DSM-IV Classification of Mental Disorders

DISORDERS USUALLY FIRST DIAGNOSED IN INFANCY, CHILDHOOD, OR
ADOLESCENCE
Mental Retardation
Note: These are coded on Axis II.
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
315.00    Reading disorder
315.1    Mathematics disorder
315.2    Disorder of written expression
315.9    Learning disorder NOS
Motor Skills Disorder
315.4    Developmental coordination disorder
Communication Disorders
315.31    Expressive language disorder
315.32    Mixed receptive-expressive language disorder
315.39    Phonological disorder
307.0    Stuttering
307.9    Communication disorder NOS
Pervasive Developmental Disorders
299.00    Autistic disorder
299.80    Rett's disorder
299.10    Childhood disintegrative disorder
299.80    Asperger's disorder
299.80    Pervasive developmental disorder NOS
Attention-Deficit and Disruptive Behavior Disorders
314.xx    Attention-deficit/hyperactivity disorder
     .01       combined type
     .00       predominantly inattentive type
     .01       predominantly hyperactive-impulsive type
314.9    Attention-deficit/hyperactivity disorder NOS
312.xx    Conduct disorder
     .81       childhood-onset type
     .82       adolescent-onset type
     .89       unspecified type
313.81    Oppositional defiant disorder
312.9    Disruptive behavior disorder NOS
Feeding and Eating Disorders of Infancy or Early Childhood
307.52    Pica
307.53    Rumination disorder
307.59    Feeding disorder of infancy or early childhood
TIC Disorders
307.23    Tourette's disorder
307.22    Chronic motor or vocal tic disorder
307.21    Transient tic disorder
307.20    Tic disorder NOS
Elimination Disorders
 —×´—    Encopresis
787.6       with constipation and overflow incontinence
307.7       without constipation and overflow incontinence
307.6    Enuresis (not due to a general medical condition)
Other Disorders of Infancy, Childhood, or Adolescence
309.21    Separation anxiety disorder
313.23    Selective mutism
313.89    Reactive attachment disorder of infancy or early childhood
307.3    Stereotypic movement disorder
313.9    Disorder of infancy, childhood, or adolescence NOS
DELIRIUM, DEMENTIA, AND AMNESTIC AND
OTHER COGNITIVE DISORDERS
Delirium
293.0    Delirium due to a general medical condition
 —×´—    Substance intoxication delirium (refer to substancerelated disorders for
       substance-specific codes)
 —×´—    Substance withdrawal delirium (refer to substancerelated disorders for
       substance-specific codes)
 —×´—    Delirium due to multiple etiologies (code each of the specific
etiologies)
780.09    Delirium NOS
Dementia
290.xx    Dementia of the Alzheimer's type, with early onset (also code 331.0
Alzheimer's
       disease on Axis III)
   .10       uncomplicated
   .11       with delirium
   .12       with delusions
   .13       with depressed mood
290.xx    Dementia of the Alzheimer's type, with late onset (also code 331.0
Alzheimer's disease
       on Axis III)
   .0       uncomplicated
   .3       with delirium
   .20       with delusions
   .21       with depressed mood
290.xx    Vascular dementia
   .40       uncomplicated
   .41       with delirium
   .42       with delusions
   .43       with depressed mood
Dementia Due to Other General Medical Conditions
294.1    Dementia due to HIV disease (also code 042 HIV infection on Axis III)
294.1    Dementia due to head trauma (also code 854.00 head injury on Axis III)
294.1    Dementia due to Parkinson's disease (also code 332.0 Parkinson's disease Axis
III)
294.1    Dementia due to Huntington's disease (also code 333.4 Huntington's disease
on Axis
       III)
290.10    Dementia due to Pick's disease (also code 331.1 Pick's disease on Axis III)
290.10    Dementia due to Creutzfeldt-Jakob disease (also code 046.1 Creutzfeldt-Jakob
       disease on Axis III)
294.1    Dementia due to other general medical condition (also code the general
medical
       condition on Axis III)
 —×´—    Substance-induced persisting dementia (refer to substance-related
disorders for
       substance-specific codes)
 —×´—    Dementia due to multiple etiologies (code each of the specific
etiologies)
294.8    Dementia NOS
Amnestic Disorders
294.0    Amnestic disorder due to a general medical condition
 —×´—    Substance-induced persisting amnestic disorder (refer to substance-
