xxiDSM-5Classification316(F54)PsychologicalFactorsAffectingOtherMedicalConditions (322)Specify current severity: Mild, Moderate, Severe, Extreme300.19 (F68.10)Factitious Disorder (includes Factitious Disorder Imposed on Self,FactitiousDisorder Imposed onAnother)(324)Specify Singleepisode,Recurrent episodes300.89 (F45.8)OtherSpecifiedSomaticSymptomandRelatedDisorder (327)300.82 (F45.9)UnspecifiedSomaticSymptomandRelatedDisorder (327)FeedingandEatingDisorders(329)The following specifiers apply to Feeding and Eating Disorders where indicated:aSpecifyif:Inremissionbspecify if: In partial remission, In full remissioncSpecify current severity: Mild, Moderate, Severe, Extreme307.52(Picaa (329)(F98.3)In children(F50.8)In adults307.53 (F98.21)Rumination Disordera (332)307.59(F50.8)Avoidant/RestrictiveFood IntakeDisordera (334)Anorexia Nervosab, (338)307.1（)Specify whether:(F50.01)Restrictingtype(F50.02)Binge-eating/purging typeBulimia Nervosab, c (345)307.51 (F50.2)Binge-Eating Disorderb, C (350)307.51 (F50.8)307.59 (F50.8)Other SpecifiedFeeding or EatingDisorder (353)307.50 (F50.9)UnspecifiedFeedingor EatingDisorder (354)EliminationDisorders(355)307.6(F98.0)Enuresis (355)Specify whether: Nocturnal only,Diurnal only,Nocturnal and diurnal307.7(F98.1)Encopresis (357)Specify whether: With constipation and overflow incontinence, Withoutconstipation and overflowincontinence:OtherSpecifiedEliminationDisorder(359)T.788.39 (N39.498)With urinary symptoms787.60 (R15.9)Withfecal symptoms(UnspecifiedEliminationDisorder (360)788.30 (R32)With urinary symptoms787.60 (R15.9)Withfecal symptoms
316 (F54) 300.19 (F68.10) 300.89 (F45.8) 300.82 (F45.9) Psychological Factors Affecting Other Medical Conditions (322) Specify current severity: Mild, Moderate, Severe, Extreme Factitious Disorder (includes Factitious Disorder Imposed on Self, Factitious Disorder Imposed on Another) (324) Specify Single episode. Recurrent episodes Other Specified Somatic Symptom and Related Disorder (327) Unspecified Somatic Symptom and Related Disorder (327) Feeding and Eating Disorders (329) The following specifiers apply to Feeding and Eating Disorders where indicated: ^Specify if: In remission ^Specify if: In partial remission, In full remission ^Specify current severity: Mild, Moderate, Severe, Extreme 307.52 ( . ) Pica® (329) (F98.3) In children (F50.8) In adults 307.53 (F98.21) Rumination Disorder^ (332) 307.59 {F50.8) Avoidant/Restrictive Food Intake Disorder^ (334) 307.1 ( . ) Anorexia Nervosa^' ^ (338) Specify whether: (F50.01) Restricting type (F50.02) Binge-eating/purging type 307.51 (F50.2) Bulimia Nervosa^' ^ (345) 307.51 (F50.8) Binge-Eating Disorder^' ^ (350) 307.59 (F50.8) Other Specified Feeding or Eating Disorder (353) 307.50 (F50.9) Unspecified Feeding or Eating Disorder (354) Elimination Disorders (355) 307.6 (F98.0) Enuresis (355) Specify whether: Nocturnal only. Diurnal only. Nocturnal and diurnal 307.7 (F98.1) Encopresis (357) Specify whether: With constipation and overflow incontinence. Without constipation and overflow incontinence . ( _ . ) Other Specified Elimination Disorder (359) 788.39 (N39.498) With urinary symptoms 787.60 (R15.9) With fecal symptoms . ( . ) Unspecified Elimination Disorder (360) 788.30 (R32) With urinary symptoms 787.60 (R15.9) With fecal symptoms
