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Compton M D M P E Jan A
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Fawcett M D Helena C
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201
Kraemer Ph D David J
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202
Kupfer M D William E
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203
Narrow M D M P H Charles P
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204
M D Ph D John M
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205
Oldham M D Katharine A
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206
Phillips M D Darrel A
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207
Regier M D M P H Lifespan Developmental Approaches ERIC J
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208
L ENZE M D Chair SUSAN K
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209
S CHULTZ M D Chair Emeritus DANIEL S
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210
P INE M D Chair Emeritus Dan G
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211
Blazer M D Ph D M P H F
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212
Xavier Castellanos M D Wilson M
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213
Compton M D M P E Daniel T
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214
Mamah M D M P E Andrew E
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215
Skodol II M D Susan E
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216
Swedo M D Gender and Issues KIMBERLY A
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217
Y ONKERS M D Chair ROBERTO LEWIS M D M T S Issues Renato D
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218
Alarcon M D M P H Diana E
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219
Clarke Ph D M Sc Javier I
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220
Escobar M D M Sc Ellen Frank Ph D James S
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Jackson Ph D Spiro M
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Manson Ph D James P
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223
McNulty A B Sc B Leslie C
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224
Morey Ph D William E
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225
Narrow M D M P H Roger Peele M D Philip Wang M D Dr P H William M
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226
Womack M D Kenneth J
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227
Zucker Ph D Medical Interface LAWSON R
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228
W ULSIN M D Chair Ronald E
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229
Dahl M D Joel E
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230
Dimsdale M D Javier I
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231
Escobar M D M Sc Dilip V
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232
Jeste M D Walter E
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Kreipe M D Ronald C
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235
Petersen Ph D M D Charles F
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236
Reynolds III M D Robert Taylor Segraves M D Ph D B
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237
Timothy Walsh M D Impairment and Disability
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238
JANE S
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239
P AULSEN PH D Chair J
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240
Gavin Andrews M D Glorisa Canino Ph D Lee Anna Clark Ph D Diana E
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241
Clarke Ph D M Sc Michelle G
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242
Craske Ph D Hans W
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243
Hoek M D Ph D Helena C
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244
Kraemer Ph D William E
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245
Narrow M D M P H David Shaffer M D Diagnostic Assessm ent Instruments JACK D
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246
B URKE JR M D M P H Chair Lee Anna Clark Ph D Diana E
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247
Clarke Ph D M Sc Bridget F
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248
Grant Ph D Ph D Helena C
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249
Kraemer Ph D William E
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250
Narrow M D M P H David Shaffer M D Research Group WILLIAM E
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251
N ARROW M D M P H Chair Jack D
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252
Burke Jr M D M P H Diana E
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253
Clarke Ph D M Sc Helena C
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254
Kraemer Ph D David J
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255
Kupfer M D Darrel A
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256
Regier M D M P H David Shaffer M D Course Specifiers and Glossary WOLFGANG GAEBEL M D Chair Ellen Frank Ph D Charles P
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257
M D Ph D Norman Sartorius M D Ph D Consultant Susan K
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258
Schultz M D Dan J
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259
Stein M D Ph D Eric A
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260
Taylor M B David J
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261
Kupfer M D Darrel A
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262
Regier M D M P H
