DSM-5 ®

Coding Update
Supplement to
Diagnostic and Statistical
Manual of Mental disorders,
Fifth Edition

American Psychiatric Association

March 2014
 DSM-5® Coding Update
Supplement to
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

Copyright © 2014 American Psychiatric Association. All rights reserved. Unless authorized in
writing by the American Psychiatric Association (APA), no part of this supplement may be
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reflect any coding updates, changes, or corrections, and any other information necessary for
compensation in mental health practice. For the latest updates, please go to
http://dsm.psychiatryonline.org/DSM5CodingSupplement.

ICD-9-CM codes are followed by ICD-10-CM codes in parentheses as in DSM-5.

DSM and DSM-5 are registered trademarks of the American Psychiatric Association. Use of
these terms is prohibited without permission of the American Psychiatric Association.
 Contents
Updates at a Glance ........................................................................ 3

Updates in Detail ............................................................................. 4

Neurodevelopmental Disorders ................................................... 4
Intellectual Disability (Intellectual Developmental Disorder)
Language Disorder

Bipolar and Related Disorders..................................................... 5

Bipolar I Disorder, Current or most recent episode hypomanic
In partial remission
In full remission

Anxiety Disorders ......................................................................... 6

Selective Mutism

Obsessive-Compulsive and Related Disorders .......................... 6

Trichotillomania (Hair-Pulling Disorder)

Trauma- and Stressor-Related Disorders ................................... 7

Adjustment Disorders

Sleep-Wake Disorders .................................................................. 8

Insomnia Disorder
Hypersomnolence Disorder

Disruptive, Impulse-Control, and Conduct Disorders ................ 9

Conduct Disorder, Adolescent-onset type
Kleptomania

Neurocognitive Disorders ............................................................ 10

Major Neurocognitive Disorder Due to Alzheimer’s Disease
Major Frontotemporal Neurocognitive Disorder
Major Neurocognitive Disorder With Lewy Bodies
Major Vascular Neurocognitive Disorder
Major Neurocognitive Disorder Due to Parkinson’s Disease

DSM-5 Coding Update, page 2 of 22

Copyright © 2014 American Psychiatric Association. All rights reserved.
 Updates at a Glance
Disorder Original Update
Intellectual Disability 319 (70) Mild 317 (70) Mild
(Intellectual Developmental Disorder) 319 (71) Moderate 318.0 (71) Moderate
319 (72) Severe 318.1 (72) Severe
319 (73) Profound 318.2 (73) Profound
Language Disorder 315.39 (F80.9) 315.32 (F80.2)
Bipolar I Disorder, Current or most recent episode 296.45 (F31.73) 296.45 (F31.71)
hypomanic, In partial remission
Bipolar I Disorder, Current or most recent episode 296.46 (F31.74) 296.46 (F31.72)
hypomanic, In full remission
Selective Mutism 312.23 (F94.0) 313.23 (F94.0)
Trichotillomania (Hair-Pulling Disorder) 312.39 (F63.2) 312.39 (F63.3)
Adjustment Disorders No specifiers for Add specifiers
“acute” and “persistent “acute” and “persistent
(chronic)” (chronic)”
Insomnia Disorder 780.52 (G47.00) 307.42 (F51.01)
Hypersomnolence Disorder 780.54 (G47.10) 307.44 (F51.11)
Conduct Disorder, Adolescent-onset type 312.32 (F91.2) 312.82 (F91.2)
Kleptomania 312.32 (F63.3) 312.32 (F63.2)
Major Neurocognitive Disorders With Possible Etiologies
The following coding updates ensure that insurance reimbursement can be obtained when the specifier “With
behavioral disturbance” is used for the possible major neurocognitive disorders. The possible major
neurocognitive disorders should be coded in the same way as their respective probable major neurocognitive
disorders, as noted below. For excerpts of the DSM-5 sections with these changes, see pp. 10–22 of this
Coding Update.
Major Neurocognitive Disorder Possibly Due to 331.9 (G31.9) 290.40 (F01.51)
Vascular Disease With behavioral
disturbance
or
290.40 (F01.50)
Without behavioral
disturbance
Major Neurocognitive Disorder Due to Possible No coding of Code etiological
Alzheimer’s Disease etiological medical medical condition
(Note: Code first 331.0 (G30.9) Alzheimer’s disease.) condition first (noted at left
with each disorder)
Major Neurocognitive Disorder Due to Possible
Frontotemporal Lobar Degeneration 331.9 (G31.9) then code
(Note: Code first 331.19 (G31.09) frontotemporal disease.) 294.11 (F02.81)
With behavioral
Major Neurocognitive Disorder With Possible Lewy disturbance
Bodies (Note: Code first 331.82 (G31.83) Lewy body or
disease.) 294.10 (F02.80)
Major Neurocognitive Disorder Possibly Due to Without behavioral
Parkinson’s Disease disturbance
(Note: Code first 332.0 (G20) Parkinson’s disease.)

DSM-5 Coding Update, page 3 of 22

Copyright © 2014 American Psychiatric Association. All rights reserved.
 Updates in Detail
Replacement codes and other notes are in boldface type to aid visual reference only.
Shaded areas denote disorders with changes.

