DSM-IV codes

DSM-IV codes

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

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

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

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

Disorders usually first diagnosed in infancy, childhood, or adolescence

Mental retardation

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

Learning disorders

• 315.00 Reading disorder
• 315.1 Mathematics disorder
• 315.2 Disorder of written expression
• 315.9 Learning disorder NOS

Motor skills disorders

• 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

• Attention-Deficit Hyperactivity Disorder
  • 314.01 Combined subtype
  • 314.01 Predominantly hyperactive-impulsive subtype
  • 314.00 Predominantly inattentive subtype
  • 314.9 Attention-Deficit Hyperactivity Disorder NOS
• Conduct disorder
  • 312.81 Childhood onset
  • 312.82 Adolescent onset
  • 312.89 Unspecified onset
• 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

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

Other disorders of infancy, childhood, or adolescence

• 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

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Delirium, dementia, and amnestic and other cognitive disorders

Delirium

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

Dementia

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

Amnestic disorders

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

Other cognitive disorders

• 294.9 Cognitive disorder NOS

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Mental disorders due to a general medical condition not elsewhere classified

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

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Substance-related disorders

Alcohol-related disorders

• Alcohol
  • 305.00 Abuse
  • 303.90 Dependence
  • 291.89 -Induced anxiety disorder
  • 291.89 -Induced mood disorder
  • 291.1 -Induced persisting amnestic disorder
  • 291.2 -Induced persisting dementia
  • 291.5 -Induced psychotic disorder, with delusions
  • 291.3 -Induced psychotic disorder, with hallucinations
  • 291.89 -Induced sexual dysfunction
  • 291.89 -Induced sleep disorder
  • 303.00 Intoxication
  • 291.0 Intoxication delirium
  • 291.9 -Related disorder NOS
  • 291.81 Withdrawal
  • 291.0 Withdrawal delirium

Amphetamine (or amphetamine-like) related disorders

• Amphetamine (or amphetamine-like)
  • 305.70 Abuse
  • 304.40 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Caffeine-related disorders

• Caffeine
  • 292.89 -Induced anxiety disorder
  • 292.89 -Induced sleep disorder
  • 305.90 Intoxication
  • 292.9 -Related disorder NOS

Cannabis-related disorders

• Cannabis
  • 305.20 Abuse
  • 304.30 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS

Cocaine-related disorders

• Cocaine
  • 305.60 Abuse
  • 304.20 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Hallucinogen-related disorders

• Hallucinogen
  • 305.30 Abuse
  • 304.50 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.89 -persisting perception disorder
  • 292.9 -Related disorder NOS

Inhalant-related disorders

• Inhalant
  • 305.90 Abuse
  • 304.60 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.82 -Induced persisting dementia
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS

Nicotine-related disorders

• Nicotine
  • 305.1 Dependence
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Opioid-related disorders

• Opioid
  • 305.50 Abuse
  • 304.00 Dependence
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Phencyclidine (or phencyclidine-like) related disorders

• Phencyclidine (or phencyclidine-like)
  • 305.90 Abuse
  • 304.60 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS

Sedative-, hypnotic-, or anxiolytic-related disorders

• Sedative, hypnotic, or anxiolytic
  • 305.40 Abuse
  • 304.10 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.83 -Induced persisting amnestic disorder
  • 292.82 -Induced persisting dementia
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal
  • 292.81 Withdrawal delirium

Polysubstance-related disorder

• 304.80 Polysubstance dependence

Other (or unknown) substance-related disorder

• Other (or unknown) substance
  • 305.90 Abuse
  • 304.90 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.81 -Induced delirium
  • 292.84 -Induced mood disorder
  • 292.83 -Induced persisting amnestic disorder
  • 292.82 -Induced persisting dementia
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal
  • 293.0 Delirium Due to ... [Indicate the General Medical Condition]

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Schizophrenia and other psychotic disorders

