DSM-IV codes

DSM-IV Codes are the classification found in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR, a manual published by the American Psychiatric Association (APA) that includes all currently recognized mental health disorders. The DSM-IV codes are thus used by mental health professionals to describe the features of a given mental disorder and indicate how the disorder can be distinguished from other, similar problems.^[1]

The coding system utilized by the DSM-IV is designed to correspond with codes from the International Classification of Diseases, commonly referred to as the ICD. Since early versions of the DSM did not correlate with ICD codes and updates of the publications for the ICD and the DSM are not simultaneous, some distinctions in the coding systems may still be present. For this reason, it is recommended that users of these manuals consult the appropriate reference when accessing diagnostic codes

Note that NOS is an abbreviation for Not Otherwise Specified, indicating a cluster of symptoms that do not clearly fit in any single diagnostic category. NOS is often a provisional diagnosis pending additional information or testing.

For an alphabetical list, see DSM-IV Codes (alphabetical).

Disorders usually first diagnosed in infancy, childhood, or adolescence

Mental retardation

317 Mild mental retardation
318.0 Moderate mental retardation
318.1 Severe mental retardation
318.2 Profound mental retardation
319 Mental retardation; severity unspecified

Learning disorders

Attention-deficit and disruptive behavior disorders

Attention-Deficit Hyperactivity Disorder
- 314.01 Combined subtype
- 314.01 Predominantly hyperactive-impulsive subtype
- 314.00 Predominantly inattentive subtype
- 314.9 Attention-Deficit Hyperactivity Disorder NOS
Conduct disorder
- 312.81 Childhood onset
- 312.82 Adolescent onset
- 312.89 Unspecified onset
313.81 Oppositional Defiant Disorder
312.9 Disruptive Behavior Disorder NOS

Feeding and eating disorders of infancy or early childhood

307.52 Pica
307.53 Rumination disorder
307.59 Feeding disorder of infancy or early childhood

Tic disorders

307.23 Tourette’s Disorder
307.22 Chronic motor or vocal tic disorder
307.21 Transient tic disorder
307.20 Tic disorder NOS

Elimination disorders

307.6 Enuresis (not due to a general medical condition)
307.7 Encopresis, without constipation and overflow incontinence
787.6 Encopresis, with constipation and overflow incontinence

Other disorders of infancy, childhood, or adolescence

309.21 Separation anxiety disorder
313.23 Selective mutism
313.89 Reactive attachment disorder of infancy or early childhood
307.3 Stereotypic movement disorder
313.9 Disorder of infancy, childhood, or adolescence NOS

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Delirium, dementia, and amnestic and other cognitive disorders

Delirium

293.0 Delirium due to... [indicate the general medical condition]
780.09 Delirium NOS

Dementia

Dementia of the Alzheimer’s Type, with early onset
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia of the Alzheimer’s Type, with late onset
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Vascular dementia
- 290.40 Uncomplicated
- 290.41 With delirium
- 290.42 With delusions
- 290.43 With depressed mood
Dementia due to HIV disease
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia due to head trauma
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia due to Parkinson's disease
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia due to Huntington's disease
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia due to Pick’s disease
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia due to Creutzfeldt-Jakob Disease
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
Dementia due to... [indicate other general medical condition]
- 294.10 Without behavioral disturbance
- 294.11 With behavioral disturbance
294.8 Dementia NOS

Amnestic disorders

294.0 Amnestic disorder due to... [indicate the general medical condition]
294.8 Amnestic disorder NOS

Other cognitive disorders

294.9 Cognitive disorder NOS

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Mental disorders due to a general medical condition not elsewhere classified

293.89 Catatonic disorder due to... [indicate the general medical condition]
310.1 Personality change due to... [indicate the general medical condition]
- (Subtypes: Labile, Disinhibited, Aggressive, Apathetic, Paranoid, Other, Combined, Unspecified)
293.9 Mental disorder NOS due to... [indicate the general medical condition]

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Substance-related disorders

Alcohol-related disorders

Alcohol
- 305.00 Abuse
- 303.90 Dependence
- 291.89 -Induced anxiety disorder
- 291.89 -Induced mood disorder
- 291.1 -Induced persisting amnestic disorder
- 291.2 -Induced persisting dementia
- 291.5 -Induced psychotic disorder, with delusions
- 291.3 -Induced psychotic disorder, with hallucinations
- 291.89 -Induced sexual dysfunction
- 291.89 -Induced sleep disorder
- 303.00 Intoxication
- 291.0 Intoxication delirium
- 291.9 -Related disorder NOS
- 291.81 Withdrawal
- 291.0 Withdrawal delirium

