DSM-IV codes

DSM-IV codes are the classification found in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR, a manual published by the American Psychiatric Association (APA) that includes all currently recognized mental health disorders. The DSM-IV codes are thus used by mental health professionals to describe the features of a given mental disorder and indicate how the disorder can be distinguished from other, similar problems.[1]

The coding system utilized by the DSM-IV is designed to correspond with codes from the International Classification of Diseases, Ninth Revision, Clinical Modification, commonly referred to as the ICD-9-CM. Since early versions of the DSM did not correlate with ICD codes and updates of the publications for the ICD and the DSM are not simultaneous, some distinctions in the coding systems may still be present. For this reason, it is recommended that users of these manuals consult the appropriate reference when accessing diagnostic codes

Note that NOS is an abbreviation for Not Otherwise Specified, indicating a cluster of symptoms that do not clearly fit in any single diagnostic category. NOS is often a provisional diagnosis pending additional information or testing.

For an alphabetical list, see DSM-IV codes (alphabetical).

Disorders usually first diagnosed in infancy, childhood, or adolescence

Mental retardation

  • 317 Mild mental retardation
  • 318.0 Moderate mental retardation
  • 318.1 Severe mental retardation
  • 318.2 Profound mental retardation
  • 319 Mental retardation; severity unspecified

Learning disorders

Motor skills disorders

Communication disorders

Pervasive developmental disorders

Attention-deficit and disruptive behavior disorders

Feeding and eating disorders of infancy or early childhood

Tic disorders

Elimination disorders

  • 307.6 Enuresis (not due to a general medical condition)
  • 307.7 Encopresis, without constipation and overflow incontinence
  • 787.6 Encopresis, with constipation and overflow incontinence

Other disorders of infancy, childhood, or adolescence

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Delirium, dementia, and amnestic and other cognitive disorders

Delirium

  • 293.0 Delirium due to... [indicate the general medical condition]
  • 780.09 Delirium NOS

Dementia

  • Dementia of the Alzheimer’s Type, with early onset
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia of the Alzheimer’s Type, with late onset
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Vascular dementia
    • 290.40 Uncomplicated
    • 290.41 With delirium
    • 290.42 With delusions
    • 290.43 With depressed mood
  • Dementia due to HIV disease
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia due to head trauma
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia due to Parkinson's disease
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia due to Huntington's disease
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia due to Pick’s disease
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia due to Creutzfeldt–Jakob disease
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • Dementia due to... [indicate other general medical condition]
    • 294.10 Without behavioral disturbance
    • 294.11 With behavioral disturbance
  • 294.8 Dementia NOS

Amnestic disorders

  • 294.0 Amnestic disorder due to... [indicate the general medical condition]
  • 294.8 Amnestic disorder NOS

Other cognitive disorders

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Mental disorders due to a general medical condition not elsewhere classified

  • 293.89 Catatonic disorder due to... [indicate the general medical condition]
  • 310.1 Personality change due to... [indicate the general medical condition]
    • (Subtypes: Labile, Disinhibited, Aggressive, Apathetic, Paranoid, Other, Combined, Unspecified)
  • 293.9 Mental disorder NOS due to... [indicate the general medical condition]

