- Last edited on January 27, 2024
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teaching:dsm-v-icd-z-codes [on May 30, 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) ====== | ====== V Codes (DSM-5) & Z Codes (ICD-10) ====== | ||
| {{INLINETOC}} | {{INLINETOC}} | ||
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| ===== Primer ==== | ===== Primer ==== | ||
| <WRAP group> | <WRAP group> | ||
| <WRAP half column> | <WRAP half column> | ||
| - | **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 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. | + | 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! |
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| - | </WRAP> | + | ===== V Codes (DSM-5) ===== |
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| - | <a href="https://www.amazon.com/ICD-10-CM-2020-Complete-Official-Codebook/dp/1622029232/ref=as_li_ss_il?dchild=1&keywords=icd&qid=1590849380&s=books&sr=1-1&linkCode=li2&tag=psychdb030f-20&linkId=ead92b747d995c5f58d02e5d5490c248&language=en_US" target="_blank"><img border="0" src="//ws-na.amazon-adsystem.com/widgets/q?_encoding=UTF8&ASIN=1622029232&Format=_SL160_&ID=AsinImage&MarketPlace=US&ServiceVersion=20070822&WS=1&tag=psychdb030f-20&language=en_US" ></a><img src="https://ir-na.amazon-adsystem.com/e/ir?t=psychdb030f-20&language=en_US&l=li2&o=1&a=1622029232" width="1" height="1" border="0" alt="" style="border:none !important; margin:0px !important;" /><p> | + | |
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| - | ===== V Codes (DSM-5) ===== | ||
| <WRAP group> | <WRAP group> | ||
| <WRAP half column> | <WRAP half column> | ||
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| | V65.40 (Z71.9) | Other Counseling or Consultation | | | V65.40 (Z71.9) | Other Counseling or Consultation | | ||
| </panel> | </panel> | ||
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| ==== Other Psychosocial, Personal, and Environmental Circumstances ==== | ==== Other Psychosocial, Personal, and Environmental Circumstances ==== | ||
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| <WRAP half column> | <WRAP half column> | ||
| ==== Abuse and Neglect ==== | ==== Abuse and Neglect ==== | ||
| + | <alert icon="fa fa-arrow-circle-right fa-lg fa-fw" type="success">See also article: **[[teaching:childhood-trauma-aces|]]**</alert> | ||
| <panel type="info" title="Abuse and Neglect" no-body="true"> | <panel type="info" title="Abuse and Neglect" no-body="true"> | ||
| | 995.54 (T74.12XA) | Child Physical Abuse, Confirmed | | | 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 | | | V62.83 (Z69.82) | Encounter for mental health services for perpetrator of nonspousal or nonpartner adult abuse | | ||
| </panel> | </panel> | ||
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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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| </WRAP> | </WRAP> | ||
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| </panel> | </panel> | ||
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| ==== Social Environment ==== | ==== Social Environment ==== | ||
| <panel type="info" title="Problems Related to Social Environment (Z60)" no-body="true"> | <panel type="info" title="Problems Related to Social Environment (Z60)" no-body="true"> | ||