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teaching:dsm-v-icd-z-codes [on May 20, 2020]
teaching:dsm-v-icd-z-codes [on January 27, 2024] (current)
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 ====== V Codes (DSM-5) & Z Codes (ICD-10) ====== ====== V Codes (DSM-5) & Z Codes (ICD-10) ======
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 ===== Primer ==== ===== 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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 ===== V Codes (DSM-5) ===== ===== V Codes (DSM-5) =====
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 | V65.40 (Z71.9) | Other Counseling or Consultation | | V65.40 (Z71.9) | Other Counseling or Consultation |
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 ==== Other Psychosocial,​ Personal, and Environmental Circumstances ==== ==== Other Psychosocial,​ Personal, and Environmental Circumstances ====
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 ==== 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>​
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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">​