related disorders
       for substance-specific codes)
294.8    Amnestic disorder NOS
Other Cognitive Disorders
294.9    Cognitive disorder NOS
MENTAL DISORDERS DUE TO A GENERAL MEDICAL
CONDITION NOT ELSEWHERE CLASSIFIED
293.89    Catatonic disorder due to a general medical condition
310.1    Personality change due to a general medical condition
293.9    Mental disorder NOS due to a general medical condition
SUBSTANCE-RELATED DISORDERS
Alcohol-Related Disorders
Alcohol Use Disorders
303.90    Alcohol dependence
305.00    Alcohol abuse
Alcohol-Induced Disorders
303.00    Alcohol intoxication
291.81    Alcohol withdrawal
291.0    Alcohol intoxication delirium
291.0    Alcohol withdrawal delirium
291.2    Alcohol-induced persisting dementia
291.1    Alcohol-induced persisting amnestic disorder
291.x    Alcohol-induced psychotic disorder
   .5       with delusions
   .3       with hallucinations
291.81    Alcohol-induced mood disorder
291.81    Alcohol-induced anxiety disorder
291.81    Alcohol-induced sexual dysfunction
291.81    Alcohol-induced sleep disorder
291.9    Alcohol-related disorder NOS
Amphetamine (or Amphetamine-like)-Related Disorders
Amphetamine Use Disorders
304.40    Amphetamine dependence
305.70    Amphetamine abuse
Amphetamine-Induced Disorders
292.89    Amphetamine intoxication
292.0    Amphetamine withdrawal
292.81    Amphetamine intoxication delirium
292.xx    Amphetamine-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Amphetamine-induced mood disorder
292.89    Amphetamine-induced anxiety disorder
292.89    Amphetamine-induced sexual dysfunction
292.89    Amphetamine-induced sleep disorder
292.9    Amphetamine-related disorder NOS
Caffeine-Related Disorders
Caffeine-induced Disorders
305.90    Caffeine intoxication
292.89    Caffeine-induced anxiety disorder
292.89    Caffeine-induced sleep disorder
292.9    Caffeine-related disorder NOS
Cannabis-Related Disorders
Cannabis Use Disorders
304.30    Cannabis dependence
305.20    Cannabis abuse
Cannabis-Induced Disorders
292.89    Cannabis intoxication
292.81    Cannabis intoxication delirium
292.xx    Cannabis-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.89    Cannabis-induced anxiety disorder
292.9    Cannabis-related disorder NOS
Cocaine-Related Disorders
Cocaine Use Disorders
304.20    Cocaine dependence
305.60    Cocaine abuse
Cocaine-Induced Disorders
292.89    Cocaine intoxication
292.0    Cocaine withdrawal
292.81    Cocaine intoxication delirium
292.xx    Cocaine-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Cocaine-induced mood disorder
292.89    Cocaine-induced anxiety disorder
292.89    Cocaine-induced sexual dysfunction
292.89    Cocaine-induced sleep disorder
292.9    Cocaine-related disorder NOS
Hallucinogen-Related Disorders
Hallucinogen Use Disorders
304.50    Hallucinogen dependence
305.30    Hallucinogen abuse
Hallucinogen-Induced Disorders
292.89    Hallucinogen intoxication
292.89    Hallucinogen persisting perception disorder (flashbacks)
292.81    Hallucinogen intoxication delirium
292.xx    Hallucinogen-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Hallucinogen-induced mood disorder
292.89    Hallucinogen-induced anxiety disorder
292.9    Hallucinogen-related disorder NOS
Inhalant-Related Disorders
Inhalant Use Disorders
304.60    Inhalant dependence
305.90    Inhalant abuse
Inhalant-Induced Disorders
292.89    Inhalant intoxication
292.81    Inhalant intoxication delirium
292.82    Inhalant-induced persisting dementia
292.xx    Inhalant-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Inhalant-induced mood disorder
292.89    Inhalant-induced anxiety disorder
292.9    Inhalant-related disorder NOS
Nicotine-Related Disorder
Nicotine Use Disorder
305.10    Nicotine dependence
Nicotine-Induced Disorder
292.0    Nicotine withdrawal
292.9    Nicotine-related disorder NOS
Opioid-Related Disorders
Opioid Use Disorders
304.00    Opioid dependence
305.50    Opioid abuse
SUBSTANCE-RELATED DISORDERS
Opioid-Induced Disorders
292.89    Opioid intoxication
292.0    Opioid withdrawal
292.81    Opioid-intoxication delirium
292.xx    Opioid-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Opioid-induced mood disorder
292.89    Opioid-induced sexual dysfunction
292.89    Opioid-induced sleep disorder
292.9    Opioid-related disorder NOS
