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October 2018 DSM-5 Update

DSM-5 Codes Changes in 2018

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
  • Z03.89: No Diagnosis or Condition
To learn more about these DSM-5 coding changes, check out this press release from the APA. TheraNest is ready for this update—starting October 1, 2018, these new codes will be available and ready to use in your TheraNest account. Don’t use TheraNest? Start a free 21-day trial to see how we can help you build a better, more streamlined practice!

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