AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; ICD-10-CM NEW/REVISED CODES
Behavioral and Neurodevelopmental Disorders
Thirteen new codes have been created in Chapter 5, Behavioral and Neurodevelopmental Disorders (F01-F99), for a variety of conditions to more closely align with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5®), the criteria used by mental health providers to diagnose mental disorders. A summary of those changes follows. Premenstrual Dysphoric Disorder Premenstrual dysphoric disorder (F32.81) is a new disorder in DSM-5®. According to DSM-5®, diagnostic features are “the expression of mood lability, irritability, dysphoria, and anxiety symptoms that occur repeatedly during the premenstrual phase of the cycle and remit around the onset...
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Article Overview
This article explains a set of ICD-10-CM updates in Chapter 5 for behavioral and neurodevelopmental disorders and shows how they align with DSM-5 terminology and diagnostic categories. It is aimed at coders, compliance staff, and clinicians who need to understand the scope of new, revised, and expanded behavioral health classifications and how the changes are organized across major diagnostic groupings.
Why This Topic Matters
These classification updates affect how behavioral health conditions are documented and categorized in ICD-10-CM. Understanding the scope of the changes helps users follow evolving terminology, recognize newly added diagnostic groupings, and stay current with mental health coding references.
Article Sections
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Premenstrual Dysphoric Disorder
Covers a newly recognized mood-related disorder and related ICD-10-CM updates in this area.
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Disruptive Mood Dysregulation Disorder
Summarizes a newly recognized disorder and the corresponding coding update within persistent mood conditions.
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Obsessive Compulsive and Related Disorders
Describes revisions within this diagnostic family, including newly recognized and newly coded conditions.
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Hoarding disorder
Focuses on the classification of hoarding as a distinct disorder and its relationship to related diagnoses.
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Excoriation (skin-picking) disorder
Reviews the newly added diagnosis and related placement within the obsessive-compulsive spectrum.
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Binge Eating Disorder
Discusses the addition of a unique code for a newly recognized eating disorder and related classification updates.
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Gender Identity Disorders
Covers changes to the gender identity disorders category, including revised terminology and alignment with international classification references.
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Social Pragmatic Communication Disorder
Introduces a newly created code for a communication disorder recognized in DSM-5.
What You Will Learn
- How DSM-5 alignment influenced updates in Chapter 5 of ICD-10-CM
- Which broad behavioral health diagnostic categories were expanded or revised
- How new and revised diagnostic groupings are organized across mood, obsessive-compulsive, eating, gender identity, and communication disorders
- What kinds of classification changes were made for recently recognized conditions
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Behavioral health clinicians
- Health information management staff
Codes Discussed
Code Ranges Discussed
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