Phencyclidine (or Phencyclidine-like) Related Disorders
Phencyclidine Use Disorders
304.60    Phencyclidine dependence
305.90    Phencyclidine abuse
Phencyclidine-Induced Disorders
292.89    Phencyclidine intoxication
292.81    Phencyclidine intoxication delirium
292.xx    Phencyclidine-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Phencyclidine-induced mood disorder
292.89    Phencyclidine-induced anxiety disorder
292.9    Phencyclidine-related disorder NOS
Sedative-, Hypnotic-, or Anxiolytic-Related Disorders
Sedative, Hypnotic, or Anxiolytic Use Disorders
304.10    Sedative, hypnotic, or anxiolytic dependence
305.40    Sedative, hypnotic, or anxiolytic abuse
Sedative-, Hypnotic-, or Anxiolytic-Induced Disorders
292.89    Sedative, hypnotic, or anxiolytic intoxication
292.0    Sedative, hypnotic, or anxiolytic withdrawal
292.81    Sedative, hypnotic, or anxiolytic intoxication delirium
292.81    Sedative, hypnotic, or anxiolytic withdrawal delirium
292.82    Sedative-, hypnotic-, or anxiolytic-induced persisting dementia
292.83    Sedative-, hypnotic-, or anxiolytic-induced persisting amnestic disorder
292.xx    Sedative-, hypnotic-, or anxiolytic-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Sedative-, hypnotic-, or anxiolytic-induced mood disorder
292.89    Sedative-, hypnotic-, or anxiolytic-induced anxiety disorder
292.89    Sedative-, hypnotic-, or anxiolytic-induced sexual dysfunction
292.89    Sedative-, hypnotic-, or anxiolytic-induced sleep disorder
292.9    Sedative-, hypnotic-, or anxiolytic-related disorder NOS
Polysubstance-Related Disorder
304.80    Polysubstance dependence
Other (or Unknown) Substance-Related Disorders
Other (or Unknown) Substance Use Disorders
304.90    Other (or unknown) substance dependence
305.90    Other (or unknown) substance abuse
Other (or Unknown) Substance-Induced Disorders
292.89    Other (or unknown) substance intoxication
292.0    Other (or unknown) substance withdrawal
292.81    Other (or unknown) substance-induced delirium
292.82    Other (or unknown) substance-induced persisting dementia
292.83    Other (or unknown) substance-induced persisting amnestic disorder
292.xx    Other (or unknown) substance-induced psychotic disorder
   .11       with delusions
   .12       with hallucinations
292.84    Other (or unknown) substance-induced mood disorder
292.89    Other (or unknown) substance-induced anxiety disorder
292.89    Other (or unknown) substance-induced sexual dysfunction
292.89    Other (or unknown) substance-induced sleep disorder
292.9    Other (or unknown) substance-related disorder NOS
SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS
295.xx    Schizophrenia
   .30       paranoid type
   .10       disorganized type
   .20       catatonic type
   .90       undifferentiated type
   .60       residual type
295.40    Schizophreniform disorder
295.70    Schizoaffective disorder
297.1    Delusional disorder
298.8    Brief psychotic disorder
297.3    Shared psychotic disorder
293.xx    Psychotic disorder due to a general medical condition
   .81       with delusions
   .82       with hallucinations
 —×´—    Substance-induced psychotic disorder (refer substance-related
disorders for
       substance-specific codes)
298.9    Psychotic disorder NOS
MOOD DISORDERS
Code current state of major depressive disorder or bipolar I disorder in fifth digit:
1 mild
2 moderate
3 severe, without psychotic features
4 severe with psychotic features
5 in partial remission
6 in full remission
0 unspecified
Depressive Disorders
296.xx    Major depressive disorder
   .2x       single episode
   .3x       recurrent
300.4    Dysthymic disorder
311    Depressive disorder NOS
Bipolar Disorders
296.xx    Bipolar I disorder
   .0x       single manic episode
   .40       most recent episode hypomanic
   .4x       most recent episode manic
   .6x       most recent episode mixed
   .5x       most recent episode depressed
   .7       most recent episode unspecified
296.89    Bipolar II disorder
301.13    Cyclothymic disorder
296.80    Bipolar disorder NOS
293.83    Mood disorder due to a general medical condition
 —×´—    Substance-induced mood disorder (refer to substance-related disorders
for
       substance-specific codes)
296.90    Mood disorder NOS
ANXIETY DISORDERS
300.01    Panic disorder without agoraphobia