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0.032708682119846344, -0.04708804562687874, 0.06463687866926193, 0.01855839230120182, 0.020105160772800446, -0.06075312942266464, 0.0839138925075531, -0.04340163245797157, -0.05710617080330849, -0.000026711884856922552, 0.010260887444019318, 0.08934301882982254, 0.01972993277013302, 0.03492012992501259, -0.0029777938034385443, 0.010285278782248497, 0.052066728472709656, -0.038310457020998, 0.030405625700950623, -0.007611073087900877, 0.026044398546218872, -0.020775163546204567, 0.04782942309975624, -0.07088657468557358, 0.04935319721698761, -0.022037917748093605, 0.06850747764110565, 0.022699767723679543, 0.03617550805211067, 0.13160666823387146, 0.016380492597818375, -0.0072841704823076725, 0.014171932823956013, 0.012838853523135185, 0.05636904761195183, 0.019720792770385742, 0.10257523506879807, -0.028582803905010223, 0.0852915570139885, -0.04237213358283043, 0.039638619869947433, 0.000489524332806468, 0.07379806786775589, 0.02222079038619995, -0.0749673917889595, 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263
Classification Before each disorder name code s are provided followe d by codes in parentheses
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264
Blank lines indicate that eith er the or the code is not applicable
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265
For some disorders the code can be indicated only according to the subtype or specifier codes are to be used for coding purposes in the United States through tember 30 2014
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266
codes are to be used starting October 1 2014 Following chapter titles and disorder name s page numbers for the corresponding text or criteria are incl uded in parentheses Note for all mental disorders due to another medical Indicate the name of the other medical condition in the name of th e mental disorder due to medical
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267
The code and name for the other medica l condition should be listed first ately before the mental disorder due to the medical condition Neurodevelopmental Disorders Intellectual Disabilities ___ __ Intellectual Disability ctual Developmental Specify current 317 Mild 318 0 Moderate 318 1 Severe 318 2 Profound 315 8 Global Developmental Delay 319 Unspecified Intellectual Disability Developmental Communication Disorders 315 32 Language Disorder 315 39 Speech Sound Disorder 315 35 Fluency Disorder cases are diagnosed as 307 0 fluency disorder 315 39 Social Communication Disorder 307 9 Unspecified Communication Disorder Classification Autism Spectrum Disorder 299 00 Autism Spectrum Disorder Specify Associated with a known medic al or genetic condition or ronmental Associ ated with another neurodevelopmental tal or behavioral disorder Specify current severity for Criterion A and Criterion Requiring very substantial support Requiring substantial support Requiring support Specify With or without accompanyi ng intellectual impairment With or without accompanying language impairment With catatonia additional code 293 89 Disorder ___ __ Disorder Specify 314 01 Combined presentation 314 00 Predominantly inattentive presentation 314 01 Predominantly presentation Specify In partial remission Specify current Mild Moderate Severe 314 01 Other Specified Disorder 314 01 Unspecified Disorder Specific Learning Disorder ___ __ Specific Learning
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268
Disorder Specify 315 00 With impairment in reading if with word reading accuracy reading rate or fluency reading 315 2 With impairment in written expression specify if with spelling accuracy grammar and punctu ation accuracy clarity or organization of written 315 1 With impairment in mathematics specify if with number sense memorization of arithmetic facts accurate or fluent calculation accurate math Specify current Mild Moderate Severe Motor Disorders 315 4 Developmental Coordination Disorder 307 3 Stereotypic Movement Disorder Specify With behavior Without behavior Specify Associated with a known medical or genetic condition developmental disorder or environmental factor Specify current Mild Moderate Severe Tic Disorders 307 23 Disorder 307 22 Persistent Motor or Vocal Tic Disorder Specify With motor tics only With vocal tics Classification xv 307 21 Provisional Tic Disorder 307 20 Other Specified Tic Disorder 307 20 Unspecified Tic Disorder Other Neurodevelopmental Disorders 315 8 Other Specified Neurodevelopmental Disorder 315 9 Unspecified Neurodevelopmental Disorder Schizophrenia Spectrum and Other Psychotic Disorders The following specifiers apply to Schizophre nia Spectrum and Othe r Psychotic Disorders where aSpecify The following course specifiers are only to be used after a duration of the First episode currently in acute First episode currently in partial
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269
