DSM-5StudyGroupsDiagnostic Spectra and DSM/ICDHarmonizationSTEVEN E. HYMAN, M.D.Chair(2007-2012)William T.Carpenter Jr., M.DWilliam E.Narrow.M.D..M.P.HWilson M.Compton, M.D., M.P.E.Charles P. O'Brien, M.D., Ph.D.JanA.Fawcett,M.DJohn M. Oldham, M.D.Helena C.Kraemer,Ph.DKatharineA.Phillips,M.DDavid J. Kupfer, M.DDarrel A. Regier, M.D., M.P.H.LifespanDevelopmental ApproachesERICJ.LENZE, M.DChairSUSAN K. SCHULTZ, M.DChair EmeritusDANIELS.PINE,M.DChair EmeritusDan G. Blazer, M.D., Ph.D., M.P.H.Daniel T. Mamah, M.D., M.P.E.F. Xavier Castellanos, M.D.Andrew E. Skodol II, M.D.Wilson M.Compton, M.D., M.P.E.Susan E.Swedo,M.DGender and Cross-Cultural IssuesKIMBERLY A. YONKERS, M.DChairROBERTOLEWIS-FERNANDEZ,M.D.,M.T.S.Co-Chair,Cross-Cultural IssuesRenato D. Alarcon, M.D., M.P.H.Leslie C. Morey, Ph.D.William E. Narrow, M.D., M.P.H.DianaE.Clarke,Ph.D.,M.Sc.Roger Peele,M.D.JavierI.Escobar,M.D.,M.ScEllen Frank, Ph.D.Philip Wang,M.D., Dr.P.H.(2007-2012)James S. Jackson, Ph.DWilliam M. Womack, M.DSpiroM.Manson,Ph.D.(2007-2008)Kenneth.Zucker,Ph.DJames P. McNulty, A.B., Sc.B.Psychiatric/GeneralMedicalInterfaceLAWSON R. WULSIN, M.D.ChairRonald E. Dahl, M.DRichard E. Kreipe, M.D.Ronald C.Petersen, Ph.D., M.D.Joel E.Dimsdale, M.DJavier I. Escobar, M.D., M.Sc.Charles F. Reynolds III, M.D.Dilip V.Jeste,M.D.(2007-2011)Robert Taylor Segraves, M.D., Ph.DWalter E. Kaufmann, M.D.B. Timothy Walsh, M.D
DSM-5 Study Groups Diagnostic Spectra and DSM/ICD Harmonization Steven E. Hyman, M.D. Chair (2007-2012) William T. Carpenter Jr., M.D. William E. Narrow, M.D., M.P.H. Wilson M. Compton, M.D., M.P.E. Charles P. O'Brien, M.D., Ph.D. Jan A. Fawcett, M.D. John M. Oldham, M.D. Helena C. Kraemer, Ph.D. Katharine A. Phillips, M.D. David J. Kupfer, M.D. Darrel A. Regier, M.D., M.P.H. Lifespan Developmental Approaches Eric J. Lenze, M.D. Chair Susan K. Schultz, M.D. Chair Emeritus Daniel S. Pine, M.D. Chair Emeritus Dan G. Blazer, M.D., Ph.D., M.P.H. F. Xavier Castellanos, M.D. Wilson M. Compton, M.D., M.P.E. Daniel T. Mamah, M.D., M.P.E. Andrew E. Skodol II, M.D. Susan E. Swedo, M.D. Gender and Cross-Cultural Issues Kimberly A. Yonkers, M.D. Chair Roberto Lewis-Fernândez, M.D., M.T.S. Co-Chair, Cross-Cultural Issues Renato D. Alarcon, M.D., M.P.H. Diana E. Clarke, Ph.D., M.Sc. Javier I. Escobar, M.D., M.Sc. Ellen Frank, Ph.D. James S. Jackson, Ph.D. Spiro M. Manson, Ph.D. (2007-2008) James P. McNulty, A.B., Sc.B. Leslie C. Morey, Ph.D. William E. Narrow, M.D., M.P.H. Roger Peele, M.D. Philip Wang, M.D., Dr.P.H. (2007-2012) William M. Womack, M.D. Kermeth J. Zucker, Ph.D. Psychiatric/General Medical Interface Lawson R. Wulsin, M.D. Chair Ronald E. Dahl, M.D. Joel E. Dimsdale, M.D. Javier I. Escobar, M.D., M.Sc. Dilip V. Jeste, M.D. (2007-2011) Walter E. Kaufmann, M.D. Richard E. Kreipe, M.D. Ronald C. Petersen, Ph.D., M.D. Charles F. Reynolds III, M.D. Robert Taylor Segraves, M.D., Ph.D. B. Timothy Walsh, M.D