300.21    Panic disorder with agoraphobia
300.22    Agoraphobia without history of panic disorder
300.29    Specific phobia
300.23    Social phobia
308.3    Obsessive-compulsive disorder
309.81    Posttraumatic stress disorder
300.3    Acute stress disorder
300.02    Generalized anxiety disorder
293.84    Anxiety disorder due to a general medical condition
 —×´—    Substance-induced anxiety disorder (refer to substance-related
disorders for
       substance-specific codes)
300.00    Anxiety disorder NOS
SOMATOFORM DISORDERS
300.81    Somatization disorder
300.82    Undifferentiated somatoform disorder
300.11    Conversion disorder
307.xx    Pain disorder
   .80       associated with psychological factors
   .89       associated with both psychological factors and a general medical condition
300.7    Hypochondriasis
300.7    Body dysmorphic disorder
300.82    Somatoform disorder NOS
FACTITIOUS DISORDERS
300.xx    Factitious disorder
   .16       with predominantly psychological signs and symptoms
   .19       with predominantly physical signs and symptoms
   .19       with combined psychological and physical signs and symptoms
300.19    Factitious disorder NOS
DISSOCIATIVE DISORDERS
300.12    Dissociative amnesia
300.13    Dissociative fugue
300.14    Dissociative identity disorder
300.6    Depersonalization disorder
300.15    Dissociative disorder NOS
SEXUAL AND GENDER IDENTITY DISORDERS
Sexual Dysfunctions
Sexual Desire Disorders
302.71    Hypoactive sexual desire disorder
302.79    Sexual aversion disorder
Sexual Arousal Disorders
302.72    Female sexual arousal disorder
302.72    Male erectile disorder
Orgasmic Disorders
302.73    Female orgasmic disorder
302.74    Male orgasmic disorder
302.75    Premature ejaculation
Sexual Pain Disorders
302.76    Dyspareunia (not due to a general medical condition)
306.51    Vaginismus (not due to a general medical condition)
Sexual Dysfunction Due to a General Medical Condition
625.8    Female hypoactive sexual desire disorder due to a general medical condition
608.89    Male hypoactive sexual desire disorder due to a general medical condition
607.84    Male erectile disorder due to a general medical condition
625.0    Female dyspareunia due to a general medical condition
608.89    Male dyspareunia due to a general medical condition
625.8    Other female sexual dysfunction due to a general medical condition
608.89    Other male sexual dysfunction due to a general medical condition
 —×´—    Substance-induced sexual dysfunction (refer to substance-related
disorders for
       q substance-specific codes)
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
Gender Identity Disorders
302.xx    Gender identity disorder
     .6       in children
     .85       in adolescents or adults
302.6    Gender identity disorder NOS
302.9    Sexual disorder NOS
EATING DISORDERS
307.1    Anorexia nervosa
307.51    Bulimia nervosa
307.50    Eating disorder NOS
SLEEP DISORDERS
Primary Sleep Disorders
Dyssomnias
307.42    Primary insomnia
307.44    Primary hypersomnia
347    Narcolepsy
780.59    Breathing-related sleep disorder
307.45    Circadian rhythm sleep disorder
307.47    Dyssomnia NOS
Parasomnias
307.47    Nightmare disorder
307.46    Sleep terror disorder
307.46    Sleepwalking disorder
307.47    Parasomnia NOS
Sleep Disorders Related to Another Mental Disorder
307.42    Insomnia related to another mental disorder
307.44    Hypersomnia related to another mental disorder
Other Sleep Disorders
780.xx    Sleep disorder due to a general medical condition
   .52       insomnia type
   .54       hypersomnia type
   .59       parasomnia type
   .59       mixed type
 —×´—    Substance-induced sleep disorder (refer to substance-related disorders
for
       substance-specific codes)
IMPULSE-CONTROL DISORDERS NOT ELSEWHERE CLASSIFIED
312.34    Intermittent explosive disorder
312.32    Kleptomania
312.33    Pyromania
312.31    Pathological gambling
312.39    Trichotillomania
312.30    Impulse-control disorder NOS
ADJUSTMENT DISORDERS
309.xx    Adjustment disorder
     .0       with depressed mood
     .24       with anxiety
     .28       with mixed anxiety and depressed mood
     .3       with disturbance of conduct
     .4       with mixed disturbance of emotions and conduct
     .9    Unspecified
PERSONALITY DISORDERS
Note: These are coded on Axis II.
