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INTERNATIONAL CLASSIFICATION OF DISEASES | ||
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![]() ![]() ![]() 5. Mental Disorders (290-319)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) 290 Dementias 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) 290.1 Presenile dementia 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) 290.4 Vascular dementia 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 291 Alcohol-induced mental disorders 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 291.81 Alcohol withdrawal Alcohol: abstinence syndrome or symptoms withdrawal syndrome or symptoms Excludes: alcohol withdrawal: delirium (291.0) hallucinosis (291.3) delirium tremens (291.0) 291.82 Alcohol induced sleep disorders Alcohol induced circadian rhythm sleep disorders Alcohol induced hypersomnia Alcohol induced insomnia Alcohol induced parasomnia 291.89 Other Alcohol-induced anxiety disorder Alcohol-induced mood disorder Alcohol-induced sexual dysfunction 291.9 Unspecified alcohol-induced mental disorders Alcoholic: mania NOS psychosis NOS Alcoholism (chronic) with psychosis Alcohol-related disorder NOS 292 Drug-induced mental disorders 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 292.0 Drug withdrawal 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 292.81 Drug-induced delirium 292.82 Drug-induced persisting dementia 292.83 Drug-induced persisting amnestic disorder 292.84 Drug-induced mood disorder Depressive state induced by drugs 292.85 Drug induced sleep disorders Drug induced circadian rhythm sleep disorder Drug induced hypersomnia Drug induced insomnia Drug induced parasomnia 292.89 Other Drug-induced anxiety disorder Drug-induced organic personality syndrome Drug-induced sexual dysfunction Drug intoxication 292.9 Unspecified drug-induced mental disorder Drug-related disorder NOS Organic psychosis NOS due to or associated with drugs 293 Transient mental disorders due to conditions classified elsewhere 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 293.1 Subacute delirium 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 293.89 Other 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 294 Persistent mental disorders due to conditions classified elsewhere 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 295-298 295 Schizophrenic disorders 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 295.0 Simple type Schizophrenia simplex Excludes: latent schizophrenia (295.5) 295.1 Disorganized type Hebephrenia Hebephrenic type schizophrenia 295.2 Catatonic type Catatonic (schizophrenia): agitation excitation excited type stupor withdrawn type Schizophrenic: catalepsy catatonia flexibilitas cerea 295.3 Paranoid type 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) 295.5 Latent schizophrenia Latent schizophrenic reaction Schizophrenia: borderline incipient prepsychotic prodromal pseudoneurotic pseudopsychopathic Excludes: schizoid personality (301.20-301.22) 295.6 Residual type 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 296 Episodic mood disorders 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 296.89 Other 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 297 Delusional disorders Includes: paranoid disorders Excludes: acute paranoid reaction (298.3) alcoholic jealousy or paranoid state (291.5) paranoid schizophrenia (295.3) 297.0 Paranoid state, simple 297.1 Delusional disorder Chronic paranoid psychosis Sander's disease Systematized delusions Excludes: paranoid personality disorder (301.0) 297.2 Paraphrenia 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 298 Other nonorganic psychoses 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) 298.2 Reactive confusion Psychogenic confusion Psychogenic twilight state Excludes: acute confusional state (293.0) 298.3 Acute paranoid reaction 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) 298.9 Unspecified psychosis Atypical psychosis Psychosis NOS Psychotic disorder NOS 299 Pervasive developmental disorders 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 299.0 Autistic disorder 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) 300 Anxiety, dissociative and somatoform disorders 300.0 Anxiety states 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 300.09 Other 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) 300.10 Hysteria, unspecified 300.11 Conversion disorder Astasia-abasia, hysterical Conversion hysteria or reaction Hysterical: blindness deafness paralysis 300.12 Dissociative amnesia Hysterical amnesia 300.13 Dissociative fugue 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) 300.2 Phobic disorders Excludes: anxiety state not associated with a specific situation or object (300.00-300.09) obsessional phobias (300.3) 300.20 Phobia, unspecified 