Neurodevelopmental Disorders

ICD-9-CM coding change for Intellectual Disability (Intellectual Developmental Disorder)

(ICD-10-CM code remains UNCHANGED)
Codes are found on the following pages: DSM-5: pp. xiii, 33 (also delete coding note), 848, 872;
Desk Reference: pp. ix, 18 (also delete coding note)

DSM-5 Classification, Neurodevelopmental Disorders, Intellectual Disabilities, Intellectual

Disability (Intellectual Developmental Disorder), p. xiii (Desk Reference, p. ix):
The ICD-9-CM code “319” should be deleted and replaced with blank lines: “___.__”.
ICD-9-CM codes should be inserted as follows:
317 (F70) Mild
318.0 (F71) Moderate
318.1 (F72) Severe
318.2 (F73) Profound

DSM-5 criteria for Intellectual Disability (Intellectual Developmental Disorder) should be

revised as follows, p. 33 (Desk Reference, p. 18):
DELETE the coding note.
ADD ICD-9-CM codes as follows:
Specify current severity (see Table 1):
317 (F70) Mild
318.0 (F71) Moderate
318.1 (F72) Severe
318.2 (F73) Profound

Alphabetical Listing, p. 848 (not applicable to Desk Reference)

Adjust the ICD-9-CM codes for Intellectual disability (intellectual developmental disorder)
as follows (change placement of Profound as shown below):
DELETE 319
ADD ICD-9-CM codes:
317 (F70) Mild
318.0 (F71) Moderate
318.1 (F72) Severe
318.2 (F73) Profound

Numerical Listing (ICD-9-CM), p. 872 (not applicable to Desk Reference):

DELETE “319 Intellectual disability (intellectual developmental disorder)”
ADD the following:
317 Intellectual disability (intellectual developmental disorder), Mild
318.0 Intellectual disability (intellectual developmental disorder), Moderate
318.1 Intellectual disability (intellectual developmental disorder), Severe
318.2 Intellectual disability (intellectual developmental disorder), Profound
BEFORE
319 Unspecified intellectual disability (intellectual developmental disorder)

DSM-5 Coding Update, page 4 of 22

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Neurodevelopmental Disorders (continued)

ICD-9-CM and ICD-10-CM coding changes for Language Disorder

Codes are found on the following pages: DSM-5: pp. xiii, 42, 848, 871, 891;
Desk Reference: pp. x, 24

DSM-5 Classification, Neurodevelopmental Disorders, Communication Disorders, Language

Disorder, p. xiii (Desk Reference, p. x):
• Change 315.39 to 315.32
• Change (F80.9) to (F80.2)

DSM-5 criteria, ICD-9-CM and ICD-10-CM codes for Language Disorder should be
revised as follows, p. 42 (Desk Reference, p. 24):
• Change 315.39 to 315.32
• Change (F80.9) to (F80.2)

Alphabetical Listing, p. 848 (not applicable to Desk Reference)

Change the codes for Language disorder as follows:
• Change 315.39 to 315.32
• Change F80.9 to F80.2

Numerical Listing (ICD-9-CM), p. 871 (not applicable to Desk Reference)

Change the code for Language disorder as follows:
• Change 315.39 to 315.32
• Move 315.32 Language disorder to follow “315.2 Specific learning disorder,
With impairment in written expression”

Numerical Listing (ICD-10-CM), p. 891 (not applicable to Desk Reference)

Change the code for Language disorder as follows:
• Change F80.9 to F80.2
• Move F80.2 Language disorder to follow “F80.0 Speech sound disorder”

Bipolar and Related Disorders

ICD-10-CM coding changes to Bipolar I Disorder,

Current or most recent episode hypomanic (ICD-9-CM code remains UNCHANGED)
Codes are found on the following pages: DSM-5: pp. xvi, 127, 842, 888;
Desk Reference: pp. xiv, 70

DSM-5 Classification, Bipolar and Related Disorders, Bipolar I Disorder, Current or most
recent episode hypomanic, p. xvi (Desk Reference, p. xiv):
• ICD-10-CM code F31.73 should be changed to F31.71, In partial remission
• ICD-10-CM code F31.74 should be changed to F31.72, In full remission

DSM-5 criteria, coding table for Bipolar I Disorder should be revised as follows,
p. 127 (Desk Reference, p. 70):
• In partial remission, Current or most recent episode hypomanic:
Change F31.73 to F31.71
• In full remission, Current or most recent episode hypomanic:
Change F31.74 to F31.72

DSM-5 Coding Update, page 5 of 22

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Bipolar and Related Disorders (continued)

Alphabetical Listing, p. 842 (not applicable to Desk Reference)

Replace the ICD-10-CM codes as follows for Bipolar I disorder, Current or most recent
episode hypomanic:
• Change F31.74 to F31.72 In full remission
• Change F31.73 to F31.71 In partial remission

Numerical Listing (ICD-10-CM), p. 888 (not applicable to Desk Reference)

Please change codes and reorder listing as follows:
F31.71 Bipolar I disorder, Current or most recent episode hypomanic, In partial remission
F31.72 Bipolar I disorder, Current or most recent episode hypomanic, In full remission
F31.73 Bipolar I disorder, Current or most recent episode manic, In partial remission
F31.74 Bipolar I disorder, Current or most recent episode manic, In full remission

Anxiety Disorders

ICD-9-CM coding change for Selective Mutism (ICD-10-CM code remains UNCHANGED)
Codes are found on the following pages: DSM-5: pp. xviii, 195, 859, 871;
Desk Reference: pp. xvii, 116

DSM-5 Classification, Anxiety Disorders, Selective Mutism, p. xviii

(Desk Reference, p. xvii):
• Change 312.23 to 313.23

DSM-5 criteria, ICD-9-CM code for Selective Mutism should be revised as follows, p. 195
(Desk Reference, p. 116):
• Change 312.23 to 313.23

Alphabetical Listing, p. 859 (not applicable to Desk Reference)

Replace the ICD-9-CM code as follows for Selective mutism:
• Change 312.23 to 313.23

Numerical Listing (ICD-9-CM), p. 871 (not applicable to Desk Reference)

Change the code for Selective mutism as follows:
• Change 312.23 to 313.23
• Move 313.23 Selective mutism to precede “313.81 Oppositional defiant disorder”