First episode currently in full Multiple episodes currently in acute tiple episodes currently in partial Multiple episodes currently in full Unspecified bSpecify With catatonia additional code 293 89 cSpecify current severity of delusions hallucinations disorganized speech abnormal motor behavior negative symptoms impaired cognition depression and mania symptoms 301 22 Schizotypal Disorder 297 1 Delusional Disordera c Specify Erotomanic type Grandiose type Jealous type tory type Somatic type Mi xed type Unspecified type Specify With bizarre content 298 8 Brief Psychotic Disorderb c Specify With marked Without marked With postpartum onset 295 40 Schizophreniform Disorderb c Specify With good prognostic featur es Without good prognostic tures 295 90 Schizophreniaa b c ___ __ Schizoaffective Disordera b c Specify 295 70 Bipolar type 295 70 Depressive type ___ __ uced Psychotic Disorderc See the criteria set and corresponding recording procedures for codes and and coding Specify With onset during intoxicatio n With onset during withdrawal ___ __ Psychotic Disorder Due to Another Medical Conditionc Specify 293 81 With delusions 293 82 With hallucinationsxvi Classification 293 89 Catatonia Associated With Anothe r Mental Disorder 293 89 Catatonic Disorder Due to Another Medical Condition 293 89 Unspecified Catatonia Code first 781 99 other symptoms
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270
involving nervous and musculoskeletal systems 298 8 Other Specified Schizophrenia Spectrum and Other Psychotic Disorder 298 9 Unspecified Schizophrenia Spectrum and Other Psychotic Disorder Bipolar and Related Disorders The following specifiers apply to Bipolar and Related Disorders where With anxious distress specify current mild modera te With mixed With rapid With melancholic With atypical With psychotic With psychotic With catatonia additional code 293 89 With peripartum With seasonal pattern ___ __ Bipolar I Disordera ___ __ Current or most recent episode manic 296 41 Mild 296 42 Moderate 296 43 Severe 296 44 With psychotic features 296 45 In partial remission 296 46 In full remission 296 40 Unspecified 296 40 Current or most recent episode hypomanic 296 45 In partial remission 296 46 In full remission 296 40 Unspecified ___ __ Current or most recent episode depressed 296 51 Mild 296 52 Moderate 296 53 Severe 296 54 With psychotic features 296 55 In partial remission 296 56 In full remission 296 50 Unspecified 296 7 Current or most recent episode unspecified 296 89 Bipolar II Disordera Specify current or most recent ep Hypomanic Depressed Specify course if full criteria for a mood episode are not currently In partial
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271
remission In full remission Specify severity if full criteria for a mood episode are currently Mild Moderate Classification xvii 301 13 Cyclothymic Disorder Specify With anxious distress ___ __ Bipo lar and Related Disorder See the criteria set and corresponding recording procedures for codes and and coding Specify With onset during intoxicatio n With onset during withdrawal 293 83 Bipolar and Related Disorder Due to Another Medical Condition Specify With manic features With or episode With mixed features 296 89 Other Specified Bipolar and Related Disorder 296 80 Unspecified Bipolar and Related Disorder Depressive Disorders The following specifiers apply to Depressive Disorders where With anxious distress specify current mild moderate With mixed With melancholic With atypical With congruent psychotic With psych otic Wi th catatonia additional code 293 89 With peripartum on With seasonal pattern 296 99 Disruptive Mood Dysregulation Disorder ___ __ Major Depressive Disordera ___ __ Single episode 296 21 Mild 296 22 Moderate 296 23 Severe 296 24 With psychotic features 296 25 In partial remission 296 26 In full remission 296 20 Unspecified ___ __ Recurrent episode 296 31 Mild 296 32 Moderate 296 33 Severe 296 34 With psychotic features 296 35 In partial remission
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272
296 36 In full remission 296 30 Unspecified 300 4 Persistent Depressive Disorder Specify In partial remission In full remission Specify Early onset Late onset Specify With pure dysthymic syndrome With persistent major sive With intermittent ma jor depressive epis odes with currentxviii Classification With intermittent major depressive episodes without current episode Specify current Mild Moderate Severe 625 4 Premenstrual Dysphoric Disorder ___ __ Depressive Disorder See the criteria set and corresponding recording procedures for codes and IC and coding Specify With onset during intoxication With onset during withdrawal 293 83 Depressive Disorder Due to Another Medical Condition Specify With depressive features With major episode With mixed features 311 Other Specified Depressive Disorder 311 Unspecified Depressive Disorder Anxiety Disorders 309 21 Separation Anxiety Disorder 313 23 Selective Mutism 300 29 Specific Phobia Specify Animal Natural environment Fear of blood Fear of injections and transfusions Fear of other medical care Fear of injury Situational Other 300 23 Social Anxiety Disorder Specify Performance only 300 01 Panic Disorder ___ __ Panic Attack Specifier 300 22 Agoraphobia 300 02 Generalized Anxiety Disorder ___ __ Anxiety Disorder See the criteria set and corresponding recording procedures for codes and IC and coding Specify With onset
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273
during intoxicatio n With onset during withdrawal With onset after medication Classification xix 293 84 Anxiety Disorder Due to Anot her Medical Condition 300 09 Other Specified Anxiety Disorder 300 00 Unspecified Anxiety Disorder and Related Disorders The following specifier applies to and Rela ted Disorders where aSpecify With good or fair insight With poor insight With absent beliefs 300 3 Disordera Specify 300 7 Body Dysmorphic Disordera Specify With muscle dysmorphia 300 3 Hoarding Disordera Specify With excessive acquisition 312 39 Trichotillomania 698 4 Excoriation Disorder ___ __ and Related Disorder See the criteria set and corresponding recording procedures for codes and and coding Specify With onset during intoxicatio n With onset during withdrawal With onset after medication use 294 8 and Related Disorder Due to Another Medical Condition Specify With symptoms With appearance preoccupations With hoarding symptoms With pulling symptoms With symptoms 300 3 Other Specified and Related Disorder 300 3 Unspecified and Related Disorder and Disorders 313 89 Reactive Attachment Disorder Specify Persistent Specify current Severe 313 89 Disinhibited Social Enga gement Disorder Specify Persistent Specify current Severe 309 81 Posttraumatic Stress Disorder Posttraumatic Stress Disorder for Children 6 Years and Specify With dissociative symptoms Specify With