xxiiDSM-5ClassificationSleep-WakeDisorders(361)The following specifiers apply to Sleep-Wake Disorders where indicated:aSpecify if:Episodic,Persistent,RecurrentbSpecify if:Acute, Subacute,PersistentcSpecify current severity: Mild, Moderate, Severe780.52 (G47.00)InsomniaDisordera (362)Specify if:With non-sleepdisordermental comorbidity,With othermedical comorbidity,Withother sleepdisorderHypersomnolence Disorderb, c (368)780.54(G47.10)Specify if: With mental disorder, With medical condition,With anothersleep disorderNarcolepsy (372):Specify whether:347.00 (G47.419)Narcolepsywithout cataplexybutwith hypocretindeficiency347.01 (G47.411)Narcolepsywithcataplexybutwithouthypocretindeficiency347.00 (G47.419)Autosomal dominantcerebellarataxia,deafness,andnarcolepsy347.00 (G47.419)Autosomal dominant narcolepsy,obesity,and type2diabetes347.10 (G47.429)Narcolepsy secondary to another medical conditionBreathing-RelatedSleepDisorders(378)327.23 (G47.33)ObstructiveSleepApneaHypopnea(378)CentralSleepApnea (383)(.)Specify whether:327.21 (G47.31)Idiopathic central sleep apnea786.04 (R06.3)Cheyne-Stokes breathing780.57 (G47.37)Central sleep apnea comorbid with opioid useNote: First code opioid use disorder,if present.Specify current severitySleep-Related Hypoventilation (387)(:Specify whether:327.24 (G47.34)Idiopathichypoventilation327.25 (G47.35)Congenital central alveolar hypoventilation327.26 (G47.36)Comorbid sleep-related hypoventilationSpecify current severityCircadianRhythm Sleep-WakeDisordersa (390)Specify whether:307.45 (G47.21)Delayed sleepphasetype (391)Specify if:Familial,Overlapping with non-24-hour sleep-wake type307.45 (G47.22)Advanced sleepphasetype(393)Specify if:Familial307.45 (G47.23)Irregular sleep-wake type (394)307.45 (G47.24)Non-24-hour sleep-waketype (396)
Sleep-Wake Disorders (361) The following specifiers apply to Sleep-Wake Disorders where indicated: ^Specify if: Episodic, Persistent, Recurrent ^Specify if: Acute, Subacute, Persistent ^Specify current severity: Mild, Moderate, Severe 780.52 (G47.00) Insomnia Disorder^ (362) Specify if: With non-sleep disorder mental comorbidity. With other medical comorbidity. With other sleep disorder Hypersoninolence Disorder^' ^ (368) Specify if: With mental disorder. With medical condition. With another sleep disorder Narcolepsy^ (372) Specify whether: Narcolepsy v^ithout cataplexy but with hypocretin deficiency Narcolepsy with cataplexy but without hypocretin deficiency Autosomal dominant cerebellar ataxia, deafness, and narcolepsy Autosomal dominant narcolepsy, obesity, and type 2 diabetes Narcolepsy secondary to another medical condition 780.54 (G47.10) 347.00 (G47.419) 347.01 (G47.411) 347.00 (G47.419) 347.00 (G47.419) 347.10 (G47.429) Breathing-Related Sleep Disorders (378) 327.23 (G47.33) Obstructive Sleep Apnea Hypopnea^ (378) 327.21 (G47.31) 786.04 (R06.3) 780.57 (G47.37) 327.24 (G47.34) 327.25 (G47.35) 327.26 (G47.36) 307.45 (G47.21) 307.45 (G47.22) 307.45 (G47.23) 307.45 (G47.24) Central Sleep Apnea (383) Specify whether: Idiopathic central sleep apnea Cheyne-Stokes breathing Central sleep apnea comorbid with opioid use Note: First code opioid use disorder, if present. Specify current severity Sleep-Related Hypoventilation (387) Specify whether: Idiopathic hypoventilation Congenital central alveolar hypoventilation Comorbid sleep-related hypoventilation Specify current severity Circadian Rhythm Sleep-Wake Disorders^ (390) Specify whether: Delayed sleep phase type (391) Specify if: Familial, Overlapping with non-24-hour sleep-wake type Advanced sleep phase type (393) Specify if: Familial Irregular sleep-wake type (394) Non-24-hour sleep-wake type (396)