Obsessive-Compulsive and Related Disorders

ICD-10-CM coding change for Trichotillomania (Hair-Pulling Disorder)

(ICD-9-CM code remains UNCHANGED)
Codes are found on the following pages: DSM-5: pp. xix, 251, 861, 890;
Desk Reference: pp. xviii, 133

DSM-5 Classification, Obsessive-Compulsive and Related Disorders, Trichotillomania

(Hair-Pulling Disorder), p. xix (Desk Reference, p. xviii):
• Change F63.2 to F63.3

DSM-5 criteria, ICD-10-CM code for Trichotillomania (Hair-Pulling Disorder) should be

revised as follows, p. 251 (Desk Reference, p. 133):
• Change F63.2 to F63.3

DSM-5 Coding Update, page 6 of 22

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Obsessive-Compulsive and Related Disorders (continued)

Alphabetical Listing, p. 861 (not applicable to Desk Reference)

Replace the ICD-10-CM code for Trichotillomania (hair-pulling disorder) as follows:
• Change F63.2 to F63.3

Numerical Listing (ICD-10-CM), p. 890 (not applicable to Desk Reference)

Change the ICD-10-CM code for Trichotillomania (hair-pulling disorder) as follows:
• Change F63.2 to F63.3
• Move F63.3 Trichotillomania (hair-pulling disorder) to precede
“F63.81 Intermittent explosive disorder”

Trauma- and Stressor-Related Disorders

Add specifiers for Adjustment Disorders

(ICD-9-CM and ICD-10-CM codes remain UNCHANGED)
Specifiers are added on the following pages: DSM-5: pp. xx, 287; Desk Reference: pp. xix, 152

DSM-5 Classification, Trauma- and Stressor-Related Disorders, Adjustment Disorders, p. xx

(Desk Reference, p. xix):
New specifiers are added as shown (see highlighted text):

___.__ (___.__) Adjustment Disorders

AFTER
Specify whether:
309.0 (F43.21) With depressed mood
… [codes and subtypes continue as printed]
309.9 (F43.20) Unspecified

ADD
Specify if: Acute, Persistent (chronic)

DSM-5 criteria for Adjustment Disorders should be revised as follows (see highlighted
text), p. 287 (Desk Reference, p. 152):

AFTER
Specify whether:
309.0 (F43.21) With depressed mood: Low mood, tearfulness, or feelings of
hopelessness are predominant.
… [codes and subtypes continue as printed]
309.9 (F43.20) Unspecified: For maladaptive reactions that are not classifiable as one of
the specific subtypes of adjustment disorder.

ADD
Specify if:
Acute: If the disturbance lasts less than 6 months
Persistent (chronic): If the disturbance lasts for 6 months or longer

DSM-5 Coding Update, page 7 of 22

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Sleep-Wake Disorders

ICD-9-CM and ICD-10-CM coding changes for

Insomnia Disorder and Hypersomnolence Disorder
Codes are found on the following pages:
• Insomnia Disorder: DSM-5: pp. xxii, 362 (also change code in coding note), 848, 870,
873, 890, 892
Desk Reference: pp. xxii, 181, 182 (change code in coding note)
• Hypersomnolence Disorder: DSM-5: pp. xxii, 368, 369 (change code in coding note),
847, 870, 873, 890, 892
Desk Reference: pp. xxii, 182, 183 (change code in coding note)

DSM-5 Classification, Sleep-Wake Disorders, change codes for Insomnia Disorder and
Hypersomnolence Disorder, p. xxii (Desk Reference, p. xxii):

Insomnia Disorder
• Change 780.52 to 307.42
• Change (G47.00) to (F51.01)

Hypersomnolence Disorder
• Change 780.54 to 307.44
• Change (G47.10) to (F51.11)

DSM-5 criteria, ICD-9-CM and ICD-10-CM codes should be revised as follows:

Insomnia Disorder
Codes in “Diagnostic Criteria,” p. 362 (Desk Reference, p. 181):
• Change 780.52 to 307.42
• Change (G47.00) to (F51.01)
Coding note, p. 362 (Desk Reference, p. 182):
• Change 780.52 (G47.00) to 307.42 (F51.01)

Hypersomnolence Disorder
Codes in “Diagnostic Criteria,” p. 368 (Desk Reference, p. 182):
• Change 780.54 to 307.44
• Change (G47.10) to (F51.11)
Coding note, p. 369 (Desk Reference, p. 183):
• Change 780.54 (G47.10) to 307.44 (F51.11)

Alphabetical Listing (not applicable to Desk Reference)

Hypersomnolence disorder, p. 847
• Change 780.54 to 307.44
• Change G47.10 to F51.11

Insomnia disorder, p. 848

• Change 780.52 to 307.42
• Change G47.00 to F51.01

Numerical Listing (ICD-9-CM), p. 870 (not applicable to Desk Reference)

After “307.3 Stereotypic movement disorder,” ADD
• 307.42 Insomnia disorder
• 307.44 Hypersomnolence disorder
DELETE
• 780.52 Insomnia disorder, p. 873
• 780.54 Hypersomnolence disorder, p. 873

DSM-5 Coding Update, page 8 of 22

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Sleep-Wake Disorders (continued)

Numerical Listing (ICD-10-CM), p. 890 (not applicable to Desk Reference)

After “F50.9 Unspecified feeding or eating disorder,” ADD
• F51.01 Insomnia disorder
• F51.11 Hypersomnolence disorder
DELETE
• G47.00 Insomnia disorder, p. 892
• G47.10 Hypersomnolence disorder, p. 892

Disruptive, Impulse-Control, and Conduct Disorders

ICD-9-CM coding change for Conduct Disorder, Adolescent-onset type

(ICD-10-CM code remains UNCHANGED)
Codes are found on the following pages: DSM-5: pp. xxiv, 846, 871; Desk Reference: p. xxv