Amphetamine (or amphetamine-like) related disorders

Amphetamine (or amphetamine-like)
- 305.70 Abuse
- 304.40 Dependence
- 292.89 -Induced anxiety disorder
- 292.84 -Induced mood disorder
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 -Induced sexual dysfunction
- 292.89 -Induced sleep disorder
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS
- 292.0 Withdrawal

Caffeine-related disorders

Caffeine
- 292.89 -Induced anxiety disorder
- 292.89 -Induced sleep disorder
- 305.90 Intoxication
- 292.9 -Related disorder NOS

Cannabis-related disorders

Cannabis
- 305.20 Abuse
- 304.30 Dependence
- 292.89 -Induced anxiety disorder
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS

Cocaine-related disorders

Cocaine
- 305.60 Abuse
- 304.20 Dependence
- 292.89 -Induced anxiety disorder
- 292.84 -Induced mood disorder
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 -Induced sexual dysfunction
- 292.89 -Induced sleep disorder
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS
- 292.0 Withdrawal

Hallucinogen-related disorders

Hallucinogen
- 305.30 Abuse
- 304.50 Dependence
- 292.89 -Induced anxiety disorder
- 292.84 -Induced mood disorder
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.89 -persisting perception disorder
- 292.9 -Related disorder NOS

Inhalant-related disorders

Inhalant
- 305.90 Abuse
- 304.60 Dependence
- 292.89 -Induced anxiety disorder
- 292.84 -Induced mood disorder
- 292.82 -Induced persisting dementia
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS

Nicotine-related disorders

Nicotine
- 305.1 Dependence
- 292.9 -Related disorder NOS
- 292.0 Withdrawal

Opioid-related disorders

Opioid
- 305.50 Abuse
- 304.00 Dependence
- 292.84 -Induced mood disorder
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 -Induced sexual dysfunction
- 292.89 -Induced sleep disorder
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS
- 292.0 Withdrawal

Phencyclidine (or phencyclidine-like) related disorders

Phencyclidine (or phencyclidine-like)
- 305.90 Abuse
- 304.60 Dependence
- 292.89 -Induced anxiety disorder
- 292.84 -Induced mood disorder
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS

Sedative-, hypnotic-, or anxiolytic-related disorders

Sedative, hypnotic, or anxiolytic
- 305.40 Abuse
- 304.10 Dependence
- 292.89 -Induced anxiety disorder
- 292.84 -Induced mood disorder
- 292.83 -Induced persisting amnestic disorder
- 292.82 -Induced persisting dementia
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 -Induced sexual dysfunction
- 292.89 -Induced sleep disorder
- 292.89 Intoxication
- 292.81 Intoxication delirium
- 292.9 -Related disorder NOS
- 292.0 Withdrawal
- 292.81 Withdrawal delirium

Polysubstance-related disorder

304.80 Polysubstance dependence

Other (or unknown) substance-related disorder

Other (or unknown) substance
- 305.90 Abuse
- 304.90 Dependence
- 292.89 -Induced anxiety disorder
- 292.81 -Induced delirium
- 292.84 -Induced mood disorder
- 292.83 -Induced persisting amnestic disorder
- 292.82 -Induced persisting dementia
- 292.11 -Induced psychotic disorder, with delusions
- 292.12 -Induced psychotic disorder, with hallucinations
- 292.89 -Induced sexual dysfunction
- 292.89 -Induced sleep disorder
- 292.89 Intoxication
- 292.9 -Related disorder NOS
- 292.0 Withdrawal
- 293.0 Delirium Due to ... [Indicate the General Medical Condition]

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Schizophrenia and other psychotic disorders

Schizophrenia
- 295.20 Catatonic type
- 295.10 Disorganized type
- 295.30 Paranoid type
- 295.60 Residual type
- 295.90 Undifferentiated type
295.40 Schizophreniform disorder
295.70 Schizoaffective disorder
297.1 Delusional disorder
- Erotomanic subtype
- Grandiose subtype
- Jealous subtype
- Persecutory subtype
- Somatic subtype
- Mixed type
298.8 Brief psychotic disorder
297.3 Shared psychotic disorder
Psychotic disorder due to... [indicate the general medical condition]
- 293.81 With delusions
- 293.82 With hallucinations
298.9 Psychotic disorder NOS

