Covered Diagnoses & Crosswalk of DSM-IV Codes to ICD-9-CM Codes

What is the crosswalk? The crosswalk is a document designed to help you determine which ICD-9-CM diagnosis code corresponds to a particular DSM-IV-TR diagnosis code. Do I need to use it? Under the Health Insurance Portability and Accessibility Act (HIPAA), insurance companies who accept and process insurance claims electronically are only required to accept ICD-9-CM diagnosis codes. Because there is no HIPAA requirement that insurance companies also accept DSM-IV-TR codes, insurance companies are likely to only accept electronic claims that use ICD-9-CM diagnosis codes, and which will require psychologists who are only familiar with DSM-IV-TR to convert their DSM-IVTR diagnosis codes into ICD-9-CM diagnosis codes. If your insurance company requires you to submit paper or electronic claims using only ICD-9CM diagnosis codes, and you are only familiar with DSM-IV-TR diagnosis codes, then you will need to use this crosswalk to convert your DSM-IV-TR diagnosis code(s) into ICD-9-CM diagnosis codes. How does it work? The DSM-IV-TR codes and descriptions are provided in the columns on the left side of the page; the corresponding ICD-9-CM diagnosis code and ICD-9-CM diagnosis description are provided in the columns on the right side of the page. Find the appropriate DSM-IV-TR code, and follow the table across to find the corresponding ICD-9-CM code. In many cases but not all the ICD-9-CM code and description will be identical to the DSM-IV-TR code. If you have any feedback on this document, or have questions about the content, please contact us at PracGovt@apa.org. DSM-IV Description
290.0 dementia of the Alzheimer's type, with late onset, uncomplicated dementia due to CreutzfeldtJakob disease dementia due to Pick's disease dementia of the Alzheimer's type, with early onset, uncomplicated

ICD-9-CM Description
290.0 290.1 senile dementia, uncomplicated presenile dementia

290.10

290.10

presenile dementia, uncomplicated

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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290.11 290.12 290.13

dementia of the Alzheimer's type, with early onset, with delirium dementia of the Alzheimer's type, with early onset, with delusions dementia of the Alzheimer's type, with early onset, with depressed mood

290.11
290.12 290.13

presenile dementia with delirium presenile dementia with delusional features presenile dementia with depressive features senile dementia with delusional or depressive features senile dementia with delusional features senile dementia with depressive features senile dementia with delirium arteriosclerotic dementia arteriosclerotic dementia, uncomplicated arteriosclerotic dementia with delirium arteriosclerotic dementia with delusional features arteriosclerotic dementia with depressive features other specified senile psychotic conditions unspecified senile psychotic condition transient organic psychotic conditions acute delirium subacute delirium other specified transient organic mental disorders organic delusional syndrome organic hallucinosis syndrome

290.2
290.20 290.21 290.3 dementia of the Alzheimer's type, with late onset, with delusions dementia of the Alzheimer's type, with late onset, with depressed mood dementia of the Alzheimer's type, with late onset, with delirium vascular dementia, uncomplicated vascular dementia, with delirium vascular dementia, with delusions vascular dementia, with depressed mood 290.20 290.21 290.3

290.4
290.40 290.41 290.42 290.43 290.40 290.41 290.42 290.43

290.8 290.9 293

293.0 delirium due to...[general medical condition] 293.0

293.1 293.8
293.81 293.82 psychotic disorder due to.. [general medical condition], with delusions Hallucinations 293.81 293.82

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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293.83 293.89

293.9

mood disorder due to [general medical condition] 293.89 anxiety disorder due to [general medical condition] catatonic disorder due to [general medical condition] mental disorder NOS due to...[general medical condition]

293.83 293.89

organic affective syndrome other

293.9

unspecified transient organic mental disorder other organic psychotic conditions (chronic) amnestic syndrome dementia in conditions classified elsewhere other specified organic brain syndromes (chronic) unspecified organic brain syndrome (chronic) schizophrenic disorders (there is a 5th-digit subclass.) simple type disorganized type catatonic type paranoid type acute schizophrenic episode latent schizophrenia residual schizophrenia schizo-affective type other specified types of schizophrenia unspecified schizophrenia

