Download ICD-9-CM coding for ADHD

ICD-9-CM coding for ADHD
A number of codes are offered here, reflecting the myriad potentially associated and/or comorbid conditions
NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS
(300-316)
314
Hyperkinetic syndrome of childhood
********
Excludes:
314.0
hyperkinesis as symptom of underlying disorder - code the underlying disorder
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
Excludes:
Hyperkinetic conduct disorder
Hyperkinetic conduct disorder without developmental delay
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
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
********
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
[0-1]
Excludes:
********
Autistic disorder
Childhood autism
Infantile psychosis
Kanner's syndrome
disintegrative psychosis (299.1)
Heller's syndrome (299.1)
schizophrenic syndrome of childhood (299.9)
299.8
[0-1]
Excludes:
Other specified pervasive developmental disorders
Asperger's disorder
Atypical childhood psychosis
Borderline psychosis of childhood
simple stereotypes without psychotic disturbance (307.3)
********
NEUROTIC DISORDERS, PERSONALITY DISORDERS, AND OTHER NONPSYCHOTIC MENTAL DISORDERS
(300-316)
300
Anxiety, dissociative and somatoform disorders
300.0
Excludes:
Anxiety states
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
Excludes:
300.01 Panic disorder without agoraphobia
Panic:
attack
state
panic disorder with agoraphobia (300.21)
300.02 Generalized anxiety disorder
300.09 Other
********
300.2
Excludes:
Phobic disorders
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
********
300.23 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
Excludes:
Obsessive-compulsive disorders
Anancastic neurosis
Compulsive neurosis
Obsessional phobia [any]
obsessive-compulsive symptoms occurring in:
endogenous depression (296.2-296.3)
organic states (e.g., encephalitis) schizophrenia (295.0-295.9)
300.4
Excludes:
Dysthymic disorder
Anxiety depression
Depression with anxiety
Depressive reaction
Neurotic depressive state
Reactive depression
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)
********
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
[0-3]
Excludes:
305.1
Excludes:
Alcohol abuse
Drunkenness NOS
Excessive drinking of alcohol NOS
"Hangover" (alcohol)
Inebriety NOS
acute alcohol intoxication in alcoholism (303.0)
alcoholic psychoses (291.0-291.9)
Tobacco use disorder
Tobacco dependence
history of tobacco use (V15.82)
smoking complicating pregnancy (649.0)
tobacco use disorder complicating pregnancy (649.0)
305.2
[0-3]
Cannabis abuse
305.3
[0-3]
Hallucinogen abuse
Acute intoxication from hallucinogens ["bad trips"]
LSD reaction
305.4
[0-3]
Sedative, hypnotic or anxiolytic abuse
305.5
[0-3]
Opioid abuse
305.6
[0-3]
Cocaine abuse
305.7
[0-3]
Amphetamine or related acting sympathomimetic abuse
305.8
[0-3]
Antidepressant type abuse
305.9
[0-3]
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
********
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
307.2
Excludes:
Tics
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
Excludes:
Stereotypic movement disorder
Body-rocking
Head banging
Spasmus nutans
Stereotypes NOS
tics (307.20-307.23)
of organic origin (333.3)
********
307.9
Other and unspecified special symptoms or syndromes, not elsewhere classified
Communication disorder NOS
Hair plucking
Lalling
Lisping
Masturbation
Nail-biting
Thumb-sucking
********
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
Excludes:
309.1
Excludes:
Adjustment disorder with depressed mood
Grief reaction
affective psychoses (296.0-296.9)
neurotic depression (300.4)
prolonged depressive reaction (309.1)
psychogenic depressive psychosis (298.0)
Prolonged depressive reaction
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
Excludes:
Adjustment disorder with disturbance of conduct
Conduct disturbance as adjustment reaction
Destructiveness as adjustment reaction
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
Excludes:
309.81 Posttraumatic stress disorder
Chronic posttraumatic stress disorder
Concentration camp syndrome
Posttraumatic stress disorder NOS
Post-Traumatic Stress Disorder (PTSD)
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
********
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
[0-3]
Undersocialized conduct disorder, aggressive type