DSM-5Classificationxxill307.45 (G47.26)Shift work type (397)307.45 (G47.20)Unspecified typeParasomnias (399)Non-RapidEyeMovement SleepArousal Disorders (399)-(.)Specify whether:307.46 (F51.3)SleepwalkingtypeSpecify if: With sleep-related eating, With sleep-related sexualbehavior (sexsomnia)307.46 (F51.4)Sleepterror typeNightmare Disorderb,c (404)307.47 (F51.5)Specify if:During sleep onsetSpecify if: With associated non-sleep disorder, With associated othermedical condition, With associated other sleep disorder327.42 (G47.52)RapidEyeMovement SleepBehaviorDisorder (407)333.94 (G25.81)Restless Legs Syndrome (410)Substance/Medication-Induced SleepDisorder (413).Note: See the criteria set and corresponding recording procedures forsubstance-specificcodes and ICD-9-CMand ICD-10-CMcoding.Specify whether: Insomnia type, Daytime sleepiness type, Parasomniatype, Mixed typeSpecify if:Withonset during intoxication,With onset during discontinuation/withdrawal780.52 (G47.09)OtherSpecifiedInsomniaDisorder(420)780.52 (G47.00)Unspecified Insomnia Disorder (420)780.54 (G47.19)Other SpecifiedHypersomnolenceDisorder (421)780.54 (G47.10)UnspecifiedHypersomnolenceDisorder (421)780.59 (G47.8)OtherSpecified Sleep-WakeDisorder(421)780.59 (G47.9)Unspecified Sleep-Wake Disorder (422)SexualDysfunctions(423)The following specifiers apply to Sexual Dysfunctions where indicated:aSpecifywhether:Lifelong,AcquiredbSpecify whether: Generalized,SituationalSpecify current severity:Mild,Moderate, SevereDelayed Ejaculationa,b, (424)302.74 (F52.32)Erectile Disordera, b,c (426)302.72 (F52.21)Female Orgasmic Disordera,b, (429)302.73(F52.31)Specify if: Never experienced an orgasm under any situationFemale Sexual Interest/ Arousal Disordera, b,c (433)302.72 (F52.22)302.76 (F52.6)Genito-Pelvic Pain/Penetration Disordera,(437)
307.45 (G47.26) 307.45 (G47.20) Parasomnias (399) Shift work type (397) Unspecified type 307.46 (F51.3) 307.46 (F51.4) 307.47 (F51.5) 327.42 (G47.52) 333.94 (025.81) ( _ . _ ) 780.52 (G47.09) 780.52 (G47.00) 780.54 (G47.19) 780.54 (G47.10) 780.59 (G47.8) 780.59 (G47.9) Non-Rapid Eye Movement Sleep Arousal Disorders (399) Specify whether: Sleepwalking type Specify if: With sleep-related eating. With sleep-related sexual behavior (sexsomnia) Sleep terror type Nightmare Disorder^' ^ (404) Specify if: During sleep onset Specify if: With associated non-sleep disorder. With associated other medical condition. With associated other sleep disorder Rapid Eye Movement Sleep Behavior Disorder (407) Restless Legs Syndrome (410) Substance/Medication-Induced Sleep Disorder (413) Note: See the criteria set and corresponding recording procedures for substance-specific codes and ICD-9-CM and ICD-IO-CM coding. Specify whether: Insomnia type. Daytime sleepiness type, Parasomnia type. Mixed type Specify if: With onset during intoxication. With onset during discontinuation/withdrawal Other Specified Insomnia Disorder (420) Unspecified Insonmia