Post on 28-Mar-2018
transcript
DSM-5 Classification xxv
Substance-Related and Addictive Disorders (481)- - -- .".: --
The following specifiers and note apply to Substance-Related and Addictive Disorders whereindicated:aSpecify if: In early remission, In sustained remissionbSpecify if: In a controlled environment'cSpeciftJ if: With perceptual disturbancesdThe rCD-IO-CM code indicates the comorbid presence of a moderate or severe substance use
disorder, which must be present in order to apply the code for substance withdrawal.
Substance-Related Disorders (483)
Alcohol-Related Disorders (490)
_._ L.---l Alcohol Use Disorder'': b (490)Speciftj current severity:
Mild305.00 (FiO.10)
303.90 (F10.20)
303.90 (1=10.20)
303.00 L._)(F10.129)(F10.229)(F10.929)
L·_l(FiO.239)(F10.232)(_.---l
{Fi0.ge}
291.81
291.9
ModerateSevere
Alcohol Intoxication (497)With use disorder, mildWith use disorder, moderate or severeWithout use disorder
Alcohol Withdrawal'< d (499)Without perceptual disturbancesWith perceptual disturbances
Other Alcohol-Induced Disorders (502)
Unspecified Alcohol-Related Disorder (503)
Caffeine-Related Disorders (503)
305.90 (F15.929) Caffeine Intoxication (503)292.0 (F15.93) Caffeine Withdrawal (506)_,._ L.-1 Other Caffeine-Induced Disorders (508)292.9 (Fi5.99) Unspecified Caffeine-Related Disorder (509)
Cannabis-Related Disorders (509)
_._ L.---l Cannabis Use Disorder= b (509)Specify current severity:
Mild305.20 (F'l2.10)304.30 {F12.20}304.30 (F12.20)
ModerateSevere
xxvi DSM-5 Classification
Cannabis Intoxication? (516)Without perceptual disturbances
With use disorder, mildWith use disorder, moderate or severeWithout use disorder
With perceptual disturbances(Fi2.122) With use disorder, mild(F12.222) With use disorder, moderate or severe(Fi2.922) Without use disorder
292.0 (f12.288) Cannabis Withdrawald (517)
L.-> Other Cannabis-Induced Disorders (519)
292.9 (F"i2.99) Unspecified Cannabis-Related Disorder (519)
Hallucinogen-Related Disorders (520)
_._ L.-> Phencyclidine Use Disorder" b (520)SpecifiJ current severity:
Mild
292.89 (_.-->
(F12.·i29)(Fi2.229)(F12.929)
305.90 (FiG.10)304.60 (F16.20)304.60 (F16.20)
-'- (-'-->
ModerateSevere
Other Hallucinogen Use Disorder": b (523)Specify the particular hallucinogenSpecifiJ current severity:
MildModerateSevere
305.30 (!Fi6.10)304.50 (F16.20)304.50 (F16.20)
292.89 {_.-> Phencyclidine Intoxication (527)(F16.129) With use disorder, mild(F16.229) With use disorder, moderate or severe(F16.929) Without use disorder
292.89 L._} Other Hallucinogen Intoxication (529)(f16.129) With use disorder, mild(F16.229) With use disorder, moderate or severe(Fi6.929) Without use disorder
292.89 (Fi6.983) Hallucinogen Persisting Perception Disorder (531)
L.--> Other Phencyclidine-Induced Disorders (532)_ _ L.-----> Other Hallucinogen-Induced Disorders (532)
292.9 (F16.99) Unspecified Phencyclidine-Related Disorder (533)
292.9 (l=16.99) Unspecified Hallucinogen-Related Disorder (533)Inhalant-Related Disorders (533)
_._ {_._> Inhalant Use Disorder'v b (533)Specify the particular inhalant.Speciftj current severity:
305.90 (F18.10) Mild
DSM-5 Classification xxvii
304.60 (F18.20) Moderate
304.60 (Fi8.20) Severe
292.89 {_.->(F18.129)(F18.229)(F18.929)
<--'-}292.9 (F18.99)
Inhalant Intoxication (538)With use disorder, mildWith use disorder, moderate or severeWithout use disorder
Other Inhalant-Induced Disorders (540)
Unspecified Inhalant-Related Disorder (540)
-._ L.-.JOpioid-Related Disorders (540)
305.50 {F11. "i0)
304.00 (F"l1.20)304.00 (F11.20)
292.89 L.-l
(F11:i29)(F11.229)(F11.929)
(F11.122)(1=11.222)(F'11.922)
(F11.23)
L·->(F11.99)
292.0
292.9
Opioid Use Disorder" (541)Specify if: On maintenance therapy, In a controlled environmentSpecifij current severity:
Mild
ModerateSevere
Opioid Intoxication" (546)Without perceptual disturbances
With use disorder, mildWith use disorder, moderate or severeWithout use disorder
With perceptual disturbancesWith use disorder, mildWith use disorder, moderate or severeWithout use disorder