Impairment and DisabilityJANE S.PAULSEN,PH.DChairHans W.Hoek, M.D., Ph.D.J. Gavin Andrews, M.D.Glorisa Canino, Ph.D.Helena C. Kraemer, Ph.D.William E.Narrow,M.D.,M.P.H.Lee Anna Clark, Ph.D.David Shaffer, M.DDianaE.Clarke,Ph.D.,M.ScMichelle G. Craske, Ph.D.Diagnostic Assessment InstrumentsJACK D. BURKE JR., M.D., M.P.H.ChairLee Anna Clark, Ph.D.Helena C. Kraemer, Ph.DDiana E. Clarke, Ph.D., M.Sc.William E.Narrow, M.D., M.P.H.David Shaffer, M.DBridget F. Grant, Ph.D., Ph.DDSM-5ResearchGroupWILLIAM E.NARROW, M.D.,M.P.HChairJack D. Burke Jr., M.D., M.P.H.David J. Kupfer, M.DDiana E. Clarke, Ph.D., M.Sc.Darrel A. Regier, M.D., M.P.H.David Shaffer, M.D.Helena C. Kraemer, Ph.DCourseSpecifiersandGlossaryWOLFGANG GAEBEL, M.D.ChairEllen Frank, Ph.D.Dan J. Stein, M.D., Ph.D.Charles P.O'Brien, M.D., Ph.DEric A. Taylor, M.BNorman Sartorius, M.D.,Ph.D.,David J. Kupfer, M.DConsultantDarrel A. Regier, M.D., M.P.H.Susan K. Schultz, M.D
Impairment and Disability Jan e S. P au lsen , Ph.D. Chair J. Gavin Andrews, M.D. Glorisa Canino, Ph.D. Lee Anna Clark, Ph.D. Diana E. Clarke, Ph.D., M.Sc. Michelle G. Craske, Ph.D. Hans W. Hoek, M.D., Ph.D. Helena C. Kraemer, Ph.D. William E. Narrow, M.D., M.P.H. David Shaffer, M.D. Diagnostic Assessment Instruments Jack D. Burke Jr., M.D., M.P.H. Chair Lee Anna Clark, Ph.D. Diana E. Clarke, Ph.D., M.Sc. Bridget F. Grant, Ph.D., Ph.D. Helena C. Kraemer, Ph.D. William E. Narrow, M.D., M.P.H. David Shaffer, M.D. DSM-5 Research Group William E. Narrow, M.D., M.P.H. Chair Jack D. Burke Jr., M.D., M.P.H. Diana E. Clarke, Ph.D., M.Sc. Helena C. Kraemer, Ph.D. David J. Kupfer, M.D. Darrel A. Regier, M.D., M.P.H. David Shaffer, M.D. Course Specifiers and Glossary Wolfgang Gaebel, M.D. Chair Ellen Frank, Ph.D. Charles P. O'Brien, M.D., Ph.D. Norman Sartorius, M.D., Ph.D., Consultant Susan K. Schultz, M.D. Dan J. Stein, M.D., Ph.D. Eric A. Taylor, M.B. David J. Kupfer, M.D. Darrel A. Regier, M.D., M.P.H
DSM-5ClassificationBeforeeachdisordername,ICD-9-CMcodesareprovided,followedbyICD-10-CMcodesin parentheses.Blank lines indicate that either the ICD-9-CM orthe ICD-10-CM code isnotapplicable.For some disorders,the code can be indicated onlyaccordingtothe subtype orspecifierICD-9-CM codes are to be used for coding purposes in the United States through Sep-tember30,2014.ICD-10-CMcodesare tobe used startingOctober1,2014.Following chapter titles and disorder names,page numbers for the correspondingtextor criteria are included in parentheses.Noteforall mental disordersduetoanothermedical condition:Indicatethenameoftheothermedical conditioninthenameofthemental disorderdueto[themedical condi-tionl.Thecodeandnamefortheothermedicalconditionshouldbelistedfirstimmedi-atelybeforethementaldisorderduetothemedicalcondition.NeurodevelopmentalDisorders(31)IntellectualDisabilities(33)319Intellectual Disability (IntellectualDevelopmental Disorder)(33)Specify current severity:(F70)Mild(F71)Moderate(F72)Severe(F73)Profound315.8 (F88)Global Developmental Delay (41)319(F79)Unspecified IntellectualDisability (Intellectual DevelopmentalDisorder) (41)CommunicationDisorders(41)315.39 (F80.9)LanguageDisorder (42)315.39(F80.0)Speech Sound Disorder (44)315.35 (F80.81)Childhood-OnsetFluencyDisorder(Stuttering)(45)Note: Later-onset cases are diagnosed as 307.0 (F98.5) adult-onset fluencydisorder.315.39 (F80.89)Social (Pragmatic)CommunicationDisorder (47)307.9(F80.9)UnspecifiedCommunicationDisorder (49)xili
