0-312.2:
0 unspecified
1 mild
2 moderate
3 severe
312.0 Undersocialized conduct disorder, aggressive type
Aggressive outburst
Anger reaction
Unsocialized aggressive
disorder
312.1 Undersocialized conduct disorder, unaggressive type
Childhood truancy,
unsocialized
Solitary stealing
Tantrums
312.2 Socialized conduct disorder
Childhood truancy,
socialized
Group delinquency
Excludes: gang
activity without manifest psychiatric disorder (V71.01)
312.3 Disorders of impulse control, not elsewhere classified
312.30 Impulse control disorder, unspecified
312.34 Intermittent explosive disorder
312.35 Isolated explosive disorder
Trichotillomania
312.4 Mixed disturbance of conduct and emotions
Neurotic delinquency
Excludes: compulsive
conduct disorder (312.3)
312.8 Other specified disturbances of conduct, not elsewhere classified
312.81 Conduct disorder, childhood onset type
312.82 Conduct disorder, adolescent onset type
Conduct disorder of
unspecified onset
312.9 Unspecified disturbance of conduct
Delinquency (juvenile)
Disruptive behavior
disorder NOS
Excludes: adjustment
reaction (309.0-309.9)
emotional disorder
of neurotic type (300.0-300.9)
masturbation,
nail-biting, thumb-sucking, and other isolated symptoms (307.0-307.9)
Anxiety and fearfulness of
childhood and adolescence
Overanxious disorder of
childhood and adolescence
Excludes: abnormal
separation anxiety (309.21)
anxiety states
(300.00-300.09)
hospitalism in
children (309.83)
phobic state
(300.20-300.29)
313.1 Misery and unhappiness disorder
Excludes: depressive
neurosis (300.4)
313.2 Sensitivity, shyness, and social withdrawal disorder
Excludes: infantile
autism (299.0)
schizoid
personality (301.20-301.22)
schizophrenia
(295.0-295.9)
313.21 Shyness disorder of childhood
Sensitivity reaction of
childhood or adolescence
313.22 Introverted disorder of childhood
Social withdrawal of
childhood or adolescence
Withdrawal reaction of
childhood or adolescence
Excludes: elective
mutism as adjustment reaction (309.83)
Sibling jealousy
Excludes: relationship
problems associated with aggression, destruction, or other forms of conduct
disturbance (312.0-312.9)
313.8 Other or mixed emotional disturbances of childhood or adolescence
313.81 Oppositional defiant disorder
Identity problem
313.83 Academic underachievement disorder
Reactive attachment
disorder of infancy or early childhood
313.9 Unspecified emotional disturbance of childhood or adolescence
Mental disorder of infancy,
childhood or adolescence NOS
Excludes: hyperkinesis
as symptom of underlying disordercode the underlying disorder
314.0 Attention deficit disorder
Adult
Child
314.00 Without mention of hyperactivity
Predominantly inattentive
type
Combined type
Overactivity NOS
Predominantly
hyperactive/impulsive type
Simple disturbance of
attention with overactivity
314.1 Hyperkinesis with developmental delay
Developmental disorder of
hyperkinesis
Use additional code to
identify any associated neurological disorder
314.2 Hyperkinetic conduct disorder
Hyperkinetic conduct
disorder without developmental delay
Excludes: hyperkinesis
with significant delays in specific skills (314.1)
314.8 Other specified manifestations of hyperkinetic syndrome
314.9 Unspecified hyperkinetic syndrome
Hyperkinetic reaction of
childhood or adolescence NOS
Hyperkinetic syndrome NOS
Excludes: that
due to a neurological disorder (320.0-389.9)
315.0 Specific reading disorder
315.00 Reading disorder, unspecified
Specific spelling
difficulty
Dyscalculia
315.2 Other specific learning difficulties
Disorder of written
expression
Excludes: specific
arithmetical disorder (315.1)
specific reading
disorder (315.00-315.09)
315.3 Developmental speech or language disorder
315.31 Expressive language disorder
Developmental aphasia
Word deafness
Excludes: acquired
aphasia (784.3)
elective mutism
(309.83, 313.0, 313.23)
315.32 Mixed receptive-expressive language disorder
Developmental articulation
disorder
Dyslalia
Phonological disorder
Excludes: lisping
and lalling (307.9)
stammering and
stuttering (307.0)
315.4 Developmental coordination disorder
Clumsiness syndrome
Dyspraxia syndrome
Specific motor development
disorder
315.5 Mixed development disorder
315.8 Other specified delays in development
315.9 Unspecified delay in development
Developmental disorder NOS
Learning disorder NOS
Psychologic factors in
physical conditions classified elsewhere
Use additional code to
identify the associated physical condition, as:
psychogenic:
asthma (493.9)
dermatitis
(692.9)
duodenal ulcer
(532.0-532.9)
eczema (691.8,
692.9)
gastric ulcer
(531.0-531.9)
mucous colitis
(564.9)
paroxysmal
tachycardia (427.2)
ulcerative
colitis (556)
urticaria
(708.0-708.9)
psychosocial
dwarfism (259.4)
Excludes: physical
symptoms and physiological malfunctions, not involving tissue damage, of mental
origin (306.0-306.9)
MENTAL RETARDATION (317-319)
Use additional code(s) to
identify any associated psychiatric or physical condition(s)
High-grade defect
IQ 50-70
Mild mental subnormality
318.0 Moderate mental retardation
IQ 35-49
Moderate mental
subnormality
318.1 Severe mental retardation
IQ 20-34
Severe mental subnormality
318.2 Profound mental retardation
IQ under 20
Profound mental
subnormality
Mental deficiency NOS
Mental subnormality NOS