DSM-5 Classification, Disruptive, Impulse-Control, and Conduct Disorders:

Conduct Disorder, Adolescent-onset type, p. xxiv (Desk Reference, p. xxv):
• Change 312.32 to 312.82

[NO CORRECTION NEEDED TO CODING IN CRITERIA SET]

Alphabetical Listing, p. 846 (not applicable to Desk Reference)

Replace the ICD-9-CM code as follows for Conduct Disorder, Adolescent-onset type:
• Change 312.32 to 312.82

Numerical Listing (ICD-9-CM), p. 871 (not applicable to Desk Reference):

• Change 312.32 to 312.82 Conduct Disorder, Adolescent-onset type
• Move 312.82 Conduct Disorder, Adolescent-onset type to precede “312.89
Conduct Disorder, Unspecified onset”

ICD-10-CM coding change for Kleptomania (ICD-9-CM code remains UNCHANGED)

Codes are found on the following pages: DSM-5: pp. xxiv, 478, 848, 890;
Desk Reference: pp. xxvi, 225

DSM-5 Classification, Disruptive, Impulse-Control, and Conduct Disorders:

Kleptomania, p. xxiv (Desk Reference, p. xxvi):
• Change F63.3 to F63.2

DSM-5 criteria, ICD-10-CM code for Kleptomania should be revised as follows, p. 478
(Desk Reference, p. 225):
• Change F63.3 to F63.2

Alphabetical Listing, p. 848 (not applicable to Desk Reference)

Replace the ICD-10-CM code as follows for Kleptomania:
• Change F63.3 to F63.2

Numerical Listing (ICD-10-CM), p. 890 (not applicable to Desk Reference):

• Change F63.3 to F63.2 Kleptomania
• Move F63.2 Kleptomania to precede “F63.3 Trichotillomania
(hair-pulling disorder)”

DSM-5 Coding Update, page 9 of 22

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Neurocognitive Disorders
DSM-5 Classification Excerpt for
Major Neurocognitive Disorders Due to Possible Etiologies
DSM-5, pp. xxx–xxxii; Desk Reference, pp. xxxiii–xxxvi

Updates to the DSM-5 Classification contain revised coding and notes for the major
neurocognitive disorders due to possible etiologies (neurocognitive disorders without
coding changes are not included):
Major Neurocognitive Disorder Due to Alzheimer’s Disease
Major Frontotemporal Neurocognitive Disorder
Major Neurocognitive Disorder With Lewy Bodies
Major Vascular Neurocognitive Disorder
Major Neurocognitive Disorder Due to Parkinson’s Disease

Major and Mild Neurocognitive Disorders (602) [*299 in Desk Reference]

Specify whether due to: Alzheimer’s disease, Frontotemporal lobar degeneration, Lewy body disease,
Vascular disease, Traumatic brain injury, Substance/medication use, HIV infection, Prion disease,
Parkinson’s disease, Huntington’s disease, Another medical condition, Multiple etiologies, Unspecified
a
Specify Without behavioral disturbance, With behavioral disturbance. For mild neurocognitive disorder,
behavioral disturbance cannot be coded but should still be indicated in writing.
b
Specify current severity: Mild, Moderate, Severe. This specifier applies only to major neurocognitive
disorders (including probable and possible).
Note: As indicated for each subtype, an additional medical code is needed for major neurocognitive
disorders, including those due to probable and possible medical etiologies. The medical etiology should be
coded first before the code for the major neurocognitive disorder. An additional medical code should not be
used for mild neurocognitive disorder.

Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease (611)

[*305 in Desk Reference]
___.__ (___.__) Major Neurocognitive Disorder Due to Probable Alzheimer’s Diseaseb
Note: Code first 331.0 (G30.9) Alzheimer’s disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
___.__ (___.__) Major Neurocognitive Disorder Due to Possible Alzheimer’s Diseaseb
Note: Code first 331.0 (G30.9) Alzheimer’s disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
331.83 (G31.84) Mild Neurocognitive Disorder Due to Alzheimer’s Diseasea

Major or Mild Frontotemporal Neurocognitive Disorder (614) [*306 in Desk Reference]

___.__ (___.__) Major Neurocognitive Disorder Due to Probable Frontotemporal Lobar
Degenerationb
Note: Code first 331.19 (G31.09) frontotemporal disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
___.__ (___.__) Major Neurocognitive Disorder Due to Possible Frontotemporal Lobar
Degenerationb
Note: Code first 331.19 (G31.09) frontotemporal disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
331.83 (G31.84) Mild Neurocognitive Disorder Due to Frontotemporal Lobar Degenerationa

DSM-5 Coding Update, page 10 of 22

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Neurocognitive Disorders
DSM-5 Classification Excerpt for
Major Neurocognitive Disorders Due to Possible Etiologies (continued)

Major or Mild Neurocognitive Disorder With Lewy Bodies (618) [*308 in Desk Reference]
___.__ (___.__) Major Neurocognitive Disorder With Probable Lewy Bodiesb
Note: Code first 331.82 (G31.83) Lewy body disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
___.__ (___.__) Major Neurocognitive Disorder With Possible Lewy Bodiesb
Note: Code first 331.82 (G31.83) Lewy body disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
331.83 (G31.84) Mild Neurocognitive Disorder With Lewy Bodiesa

Major or Mild Vascular Neurocognitive Disorder (621) [*309 in Desk Reference]