Before each disorder name, ICD-9-CM codes are provided, followed by ICD-IO-CM codes in parentheses. Blank lines indicate that either the ICD-9-CM or the ICD-IO-CM code is not applicable. For some disorders, the code can be indicated only according to the subtype or specifier. ICD-9-CM codes are to be used for coding purposes in the United States through September 30,2014. ICD-IO-CM codes are to be used starting October 1,2014. Following chapter titles and disorder names, page numbers for the corresponding text or criteria are included in parentheses. Note for all mental disorders due to another medical condition: Indicate the name of the other medical condition in the name of the mental disorder due to [the medical condition]. The code and name for the other medical condition should be listed first immediately before the mental disorder due to the medical condition. Neurodevelopmental Disorders (31) Intellectual Disabilities (33) 319 (_._) Intellectual Disability (Intellectual Developmental Disorder) (33) Specify current severity; (F70) Mild (F71) Moderate (F72) Severe (F73) Profound 315.8 (F88) Global Developmental Delay (41) 319 (F79) Unspecified Intellectual Disability (Intellectual Developmental Disorder) (41) Communication Disorders (41) 315.39 (F80.9) Language Disorder (42) 315.39 (F80.0) Speech Sound Disorder (44) 315.35 (F80.81) Childhood-Onset Fluency Disorder (Stuttering) (45) Note: Later-onset cases are diagnosed as 307.0 (F98.5) adult-onset fluency disorder. 315.39 (F80.89) Social (Pragmatic) Communication Disorder (47) 307.9 (F80.9) Unspecified Communication Disorder (49)
xivDSM-5ClassificationAutismSpectrumDisorder(50)299.00 (F84.0)AutismSpectrumDisorder(50)Specify if: Associated with a known medical orgenetic condition or envi-ronmental factor; Associated with another neurodevelopmental, mental, or behavioral disorderSpecify current severity for Criterion A and Criterion B: Requiring verysubstantial support, Requiring substantial support, Requiring supportSpecify if: With or without accompanying intellectual impairment, Withor without accompanying language impairment, With catatonia (useadditional code293.89 [F06.1])Attention-Deficit/HyperactivityDisorder(59)Attention-Deficit/HyperactivityDisorder (59)：Specify whether:314.01 (F90.2)Combined presentation314.00 (F90.0)Predominantly inattentivepresentation314.01 (F90.1)Predominantlyhyperactive/impulsivepresentationSpecify if: In partial remissionSpecify current severity: Mild, Moderate, Severe314.01 (F90.8)Other SpecifiedAttention-Deficit/HyperactivityDisorder (65)314.01 (F90.9)UnspecifiedAttention-Deficit/HyperactivityDisorder (66)SpecificLearning Disorder (66)Specific Learning Disorder (66)Specify if:315.00 (F81.0)With impairment in reading (specifyif with word readingaccuracy,readingrateorfluency,readingcomprehension)315.2 (F81.81)With impairment inwritten expression(specify ifwithspellingaccuracy,grammarand punctuation accuracy,clarity ororganization of writtenexpression)315.1 (F81.2)Withimpairment inmathematics (specifyif with number sense,memorizationofarithmeticfacts,accurateorfluentcalculation,accuratemathreasoning)Specify current severity: Mild, Moderate, SevereMotorDisorders (74)315.4 (F82)Developmental CoordinationDisorder (74)307.3(F98.4)Stereotypic MovementDisorder(77)Specify if:With self-injurious behavior,Without self-injurious behaviorSpecify if: Associated with a known medical or genetic condition, neurodevelopmental disorder,orenvironmental factorSpecify current severity: Mild, Moderate, SevereTicDisorders307.23(F95.2)Tourette's Disorder (81)307.22 (F95.1)Persistent (Chronic) Motor orVocal TicDisorder (81)Specify if:With motor tics only,With vocal tics only