301.0    Paranoid personality disorder
301.20    Schizoid personality disorder
301.22    Schizotypal personality disorder
301.7    Antisocial personality disorder
301.83    Borderline personality disorder
301.50    Histrionic personality disorder
301.81    Narcissistic personality disorder
301.82    Avoidant personality disorder
301.6    Dependent personality disorder
301.4    Obsessive-compulsive personality disorder
301.9    Personality disorder NOS
OTHER CONDITIONS THAT MAY BE A FOCUS OF CLINICAL ATTENTION
316    Psychological factors affecting medical condition
    Choose name based on nature of factors:
    Mental disorder affecting medical condition
    Psychological symptoms affecting medical condition
    Personality traits or coping style affecting medical condition
    Maladaptive health behaviors affecting medical condition
    Stress-related physiological response affecting medical condition
    Other or unspecified psychological factors affecting medical condition
Medication-Induced Movement Disorders
 332.1    Neuroleptic-induced parkinsonism
 333.92    Neuroleptic malignant syndrome
 333.7    Neuroleptic-induced acute dystonia
 333.99    Neuroleptic-induced acute akathisia
 333.82    Neuroleptic-induced tardive dyskinesia
 333.1    Medication-induced postural tremor
 333.90    Medication-induced movement disorder NOS
Other Medication-Induced Disorder
 995.2    Adverse effects of medication NOS
Relational Problems
V61.9    Relational problem related to a mental disorder or general medical condition
V61.20    Parent-child relational problem
V61.10    Partner relational problem
V61.8    Sibling relational problem
V62.81    Relational problem NOS
Problems Related to Abuse or Neglect
V61.21    Physical abuse of child (code 995.54 if focus of attention is on victim)
V61.21    Sexual abuse of child (code 995.53 if focus of attention is on victim)
V61.21    Neglect of child (code 995.52 if focus of attention is on victim)
V61.1    Physical abuse of adult
V61.12       (if by partner)
V62.83       (if by person other than partner)
V61.1    Sexual abuse of adult
V61.12       (if by partner)
V62.83       (if by person other than partner)
Additional Conditions That May Be a Focus of Clinical Attention
V15.81    Noncompliance with treatment
V65.2    Malingering
V71.01    Adult antisocial behavior
V71.02    Childhood or adolescent antisocial behavior
V62.89    Borderline intellectual functioning
 780.9    Age-related cognitive decline
V62.82    Bereavement
V62.3    Academic problem
V62.2    Occupational problem
 313.82    Identity problem
V62.89    Religious or spiritual problem
V62.4    Acculturation problem
V62.89    Phase of life problem
ADDITIONAL CODES
 300.9    Unspecified mental disorder (nonpsychotic)
V71.09    No diagnosis or condition on Axis I
 799.9    Diagnosis or condition deferred on Axis I
V71.09    No diagnosis on Axis II
 799.9    Diagnosis deferred on Axis II
*Updated to include ICD-9-CM codes.
Reprinted with permission from American Psychiatric Association: Diagnostic and
Statistical Manual of Mental Disorders, ed 4. © American Psychiatric Association,
Washington, DC, 1994.
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