Tip Sheet Mental Health and Behavioral Health - …

1 Page 1 of 2 Mental and Behavioral Health ICD-10-CM Coding Tip Sheet Overview of Key Chapter 5 Updates for Mental , Behavioral and Neurodevelopmental Disorders (F01-F99) Overview of Mental and Behavioral Health Coding in ICD-9-CM vs. ICD-10-CM Efforts to harmonize ICD-9-CM and DSM-IV-TR codes currently in use have resulted in classification systems with similar (often identical) codes. The structure and coding for the Mental and Behavioral disorders classification in ICD-10-CM are different from those of the ICD-9-CM and the DSM-IV. The broad categories of Mental and Behavioral disorders are much the same, but the new arrangement of categories and alphanumeric codes will be different from ICD-9-CM and the DSM-IV codes. For instance, major depressive disorder, single episode is coded as in both DSM-IV and ICD-9-CM but is coded as F32 in the current version of ICD-10-CM.

2 Overview of Mental and Behavioral Health Coding in ICD-10 vs. DSM-5 DSM-5 was released in May of 2013, replacing DSM-IV-TR. There is a mix of concern in the Mental Health community about DSM-5 vs. ICD-10-CM. According to a May 14, 2013 document from the website, the DSM-5 contains coding for both ICD-9-CM codes and ICD-10-CM codes. There are ICD-9-CM codes followed by ICD-10-CM codes in parentheses. ICD-10 and DSM-5 are described as being companion publications . DSM-5 provides the most accurate and updated criteria for diagnosing Mental disorders, making a common language for clinicians to communicate about their patients. ICD-10-CM contains code numbers found in DSM-5 to ensure proper insurance reimbursement and monitor Health statistics by Health agencies. Overview of ICD-10 Chapter 5: Mental , Behavioral and Neurodevelopmental Disorders Key Updates Classification improvements Greater detail, different categories, more codes Code expansions Most notably, Other Isolated or Specific Phobias Updates to medical terminology Bipolar I disorder, single manic episode will change to Manic episode Undersocialized conduct disorders, aggressive will become Conduct disorder childhood-onset type Nicotine dependence updated to identify specific tobacco products (cigarettes, chewing tobacco, and other tobacco).

3 Alcohol abuse and dependence codes no longer identify continuous or episodic use. (Source: 2014 Draft ICD-10-CM Official Guidelines for Coding and Reporting) Page 2 of 2 The Top Ten Mental and Behavioral Health ICD-9 to ICD-10 mappings are found in the chart below The codes highlighted in orange indicate the individual ICD-9 code that is being mapped to one or many ICD-10 codes (Source of ICD-9-CM to ICD-10-CM mappings: General Equivalence Mappings (GEMs), 2014) The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and should not be relied upon as legal or compliance advice. If you have any legal questions about the information contained herein, you should consult your attorney or other professional legal services provider. Top 10 ICD-9 Description ICD-9 ICD-10 Description ICD-10 1 Dysthymic disorder Dysthymic disorder 2 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with mixed anxiety and depressed mood 3 Generalized anxiety disorder Generalized anxiety disorder 4 311 Depressive disorder, not elsewhere classified Major depressive disorder, single episode, unspecified 5 Major depressive affective disorder, recurrent episode, moderate Major depressive disorder, recurrent, moderate 6 Anxiety state, unspecified Anxiety disorder, unspecified 7 Attention deficit disorder with hyperactivity Attention-deficit hyperactivity disorder, predominantly hyperactive type Attention-deficit hyperactivity disorder, combined type Attention-deficit hyperactivity disorder.

4 Other type Attention-deficit hyperactivity disorder, unspecified type 8 Major depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior Major depressive disorder, recurrent severe without psychotic features 9 Adjustment disorder with depressed mood Adjustment disorder with depressed mood 10 Major depressive affective disorder, recurrent episode, unspecified Major depressive disorder, recurrent, unspecified Major depressive disorder, recurrent, in remission, unspecified