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  • Amphetamine (or amphetamine-like)
    • 305.70 Abuse
    • 304.40 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.84 -Induced mood disorder
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 -Induced sexual dysfunction
    • 292.89 -Induced sleep disorder
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
    • 292.0 Withdrawal
  • Caffeine
    • 292.89 -Induced anxiety disorder
    • 292.89 -Induced sleep disorder
    • 305.90 Intoxication
    • 292.9 -Related disorder NOS
  • Cannabis
    • 305.20 Abuse
    • 304.30 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
  • Cocaine
    • 305.60 Abuse
    • 304.20 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.84 -Induced mood disorder
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 -Induced sexual dysfunction
    • 292.89 -Induced sleep disorder
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
    • 292.0 Withdrawal
  • Hallucinogen
    • 305.30 Abuse
    • 304.50 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.84 -Induced mood disorder
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.89 -persisting perception disorder
    • 292.9 -Related disorder NOS
  • Inhalant
    • 305.90 Abuse
    • 304.60 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.84 -Induced mood disorder
    • 292.82 -Induced persisting dementia
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
  • Nicotine
    • 305.1 Dependence
    • 292.9 -Related disorder NOS
    • 292.0 Withdrawal
  • Opioid
    • 305.50 Abuse
    • 304.00 Dependence
    • 292.84 -Induced mood disorder
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 -Induced sexual dysfunction
    • 292.89 -Induced sleep disorder
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
    • 292.0 Withdrawal
  • Phencyclidine (or phencyclidine-like)
    • 305.90 Abuse
    • 304.60 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.84 -Induced mood disorder
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
  • Sedative, hypnotic, or anxiolytic
    • 305.40 Abuse
    • 304.10 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.84 -Induced mood disorder
    • 292.83 -Induced persisting amnestic disorder
    • 292.82 -Induced persisting dementia
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 -Induced sexual dysfunction
    • 292.89 -Induced sleep disorder
    • 292.89 Intoxication
    • 292.81 Intoxication delirium
    • 292.9 -Related disorder NOS
    • 292.0 Withdrawal
    • 292.81 Withdrawal delirium
  • Other (or unknown) substance
    • 305.90 Abuse
    • 304.90 Dependence
    • 292.89 -Induced anxiety disorder
    • 292.81 -Induced delirium
    • 292.84 -Induced mood disorder
    • 292.83 -Induced persisting amnestic disorder
    • 292.82 -Induced persisting dementia
    • 292.11 -Induced psychotic disorder, with delusions
    • 292.12 -Induced psychotic disorder, with hallucinations
    • 292.89 -Induced sexual dysfunction
    • 292.89 -Induced sleep disorder
    • 292.89 Intoxication
    • 292.9 -Related disorder NOS
    • 292.0 Withdrawal
    • 293.0 Delirium Due to ... [Indicate the General Medical Condition]

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Schizophrenia and other psychotic disorders

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Mood disorders

  • 293.83 Mood Disorder Due to...[Indicate the General Medical Condition]
  • 296.90 Mood Disorder NOS

Depressive disorders

  • 300.4 Dysthymic disorder
  • Major depressive disorder
    • Major depressive disorder, recurrent
      • 296.36 In full remission
      • 296.35 In partial remission
      • 296.31 Mild
      • 296.32 Moderate
      • 296.33 Severe without psychotic features
      • 296.34 Severe with psychotic features
      • 296.30 Unspecified
    • Major depressive disorder, single episode
      • 296.26 In full remission
      • 296.25 In partial remission
      • 296.21 Mild
      • 296.22 Moderate
      • 296.23 Severe without psychotic features
      • 296.24 Severe with psychotic features
      • 296.20 Unspecified
  • 311 Depressive disorder NOS

Bipolar disorders

  • Bipolar disorders
    • 296.80 Bipolar disorder NOS
    • Bipolar I disorder, most recent episode depressed
      • 296.56 In full remission
      • 296.55 In partial remission
      • 296.51 Mild
      • 296.52 Moderate
      • 296.53 Severe without psychotic features
      • 296.54 Severe with psychotic features
      • 296.50 Unspecified
    • 296.40 Bipolar I disorder, most recent episode hypomanic
    • Bipolar I disorder, most recent episode manic
      • 296.46 In full remission
      • 296.45 In partial remission
      • 296.41 Mild
      • 296.42 Moderate
      • 296.43 Severe without psychotic features
      • 296.44 Severe with psychotic features
      • 296.40 Unspecified
    • Bipolar I disorder, most recent episode mixed
      • 296.66 In full remission
      • 296.65 In partial remission
      • 296.61 Mild
      • 296.62 Moderate
      • 296.63 Severe without psychotic features
      • 296.64 Severe with psychotic features
      • 296.60 Unspecified
    • 296.7 Bipolar I disorder, most recent episode unspecified
    • Bipolar I disorder, single manic episode
      • 296.06 In full remission
      • 296.05 In partial remission
      • 296.01 Mild
      • 296.02 Moderate
      • 296.03 Severe without psychotic features
      • 296.04 Severe with psychotic features
      • 296.00 Unspecified
    • 296.89 Bipolar II disorder
  • 301.13 Cyclothymic disorder
  • 293.83 Mood disorder due to... [indicate the general medical condition]
  • 296.90 Mood disorder NOS

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Anxiety disorders

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Somatoform disorders

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Factitious disorders

  • Factitious disorder
    • 300.19 With combined psychological and physical signs and symptoms
    • 300.19 With predominantly physical signs and symptoms
    • 300.16 With predominantly psychological signs and symptoms
    • 300.19 Factitious disorder NOS