___.__ (___.__) Major Neurocognitive Disorder Probably Due to Vascular Diseaseb
Note: No additional medical code for vascular disease.
290.40 (F01.51) With behavioral disturbance
290.40 (F01.50) Without behavioral disturbance
___.__ (___.__) Major Neurocognitive Disorder Possibly Due to Vascular Diseaseb
Note: No additional medical code for vascular disease.
290.40 (F01.51) With behavioral disturbance
290.40 (F01.50) Without behavioral disturbance
331.83 (G31.84) Mild Vascular Neurocognitive Disordera

Major or Mild Neurocognitive Disorder Due to Parkinson’s Disease (636)

[*316 in Desk Reference]
___.__ (___.__) Major Neurocognitive Disorder Probably Due to Parkinson’s Diseaseb
Note: Code first 332.0 (G20) Parkinson’s disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
___.__ (___.__) Major Neurocognitive Disorder Possibly Due to Parkinson’s Diseaseb
Note: Code first 332.0 (G20) Parkinson’s disease.
294.11 (F02.81) With behavioral disturbance
294.10 (F02.80) Without behavioral disturbance
331.83 (G31.84) Mild Neurocognitive Disorder Due to Parkinson’s Diseasea

DSM-5 Coding Update, page 11 of 22

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Neurocognitive Disorders
Updated Coding Table
Incorporates revisions for major neurocognitive disorders due to possible etiologies
DSM-5, pp. 603–604; Desk Reference, pp. 302–304

Coding note: Code based on medical or substance etiology. In some cases, there is need for an additional code for the etiological medical
condition, which must immediately precede the diagnostic code for major neurocognitive disorder, as follows:

Etiological subtype Associated etiological Major neurocognitive Mild neurocognitive disorder codec
medical code for major disorder codeb
neurocognitive disordera
Alzheimer’s disease 331.0 (G30.9) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for Alzheimer’s
disease.)
Frontotemporal lobar 331.19 (G31.09) 294.1x (F02.8x) 331.83 (G31.84)
degeneration (Do not use additional code for frontotemporal
disease.)
Lewy body disease 331.82 (G31.83) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for Lewy body
disease.)
Vascular disease No additional medical code 290.40 (F01.5x) 331.83 (G31.84)
(Do not use additional code for the vascular
disease.)
Traumatic brain injury 907.0 (S06.2X9S) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for the traumatic
brain injury.)
Substance/medication- No additional medical code Code based on the type of Code based on the type of substance causing
induced substance causing the the mild neurocognitive disorderd
major neurocognitive
disorderc, d
HIV infection 042 (B20) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for HIV infection.)
Prion disease 046.79 (A81.9) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for prion disease.)
Parkinson’s disease 332.0 (G20) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for Parkinson’s
disease.)
Huntington’s disease 333.4 (G10) 294.1x (F02.8x) 331.83 (G31.84)
(Do not use additional code for Huntington’s
disease.)

DSM-5 Coding Update, page 12 of 22

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Neurocognitive Disorders
Updated Coding Table (continued)

Etiological subtype Associated etiological Major neurocognitive Mild neurocognitive disorder codec
medical code for major disorder codeb
neurocognitive disordera
Due to another medical Code the other medical 294.1x (F02.8x) 331.83 (G31.84)
condition condition first (e.g., 340 (Do not use additional codes for the presumed
[G35] multiple sclerosis) etiological medical conditions.)
Due to multiple etiologies Code all of the etiological 294.1x (F02.8x) (Plus the 331.83 (G31.84)
medical conditions first (with code for the relevant (Plus the code for the relevant
the exception of vascular substance/medication- substance/medication-induced mild
disease) induced major neurocognitive disorders if substances or
neurocognitive disorders if medications play a role in the etiology.
substances or medications Do not use additional codes for the presumed
play a role in the etiology.) etiological medical conditions.)
Unspecified neurocognitive No additional medical code 799.59 (R41.9) 799.59 (R41.9)
disorder

a
Code first, before code for major neurocognitive disorder.
b
Code fifth character based on symptom specifier: .x0 without behavioral disturbance; .x1 with behavioral disturbance (e.g., psychotic
symptoms, mood disturbance, agitation, apathy, or other behavioral symptoms).
c
Note: Behavioral disturbance specifier cannot be coded but should still be indicated in writing.
d
See “Substance/Medication-Induced Major or Mild Neurocognitive Disorder.”

DSM-5 Coding Update, page 13 of 22

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Neurocognitive Disorders
Updated Coding Notes in DSM-5 Criteria Sets
See table for specific pages containing updates in DSM-5 and Desk Reference.

Disorder Updated coding note

Major or Mild Coding note: For major neurocognitive disorder due to probable Alzheimer’s disease,
Neurocognitive with behavioral disturbance, code first 331.0 (G30.9) Alzheimer’s disease, followed by
Disorder Due to 294.11 (F02.81). For major neurocognitive disorder due to probable Alzheimer’s disease,
Alzheimer’s without behavioral disturbance, code first 331.0 (G30.9) Alzheimer’s disease, followed by
Disease 294.10 (F02.80).
For major neurocognitive disorder due to possible Alzheimer’s disease, with behavioral
disturbance, code first 331.0 (G30.9) Alzheimer’s disease, followed by 294.11 (F02.81).
For major neurocognitive disorder due to possible Alzheimer’s disease, without
behavioral disturbance, code first 331.0 (G30.9) Alzheimer’s disease, followed by 294.10
(F02.80).
For mild neurocognitive disorder due to Alzheimer’s disease, code 331.83 (G31.84).
(Note: Do not use the additional code for Alzheimer’s disease. Behavioral disturbance
cannot be coded but should still be indicated in writing.)
This coding note appears in DSM-5, pp. 611–612; in Desk Reference, p. 306.