294
294.0 294.1 294.8 amnestic disorder due to...[general medical condition] 294.1 dementia due to...[general medical condition] amnestic disorder NOS 294.0 294.1 294.8

dementia NOS
294.9 cognitive disorder NOS 294.9

dementia due to HIV disease 295 295.0

295.10 295.20 295.30 295.40 295.60 295.70 schizophrenia, disorganized schizophrenia, catatonic type schizophrenia, paranoid type schizophreniform disorder schizophrenia, residual type schizoaffective disorder 295.1 295.2 295.3 295.4

295.5
295.6 295.7 295.8 295.90 schizophrenia, undifferentiated type 295.9

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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296

bipolar disorders (same 5th digit subclass for 296.0296.6)

296

296.0 296.1 296.2 296.3 296.4 major depressive disorder, single episode 296.3 major depressive disorder, recurrent bipolar I disorder, most recent episode hypomanic bipolar I disorder, most recent episode manic bipolar I disorder, most recent episode depressed bipolar I disorder, most recent episode mixed bipolar I disorder, most recent episode unspecified 296.2 296.3 296.4

affective psychoses (5th-digit subclass for 296.0-296.6: 0unspecified; 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) manic disorder, single episode manic disorder, recurrent episode major depressive disorder, single episode 296.3 major depressive disorder, recurrent episode bipolar affective disorder, manic

296.5 296.6 296.7

296.5 296.6 296.7 296.8

296.80

296.80 bipolar disorder NOS

296.80 296.81 296.82 296.89 296.9

296.89

bipolar II disorder

296.90

mood disorder NOS

296.90 296.99 297 297.0 297.1 297.2 297.3

297.1 297.3

delusional disorder shared psychotic disorder

bipolar affective disorder, depressed bipolar affective disorder, mixed bipolar affective disorder, unspecified manic-depressive psychosis, other and unspecified manic-depressive psychosis, unspecified atypical manic disorder atypical depressive disorder Other other and unspecified affective psychoses unspecified affective psychosis other specified affective psychoses paranoid states paranoid state, simple paranoia paraphrenia shared paranoid disorder

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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297.8 297.9 298 298.0 298.1 298.2 298.3 298.4 298.8 298.9 brief psychotic disorder psychotic disorder NOS 298.8 298.9 299 299.00 299.10 299.80 autistic disorder childhood disintegrative disorder Asperger's disorder pervasive developmental disorder NOS 299.0 299.1 299.8

other specified paranoid states unspecified paranoid state other nonorganic psychoses depressive type psychosis excitative type psychosis reactive confusion acute paranoid reaction psychogenic paranoid psychosis other and unspecified reactive psychosis unspecified psychosis psychoses with origin specific to childhood (5th-digit class.) infantile autism disintegrative psychosis other specified early childhood psychoses

Retts disorder
299.9 300 300.0 300.00 300.01 300.02 300.09 300.1 300.10 300.11 300.12 300.13 300.14 300.15 300.16 300.19 unspecified neurotic disorders anxiety states anxiety state, unspecified panic disorder generalized anxiety disorder other hysteria hysteria, unspecified conversion disorder psychogenic amnesia psychogenic fugue multiple personality dissociative disorder or reaction, unspecified factitious illness with psychological symptoms unspecified factitious illness

300.00 300.01 300.02

anxiety disorder NOS panic disorder without agoraphobia generalized anxiety disorder

300.11 300.12 300.13 300.14 300.15 300.16 300.19

conversion disorder dissociative amnesia dissociative fugue dissociative identity disorder dissociative disorder NOS factitious disorder with predominantly psychological signs and symptoms factitious disorder NOS