Disorder (420) Other Specified Hypersomnolence Disorder (421) Unspecified Hypersomnolence Disorder (421) Other Specified Sleep-Wake Disorder (421) Unspecified Sleep-Wake Disorder (422) Sexual Dysfunctions (423) The following specifiers apply to Sexual Dysfunctions where indicated: ^Specify whether: Lifelong, Acquired ^Specify whether: Generalized, Situational ^Specify current severity: Mild, Moderate, Severe 302.74 (F52.32) Delayed Ejaculation®' ^ (424) Erectile Disorder®' (426) Female Orgasmic Disorder®' *^' (429) Specify if: Never experienced an orgasm under any situation Female Sexual Interest/Arousal Disorder®' (433) Genito-Pelvic Pain/Penetration Disorder®' ^ (437) 302.72 (F52.21) 302.73 (F52.31) 302.72 (F52.22) 302.76 (F52.6)
xxivDSM-5ClassificationMale Hypoactive Sexual Desire Disordera, b,c (440)302.71 (F52.0)Premature (Early) Ejaculationa, b, (443)302.75 (F52.4)Substance/Medication-Induced SexualDysfunction(446)()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 withdrawal,With onset after medication use302.79 (F52.8)OtherSpecifiedSexualDysfunction (450)302.70 (F52.9)Unspecified SexualDysfunction (450)GenderDysphoria (451)心Gender Dysphoria (452)302.6(F64.2)Gender Dysphoria in ChildrenSpecify if:With a disorder of sex development302.85 (F64.1)Gender Dysphoria in Adolescents and AdultsSpecify if: With a disorder of sex developmentSpecify if:PosttransitionNote:Code the disorder of sex development if present, in addition togender dysphoria.302.6(F64.8)Other Specified GenderDysphoria (459)302.6(F64.9)Unspecified GenderDysphoria (459)Disruptive,Impulse-Control, and Conduct Disorders (461)313.81 (F91.3)Oppositional Defiant Disorder (462)Specify current severity: Mild, Moderate, Severe312.34 (F63.81)IntermittentExplosiveDisorder (466)LLConductDisorder (469)Specify whether:312.81 (F91.1)Childhood-onsettype312.32 (F91.2)Adolescent-onset type312.89(F91.9)Unspecified onsetSpecify if:With limited prosocial emotionsSpecify current severity: Mild, Moderate, Severe301.7(F60.2)Antisocial PersonalityDisorder (476)312.33 (F63.1)Pyromania (476)312.32 (F63.3)Kleptomania (478)312.89 (F91.8)OtherSpecifiedDisruptive,Impulse-Control,andConductDisorder (479)312.9(F91.9)Unspecified Disruptive, Impulse-Control, and Conduct Disorder(480)
302.71 (F52.0) 302.75 (F52.4) 302.79 (F52.8) 302.70 (F52.9) Male Hypoactive Sexual Desire Disorder^' ^ (440) Premature (Early) Ejaculation^' ^ (443) Substance/Medication-Induced Sexual Dysfunction^ (446) 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. With onset after medication use Other Specified Sexual Dysfunction (450) Unspecified Sexual Dysfunction (450) Gender Dysplioria (451) . { · ) Gender Dysphoria (452) 302.6 (F64.2) Gender Dysphoria in Children Specify if: With a disorder of sex development 302.85 (F64.1) Gender Dysphoria in Adolescents and Adults Specify if: With a disorder of sex development Specify if: Posttransition Note: Code the disorder of sex development if present, in addition to gender dysphoria. 