The National Center for Health Statistics (NCHS), a federal agency within the Centers for Disease Control and Prevention (CDC) that oversees the ICD-10-CM, has released the 2019 updates to the ICD-10 codes. A total of 473 changes have taken place. There are 279 new codes, 143 revised codes, and 51 deactivated codes. You can view all of the code changes here.Only a few of these 437 changes pertain to mental disorders. The American Psychiatry Association (APA) has released a short list of codes that impact the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These DSM-5 changes are included in the graphic below:Most notably there are several new and updated codes pertaining to withdrawal, a new “Factitious disorder” variation, and a new code, Z03.89, for “No diagnosis or condition.”These DSM-5 updates are active starting October 1, 2018. These means all sessions with dates of services on or after October 1, 2018, will need to use the following updated codes.
The Two DSM-5 Code Revisions:
F12.288 → F12.23: Cannabis Withdrawal, With moderate or severe use disorder
F68.10 → F68.A: Factitious Disorder Imposed on Another
The Eight New DSM-5 Codes:
F11.93: Opioid Withdrawal, Without use disorder
F12.93: Cannabis Withdrawal, Without use disorder
F13.931: Sedative, Hypnotic, or Anxiolytic Withdrawal Delirium, Without use disorder
F13.932: Sedative, Hypnotic, or Anxiolytic Withdrawal, With perceptual disturbances, Without use disorder
F13.939: Sedative, Hypnotic, or Anxiolytic Withdrawal, Without perceptual disturbances, Without use disorder
F15.93: Amphetamine or Other Stimulant Withdrawal, Without use disorder
F19.939: Other (or Unknown) Substance Withdrawal, Without use disorder