ICD - 10 and Mental Health

Effective October 1, 2015, the entire U.S. health care system will transition to using the ICD-10-CM code set. This transition comes on the heels of the release of the DSM-5 in May 2013, which has been adopted by payers and direct service organizations at varying speeds.

Providers must start planning now if they have not already begun.

Modern History of the Medical Dictionary—ICD-10

The World Health Organization’s (WHO) International Classification of Diseases has served the healthcare community for over a century. The United States implemented the current version (ICD-9) in 1979. While most industrialized countries moved to ICD-10 several years ago, the United States is just now transitioning with a final compliance date of October 1, 2015. It’s time our Medical Dictionary reflected modern medicine.


Key Points
 

• DSM-5 contains all of the information needed to assign HIPAA-compliant, valid ICD-10-CM codes to the psychiatric diagnoses.

•  Codes can be found in parentheses within the diagnostic criteria box for each disorder in the DSM-5.

•  According to the DSM-5, if more than one code can be assigned to a disorder, the codes can be found at the bottom of the diagnostic criteria box. This is the case when subtypes are coded. For instance, for schizoaffective disorder, the depressive type is coded as F25.1 and the bipolar type is coded as F25.0

•  For disorders with more complex coding, coding notes and coding tables are provided at the bottom of the criteria box. The substance/medication-induced disorders, for example, have complex coding