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 300.23 Social phobia 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) 300.4 Dysthymic disorder 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) 300.5 Neurasthenia 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) 300.7 Hypochondriasis 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) 300.8 Somatoform disorders 300.81 Somatization disorder 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 301 Personality disorders 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 301.13 Cyclothymic disorder 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 301.89 Other 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) 302 Sexual and gender identity disorders 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) 302.1 Zoophilia Bestiality 302.2 Pedophilia 302.3 Transvestic fetishism Excludes: trans-sexualism (302.5) 302.4 Exhibitionism 302.5 Trans-sexualism Sex reassignment surgery status Excludes: transvestism (302.3) 302.50 With unspecified sexual history 302.51 With asexual 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 302.74 Male orgasmic disorder 302.75 Premature ejaculation 302.76 Dyspareunia, psychogenic 302.79 With other specified psychosexual dysfunctions Sexual aversion disorder 302.8 Other specified psychosexual disorders 302.81 Fetishism 302.82 Voyeurism 302.83 Sexual masochism 302.84 Sexual sadism 302.85 Gender identity disorder in adolescents or adults Use additional code to identify sex reassignment surgery status (302.5) Excludes: gender identity disorder NOS (302.6) gender identity disorder in children (302.6) 302.89 Other Frotteurism Nymphomania Satyriasis 302.9 Unspecified psychosexual disorder Paraphilia NOS Pathologic sexuality NOS Sexual deviation NOS Sexual disorder NOS 303 Alcohol dependence syndrome 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 304 Drug dependence 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 304.0 Opioid type dependence 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 304.2 Cocaine dependence Coca leaves and derivatives 304.3 Cannabis dependence Hashish Hemp Marihuana 304.4 Amphetamine and other psychostimulant dependence Methylphenidate Phenmetrazine 304.5 Hallucinogen dependence 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 305 Nondependent abuse of drugs 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 305.0 Alcohol abuse 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) 305.1 Tobacco use disorder Tobacco dependence Excludes: history of tobacco use (V15.82) smoking complicating pregnancy (649.0) tobacco use disorder complicating pregnancy (649.0) 305.2 Cannabis abuse 305.3 Hallucinogen abuse Acute intoxication from hallucinogens ["bad trips"] LSD reaction 305.4 Sedative, hypnotic or anxiolytic abuse 305.5 Opioid abuse 305.6 Cocaine 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 306 Physiological malfunction arising from mental factors 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) 306.0 Musculoskeletal 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) 306.1 Respiratory Psychogenic: air hunger cough hiccough hyperventilation yawning Excludes: psychogenic asthma (316 and 493.9) 306.2 Cardiovascular Cardiac neurosis Cardiovascular neurosis Neurocirculatory asthenia Psychogenic cardiovascular disorder Excludes: psychogenic paroxysmal tachycardia (316 and 427.2) 306.3 Skin 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) 306.4 Gastrointestinal 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) 306.5 Genitourinary Excludes: enuresis, psychogenic (307.6) frigidity (302.72) impotence (302.72) psychogenic dyspareunia (302.76) 306.50 Psychogenic genitourinary malfunction, unspecified 306.51 Psychogenic vaginismus Functional vaginismus 306.52 Psychogenic dysmenorrhea 306.53 Psychogenic dysuria 306.59 Other 306.6 Endocrine 306.7 Organs of special sense 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 307 Special symptoms or syndromes, not elsewhere classified 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 307.0 Stuttering Excludes: dysphasia (784.5) lisping or lalling (307.9) retarded development of speech (315.31-315.39) 307.1 Anorexia nervosa 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) 307.2 Tics 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 307.21 Transient tic disorder 307.22 Chronic motor or vocal tic disorder 307.23 Tourette's 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) organic hypersomnia (327.10-327.19) organic insomnia (327.00-327.09) those of unspecified cause (780.50-780.59) 307.40 Nonorganic sleep disorder, unspecified 307.41 Transient disorder of initiating or maintaining sleep Adjustment insomnia 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 Idiopathic insomnia Paradoxical insomnia Primary insomnia