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274
delayed expression 308 3 Acute Stress Disorder Classification ___ __ Adjustment Disorders Specify 309 0 With depressed mood 309 24 With anxiety 309 28 With mixed anxiety and depressed mood 309 3 With disturbance of conduct 309 4 With mixed disturbance of emotions and conduct 309 9 Unspecified 309 89 Other Specified and Disorder 309 9 Unspecified and Stress Disorder Dissociative Disorders 300 14 Dissociative Identity Disorder 300 12 Dissociative Amnesia Specify 300 13 With dissociative fugue 300 6 Disorder 300 15 Other Specified Dissociative Disorder 300 15 Unspecified Dissocia tive Disorder Somatic Symptom and Related Disorders 300 82 Somatic Symptom Disorder Specify With predominant pain Specify Persistent Specify current Mild Moderate Severe 300 7 Illness Anxiety Disorder Specify Care seeking type Care avoidant type 300 11 Conversion Disorder Neurological Symptom Specify symptom With weakness or paralysis With abnormal movement With swallowing symptoms With speech symptom With attacks or seizures With anesthesia or sensory loss With special sensory symptom With mixed symptoms Specify Acute episode Persistent Specify With psychological stressor pecify Without logical Classification xxi 316 Psychological Factors Affecting Other Medical Conditions Specify current Mild Moderate Severe Extreme 300 19 Factitious Disorder Fact itious Disorder Imposed on Self Factitious Disorder
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275
Imposed on Specify Single episode Recurrent episodes 300 89 Other Specified Somatic Symptom and Related Disorder 300 82 Unspecified Somatic Symptom and Related Disorder Feeding and Eating Disorders The following specifiers apply to Feedin g and Eating Disorders where aSpecify In remission bSpecify In partial remission In full remission cSpecify current Mild Moderate Severe Extreme 307 52 Picaa In children In adults 307 53 Rumination Disordera 307 59 Food Intake Disordera 307 1 Anorexia Nervosab c Specify Restricting type type 307 51 Bulimia Nervosab c 307 51 Disorderb c 307 59 Other Specified Feeding or Eating Disorder 307 50 Unspecified Feeding or Eating Disorder Elimination Disorders 307 6 Enuresis Specify Nocturnal only Diur nal only Nocturnal and diurnal 307 7 Encopresis Specify With constipation an d overflow incontinence Without constipation and overflow incontinence ___ __ Other Specified Elimination Disorder 788 39 With urinary symptoms 787 60 With fecal symptoms ___ __ Unspecified Elimination Disorder 788 30 With urinary symptoms 787 60 With fecal symptomsxxii Classification Disorders The following specifiers apply to Sl Disorders where aSpecify Episodic Persistent Recurrent bSpecify Acute Subacute Persistent cSpecify current Mi ld Moderate Severe 307 42 Insomnia Disordera Specify With disorder mental comorbidity With other medical
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276
comorbidity With other sleep disorder 307 44 Hypersomnolence Disorderb c Specify With mental disorder With medical condition With another sleep disorder ___ __ Narcolepsyc Specify 347 00 Narcolepsy without cataplexy bu t with hypocretin deficiency 347 01 Narcolepsy with cataplexy but without hypocretin deficiency 347 00 Autosomal dominant cerebellar ataxia deafness and narcolepsy 347 00 Autosomal dominant narcolepsy obesity and type 2 diabetes 347 10 Narcolepsy secondary to another medical condition Sleep Disorders 327 23 Obstructive Sleep Apnea Hypopneac ___ __ Central Sleep Apnea Specify 327 21 Idiopathic central sleep apnea 786 04 breathing 780 57 Central sleep apnea comorbid with opioid use First code opioid use disorder if present Specify current severity ___ __ Hypoventilation Specify 327 24 Idiopathic hypoventilation 327 25 Congenital central alve olar hypoventilation 327 26 Comorbid hypoventilation Specify current severity ___ __ Circadian Rhythm Disordersa Specify 307 45 Delayed sleep phase type Specify Familial Overlapping with type 307 45 Advanced sleep phase type Specify Familial 307 45 Irregular type 307 45 type Classification xxiii 307 45 Shift work type 307 45 Unspecified type Parasomnias ___ __ Eye Movement Sleep Arousal Disorders Specify 307 46 Sleepwalking type Specify With eating With sexual behavior 307 46 Sleep
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277