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

American Psychological Association Practice Organization 750 First Street, NE, Washington, DC 20002-4242 (202) 336-5800 apapracticecentral.org

factitious disorder with combined psychological and physical signs and symptoms factitious disorder with predominantly physical signs and symptoms 300.2 300.20 300.21 300.22 300.23 300.29 300.3 300.4 300.6 300.7 panic disorder with agoraphobia agoraphobia without history of panic disorder social phobia specific phobia obsessive-compulsive disorder dysthymic disorder depersonalization disorder body dysmorphic disorder hypochondriasis somatization disorder somatization disorder NOS undifferentiated somatoform disorder unspecified mental disorder (nonpsychotic) paranoid personality disorder 300.21 300.22 300.23 300.29 300.3 300.4 300.5 300.6 300.7 300.8 300.81 phobic disorders phobia, unspecified agoraphobia with panic attacks agoraphobia without mention of panic attacks social phobia other isolated or simple phobias obsessive-compulsive disorders neurotic depression neurasthenia depersonalization syndrome hypochondriasis other neurotic disorders somatization disorder

300.81

300.89 300.9 301.0 300.9 301 301.0 301.1 301.10 301.11 301.12 301.13 301.20 cyclothymic disorder schizoid personality disorder 301.13 301.2 301.20 301.21

other unspecified neurotic disorder personality disorders paranoid personality disorder affective personality disorder affective personality disorder, unspecified chronic hypomanic personality disorder chronic depressive personality disorder cyclothymic disorder schizoid personality disorder schizoid personality disorder, unspecified introverted personality

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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301.22

schizotypal personality disorder obsessive-compulsive personality disorder histrionic personality disorder

301.22 301.3

schizotypal personality explosive personality disorder Compulsive personality disorder histrionic personality disorder histrionic personality disorder, unspecified chronic factitious illness with physical symptoms other histrionic personality disorder dependent personality disorder antisocial personality disorder other personality disorders narcissistic personality avoidant personality borderline personality passive-aggressive personality other unspecified personality disorder sexual deviations and disorders pedophilia Exhibitionism disorders of psychosexual identity sexual sadism gender identity disorder of adolescent or adult life Other physiological malfunctions arising from mental factors musculoskeletal respiratory cardiovascular skin gastrointestinal genitourinary

301.4

301.4 301.5

301.50

301.50 301.51 301.59

301.6 301.7 301.81 301.82 301.83

dependent personality disorder antisocial personality disorder narcissistic personality disorder avoidant personality disorder borderline personality disorder

301.6 301.7 301.8 301.81 301.82 301.83 301.84 301.89

301.9

personality disorder NOS

301.9 302

302.2 302.4 302.6 302.84 302.85 302.89

Pedophilia Exhibitionism 302.6 gender identity disorder in children gender identity disorder NOS sexual sadism gender identity disorder in adolescents or adults Frotteurism

302.2 302.4 302.6 302.84 302.85 302.89 306 306.0 306.1 306.2 306.3 306.4 306.5

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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306.50 306.51 vaginismus (not due to general medical condition) 306.51 306.52 306.53 306.59 306.6 306.7 306.8 306.9 307 307.1 307.20 307.21 307.22 307.23 307.3 307.46 anorexia nervosa tic disorder NOS transient tic disorder chronic motor or vocal tic disorder Tourette's disorder stereotypic movement disorder sleep terror disorder sleepwalking disorder 307.5 307.50 307.51 307.52 307.53 307.59 307.6 eating disorder NOS bulimia nervosa Pica rumination disorder feeding disorder of infancy or early childhood enuresis [not due to a general medical condition] 307.50 307.51 307.52 307.53 307.54 307.59 307.6 307.1 307.2 307.20 307.21 307.22 307.23 307.3 307.46

psychogenic genitourinary malfunction, unspecified psychogenic vaginismus psychogenic dysmenorrhea psychogenic dysuria other endocrine organs of special sense other specified psychophysiological malfunction unspecified psychophysiological malfunction special symptoms or syndromes, not elsewhere classified anorexia nervosa tics tic disorder, unspecified transient tic disorder of childhood chronic motor tic disorder Gilles de la Tourette's disorder stereotyped repetitive movements somnambulism or night terrors other and unspecified disorders of eating eating disorder, unspecified bulimia pica psychogenic rumination psychogenic vomiting Other enuresis

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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307.7

encopresis, without constipation and overflow incontinence pain disorder associated with psychological factors pain disorder associated with both psychological factors and a general medical condition communication disorder NOS

