- Last edited on April 30, 2020
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teaching:dsm-v-icd-z-codes [on April 30, 2020] |
teaching:dsm-v-icd-z-codes [on January 27, 2024] (current) psychdb |
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====== V Codes (DSM-5) & Z Codes (ICD-10) ====== | ====== V Codes (DSM-5) & Z Codes (ICD-10) ====== | ||
{{INLINETOC}} | {{INLINETOC}} | ||
- | ===== Primer ===== | ||
- | **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. | ||
- | 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. | + | ===== Primer ==== |
+ | <WRAP group> | ||
+ | <WRAP half column> | ||
+ | **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! | ||
+ | |||
+ | </WRAP> | ||
+ | <WRAP half column> | ||
+ | |||
+ | <HTML> | ||
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+ | </HTML> | ||
+ | |||
+ | </WRAP> | ||
+ | </WRAP> | ||
<HTML> | <HTML> | ||
- | <script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script> | + | <script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-8020066590182443" |
+ | crossorigin="anonymous"></script> | ||
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- | data-ad-format="auto"></ins> | + | data-ad-format="auto" |
+ | data-full-width-responsive="true"></ins> | ||
<script> | <script> | ||
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===== V Codes (DSM-5) ===== | ===== 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> | ||
- | |||
- | <HTML><script async src="//pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script> | ||
- | <ins class="adsbygoogle" | ||
- | style="display:block; text-align:center;" | ||
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- | <script> | ||
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- | </script></HTML> | ||
==== 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> | ||
+ | |||
+ | ==== No Diagnosis ==== | ||
+ | <panel type="danger" title="No Diagnosis" no-body="true"> | ||
+ | | V71.09 (Z03.89) | No Diagnosis or Condition | | ||
+ | </panel> | ||
+ | |||
</WRAP> | </WRAP> | ||
</WRAP> | </WRAP> | ||
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</panel> | </panel> | ||
- | <HTML><script async src="//pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script> | ||
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- | style="display:block; text-align:center;" | ||
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- | <script> | ||
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- | </script></HTML> | ||
==== 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"> |