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Dissociative disorders

Sexual and gender identity disorders

Sexual dysfunctions

  • 625.8 Female hypoactive sexual desire disorder due to... [indicate the general medical condition]
  • 608.89 Male hypoactive sexual desire disorder due to... [indicate the general medical condition]
  • 302.71 Hypoactive sexual desire disorder
  • 302.79 Sexual aversion disorder
  • 302.72 Female sexual arousal disorder
  • 302.72 Male erectile disorder
  • 607.84 Male erectile disorder due to... [indicate the general medical condition]
  • 302.73 Female orgasmic disorder
  • 302.74 Male orgasmic disorder
  • 302.75 Premature ejaculation
  • 302.76 Dyspareunia (not due to a general medical condition)
  • 625.0 Female dyspareunia due to... [indicate the general medical condition]
  • 608.89 Male dyspareunia due to... [indicate the general medical condition]
  • 306.51 Vaginismus (not due to a general medical condition)
  • 625.8 Other female sexual dysfunction due to... [indicate the general medical condition]
  • 608.89 Other male sexual dysfunction due to... [indicate the general medical condition]
  • 302.70 Sexual dysfunction NOS

Paraphilias

  • 302.4 Exhibitionism
  • 302.81 Fetishism
  • 302.89 Frotteurism
  • 302.2 Pedophilia
  • 302.83 Sexual masochism
  • 302.84 Sexual sadism
  • 302.3 Transvestic fetishism
  • 302.82 Voyeurism
  • 302.9 Paraphilia NOS (not otherwise specified)

Gender identity disorders

  • Gender identity disorder
    • 302.85 In adolescents or adults
    • 302.6 In children
    • 302.6 Gender identity disorder NOS
  • 302.9 Sexual disorder NOS

Eating disorders

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Sleep disorders

Primary sleep disorders

Parasomnias

Other sleep disorders

  • Sleep disorder
    • Sleep disorder due to... [indicate the general medical condition]
    • 780.54 Hypersomnia type
    • 780.52 Insomnia type
    • 780.59 Mixed type
    • 780.59 Parasomnia type
  • 307.42 Insomnia related to... [indicate the Axis I or Axis II disorder]
  • 307.44 Hypersomnia related to... [indicate the Axis I or Axis II disorder]

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Impulse-Control Disorders Not Elsewhere Classified

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Adjustment disorders

  • Adjustment disorders
    • 309.9 Unspecified
    • 309.24 With anxiety
    • 309.0 With depressed mood
    • 309.3 With disturbance of conduct
    • 309.28 With mixed anxiety and depressed mood
    • 309.4 With mixed disturbance of emotions and conduct

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Personality disorders (Axis II)

Cluster A (odd or eccentric)

Cluster B (dramatic, emotional, or erratic)

Cluster C (anxious or fearful)

NOS

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Additional codes

  • V62.3 Academic problem
  • V62.4 Acculturation problem
  • 995.2 Adverse effects of medication NOS
  • 780.9 Age-related cognitive decline
  • Antisocial behavior
    • V71.01 Adult antisocial behavior
    • V71.02 Child or adolescent antisocial behavior
  • V62.82 Bereavement
  • V62.89 Borderline intellectual functioning
  • 313.82 Identity problem
  • Medication-induced
  • Movement disorder
  • Neglect of child
    • V61.21 Neglect of child
    • 995.5 Neglect of child (if focus of attention is on victim)
  • Neuroleptic-induced
  • V71.09 No diagnosis on Axis II
  • V71.09 No diagnosis or condition on Axis I
  • V15.81 Noncompliance with treatment
  • V62.2 Occupational problem
  • V61.20 Parent-child relational problem
  • V61.10 Partner relational problem
  • V62.89 Phase of life problem
  • Physical abuse
    • V61.1 Physical abuse of adult
    • 995.81 Physical abuse of adult (if focus of attention is on victim)
    • V61.21 Physical abuse of child
    • 995.5 Physical abuse of child (if focus of attention is on victim)
  • 316 Psychological factors affecting medical condition
  • Relational problem
    • V62.81 Relational problem NOS
    • V61.9 Relational problem related to a mental disorder or general medical condition
  • V62.89 Religious or spiritual problem
  • V61.1 Sexual abuse of adult
  • 995.83 Sexual abuse of adult (if focus of attention is on victim)
  • V61.21 Sexual abuse of child
  • 995.53 Sexual abuse of child (if focus of attention is on victim)
  • V61.8 Sibling relational problem
  • 300.9 Unspecified mental disorder (nonpsychotic)
  • 799.9 Diagnosis deferred on Axis II
  • 799.9 Diagnosis or condition deferred on Axis I
  • V65.2 Malingering

See also

References

  1. Schacter, Gilbert, Wegner (2011)Psychology (2nd Edition), page 552, Worth Publishers
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