Autism Spectrum Disorder (50) 299.00 (F84.0) Autism Spectrum Disorder (50) Specify if: Associated with a known medical or genetic condition or environmental factor; Associated with another neurodevelopmental, mental, or behavioral disorder Specify current severity for Criterion A and Criterion B: Requiring very substantial support. Requiring substantial support. Requiring support Specify if: With or without accompanying intellectual impairment. With or without accompanying language impairment. With catatonia (use additional code 293.89 [F06.1]) Attention-Deficit/Hyperactivity Disorder (59) _._ (_ ._) Attention-Deficit/Hyperactivity Disorder (59) Specify whether: 314.01 (F90.2) Combined presentation 314.00 (F90.0) Predominantly inattentive presentation 314.01 (F90.1) Predominantly hyperactive/impulsive presentation Specify if: In partial remission Specify current severity: Mild, Moderate, Severe 314.01 (F90.8) Other Specified Attention-Deficit/Hyperactivity Disorder (65) 314.01 (F90.9) Unspecified Attention-Deficit/Hyperactivity Disorder (66) Specific Learning Disorder (66) _._ (_._) Specific Learning Disorder (66) Specify if: 315.00 (F81.0) With impairment in reading {specify if with word reading accuracy, reading rate or fluency, reading comprehension) 315.2 (F81.81 ) With impairment in written expression {specify if with spelling accuracy, grammar and punctuation accuracy, clarity or organization of written expression) 315.1 (F81.2) With impairment in mathematics {specify if with number sense, memorization of arithmetic facts, accurate or fluent calculation, accurate math reasoning) Specify current severity: Mild, Moderate, Severe Motor Disorders (74) 315.4 (F82) Developmental Coordination Disorder (74) 307.3 (F98.4) Stereotypic Movement Disorder (77) Specify if: With self-injurious behavior. Without self-injurious behavior Specify if: Associated with a known medical or genetic condition, neurodevelopmental disorder, or environmental factor Specify current severity: Mild, Moderate, Severe Tic Disorders 307.23 (F95.2) Tourette's Disorder (81) 307.22 (F95.1) Persistent (Chronic) Motor or Vocal Tic Disorder (81) Specify if: With motor tics only. With vocal tics only
xvDSM-5Classification307.21 (F95.0)Provisional TicDisorder(81)307.20(F95.8)、OtherSpecifiedTicDisorder(85)307.20 (F95.9)Unspecified TicDisorder (85)OtherNeurodevelopmentalDisorders(86)315.8 (F88)OtherSpecifiedNeurodevelopmentalDisorder (86)315.9 (F89)Unspecified Neurodevelopmental Disorder (86)SchizophreniaSpectrumandOtherPsychoticDisorders(87)The following specifiers apply to Schizophrenia Spectrum and Other Psychotic Disorderswhere indicated:aSpecify if:Thefollowing coursespecifiersareonlytobeused aftera 1-yearduration of thedis-order:Firstepisode,currentlyin acuteepisode;Firstepisode,currentlyinpartial remissionFirst episode,currently in full remission; Multipleepisodes,currently in acute episode; Mul-tiple episodes, currently in partial remission; Multiple episodes, currently in full remission;Continuous; UnspecifiedbSpecify if: With catatonia (use additional code 293.89 [F06.1])cSpecify current severity of delusions,hallucinations, disorganized