terror type 307 47 Nightmare Disorderb c Specify During sleep onset Specify With associated disorder With associated other medical condition With associated other sleep disorder 327 42 Rapid Eye Movement Sleep Behavior Disorder 333 94 Restless Legs Syndrome ___ __ ed Sleep Disorder See the criteria set and corresponding recording procedures for codes and and coding Specify Insomnia type Dayt ime sleepiness type Parasomnia type Mixed type Specify With onset during intoxicatio n With onset during 780 52 Other Specified Insomnia Disorder 780 52 Unspecified Insomnia Disorder 780 54 Other Specified Hypersomnolence Disorder 780 54 Unspecified Hypersomnolence Disorder 780 59 Other Specified Disorder 780 59 Unspecified Disorder Sexual Dysfunctions The following specifiers apply to Sexual Dysfunctions where aSpecify Lifelong Acquired bSpecify Generalized Situational cSpecify current Mi ld Moderate Severe 302 74 Delayed Ejaculationa b c 302 72 Erectile Disordera b c 302 73 Female Orgasmic Disordera b c Specify Never experienced an orgasm under any situation 302 72 Female Sexual Disordera b c 302 76 Disordera c Classification 302 71 Male Hypoactive Sexual Desire Disordera b c 302 75 Premature Ejaculationa b c ___ __ ed Sexual Dysfunctionc See the criteria set and corresponding recording procedures for codes and IC
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278
and coding Specify With onset during intoxicatio n With onset during withdrawal With onset after medication use 302 79 Other Specified Sexual Dysfunction 302 70 Unspecified Sexual Dysfunction Gender Dysphoria ___ __ Gender Dysphoria 302 6 Gender Dysphoria in Children Specify With a disorder of sex development 302 85 Gender Dysphoria in Adolescents and Adults Specify With a disorder of sex development Specify Posttransition Code the disorder of sex develo pment if present in addition to gender dysphoria 302 6 Other Specified Gender Dysphoria 302 6 Unspecified Gender Dysphoria Disruptive l and Conduct Disorders 313 81 Oppositional Defi ant Disorder Specify current Mild Moderate Severe 312 34 Intermittent Explosive Disorder ___ __ Conduct Disorder Specify 312 81 type 312 82 type 312 89 Unspecified onset Specify With limited prosocial emotions Specify current Mild Moderate Severe 301 7 Antisocial Personality Disorder 312 33 Pyromania 312 32 Kleptomania 312 89 Other Specified Disruptive and Conduct Disorder 312 9 Unspecified Disruptive and Conduct Disorder Classification xxv and Addictive Disorders The following specifiers and note apply to and Addictive Disorders where aSpecify In early remission In sustained remission bSpecify In a controlled environment cSpecify With perceptual disturbances dThe code indicates the comorbid pres ence
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279
of a moderate or severe substance use disorder which must be present in order to apply the code for substance withdrawal Disorders Disorders ___ __ Alcohol Use Disordera b Specify current 305 00 Mild 303 90 Moderate 303 90 Severe 303 00 Alcohol Intoxi cation With use disorder mild With use disorder moderate or severe Without use disorder 291 81 Alcohol Withdrawalc d Without perceptual disturbances With perceptual disturbances ___ __ Other Disorders 291 9 Unspecified Disorder Disorders 305 90 Caffeine Intoxication 292 0 Caffeine Withdrawal ___ __ Other ed Disorders 292 9 Unspecified Disorder Disorders ___ __ Cannabis Use Disordera b Specify current 305 20 Mild 304 30 Moderate 304 30 Severexxvi Classification 292 89 Cannabis Intoxicationc Without perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder With perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder 292 0 Cannabis Withdrawald ___ __ Other Disorders 292 9 Unspecified Disorder Disorders ___ __ Phencyclidine Use Disordera b Specify current 305 90 Mild 304 60 Moderate 304 60 Severe ___ __ Other Hallucinogen Use Disordera b Specify the particular hallucinogen Specify current 305 30 Mild 304 50 Moderate 304
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280
50 Severe 292 89 Phencyclidine Intoxication With use disorder mild With use disorder moderate or severe Without use disorder 292 89 Other Hallucinogen Intoxication With use disorder mild With use disorder moderate or severe Without use disorder 292 89 Hallucinogen Persisting Pe rception Disorder ___ __ Other Disorders ___ __ Other Disorders 292 9 Unspecified Disorder 292 9 Unspecified elated Disorder Disorders ___ __ Inhalant Use Disordera b Specify the particular inhalant Specify current 305 90 Classification xxvii 304 60 Moderate 304 60 Severe 292 89 Inhalant Intoxication With use disorder mild With use disorder moderate or severe Without use disorder ___ __ Other Disorders 292 9 Unspecified Disorder Disorders ___ __ Opioid Use Disordera Specify On maintenance therapy In a controlled environment Specify current 305 50 Mild 304 00 Moderate 304 00 Severe 292 89 Opioid Intoxicationc Without perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder With perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder 292 0 Opioid Withdrawald ___ __ Other Disorders 292 9 Unspecified Disorder or Disorders ___ __ Sedative Hypnotic or Anxiolytic Use Disordera b Specify current 305 40 Mild 304 10
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281
Moderate 304 10 Severe 292 89 Sedative Hypnotic or Anxi olytic Intoxication With use disorder mild With use disorder moderate or severe Without use disorder 292 0 Sedative Hypnotic or Anxiolytic Withdrawalc d Without perceptual disturbances With perceptual disturbancesxxviii Classification ___ __ Other or Disorders 292 9 Unspecified or Disorder Disorders ___ __ Stimulant Use Disordera b Specify current ___ __ Mild 305 70 substance 305 60 Cocaine 305 70 Other or unspecified stimulant ___ __ Moderate 304 40 substance 304 20 Cocaine 304 40 Other or unspecified stimulant ___ __ Severe 304 40 substance 304 20 Cocaine 304 40 Other or unspecified stimulant 292 89 Stimulant Intoxicationc Specify the specific intoxicant 292 89 Amphetamine or other stimulant Without perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder 292 89 Cocaine Without perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder 292 89 Amphetamine or other stimulant With perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder 292 89 Cocaine With perceptual disturbances With use disorder mild With use disorder moderate or severe Without use disorder 292 0 Stimulant Withdrawald Specify the