Aggressive outburst
Anger reaction
Unsocialized aggressive disorder
312.1
[0-3]
Undersocialized conduct disorder, unaggressive type
Childhood truancy, unsocialized
Solitary stealing
Tantrums
312.2
[0-3]
Excludes:
312.3
Socialized conduct disorder
Childhood truancy, socialized
Group delinquency
gang activity without manifest psychiatric disorder (V71.01)
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
Excludes:
312.8
Mixed disturbance of conduct and emotions
Neurotic delinquency
compulsive conduct disorder (312.3)
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
Excludes:
Overanxious disorder
Anxiety and fearfulness of childhood and adolescence
Overanxious disorder of childhood and adolescence
abnormal separation anxiety (309.21)
anxiety states (300.00-300.09)
hospitalism in children (309.83)
phobic state (300.20-300.29)
313.1
Excludes:
Misery and unhappiness disorder
depressive neurosis (300.4)
313.2
Excludes:
Sensitivity, shyness, and social withdrawal disorder
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
Excludes:
313.23 Selective mutism
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
314
Unspecified emotional disturbance of childhood or adolescence
Mental disorder of infancy, childhood or adolescence NOS
Hyperkinetic syndrome of childhood
See top of document
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
specific arithmetical disorder (315.1)
specific reading disorder (315.00-315.09)
Excludes:
315.3
Excludes:
Developmental speech or language disorder
315.31 Expressive language disorder
Developmental aphasia
Word deafness
acquired aphasia (784.3)
elective mutism (309.83, 313.0, 313.23)
315.32
Excludes:
Mixed receptive-expressive language disorder
Central auditory processing disorder
acquired auditory processing disorder (388.45)
315.34 Speech and language developmental delay due to hearing loss
315.39 Other
Excludes:
Developmental articulation disorder
Dyslalia
Phonological disorder
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
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
319
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
Unspecified mental retardation
Mental deficiency NOS
Mental subnormality NOS
********
16. SYMPTOMS, SIGNS, AND ILL-DEFINED CONDITIONS (780-799)
781
Symptoms involving nervous and musculoskeletal systems
Excludes:
depression NOS (311)
disorders specifically relating to:
back (724.0-724.9)
hearing (388.0-389.9)
joint (718.0-719.9)
limb (729.0-729.9)
neck (723.0-723.9)
vision (368.0-369.9)
pain in limb (729.5)
781.0
Abnormal involuntary movements
Abnormal head movements
Fasciculation
Spasms NOS
Tremor NOS
Excludes:
abnormal reflex (796.1)
chorea NOS (333.5)
infantile spasms (345.60-345.61)
spastic paralysis (342.1, 343.0-344.9)
specified movement disorders classifiable to 333 (333.0-333.9)
that of nonorganic origin (307.2-307.3)
781.1
Disturbances of sensation of smell and taste
Anosmia
Parageusia
Parosmia
781.2
Abnormality of gait
Gait:
ataxic
paralytic
spastic
staggering
ataxia:
NOS (781.3)
difficulty in walking (719.7)
locomotor (progressive) (094.0)
Excludes:
781.3
Excludes:
Lack of coordination
Ataxia NOS
Muscular incoordination
ataxic gait (781.2)
cerebellar ataxia (334.0-334.9)
difficulty in walking (719.7)
vertigo NOS (780.4)
********
OTHER AND UNSPECIFIED EFFECTS OF EXTERNAL CAUSES (990-995)
995
Certain adverse effects not elsewhere classified
Excludes:
complications of surgical and medical care (996.0-999.9)
********
995.5 Child maltreatment syndrome
Use additional code(s), if applicable, to identify any associated injuries
Use additional E code to identify:
nature of abuse (E960-E968)
perpetrator (E967.0-E967.9)
995.50 Child abuse, unspecified
995.51 Child emotional/psychological abuse
995.52 Child neglect (nutritional)
Use additional code to identify intent of neglect (E904.0,E968.4)
995.53 Child sexual abuse
Excludes:
995.54 Child physical abuse
Battered baby or child syndrome
Shaken infant syndrome (995.55)
995.55 Shaken infant syndrome
Use additional code(s) to identify any associated injuries
995.59 Other child abuse and neglect
Multiple forms of abuse
Use additional code to identify intent of neglect (E904.0,E968.4)
********
PERSONS WITH A CONDITION INFLUENCING THEIR HEALTH STATUS (V40-V49)
Note:
These categories are intended for use when these conditions are recorded as "diagnoses" or
"problems."