speech,abnormal psychomotorbehavior,negativesymptoms,impairedcognition,depression,andmania symptoms301.22 (F21)Schizotypal (Personality)Disorder (90)297.1(F22)Delusional Disordera, (90)Specify whether:Erotomanictype,Grandiose type,Jealous type, Persecutory type, Somatic type, Mixed type, Unspecified typeSpecify if:With bizarre contentBrief Psychotic Disorderb, (94)298.8 (F23)Specify if: With marked stressor(s), Without marked stressor(s), Withpostpartum onsetSchizophreniform Disorderb.c (96)295.40 (F20.81)Specify if:With good prognostic features,Without good prognostic fea-turesSchizophrenia,b,c (99)295.90 (F20.9)Schizoaffective Disordera, b, c (105)(.)Specify whether:295.70 (F25.0)Bipolar type295.70 (F25.1)Depressive typeSubstance/Medication-InducedPsychoticDisorder(110)（)Note: See the criteria set and corresponding recording procedures forsubstance-specific codes and ICD-9-CM and ICD-10-CM codingSpecify if:With onset during intoxication, With onset during withdrawalPsychoticDisorderDue toAnother Medical Condition(115)Specify whether:293.81 (F06.2)Withdelusions293.82 (F06.0)With hallucinations
307.21 (F95.0) Provisional Tic Disorder (81) 307.20 (F95.8), Other Specified Tic Disorder (85) 307.20 (F95.9) Urispecified Tic Disorder (85) Other Neurodevelopmental Disorders (86) 315.8 (FSB) Other Specified Neurodevelopmental Disorder (86) 315.9 (F89) Unspecified Neurodevelopmental Disorder (86) Schizophrenia Spectrum and Other Psychotic Disorders (87) The following specifiers apply to Schizophrenia Spectrum and Other Psychotic Disorders where indicated: ^Specify if: The following course specifiers are only to be used after a 1-year duration of the disorder: First episode, currently in acute episode; First episode, currently in partial remission; First episode, currently in full remission; Multiple episodes, currently in acute episode; Multiple episodes, currently in partial remission; Multiple episodes, currently in full remission; Continuous; Unspecified ^Specify if: With catatonia (use additional code 293.89 [F06.1]) ^Specify current severity of delusions, hallucinations, disorganized speech, abnormal psychomotor behavior, negative symptoms, impaired cognition, depression, and mania symptoms 301.22 (F21) 297.1 (F22) 298.8 (F23) 295.40 (F20.81) 295.90 (F20.9) 295.70 (F25.0) 295.70 (F25.1) 293.81 (F06.2) 293.82 (F06.0) Schizotypal (Personality) Disorder (90) Delusional Disorder^' ^ (90) Specify whether: Erotomanie type. Grandiose type. Jealous type. Persecutory type. Somatic type. Mixed type. Unspecified type Specify if: With bizarre content Brief Psychotic Disorder^' ^ (94) Specify if: With marked stressor(s). Without marked stressor(s). With postpartum onset Schizophreniform Disorder^' ^ (96) Specify if: With good prognostic features. Without good prognostic features Schizophrenia^' ^ (99) Schizoaffective Disorder^' ^ (105) Specify whether: Bipolar type Depressive type Substance/Medication-Induced Psychotic Disorder^ (110) Note: See the criteria set and corresponding recording procedures for substance-specific codes and ICD-9-CM and ICD-IO-CM coding. Specify if: With onset during intoxication. With onset during withdrawal Psychotic Disorder Due to Another Medical Condition^ (115) Specify whether: With delusions With hallucinations