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282
specific substance causing the withdrawal syndrome Amphetamine or other stimulant Cocaine ___ __ Other Disorders Classification xxix 292 9 Unspecified Disorder Amphetamine or other stimulant Cocaine Disorders ___ __ Tobacco Use Disordera Specify On maintenance therapy In a controlled environment Specify current 305 1 Mild 305 1 Moderate 305 1 Severe 292 0 Tobacco Withdrawald ___ __ Other Disorders 292 9 Unspecified Disorder Other Disorders ___ _ Other Substance Use Disordera b Specify current 305 90 Mild 304 90 Moderate 304 90 Severe 292 89 Other Substance Intoxication With use disorder mild With use disorder moderate or severe Without use disorder 292 0 Other Substance Withdrawald ___ __ Other Disorders 292 9 Unspecified Other Su Disorder Disorders 312 31 Gambling Disordera Specify Episodic Persistent Specify current Mild Moderate Severe Neurocognitive Disorders ___ __ Delirium See the criteria set and corresponding recording procedures for codes and and coding Specify ___ __ Substance intoxication deliriuma ___ __ Substance withdrawal deliriuma 292 81 deliriuma 293 0 Delirium due to another medical conditionxxx Classification 293 0 Delirium due to multiple etiologies Specify Acute Persistent Specify Hyperactive Hypoacti ve Mixed level of activity 780 09 Other Specified Delirium 780 09 Unspecified Delirium Major and Mild
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283
Neurocognitive Disorders Specify whether due disease Frontotemporal lobar degeneration Lewy body disease Vascular disease Traumatic brain injury use HIV infection Prion disease disease disease Another medical condition ple etiologies Unspecified aSpecify Without behavioral disturbance With behavioral disturbance
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284
For possible major cognitive disorder and for mild ne urocognitive disorder behavioral disturbanc e cannot be coded but should still be indicated in writing bSpecify current Mild Moderate Severe
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285
This specifier applies only to major tive disorders ncluding probable and As indicated for each subtype an additional medical code is needed for probable major neurocognitive disorder or majo r neurocognitive disorder
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286
An additional medical code should not be used for possible major neurocognitive disorder or mild neur ocognitive disorder Major or Mild Neurocognitive Disorder Due to Disease ___ __ Probable Major Neurocognitive Disorder Due to Diseaseb Code first 331 0 disease 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 9 Possible Major Neurocognitive Disorder Due to Diseasea b 331 83 Mild Neurocognitive Disorder Due to Diseasea Major or Mild Frontotemporal Neurocognitive Disorder ___ __ Probable Major Neurocognitive Di sorder Due to Frontotemporal Lobar Degenerationb Code first 331 19 frontotemporal disease 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 9 Possible Major Neurocognitive Disorder Due to Frontotemporal Lobar Degenerationa b 331 83 Mild Neurocognitive Disorder Due to Frontotemporal Lobar Degenerationa Major or Mild Neurocognitive Disorder With Lewy Bodies ___ __ Probable Major Neurocognitive Disorder With Lewy Bodiesb Code first 331 82 Lewy body disease 294 11 With behavioral disturbance 294 10 Without behavioral Classification xxxi 331 9 Possible Major Neurocognitive Disorder With Lewy Bodiesa b 331 83 Mild Neurocognitive Disorder With Lewy Bodiesa Major or Mild Vascular Neurocognitive Disorder ___ __ Probable Major Vascular Neurocognitive Disorderb No additional medical code for vascular disease 290 40 With
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287
behavioral disturbance 290 40 Without behavioral disturbance 331 9 Possible Major Vascular Neurocognitive Disordera b 331 83 Mild Vascular Neur ocognitive Disordera Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury ___ __ Major Neurocognitive Disorder Due to Traumatic Brain Injuryb For code first 907 0 late effect of intracranial injury without skull fracture
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288
For IC code first S06 2X9S diffuse traumatic brain injury with loss of consciousness of unspecified duration sequela 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 83 Mild Neurocognitive Disorder Due to Traumatic Brain Injurya Major or Mild Neurocognitive Disordera No additional medical code
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289
