- Last edited on May 30, 2020
Differences
This shows you the differences between two versions of the page.
| Both sides previous revision Previous revision | Previous revision | ||
|
teaching:dsm-v-icd-z-codes [on May 30, 2020] |
teaching:dsm-v-icd-z-codes [on January 27, 2024] (current) psychdb |
||
|---|---|---|---|
| Line 1: | Line 1: | ||
| ====== V Codes (DSM-5) & Z Codes (ICD-10) ====== | ====== V Codes (DSM-5) & Z Codes (ICD-10) ====== | ||
| {{INLINETOC}} | {{INLINETOC}} | ||
| + | |||
| ===== 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! |
| + | |||
| + | </WRAP> | ||
| + | <WRAP half column> | ||
| + | |||
| + | <HTML> | ||
| + | <div id="amazon"> | ||
| + | <div class="ribbon"><i class="fa fa-star"></i> Recommended Reading</div> | ||
| + | <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> | ||
| + | <p> | ||
| + | <span class="bs-wrap bs-wrap-button" data-btn-type="default" data-btn-size="lg" data-btn-icon="fa fa-amazon"><a href="https://amzn.to/3OkZQ58" rel="nofollow" role="button">Buy on Amazon</a></span> | ||
| + | </p> | ||
| + | <small> | ||
| + | PsychDB is an Amazon Associate and earns from qualifying purchases. Thank you for supporting our site! | ||
| + | </small> | ||
| + | </div> | ||
| + | </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> | ||
| <!-- Leaderboard --> | <!-- Leaderboard --> | ||
| <ins class="adsbygoogle" | <ins class="adsbygoogle" | ||
| Line 15: | Line 36: | ||
| data-ad-client="ca-pub-8020066590182443" | data-ad-client="ca-pub-8020066590182443" | ||
| data-ad-slot="1227446251" | data-ad-slot="1227446251" | ||
| - | data-ad-format="auto"></ins> | + | data-ad-format="auto" |
| + | data-full-width-responsive="true"></ins> | ||
| <script> | <script> | ||
| (adsbygoogle = window.adsbygoogle || []).push({}); | (adsbygoogle = window.adsbygoogle || []).push({}); | ||
| Line 21: | Line 43: | ||
| </HTML> | </HTML> | ||
| - | </WRAP> | + | ===== V Codes (DSM-5) ===== |
| - | <WRAP half column> | + | |
| - | <HTML> | + | |
| - | <div id="amazon"> | + | |
| - | <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><img src="https://ir-na.amazon-adsystem.com/e/ir?t=psychdb030f-20&language=en_US&l=li3&o=1&a=1622029232" width="1" height="1" border="0" alt="" style="border:none !important; margin:0px !important;" /><p> | + | |
| - | <span class="bs-wrap bs-wrap-button" data-btn-type="default" data-btn-size="lg" data-btn-icon="fa fa-amazon"><a href="https://amzn.to/2zKduvK" rel="nofollow" role="button">Buy on Amazon</a></span> | + | |
| - | </p> | + | |
| - | <small>PsychDB is an Amazon Associate and earns from qualifying purchases. Thank you for supporting our site!</small> | + | |
| - | </div> | + | |
| - | </HTML> | + | |
| - | </WRAP> | + | |
| - | </WRAP> | + | |
| - | ===== V Codes (DSM-5) ===== | ||
| <WRAP group> | <WRAP group> | ||
| <WRAP half column> | <WRAP half column> | ||
| Line 90: | Line 99: | ||
| | 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;" | ||
| - | data-ad-layout="in-article" | ||
| - | data-ad-format="fluid" | ||
| - | data-ad-client="ca-pub-8020066590182443" | ||
| - | data-ad-slot="2205743206"></ins> | ||
| - | <script> | ||
| - | (adsbygoogle = window.adsbygoogle || []).push({}); | ||
| - | </script></HTML> | ||
| ==== Other Psychosocial, Personal, and Environmental Circumstances ==== | ==== Other Psychosocial, Personal, and Environmental Circumstances ==== | ||
| Line 136: | Line 134: | ||
| <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 | | ||
| Line 188: | Line 187: | ||
| | 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> | ||
| Line 235: | Line 240: | ||
| </panel> | </panel> | ||
| - | <HTML><script async src="//pagead2.googlesyndication.com/pagead/js/adsbygoogle.js"></script> | ||
| - | <ins class="adsbygoogle" | ||
| - | style="display:block; text-align:center;" | ||
| - | data-ad-layout="in-article" | ||
| - | data-ad-format="fluid" | ||
| - | data-ad-client="ca-pub-8020066590182443" | ||
| - | data-ad-slot="2205743206"></ins> | ||
| - | <script> | ||
| - | (adsbygoogle = window.adsbygoogle || []).push({}); | ||
| - | </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"> | ||