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Mood disorders

293.83 Mood Disorder Due to...[Indicate the General Medical Condition]

296.90 Mood Disorder NOS

Depressive disorders

300.4 Dysthymic disorder
Major depressive disorder
- Major depressive disorder, recurrent
  - 296.36 In full remission
  - 296.35 In partial remission
  - 296.31 Mild
  - 296.32 Moderate
  - 296.33 Severe without psychotic features
  - 296.34 Severe with psychotic features
  - 296.30 Unspecified
- Major depressive disorder, single episode
  - 296.26 In full remission
  - 296.25 In partial remission
  - 296.21 Mild
  - 296.22 Moderate
  - 296.23 Severe without psychotic features
  - 296.24 Severe with psychotic features
  - 296.20 Unspecified
311 Depressive disorder NOS

Bipolar disorders

Bipolar disorders
- 296.80 Bipolar disorder NOS
- Bipolar I disorder, most recent episode depressed
  - 296.56 In full remission
  - 296.55 In partial remission
  - 296.51 Mild
  - 296.52 Moderate
  - 296.53 Severe without psychotic features
  - 296.54 Severe with psychotic features
  - 296.50 Unspecified
- 296.40 Bipolar I disorder, most recent episode hypomanic
- Bipolar I disorder, most recent episode manic
  - 296.46 In full remission
  - 296.45 In partial remission
  - 296.41 Mild
  - 296.42 Moderate
  - 296.43 Severe without psychotic features
  - 296.44 Severe with psychotic features
  - 296.40 Unspecified
- Bipolar I disorder, most recent episode mixed
  - 296.66 In full remission
  - 296.65 In partial remission
  - 296.61 Mild
  - 296.62 Moderate
  - 296.63 Severe without psychotic features
  - 296.64 Severe with psychotic features
  - 296.60 Unspecified
- 296.7 Bipolar I disorder, most recent episode unspecified
- Bipolar I disorder, single manic episode
  - 296.06 In full remission
  - 296.05 In partial remission
  - 296.01 Mild
  - 296.02 Moderate
  - 296.03 Severe without psychotic features
  - 296.04 Severe with psychotic features
  - 296.00 Unspecified
- 296.89 Bipolar II disorder
301.13 Cyclothymic disorder
293.83 Mood disorder due to... [indicate the general medical condition]
296.90 Mood disorder NOS

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Anxiety disorders

300.02 Generalized anxiety disorder
Panic disorder
- 300.21 With agoraphobia
- 300.01 Without agoraphobia
300.22 Agoraphobia without history of panic disorder
300.29 Specific phobia
300.23 Social phobia
300.3 Obsessive-compulsive disorder
309.81 Posttraumatic stress disorder
308.3 Acute stress disorder
- 293.84 Anxiety disorder due to a general medical condition
- 293.89 Anxiety disorder due to... [indicate the general medical condition]
- 300.00 Anxiety disorder NOS

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Somatoform disorders

300.81 Somatization disorder
300.82 Undifferentiated somatoform disorder
300.11 Conversion disorder
Pain disorder
- 307.89 Associated with both psychological factors and a general medical condition
- 307.80 Associated with psychological factors
300.7 Hypochondriasis
300.7 Body dysmorphic disorder
300.82 Somatoform disorder NOS

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Factitious disorders

Factitious disorder
- 300.19 With combined psychological and physical signs and symptoms
- 300.19 With predominantly physical signs and symptoms
- 300.16 With predominantly psychological signs and symptoms
- 300.19 Factitious disorder NOS

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Dissociative disorders

300.6 Depersonalization disorder
300.12 Dissociative amnesia
300.14 Dissociative identity disorder
300.15 Dissociative disorder not otherwise specified

Sexual and gender identity disorders

Sexual dysfunctions

625.8 Female hypoactive sexual desire disorder due to... [indicate the general medical condition]
608.89 Male hypoactive sexual desire disorder due to... [indicate the general medical condition]
302.71 Hypoactive sexual desire disorder
302.79 Sexual aversion disorder
302.72 Female sexual arousal disorder
302.72 Male erectile disorder
607.84 Male erectile disorder due to... [indicate the general medical condition]
302.73 Female orgasmic disorder
302.74 Male orgasmic disorder
302.75 Premature ejaculation
302.76 Dyspareunia (not due to a general medical condition)
625.0 Female dyspareunia due to... [indicate the general medical condition]
608.89 Male dyspareunia due to... [indicate the general medical condition]
306.51 Vaginismus (not due to a general medical condition)
625.8 Other female sexual dysfunction due to... [indicate the general medical condition]
608.89 Other male sexual dysfunction due to... [indicate the general medical condition]
302.70 Sexual dysfunction NOS