Major or Mild Coding note: For major neurocognitive disorder due to probable frontotemporal lobar
Frontotemporal degeneration, with behavioral disturbance, code first 331.19 (G31.09) frontotemporal
Neurocognitive disease, followed by 294.11 (F02.81). For major neurocognitive disorder due to probable
Disorder frontotemporal lobar degeneration, without behavioral disturbance, code first 331.19
(G31.09) frontotemporal disease, followed by 294.10 (F02.80).
For major neurocognitive disorder due to possible frontotemporal lobar degeneration,
with behavioral disturbance, code first 331.19 (G31.09) frontotemporal disease, followed
by 294.11 (F02.81). For major neurocognitive disorder due to possible frontotemporal
lobar degeneration, without behavioral disturbance, code first 331.19 (G31.09)
frontotemporal disease, followed by 294.10 (F02.80).
For mild neurocognitive disorder due to frontotemporal lobar degeneration, code 331.83
(G31.84). (Note: Do not use the additional code for frontotemporal disease. Behavioral
disturbance cannot be coded but should still be indicated in writing.)
This coding note appears in DSM-5, p. 615; in Desk Reference, pp. 307–308.

Major or Mild Coding note: For major neurocognitive disorder with probable Lewy bodies, with
Neurocognitive behavioral disturbance, code first 331.82 (G31.83) Lewy body disease, followed by
Disorder With 294.11 (F02.81). For major neurocognitive disorder with probable Lewy bodies, without
Lewy Bodies behavioral disturbance, code first 331.82 (G31.83) Lewy body disease, followed by
294.10 (F02.80).
For major neurocognitive disorder with possible Lewy bodies, with behavioral
disturbance, code first 331.82 (G31.83) Lewy body disease, followed by 294.11 (F02.81).
For major neurocognitive disorder with possible Lewy bodies, without behavioral
disturbance, code first 331.82 (G31.83) Lewy body disease, followed by 294.10 (F02.80).
For mild neurocognitive disorder with Lewy bodies, code 331.83 (G31.84). (Note: Do not
use the additional code for Lewy body disease. Behavioral disturbance cannot be coded
but should still be indicated in writing.)
This coding note appears in DSM-5, pp. 618–619; in Desk Reference, p. 309.

DSM-5 Coding Update, page 14 of 22

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Neurocognitive Disorders
Updated Coding Notes in DSM-5 Criteria Sets (continued)

Disorder Updated coding note

Major or Mild Coding note: For major neurocognitive disorder probably due to vascular disease, with
Vascular behavioral disturbance, code 290.40 (F01.51). For major neurocognitive disorder probably
Neurocognitive due to vascular disease, without behavioral disturbance, code 290.40 (F01.50). An
Disorder additional medical code for the vascular disease is not needed.
For major neurocognitive disorder possibly due to vascular disease, with behavioral
disturbance, code 290.40 (F01.51). For major neurocognitive disorder possibly due to
vascular disease, without behavioral disturbance, code 290.40 (F01.50). An additional
medical code for the vascular disease is not needed.
For mild neurocognitive disorder due to vascular disease, code 331.83 (G31.84). (Note:
Do not use an additional code for the vascular disease. Behavioral disturbance cannot be
coded but should still be indicated in writing.)
This coding note appears in DSM-5, p. 621; in Desk Reference, p. 310.

Major or Mild Coding note: For major neurocognitive disorder probably due to Parkinson’s disease, with
Neurocognitive behavioral disturbance, code first 332.0 (G20) Parkinson’s disease, followed by 294.11
Disorder Due to (F02.81). For major neurocognitive disorder probably due to Parkinson’s disease, without
Parkinson’s behavioral disturbance, code first 332.0 (G20) Parkinson’s disease, followed by 294.10
Disease (F02.80).
For major neurocognitive disorder possibly due to Parkinson’s disease, with behavioral
disturbance, code first 332.0 (G20) Parkinson’s disease, followed by 294.11 (F02.81). For
major neurocognitive disorder possibly due to Parkinson’s disease, without behavioral
disturbance, code first 332.0 (G20) Parkinson’s disease, followed by 294.10 (F02.80).
For mild neurocognitive disorder due to Parkinson’s disease, code 331.83 (G31.84). (Note:
Do not use the additional code for Parkinson’s disease. Behavioral disturbance cannot be
coded but should still be indicated in writing.)
This coding note appears in DSM-5, pp. 636–637; in Desk Reference, p. 317.

DSM-5 Coding Update, page 15 of 22

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Neurocognitive Disorders
Alphabetical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM and ICD-10-CM)

This excerpt provides the updated ICD-9-CM and ICD-10-CM codes for major neurocognitive
disorders due to possible etiologies and reintegrates their placement within the listing.
(DSM-5 only, pp. 849–850; not applicable to Desk Reference)

ICD-9-CM codes are to be used for coding purposes in the United States through September 30, 2014.
ICD-10-CM codes are to be used for coding purposes in the United States starting October 1, 2014.

ICD-9-CM ICD-10-CM Disorder, condition, or problem

Major neurocognitive disorder due to another medical condition

294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder due to HIV infection
(code first 042 [B20] HIV infection)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder due to Huntington’s disease
(code first 333.4 [G10] Huntington’s disease)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder due to multiple etiologies
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder due to possible Alzheimer’s
disease (code first 331.0 [G30.9] Alzheimer’s disease)
Major neurocognitive disorder due to probable Alzheimer’s
disease (code first 331.0 [G30.9] Alzheimer’s disease)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder due to possible frontotemporal
lobar degeneration (code first 331.19 [G31.09] frontotemporal
disease)
Major neurocognitive disorder due to probable frontotemporal
lobar degeneration (code first 331.19 [G31.09] frontotemporal
disease)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance

DSM-5 Coding Update, page 16 of 22

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Neurocognitive Disorders
Alphabetical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM and ICD-10-CM)
(continued)