V40
Mental and behavioral problems
V40.0
Problems with learning
V40.1
Problems with communication [including speech]
V40.2
Other mental problems
V40.3
Other behavioral problems
V40.9
Unspecified mental or behavioral problem
********
V58
Encounter for other and unspecified procedures and aftercare
Excludes:
convalescence and palliative care(V66.0-V66.9)
********
V58.6
Excludes:
Long-term (current) drug use
drug abuse (305.00-305.93)
drug abuse and dependence complicating pregnancy (648.3-648.4)
drug dependence (304.00-304.93)
hormone replacement therapy (postmenopausal) (V07.4)
prophylactic use of agents affecting estrogen receptors and estrogen levels (V07.51-V07.59)
V58.61 Long-term (current) use of anticoagulants
Excludes: long-term (current) use of aspirin (V58.66)
V58.62 Long-term (current) use of antibiotics
V58.63 Long-term (current) use of antiplatelets/antithrombotics
Excludes: long-term (current) use of aspirin (V58.66)
V58.64 Long-term (current) use of non-steroidal anti-inflammatories (NSAID)
Excludes: long-term (current) use of aspirin (V58.66)
V58.65 Long-term (current) use of steroids
V58.66 Long-term (current) use of aspirin
V58.67 Long-term (current) use of insulin
V58.69 Long-term (current) use of other medications
Long term current use of methadone
Long term current use of opiate analgesic
Other high-risk medications
********
PERSONS ENCOUNTERING HEALTH SERVICES IN OTHER CIRCUMSTANCES (V60-V69)
V60
Housing, household, and economic circumstances
V60.0
Lack of housing
Hobos
Social migrants
Tramps
Transients
Vagabonds
V60.1
Inadequate housing
Lack of heating
Restriction of space
Technical defects in home preventing adequate care
V60.2
Inadequate material resources
Economic problem
Poverty NOS
V60.3
Person living alone
V60.4
No other household member able to render care
Person requiring care (has) (is):
family member too handicapped, ill, or otherwise unsuited to render care
partner temporarily away from home
temporarily away from usual place of abode
holiday relief care (V60.5)
Excludes:
V60.5
Holiday relief care
Provision of health care facilities to a person normally cared for at home, to enable relatives to
take a vacation
V60.6
Person living in residential institution
Boarding school resident
V60.8
Other specified housing or economic circumstances
V60.81 Foster care (status)
V60.89 Other specified housing or economic circumstances
V60.9
Unspecified housing or economic circumstance
V61
Other family circumstances
Includes:
when these circumstances or fear of them, affecting the person directly involved or others, are
mentioned as the reason, justified or not, for seeking or receiving medical advice or care
V61.0
Family disruption
V61.01 Family disruption due to family member on military deployment
Individual or family affected by other family member being on deployment
Excludes: family disruption due to family member on non-military extended absence from home
(V61.08)
V61.02 Family disruption due to return of family member from military deployment
Individual or family affected by other family member having returned from deployment
(current or past conflict)
V61.03 Family disruption due to divorce or legal separation
V61.04 Family disruption due to parent-child estrangement
Excludes:other family estrangement (V61.09)
V61.05 Family disruption due to child in welfare custody
V61.06 Family disruption due to child in foster care or in care of non-parental family member
V61.07 Family disruption due to death of family member
Excludes: bereavement (V62.82)
V61.08 Family disruption due to other extended absence of family member
Excludes: family disruption due to family member on military deployment (V61.01)
V61.09 Other family disruption
Family estrangement NOS
V61.1
Excludes:
Counseling for marital and partner problems
problems related to:
psychosexual disorders (302.0-302.9)
sexual function (V41.7)
V61.10 Counseling for marital and partner problems, unspecified
Marital conflict
Marital relationship problem
Partner conflict
Partner relationship problem
V61.11 Counseling for victim of spousal and partner abuse
encounter for treatment of current injuries due to abuse (995.80-995.85)
Excludes:
V61.12 Counseling for perpetrator of spousal and partner abuse
V61.2
Parent-child problems
V61.20 Counseling for parent-child problem, unspecified
Concern about behavior of child
Parent-child conflict
Parent-child relationship problem
Excludes:
V61.21 Counseling for victim of child abuse
Child battering
Child neglect
current injuries due to abuse (995.50-995.59)
Excludes:
V61.22 Counseling for perpetrator of parental child abuse
counseling for non-parental abuser (V62.83)
V61.23 Counseling for parent-biological child problem
Concern about behavior of biological child
Parent-biological child conflict
Parent-biological child relationship problem
V61.24 Counseling for parent-adopted child problem
Concern about behavior of adopted child
Parent-adopted child conflict
Parent-adopted child relationship problem
V61.25 Counseling for parent (guardian)-foster child problem
Concern about behavior of foster child
Parent (guardian)-foster child conflict
Parent (guardian)-foster child relationship problem
V61.29 Other parent-child problems
********
V65
Other persons seeking consultation
********
V65.1
Excludes:
Person consulting on behalf of another person
Advice or treatment for nonattending third party
concern (normal) about sick person in family (V61.41-V61.49)
********
V65.4
Excludes:
Other counseling, not elsewhere classified
Health:
advice
education
instruction
counseling (for):
contraception (V25.40-V25.49)
genetic (V26.31-V26.39)
on behalf of third party (V65.11, V65.19)
procreative management (V26.41-V26.49)
V65.40 Counseling NOS
********
V65.49 Other specified counseling
********
V71
Observation and evaluation for suspected conditions not found
Excludes:
suspected maternal and fetal conditions not found (V89.01-V89.09)
Note:
This category is to be used when persons without a diagnosis are suspected of having an abnormal
condition, without signs or symptoms, which requires study, but after examination and observation, is found
not to exist. This category is also for use for administrative and legal observation status.
V71.0
Observation for suspected mental condition
********
V71.02 Childhood or adolescent antisocial behavior
Dyssocial behavior or gang activity in child or adolescent without manifest psychiatric
disorder
V71.09 Other suspected mental condition
********
th
Abstracted from International Classification of Diseases, 9 revision, Clinical Modification, issued by the US
Department of Health and Human Services. Available in electronic versions from
http://www.cdc.gov/nchs/icd/icd9cm.htm#ftp. Published copies of ICD-9-CM are available from a variety of sources
and should be found in any medical library.
From the
(www.medicalhomeportal.org), 2010