Psychophysiological insomnia 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) Insufficient sleep syndrome Primary hypersomnia Excludes: sleep deprivation (V69.4) 307.45 Circadian rhythm sleep disorder of nonorganic origin 307.46 Sleep arousal disorder 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 307.49 Other "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 307.51 Bulimia nervosa Overeating of nonorganic origin 307.52 Pica Perverted appetite of nonorganic origin 307.53 Rumination disorder Regurgitation, of nonorganic origin, of food with reswallowing Excludes: obsessional rumination (300.3) 307.54 Psychogenic vomiting 307.59 Other Feeding disorder of infancy or early childhood of nonorganic origin Infantile feeding disturbances of nonorganic origin Loss of appetite of nonorganic origin 307.6 Enuresis Enuresis (primary) (secondary) of nonorganic origin Excludes: enuresis of unspecified cause (788.3) 307.7 Encopresis 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 307.81 Tension headache Excludes: headache: NOS (784.0) migraine (346.0-346.9) 307.89 Other Code first to type or 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 308 Acute reaction to stress 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 309 Adjustment reaction 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 309.29 Other 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 Post-Traumatic Stress Disorder (PTSD) 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 309.89 Other 309.9 Unspecified adjustment reaction Adaptation reaction NOS Adjustment reaction NOS 310 Specific nonpsychotic mental disorders due to brain damage 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) 310.0 Frontal lobe syndrome 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) 310.2 Postconcussion syndrome 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 311 Depressive disorder, not elsewhere classified 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) 312 Disturbance of conduct, not elsewhere classified 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 312.31 Pathological gambling 312.32 Kleptomania 312.33 Pyromania 312.34 Intermittent explosive disorder 312.35 Isolated explosive disorder 312.39 Other 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 312.89 Other conduct disorder Conduct disorder of unspecified onset 312.9 Unspecified disturbance of conduct Delinquency (juvenile) Disruptive behavior disorder NOS 313 Disturbance of emotions specific to childhood and adolescence 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) 313.0 Overanxious disorder 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 313.23 Selective mutism Excludes: elective mutism as adjustment reaction (309.83) 313.3 Relationship problems 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 313.82 Identity disorder Identity problem 313.83 Academic underachievement disorder 313.89 Other 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 314 Hyperkinetic syndrome of childhood 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 314.01 With hyperactivity 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 315 Specific delays in development Excludes: that due to a neurological disorder (320.0-389.9) 315.0 Specific reading disorder 315.00 Reading disorder, unspecified 315.01 Alexia 315.02 Developmental dyslexia 315.09 Other Specific spelling difficulty 315.1 Mathematics disorder 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 Central auditory processing disorder Excludes: acquired auditory processing disorder (388.45) 315.34 Speech and language developmental delay due to hearing loss Use additional code to identify type of hearing loss (389.00-389.9) 315.39 Other 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 316 Psychic factors associated with diseases classified elsewhere 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) 317 Mild mental retardation High-grade defect IQ 50-70 Mild mental subnormality 318 Other specified mental retardation 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 319 Unspecified mental retardation Mental deficiency NOS Mental subnormality NOS |
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![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() TABLE OF CONTENTS Preface Acknowledgments Introduction The ICD-9-CM Coordination and Maintenance Committee Characteristics of the ICD-9-CM The Disease Classification Alphabetical Index of Diseases Table of Drugs and Chemicals Index To External Causes of Injury (E Code) Classification of Procedures Index to Procedures Appendix A: Morphology of Neoplasms Appendix C: Classification of Drugs by American Hospital Formulary Services List Number and their ICD-9-CM Equivalents Appendix D: Classification of Industrial Accidents According to Agency Appendix E: List of Three-Digit Categories |