ICD-9-CM ICD-10-CM Disorder, condition, or problem

Major neurocognitive disorder with possible Lewy bodies

(code first 331.82 [G31.83] Lewy body disease)
Major neurocognitive disorder with probable Lewy bodies
(code first 331.82 [G31.83] Lewy body disease)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder possibly due to Parkinson’s
disease (code first 332.0 [G20] Parkinson’s disease)
Major neurocognitive disorder probably due to Parkinson’s
disease (code first 332.0 [G20] Parkinson’s disease)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder possibly due to vascular disease
Major neurocognitive disorder probably due to vascular disease
290.40 F01.51 With behavioral disturbance
290.40 F01.50 Without behavioral disturbance
Major neurocognitive disorder due to prion disease
(code first 046.79 [A81.9] prion disease)
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance
Major neurocognitive disorder due to traumatic brain injury (code
first 907.0 late effect of intracranial injury without skull fracture
[S06.2X9S diffuse traumatic brain injury with loss of
consciousness of unspecified duration, sequela])
294.11 F02.81 With behavioral disturbance
294.10 F02.80 Without behavioral disturbance

DSM-5 Coding Update, page 17 of 22

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Neurocognitive Disorders
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM)

This excerpt provides the updated ICD-9-CM codes for major neurocognitive disorders due to
possible etiologies and reintegrates their placement with other major neurocognitive disorders
in the listing. Disorders outside this category or numerical set are not included here.
(DSM-5 only, pp. 863, 866; on p. 872, delete the ICD-9-CM code 331.9 and all
corresponding entries; not applicable to Desk Reference)

ICD-9-CM codes are to be used for coding purposes in the United States through
September 30, 2014.

ICD-9-CM Disorder, condition, or problem

290.40 Major neurocognitive disorder possibly due to vascular disease, With

behavioral disturbance

290.40 Major neurocognitive disorder possibly due to vascular disease, Without

behavioral disturbance

290.40 Major neurocognitive disorder probably due to vascular disease, With

behavioral disturbance

290.40 Major neurocognitive disorder probably due to vascular disease, Without

behavioral disturbance

294.10 Major neurocognitive disorder due to another medical condition, Without

behavioral disturbance

294.10 Major neurocognitive disorder due to HIV infection, Without behavioral

disturbance (code first 042 HIV infection)

294.10 Major neurocognitive disorder due to Huntington’s disease, Without

behavioral disturbance (code first 333.4 Huntington’s disease)

294.10 Major neurocognitive disorder due to multiple etiologies, Without

behavioral disturbance

294.10 Major neurocognitive disorder due to possible Alzheimer’s disease,

Without behavioral disturbance (code first 331.0 Alzheimer’s disease)

294.10 Major neurocognitive disorder due to probable Alzheimer’s disease,

Without behavioral disturbance (code first 331.0 Alzheimer’s disease)

294.10 Major neurocognitive disorder due to possible frontotemporal lobar

degeneration, Without behavioral disturbance (code first 331.19
frontotemporal disease)

294.10 Major neurocognitive disorder due to probable frontotemporal lobar

degeneration, Without behavioral disturbance (code first 331.19
frontotemporal disease)

DSM-5 Coding Update, page 18 of 22

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Neurocognitive Disorders
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM) (continued)

ICD-9-CM Disorder, condition, or problem

294.10 Major neurocognitive disorder with possible Lewy bodies, Without

behavioral disturbance (code first 331.82 Lewy body disease)

294.10 Major neurocognitive disorder with probable Lewy bodies, Without

behavioral disturbance (code first 331.82 Lewy body disease)

294.10 Major neurocognitive disorder possibly due to Parkinson’s disease, Without

behavioral disturbance (code first 332.0 Parkinson’s disease)

294.10 Major neurocognitive disorder probably due to Parkinson’s disease,

Without behavioral disturbance (code first 332.0 Parkinson’s disease)

294.10 Major neurocognitive disorder due to prion disease, Without behavioral

disturbance (code first 046.79 prion disease)

294.10 Major neurocognitive disorder due to traumatic brain injury, Without

behavioral disturbance (code first 907.0 late effect of intracranial injury
without skull fracture)

294.11 Major neurocognitive disorder due to another medical condition, With

behavioral disturbance

294.11 Major neurocognitive disorder due to HIV infection, With behavioral

disturbance (code first 042 HIV infection)

294.11 Major neurocognitive disorder due to Huntington’s disease, With behavioral

disturbance (code first 333.4 Huntington’s disease)

294.11 Major neurocognitive disorder due to multiple etiologies, With behavioral

disturbance

294.11 Major neurocognitive disorder due to possible Alzheimer’s disease, With

behavioral disturbance (code first 331.0 Alzheimer’s disease)

294.11 Major neurocognitive disorder due to probable Alzheimer’s disease, With

behavioral disturbance (code first 331.0 Alzheimer’s disease)

294.11 Major neurocognitive disorder due to possible frontotemporal lobar

degeneration, With behavioral disturbance (code first 331.19
frontotemporal disease)

294.11 Major neurocognitive disorder due to probable frontotemporal lobar

degeneration, With behavioral disturbance (code first 331.19
frontotemporal disease)

DSM-5 Coding Update, page 19 of 22

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Neurocognitive Disorders
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-9-CM) (continued)

ICD-9-CM Disorder, condition, or problem

294.11 Major neurocognitive disorder with possible Lewy bodies, With behavioral
disturbance (code first 331.82 Lewy body disease)

294.11 Major neurocognitive disorder with probable Lewy bodies, With behavioral
disturbance (code first 331.82 Lewy body disease)

294.11 Major neurocognitive disorder possibly due to Parkinson’s disease, With

behavioral disturbance (code first 332.0 Parkinson’s disease)