307.7 307.8

encopresis psychalgia psychogenic pain, site unspecified other other and unspecified special symptoms or syndromes, not elsewhere classified acute reaction to stress predominant disturbance of emotions predominant disturbance of consciousness predominant psychomotor disturbance other acute reactions to stress mixed disorders as reaction to stress unspecified acute reaction to stress adjustment reaction brief depressive reaction prolonged depressive reaction with predominant disturbance of other emotions separation anxiety disorder emancipation disorder of adolescence and early and adult life specific academic or work inhibition adjustment reaction with anxious mood adjustment reaction with mixed emotional features other

307.80 307.89

307.80 307.89

307.9

307.9 308 308.0 308.1 308.2

308.3

acute stress disorder

308.3 308.4 308.9 309

309.0

adjustment disorder with depressed mood

309.0 309.1 309.2

309.21

separation anxiety disorder

309.21 309.22 309.23

309.24 309.28

adjustment disorder with anxiety adjustment disorder with mixed anxiety and depressed mood

309.24 309.28 309.29

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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309.3 309.4

adjustment disorder with disturbance of conduct adjustment disorder with mixed disturbance of emotions and conduct

309.3 309.4 309.8

with predominant disturbance of conduct with mixed disturbance of emotions and conduct other specified adjustment reactions prolonged posttraumatic stress disorder adjustment reaction with physical symptoms adjustment reaction with withdrawal other unspecified adjustment reaction specific nonpsychotic mental disorders due to organic brain damage frontal lobe syndrome organic personality syndrome postconcussion syndrome other specified nonpsychotic mental disorders following organic brain damage unspecified nonpsychotic mental disorder following organic brain damage depressive disorder, not elsewhere classified disturbance of conduct, not elsewhere classified (5th digit class. used) undersocialized conduct disorder, aggressive type undersocialized conduct disorder, unaggressive type socialized conduct disorder disorders of impulse control, not elsewhere classified impulse control disorder, unspecified kleptomania pyromania

309.81

posttraumatic stress disorder

309.81 309.82 309.83 309.89

309.9

adjustment disorder unspecified

309.9 310 310.0

310.1

personality change due to [indicate the general medical condition]

310.1 310.2 310.8 310.9

311

depressive disorder NOS

311 312 312.0 312.1 312.2 312.3

312.30 312.32 312.33

impulse-control disorder NOS Kleptomania Pyromania

312.30 312.32 312.33

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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312.34 312.39

intermittent explosive disorder Trichotillomania

312.34 312.35 312.39 312.4

312.8 312.9

conduct disorder disruptive behavior disorder

312.8 312.9 313 313.0 313.1 313.2 313.21 313.22

313.23

selective mutism

313.23 313.3 313.8

313.81 313.82

oppositional defiant disorder Identity problem

313.81 313.82 313.83

intermittent explosive disorder isolated explosive disorder other mixed disturbance of conduct and emotions other specified disturbances of conduct, not elsewhere classified unspecified disturbance of conduct disturbance of emotions specific to childhood and adolescence overanxious disorder misery and unhappiness disorder sensitivity, shyness, and social withdrawal disorder shyness disorder of childhood introverted disorder of childhood elective mutism relationship problems emotional disturbancees of childhood or adolescence oppositional disorder Identity disorder academic underachievement disorder other emotional disturbance of childhood or adolescence hyperkinetic syndrome of childhood attention deficit disorder without mention of hyperactivity with hyperactivity

313.89 313.9

reactive attachment disorder of infancy or early childhood disorder of infancy, childhood, or adolescence NOS

313.89 313.9 314 314.0

314.00 314.01

attention-deficit/hyperactivity disorder, predominantly inattentive type attention-deficit/hyperactivity disorder, combined type

314.00 314.01

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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attention-deficit/hyperactivity disorder, predominantly hyperactive-impulsive type 314.1 314.2 314.8 314.9 316 attention-deficit/hyperactivity disorder NOS [specified psychological factor] affecting...[indicate the general medical condition] 314.9 316 hyperkinesis with developmental delay hyperkinetic conduct disorder other specified manifestations of hyperkinetic syndrome unspecified hyperkinetic syndrome psychic factors associated with diseases classified elsewhere

DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.

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