Differences

Last edited on January 27, 2024

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--- teaching:dsm-v-icd-z-codes [on May 20, 2020]
+++ teaching:dsm-v-icd-z-codes [on January 27, 2024]
psychdb [Primer]
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 ====== V Codes (DSM-5) & Z Codes (ICD-10) ======
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 ===== Primer ====
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-**V Codes** (in the DSM-5 and ICD-9) and **Z Codes** (in the ICD-10), also known as **Other Conditions That May Be a Focus of Clinical Attention**, addresses issues that are a focus of clinical attention or affect the diagnosis, course, prognosis, or treatment of a patient's mental disorder. However, these codes are **not** mental disorders.
+**V Codes** (used in the [[teaching:1-history-of-dsm|DSM-5]] and ICD-9) and **Z Codes** (used in the ICD-10), also known as **Other Conditions That May Be a Focus of Clinical Attention**, are codes used to identify issues that are a focus of clinical attention or affect the diagnosis, course, prognosis, or treatment of a patient's mental disorder. However, these codes are **not** mental disorders. Both V and Z codes are underused by clinicians, and there is often a lack of awareness about these codes.[([[https://pubmed.ncbi.nlm.nih.gov/28671930/|Torres, J. M., Lawlor, J., Colvin, J. D., Sills, M. R., Bettenhausen, J. L., Davidson, A., ... & Gottlieb, L. M. (2017). Icd social codes. Medical care, 55(9), 810-816.]])]
+It is often helpful to put V or Z codes in a patient's clinical documentation when there is no evidence of a mental disorder, but if they are presenting with significant impairment. Compared to the [[teaching:1-history-of-dsm|DSM-5]] V Codes, ICD-10 Z Codes are much more comprehensive and cover a wider variety of psychosocial problems. These codes capture important [[teaching:social-determinants|social determinants of health]] information that psychiatric diagnoses do not capture. Sometimes, it is these codes that are more important than any psychiatric diagnosis!
-It is often helpful to put a code in a patient's clinical documentation when there is no evidence of a mental disorder, but they are presenting with significant clinical distress. Compared to DSM-5 V Codes, ICD-10 Z Codes are much more comprehensive and cover a wider variety of psychosocial problems.
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 ===== V Codes (DSM-5) =====
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 | V65.40 (Z71.9) | Other Counseling or Consultation |
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 ==== Other Psychosocial, Personal, and Environmental Circumstances ====
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 ==== Abuse and Neglect ====
+<alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See also article: **[[teaching:childhood-trauma-aces|]]**</alert>
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 | 995.54 (T74.12XA) | Child Physical Abuse, Confirmed |
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 | V62.83 (Z69.82) | Encounter for mental health services for perpetrator of nonspousal or nonpartner adult abuse |
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+==== No Diagnosis ====
+<panel type="danger" title="No Diagnosis" no-body="true">
+| V71.09 (Z03.89)  | No Diagnosis or Condition  |
+</panel>
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 ==== Social Environment ====
 <panel type="info" title="Problems Related to Social Environment (Z60)" no-body="true">