294.11 Major neurocognitive disorder probably due to Parkinson’s disease, With

behavioral disturbance (code first 332.0 Parkinson’s disease)

294.11 Major neurocognitive disorder due to prion disease, With behavioral

disturbance (code first 046.79 prion disease)

294.11 Major neurocognitive disorder due to traumatic brain injury, With behavioral
disturbance (code first 907.0 late effect of intracranial injury without skull
fracture)

Neurocognitive Disorders
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-10-CM)

This excerpt provides the updated ICD-10-CM codes for major neurocognitive disorders
due to possible etiologies and reintegrates their placement with other major neurocognitive
disorders in the listing. Disorders outside this category or alphanumerical set are not
included here.
(DSM-5 only, pp. 877–878; on p. 892, delete the ICD-10-CM code G31.9 and all
corresponding entries; not applicable to Desk Reference)

ICD-10-CM codes are to be used for coding purposes in the United States starting
October 1, 2014.

ICD-10-CM Disorder, condition, or problem

F01.50 Major neurocognitive disorder possibly due to vascular disease, Without

behavioral disturbance
F01.50 Major neurocognitive disorder probably due to vascular disease, Without
behavioral disturbance
F01.51 Major neurocognitive disorder possibly due to vascular disease, With
behavioral disturbance
F01.51 Major neurocognitive disorder probably due to vascular disease, With
behavioral disturbance

DSM-5 Coding Update, page 20 of 22

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Neurocognitive Disorders
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-10-CM) (continued)

ICD-10-CM Disorder, condition, or problem

F02.80 Major neurocognitive disorder due to another medical condition, Without

behavioral disturbance
F02.80 Major neurocognitive disorder due to HIV infection, Without behavioral
disturbance (code first B20 HIV infection)
F02.80 Major neurocognitive disorder due to Huntington’s disease, Without
behavioral disturbance (code first G10 Huntington’s disease)
F02.80 Major neurocognitive disorder due to multiple etiologies, Without
behavioral disturbance
F02.80 Major neurocognitive disorder due to possible Alzheimer’s disease,
Without behavioral disturbance (code first 331.0 Alzheimer’s disease)
F02.80 Major neurocognitive disorder due to probable Alzheimer’s disease,
Without behavioral disturbance (code first G30.9 Alzheimer’s disease)
F02.80 Major neurocognitive disorder due to possible frontotemporal lobar
degeneration, Without behavioral disturbance (code first G31.09
frontotemporal disease)
F02.80 Major neurocognitive disorder due to probable frontotemporal lobar
degeneration, Without behavioral disturbance (code first G31.09
frontotemporal disease)
F02.80 Major neurocognitive disorder with possible Lewy bodies, Without
behavioral disturbance (code first G31.83 Lewy body disease)
F02.80 Major neurocognitive disorder with probable Lewy bodies, Without
behavioral disturbance (code first G31.83 Lewy body disease)
F02.80 Major neurocognitive disorder possibly due to Parkinson’s disease,
Without behavioral disturbance (code first G20 Parkinson’s disease)
F02.80 Major neurocognitive disorder probably due to Parkinson’s disease,
Without behavioral disturbance (code first G20 Parkinson’s disease)
F02.80 Major neurocognitive disorder due to prion disease, Without behavioral
disturbance (code first A81.9 prion disease)
F02.80 Major neurocognitive disorder due to traumatic brain injury, Without
behavioral disturbance (code first S06.2X9S diffuse traumatic brain
injury with loss of consciousness of unspecified duration, sequela)
F02.81 Major neurocognitive disorder due to another medical condition, With
behavioral disturbance
F02.81 Major neurocognitive disorder due to HIV infection, With behavioral
disturbance (code first B20 HIV infection)
F02.81 Major neurocognitive disorder due to Huntington’s disease, With
behavioral disturbance (code first G10 Huntington’s disease)
F02.81 Major neurocognitive disorder due to multiple etiologies, With
behavioral disturbance

DSM-5 Coding Update, page 21 of 22

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Neurocognitive Disorders
Numerical Listing of DSM-5 Diagnoses and Codes (ICD-10-CM) (continued)

ICD-10-CM Disorder, condition, or problem

F02.81 Major neurocognitive disorder due to possible Alzheimer’s disease,

With behavioral disturbance (code first 331.0 Alzheimer’s disease)
F02.81 Major neurocognitive disorder due to probable Alzheimer’s disease,
With behavioral disturbance (code first G30.9 Alzheimer’s disease)
F02.81 Major neurocognitive disorder due to possible frontotemporal lobar
degeneration, With behavioral disturbance (code first G31.09
frontotemporal disease)
F02.81 Major neurocognitive disorder due to probable frontotemporal lobar
degeneration, With behavioral disturbance (code first G31.09
frontotemporal disease)
F02.81 Major neurocognitive disorder with possible Lewy bodies, With
behavioral disturbance (code first G31.83 Lewy body disease)
F02.81 Major neurocognitive disorder with probable Lewy bodies, With
behavioral disturbance (code first G31.83 Lewy body disease)
F02.81 Major neurocognitive disorder possibly due to Parkinson’s disease, With
behavioral disturbance (code first G20 Parkinson’s disease)
F02.81 Major neurocognitive disorder probably due to Parkinson’s disease,
With behavioral disturbance (code first G20 Parkinson’s disease)
F02.81 Major neurocognitive disorder due to prion disease, With behavioral
disturbance (code first A81.9 prion disease)
F02.81 Major neurocognitive disorder due to traumatic brain injury, With
behavioral disturbance (code first S06.2X9S diffuse traumatic brain
injury with loss of consciousness of unspecified duration, sequela)

DSM-5 Coding Update, page 22 of 22

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