See the criter ia set and corresponding recording procedures for codes and and coding Specify Persistent Major or Mild Neurocognitive Disorder Due to HIV Infection ___ __ Major Neurocognitive Disorder Due to HIV Infectionb Code first 042 HIV infection 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 83 Mild Neurocognitive Disorder Due to HIV Infectiona Major or Mild Neurocognitive Disorder Due to Prion Disease ___ __ Major Neurocognitive Disord er Due to Prion Diseaseb Code first 046 79 prion disease 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 83 Mild Neurocognitive Disorder Due to Prion Diseasea Major or Mild Neurocognitive Disorder Due to Disease ___ __ Major Neurocognitive Disorder Probably Due to Diseaseb Code first 332 0 disease 294 11 With behavioral disturbance 294 10 Without behavioral disturbancexxxii Classification 331 9 Major Neurocognitive Disorder Possibly Due to Diseasea b 331 83 Mild Neurocognitive Disorder Due to Diseasea Major or Mild Neurocognitive Disorder Due to Disease ___ __ Major Neurocognitive Disorder Due to Diseaseb Code first 333 4 disease 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 83 Mild Neurocognitive Disorder Due to Diseasea Major or Mild Neurocognitive Disorder Due to Another
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290
Medical Condition ___ __ Major Neurocognitive Disord er Due to Another Medical Conditionb Code first the other medical condition 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 83 Mild Neurocognitive Disorder Due to Another Medical Conditiona Major or Mild Neurocognitive Disorder Due to Multiple Etiologies ___ __ Major Neurocognitive Disorder Due to Multiple Etiologiesb Code first all the etiological medical conditions the exception of vascular 294 11 With behavioral disturbance 294 10 Without behavioral disturbance 331 83 Mild Neurocognitive Disorder Due to Multiple Etiologiesa Unspecified Neurocognit ive Disorder 799 59 Unspecified Neurocognitive Disordera Personality Disorders Cluster A Personality Disorders 301 0 Paranoid Personality Disorder 301 20 Schizoid Personality Disorder 301 22 Schizotypal Personality Disorder Cluster B Personality Disorders 301 7 Antisocial Personality Disorder 301 83 Borderline Personality Disorder 301 50 Histrionic Personality Disorder 301 81 Narcissistic Personality Disorder Classification xxxiii Cluster C Personality Disorders 301 82 Avoidant Personality Disorder 301 6 Dependent Personalit y Disorder 301 4 Personality Disorder Other Personality Disorders 310 1 Personality Change Due to Another Medical Condition Specify Labile type Disinhibited type Aggressive type Apathetic type Paranoid type Other type Combined type Unspecified type 301 89 Other Specified Personality Disorder 301 9 Unspecified
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291
Personality Disorder Paraphilic Disorders The following specifier applies to Pa raphilic Disorders where aSpecify In a controlled environment In full remission 302 82 Voyeuristic Disordera 302 4 Exhibitionistic Disordera Specify Sexually aroused by exposing genitals to prepubertal children Sexually aroused by exposi ng genitals to physically mature individuals Sexually aroused by exposing genitals to prepubertal dren and to physically mature individuals 302 89 Frotteuristic Disordera 302 83 Sexual Masochism Disordera Specify With asphyxiophilia 302 84 Sexual Sadism Disordera 302 2 Pedophilic Disorder Specify Exclusive type Nonexclusive type Specify Sexually attracted to males Se xually attracted to females ally attracted to both Specify Limited to incest 302 81 Fetishistic Disordera Body Nonliving Other 302 3 Transvestic Disordera Specify With fetishism With autogynephilia 302 89 Other Specified Paraphilic Disorder 302 9 Unspecified Paraphilic Disorder Other Mental Disorders 294 8 Other Specified Mental Disorder Due to Another Medical Condition 294 9 Unspecified Mental Disorder Due to Another Medical Condition 300 9 Other Specified Mental Disorder 300 9 Unspecified Mental Disorder Classification Movement Disorders and Other Adverse Effects of Medication 332 1 Parkinsonism 332 1 Other Parkinsonism 333 92 Neuroleptic Malignant Syndrome 333 72 Acute Dystonia 333 99 Acute Akathisia 333 85 Tardive Dyskinesia
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292
333 72 Tardive Dystonia 333 99 Tardive Akathisia 333 1 Postural Tremor 333 99 Other Movement Disorder ___ __ Antidepressant Disconti nuation Syndrome 995 29 Initial encounter 995 29 Subsequent encounter 995 29 Sequelae ___ __ Other Adverse Effect of Medication 995 20 Initial encounter 995 20 Subsequent encounter 995 20 Sequelae Other Conditions That May Be a Focus of Clinical Attention Relational Problems Problems Related to Fa mily Upbringing V61 20 Relational Problem V61 8 Sibling Relational Problem V61 8 Upbringing Away From Parents V61 29 Child Affected by Parental Relationship Distress Other Problems Related to Primary Support Group V61 10 Relationship Distress With Spouse or Intimate Partner V61 03 Disruption of Family by Se paration or Divorce V61 8 High Expressed Emotion Level Within Family V62 82 Uncomplicated Bereavement Classification xxxv Abuse and Neglect Child Maltreatment and Neglect Problems Child Physical Abuse Child Physical Abuse Confirmed 995 54 Initial encounter 995 54 Subsequent encounter Child Physical Abuse Suspected 995 54 Initial encounter 995 54 Subsequent encounter Other Circumstances Related to Child Physical Abuse V61 21 Encounter for mental health serv ices for victim of child abuse by parent V61 21 Encounter for mental health services for victim of
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293