Opioid Withdrawald (547)
Other Opioid-Induced Disorders (549)
Unspecified Opioid-Related Disorder (550)
Sedative-, Hypnotic-, or Anxiolytic-Related Disorders (550)
_._ {_.--1 Sedative, Hypnotic, or Anxiolytic Use Disorder'" b (550)SpecifiJ current severity:
Mild305.40 (F13.10)304.10 (f13.20)
304.10 (f13.20)
292.89 L._}(1=13.129)(1F13.229)
(F13.929)
292.0 L.-.-J(F13.239)(f13.232)
Moderate
Severe
Sedative, Hypnotic, or Anxiolytic Intoxication (556)With use disorder, mildWith use disorder, moderate or severeWithout use disorder
Sedative, Hypnotic, or Anxiolytic Withdrawal": d (557)
Without perceptual disturbances
With perceptual disturbances
c__ ------------------------------------------------- __ -----------------------------
xxviii DSM-5 Classification
Other Sedative-, Hypnotic-, or Anxiolytic-Induced Disorders(560)
292,9 (FI3.99) Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder(560)
Stimulant-Related Disorders (561)
_ _ L.-l Stimulant Use Disorder+ b (561)SpecifiJ current severity:
MildAmphetamine-type substanceCocaineOther or unspecified stimulant
ModerateAmphetamine-type substanceCocaineOther or unspecified stimulant
SevereAmphetamine-type substanceCocaineOther or unspecified stimulant
Stimulant Intoxication" (567)SpeciftJ the specific intoxicant
Amphetamine or other stimulant, Without perceptualdisturbances
With use disorder, mildWith use disorder, moderate or severeWithout use disorder
Cocaine, Without perceptual disturbancesWith use disorder, mildWith use disorder, moderate or severeWithout use disorder
Amphetamine or other stimulant, With perceptualdisturbances
With use disorder, mildWith use disorder, moderate or severeWithout use disorder
Cocaine, With perceptual disturbancesWith use disorder, mildWith use disorder, moderate or severeWithout use disorder
_,_ L·->305.70 (F15.10)305,60 {Fi 4. iO}305.70 (F15.10)
_,_ i~.->304.40 (F15.20)304.20 (F14,20)304.40 (F15.20)
_._ L·->304.40 (F15.20)304.20 (F14.20)304.40 (1=15.20)
292.89 L.-l
292.89 {_.--l
{F15.129}(F15.229)(1=15.929)
292.89 L.-i(F14.129)(F14.229)(F14.929)
292.89 f_._}
(F15. "l22)(F15.222)(F15.922)
292.89 \_.-l(F14.i22)(F14,222)(F14.922)
292.0 L·--l
(F15.23)
(F14.23)
-- L·-i
Stimulant Withdrawald (569)Specify the specific substance causing the withdrawal syndrome
Amphetamine or other stimulantCocaine
Other Stimulant-Induced Disorders (570)
-----~---------------,------.
DSM-5 Classification
292.9 <_.--->(F15.99){F14.99}
xxix
Unspecified Stimulant-Related Disorder (570)Amphetamine or other stimulantCocaine
Tobacco-Related Disorders (571)
-'- <-·-1
305.1305.1305.1
292.0
292.9
(Z72.0)(FH.200)(F17.200}
(f17.203)
{-'->
(f17.209)
Tobacco Use Disorder" (571)Specifij if: On maintenance therapy, In a controlled environmentSpecify current severity:
MildModerateSevere
Tobacco Withdrawald (575)
Other Tobacco-Induced Disorders (576)
Unspecified Tobacco-Related Disorder (577)
Other (or Unknown) Substance-Related Disorders (577)
_ _ (_,-1 Other (or Unknown) Substance Use Disorder'" b (577)Specify current severity:
Mild305.90 (F19.10)304.90 (F19.20)304.90 (F19.20)
292.89 L._}(f19.129)(F19.22S)
{Fi9.929}
(F19.239)
L·->(Fi9.99)
292.0
292.9
ModerateSevere
Other (or Unknown) Substance Intoxication (581)With use disorder, mildWith use disorder, moderate or severeWithout use disorder
Other (or Unknown) Substance Withdrawald (583)
Other (or Unknown) Substance-Induced Disorders (584)
Unspecified Other (or Unknown) Substance-Related Disorder (585)
Non-Substance-Related Disorders (585)312.31 (&=63.0) Gambling Disorder" (585)
Specifij if: Episodic, PersistentSpecifij current severity: Mild, Moderate, Severe
Neurocognitive Disorders (591)- .... --- -- -- jj
-'- L·-J
292.81293.0
{_.-iL·->L·->(F05)
Delirium (596)"Note: See the criteria set and corresponding recording procedures for
substance-specific codes and ICD-9-CM and lCD-lO-CM coding.Specify whether:
Substance intoxication delirium"Substance withdrawal delirium=
Medication-induced delirium"Delirium due to another medical condition