Paraphilias

Gender identity disorders

Gender identity disorder
- 302.85 In adolescents or adults
- 302.6 In children
- 302.6 Gender identity disorder NOS
302.9 Sexual disorder NOS

Eating disorders

307.1 Anorexia nervosa
307.51 Bulimia nervosa
307.50 Eating disorder not otherwise specified (EDNOS)

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Sleep disorders

Primary sleep disorders

307.44 Primary hypersomnia
307.42 Primary insomnia
347 Narcolepsy
780.59 Breathing-related sleep disorder
307.45 Circadian rhythm sleep disorder
307.47 Dyssomnia NOS
327.03 Insomnia Related to Mood Disorder (ICD 9)

Parasomnias

307.47 Nightmare disorder
307.46 Sleep terror disorder
307.46 Sleepwalking disorder
307.47 Parasomnia NOS

Other sleep disorders

Sleep disorder
- Sleep disorder due to... [indicate the general medical condition]
- 780.54 Hypersomnia type
- 780.52 Insomnia type
- 780.59 Mixed type
- 780.59 Parasomnia type
307.42 Insomnia related to... [indicate the Axis I or Axis II disorder]
307.44 Hypersomnia related to... [indicate the Axis I or Axis II disorder]

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Impulse-Control Disorders Not Elsewhere Classified

312.34 Intermittent Explosive Disorder
312.32 Kleptomania
312.31 Pathological Gambling
312.33 Pyromania
312.39 Trichotillomania
312.30 Impulse-Control Disorder NOS

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Adjustment disorders

Adjustment disorders
- 309.9 Unspecified
- 309.24 With anxiety
- 309.0 With depressed mood
- 309.3 With disturbance of conduct
- 309.28 With mixed anxiety and depressed mood
- 309.4 With mixed disturbance of emotions and conduct

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Personality disorders (Axis II)

Cluster A (odd or eccentric)

Cluster B (dramatic, emotional, or erratic)

301.7 Antisocial personality disorder
301.83 Borderline personality disorder
301.50 Histrionic personality disorder
301.81 Narcissistic personality disorder

Cluster C (anxious or fearful)

301.82 Avoidant personality disorder
301.6 Dependent personality disorder
301.4 Obsessive-compulsive personality disorder

NOS

301.9 Personality disorder not otherwise specified

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Additional codes

V62.3 Academic problem
V62.4 Acculturation problem
995.2 Adverse effects of medication NOS
780.9 Age-related cognitive decline
Antisocial behavior
- V71.01 Adult antisocial behavior
- V71.02 Child or adolescent antisocial behavior
V62.82 Bereavement
V62.89 Borderline intellectual functioning
313.82 Identity problem
Medication-induced
Movement disorder
- 333.90 Movement disorder NOS
- 333.1 Postural tremor
Neglect of child
- V61.21 Neglect of child
- 995.5 Neglect of child (if focus of attention is on victim)
Neuroleptic-induced
- 333.99 Acute akathisia
- 333.7 Acute dystonia
- 332.1 Parkinsonism
- 333.82 Tardive dyskinesia
- 333.92 Neuroleptic malignant syndrome
V71.09 No diagnosis on Axis II
V71.09 No diagnosis or condition on Axis I
V15.81 Noncompliance with treatment
V62.2 Occupational problem
V61.20 Parent-child relational problem
V61.10 Partner relational problem
V62.89 Phase of life problem
Physical abuse
- V61.1 Physical abuse of adult
- 995.81 Physical abuse of adult (if focus of attention is on victim)
- V61.21 Physical abuse of child
- 995.5 Physical abuse of child (if focus of attention is on victim)
316 Psychological factors affecting medical condition
Relational problem
- V62.81 Relational problem NOS
- V61.9 Relational problem related to a mental disorder or general medical condition
V62.89 Religious or spiritual problem
V61.1 Sexual abuse of adult
995.83 Sexual abuse of adult (if focus of attention is on victim)
V61.21 Sexual abuse of child
995.53 Sexual abuse of child (if focus of attention is on victim)
V61.8 Sibling relational problem
300.9 Unspecified mental disorder (nonpsychotic)
799.9 Diagnosis deferred on Axis II
799.9 Diagnosis or condition deferred on Axis I
V65.2 Malingering

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References

↑ Schacter, Gilbert, Wegner (2011)Psychology (2nd Edition), page 552, Worth Publishers

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