302.6 (F64.8) Other Specified Gender Dysphoria (459) 302.6 (F64.9) Unspecified Gender Dysphoria (459) Disruptive, impuise-Control, and Conduct Disorders (461) 313.81 (F91.3) Oppositional Defiant Disorder (462) Specify current severity: Mild, Moderate, Severe 312.34 (F63.81) Intermittent Explosive Disorder (466) ■ ' Conduct Disorder (469) Specify whether: 312.81 (F91.1) Childhood-onset type 312.32 (F91.2) Adolescent-onset type 312.89 (F91.9) Unspecified onset Specify if: With limited prosocial emotions Specify current severity: Mild, Moderate, Severe 301.7 (F60.2) Antisocial Personality Disorder (476) 312.33 {F63.1) Pyromania (476) 312.32 (F63.3) Kleptomania (478) 312.89 (F91.8) Other Specified Disruptive, Impulse-Control, and Conduct Disorder (479) 312.9 (F91.9) Unspecified Disruptive, Impulse-Control, and Conduct Disorder (480)
DSM-5ClassificationXXVSubstance-RelatedandAddictiveDisorders(481)Thefollowing specifiers and note apply to Substance-Related and Addictive Disorders whereindicatedaSpecify if:Inearly remission,In sustainedremissionbSpecify if:In a controlled environmentCSpecify if:Withperceptual disturbancesdThe ICD-10-CM code indicates the comorbid presence of a moderate or severe substance usedisorder,which mustbe present in order to apply the code for substance withdrawal.Substance-RelatedDisorders(483)Alcohol-Related Disorders (490)Alcohol Use Disordera, b (490)()Specify current severity:Mild305.00(F10.10)303.90 (F10.20)ModerateSevere303.90(F10.20)303.00（Alcohol Intoxication (497).(F10.129)With use disorder, mild(F10.229)With use disorder, moderate or severe(F10.929)Without use disorderAlcohol Withdrawalc,d (499)291.81 ((F10.239)Withoutperceptual disturbances(F10.232)With perceptual disturbances(OtherAlcohol-Induced Disorders (502)291.9(F10.99)Unspecified Alcohol-Related Disorder (503)Caffeine-RelatedDisorders (503)305.90 (F15.929)CaffeineIntoxication (503)292.0(F15.93)Caffeine Withdrawal (506)OtherCaffeine-InducedDisorders(508)L292.9(F15.99)UnspecifiedCaffeine-RelatedDisorder (509)Cannabis-RelatedDisorders (509)Cannabis Use Disordera, b (509)-Specify current severity:305.20 (F12.10)MildModerate304.30(F12.20)304.30 (F12.20)Severe
Substance-Related and Addictive Disorders (481) The following specifiers and note apply to Substance-Related and Addictive Disorders where indicated: ^Specify if: In early remission. In sustained remission ^Specify if: In a controlled environment ^Specify if: With perceptual disturbances ^The ICD-IO-CM code indicates the comorbid presence of a moderate or severe substance use disorder, which must be present in order to apply the code for substance withdrawal. Substance-Related Disorders (483) Alcohol-Related Disorders (490) . ( . ) Alcohol Use Disorder®' (490) Specify current severity: 305.00 (F10.10) Mild 303.90 (FI 0.20) Moderate 303.90 (F10.20) Severe 303.00 ( . ) Alcohol Intoxication (497) (F10.129) With use disorder, mild (F10.229) With use disorder, moderate or severe (F10.929) Without use disorder 291.81 ( ._ ) Alcohol Withdrawal^' ^ (499) (FI0.239) Without perceptual disturbances (FI 0.232) With perceptual disturbances . ( ._ ) Other Alcohol-Induced Disorders (502) 291.9 (FI 0.99) Unspecified Alcohol-Related Disorder (503) Caffeine-Related Disorders (503) 305.90 (F15.929) Caffeine Intoxication (503) 292.0 (F15.93) Caffeine Withdrawal (506) . ( _ · ) Other Caffeine-Induced Disorders (508) 292.9 (FI 5.99) Unspecified Caffeine-Related Disorder (509) Cannabis-Related Disorders (509) . ( ■ ) Cannabis Use Disorder^' ^ (509) Specify current severity: 305.20 (F12.10) Mild 304.30 (F12.20) Moderate 304.30 (F12.20) Severe