Differences

Last edited on October 22, 2020

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--- teaching:dsm-v-icd-z-codes [on October 22, 2020]
+++ teaching:dsm-v-icd-z-codes [on January 27, 2024] (current)
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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 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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 <div class="ribbon"><i class="fa fa-star"></i> Recommended Reading</div>
-<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=li3&tag=psychdb030f-20&linkId=6185f42b84ffe1f18e299c4858ef733f&language=en_US" target="_blank"><img border="0" src="//ws-na.amazon-adsystem.com/widgets/q?_encoding=UTF8&ASIN=1622029232&Format=_SL250_&ID=AsinImage&MarketPlace=US&ServiceVersion=20070822&WS=1&tag=psychdb030f-20&language=en_US" ></a><p>
+<a href="https://amzn.to/3OkZQ58" target="_blank"><img style="max-width: 50%" border="0" src="https://www.psychdb.com/amazon_aff/icd10_codes.jpg" ></a>
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-<small>PsychDB is an Amazon Associate and earns from qualifying purchases. Thank you for supporting our site!</small>
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+PsychDB is an Amazon Associate and earns from qualifying purchases. Thank you for supporting our site!
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+<HTML>
+<script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-8020066590182443"
+     crossorigin="anonymous"></script>
+<!-- Leaderboard -->
+<ins class="adsbygoogle"
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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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-<HTML><script async src="//pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script>
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-<script>
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-</script></HTML>
 ==== Social Environment ====
 <panel type="info" title="Problems Related to Social Environment (Z60)" no-body="true">