• Schizophrenia
  • 295.20 Catatonic type
  • 295.10 Disorganized type
  • 295.30 Paranoid type
  • 295.60 Residual type
  • 295.90 Undifferentiated type
• 295.40 Schizophreniform disorder
• 295.70 Schizoaffective disorder
• 297.1 Delusional disorder
  • Erotomanic subtype
  • Grandiose subtype
  • Jealous subtype
  • Persecutory subtype
  • Somatic subtype
  • Mixed type
• 298.8 Brief psychotic disorder
• 297.3 Shared psychotic disorder
• Psychotic disorder due to... [indicate the general medical condition]
  • 293.81 With delusions
  • 293.82 With hallucinations
• 298.9 Psychotic disorder NOS

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Mood disorders

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

• 296.90 Mood Disorder NOS

Depressive disorders

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

Bipolar disorders

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

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Anxiety disorders

• 300.02 Generalized anxiety disorder
• Panic disorder
  • 300.21 With agoraphobia
  • 300.01 Without agoraphobia
• 300.22 Agoraphobia without history of panic disorder
• 300.29 Specific phobia
• 300.23 Social phobia
• 300.3 Obsessive-compulsive disorder
• 309.81 Posttraumatic stress disorder
• 308.3 Acute stress disorder
  • 293.84 Anxiety disorder due to a general medical condition
  • 293.89 Anxiety disorder due to... [indicate the general medical condition]
  • 300.00 Anxiety disorder NOS

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Somatoform disorders

• 300.81 Somatization disorder
• 300.82 Undifferentiated somatoform disorder
• 300.11 Conversion disorder
• Pain disorder
  • 307.89 Associated with both psychological factors and a general medical condition
  • 307.80 Associated with psychological factors
• 300.7 Hypochondriasis
• 300.7 Body dysmorphic disorder
• 300.82 Somatoform disorder NOS

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Factitious disorders

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

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Dissociative disorders

• 300.6 Depersonalization disorder
• 300.12 Dissociative amnesia
• 300.14 Dissociative identity disorder
• 300.15 Dissociative disorder not otherwise specified

Sexual and gender identity disorders

Sexual dysfunctions

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

Paraphilias

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

Gender identity disorders

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

Eating disorders

• 307.1 Anorexia nervosa
• 307.51 Bulimia nervosa
• 307.50 Eating disorder not otherwise specified (EDNOS)

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Sleep disorders

Primary sleep disorders

• 307.44 Primary hypersomnia
• 307.42 Primary insomnia
• 347 Narcolepsy
• 780.59 Breathing-related sleep disorder
• 307.45 Circadian rhythm sleep disorder
• 307.47 Dyssomnia NOS
• 327.03 Insomnia Related to Mood Disorder (ICD 9)

Parasomnias

• 307.47 Nightmare disorder
• 307.46 Sleep terror disorder
• 307.46 Sleepwalking disorder
• 307.47 Parasomnia NOS

Other sleep disorders

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

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Impulse-Control Disorders Not Elsewhere Classified

• 312.34 Intermittent Explosive Disorder
• 312.32 Kleptomania
• 312.31 Pathological Gambling
• 312.33 Pyromania
• 312.39 Trichotillomania
• 312.30 Impulse-Control Disorder NOS

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Adjustment disorders

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

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Personality disorders (Axis II)

Cluster A (odd or eccentric)

• 301.0 Paranoid personality disorder
• 301.20 Schizoid personality disorder
• 301.22 Schizotypal personality disorder

Cluster B (dramatic, emotional, or erratic)

• 301.7 Antisocial personality disorder
• 301.83 Borderline personality disorder
• 301.50 Histrionic personality disorder
• 301.81 Narcissistic personality disorder

Cluster C (anxious or fearful)

• 301.82 Avoidant personality disorder
• 301.6 Dependent personality disorder
• 301.4 Obsessive-compulsive personality disorder

NOS

• 301.9 Personality disorder not otherwise specified

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Additional codes

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

See also

• Clinical coder
• Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, 1994 (DSM-IV).
• DSM-5
• List of ICD-9 codes 290–319: mental disorders
• Relational disorder (proposed DSM-V new diagnosis)
• Structured Clinical Interview for DSM-IV (SCID)

External links

• The Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA, via archive.org).
• American Academy of Family Physicians ICD-9 Coding Tools
• The Multiaxial System of Diagnosis in DSM IV Criteria

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