nonparental child abuse V15 41 Personal history of physical abuse in childhood V61 22 Encounter for mental health services for perpetrator of parental child abuse V62 83 Encounter for mental health services for perpetrator of nonparental child abuse Child Sexual Abuse Child Sexual Abuse Confirmed 995 53 Initial encounter 995 53 Subsequent encounter Child Sexual Abuse Suspected 995 53 Initial encounter 995 53 Subsequent encounter Other Circumstances Related to Child Sexual Abuse V61 21 Encounter for mental health services for victim of child sexual abuse by parent V61 21 Encounter for mental health services for victim of nonparental child sexual abuse V15 41 Personal history of sexual abuse in childhood V61 22 Encounter for mental health services for perpetrator of parental child sexual abuse V62 83 Encounter for mental health services for perpetrator of nonparental child sexual abuse Child Neglect Child Neglect Confirmed 995 52 Initial encounter 995 52 Subsequent encounterxxxvi Classification Child Neglect Suspected 995 52 Initial encounter 995 52 Subsequent encounter Other Circumstances Related to Child Neglect V61 21 Encounter for mental health services for victim of child neglect by parent V61 21 Encounter for mental health services for victim of nonparental child neglect V15 42 Personal history
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294
histor of neglect in childhood V61 22 Encounter for mental health services for perpetrator of parental child neglect V62 83 Encounter for mental health services for perpetrator of nonparental child neglect Child Psychological Abuse Child Psychological Abuse Confirmed 995 51 Initial encounter 995 51 Subsequent encounter Child Psychological Abuse Suspected 995 51 Initial encounter 995 51 Subsequent encounter Other Circumstances Related to Child Psychological Abuse V61 21 Encounter for mental health se rvices for victim of child psychological abuse by parent V61 21 Encounter for mental health services for victim of nonparental child psychological abuse V15 42 Personal history of psychological abuse in childhood V61 22 Encounter for mental health services for perpetrator of parental child psychological abuse V62 83 Encounter for mental health services for perpetrator of nonparental child psychological abuse Adult Maltreatment and Neglect Problems Spouse or Partner Violence Physical Spouse or Partner Violence Physical Confirmed 995 81 Initial encounter 995 81 Subsequent encounter Spouse or Partner Violence Physical Suspected 995 81 Initial encounter 995 81 Subsequent encounter Other Circumstances Related to Spouse or Partner Violence Physical V61 11 Encounter for mental health serv ices for victim of spouse or partner violence Classification xxxvii V15 41 Personal history
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295
of spouse or partner violence physical V61 12 Encounter for mental health serv ices for perpetrator of spouse or partner violence physical Spouse or Partner Violence Sexual Spouse or Partner Violence Sexual Confirmed 995 83 Initial encounter 995 83 Subsequent encounter Spouse or Partner Violence Sexual Suspected 995 83 Initial encounter 995 83 Subsequent encounter Other Circumstances Related to Spouse or Partner Violence Sexual V61 11 Encounter for mental health serv ices for victim of spouse or partner violence sexual V15 41 Personal history of spouse or partner violence sexual V61 12 Encounter for mental health serv ices for perpetrator of spouse or partner violence sexual Spouse or Partner Neglect Spouse or Partner Neglect Confirmed 995 85 Initial encounter 995 85 Subsequent encounter Spouse or Partner Neglect Suspected 995 85 Initial encounter 995 85 Subsequent encounter Other Circumstances Related to Spouse or Partner Neglect V61 11 Encounter for mental health serv ices for victim of spouse or partner neglect V15 42 Personal history of spouse or partner neglect V61 12 Encounter for mental health serv ices for perpetrator of spouse or partner neglect Spouse or Partner Abuse Psychological Spouse or Partner Abuse Psychological Confirmed 995 82 Initial encounter 995 82
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296
Subsequent encounter Spouse or Partner Abuse Psychological Suspected 995 82 Initial encounter 995 82 Subsequent encounter Other Circumstances Related to Spouse or Partner Abuse Psychological V61 11 Encounter for mental health serv ices for victim of spouse or partner psychological abusexxxviii Classification V15 42 Personal history of spouse or partner psychological abuse V61 12 Encounter for mental health services for perpetrator of spouse or partner psychological abuse Adult Abuse by Nonspouse or Nonpartner Adult Physical Abuse by Nonspous e or Nonpartner Confirmed 995 81 Initial encounter 995 81 Subsequent encounter Adult Physical Abuse by Nonspouse or Nonpartner Suspected 995 81 Initial encounter 995 81 Subsequent encounter Adult Sexual Abuse by Nonspouse or Nonpartner Confirmed 995 83 Initial encounter 995 83 Subsequent encounter Adult Sexual Abuse by Nonspouse or Nonpartner Suspected 995 83 Initial encounter 995 83 Subsequent encounter Adult Psychological Abuse by Nonspo use or Nonpartner Confirmed 995 82 Initial encounter 995 82 Subsequent encounter Adult Psychological Abuse by Nonspouse or Nonpartner Suspected 995 82 Initial encounter 995 82 Subsequent encounter Other Circumstances Related to Adult Ab use by Nonspouse or Nonpartner V65 49 Encounter for mental health services for victim of nonspousal adult abuse V62 83 Encounter for mental
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297
health services for perpetrator of nonspousal adult abuse Educational and Occupational Problems Educational Problems V62 3 Academic or Educational Problem Occupational Problems V62 21 Problem Related to Current Military Deployment Status V62 29 Other Problem Related to Employment Housing and Economic Problems Housing Problems V60 0 Homelessness V60 1 Inadequate Housing Classification xxxix V60 89 Discord With Neighbor Lodger or Landlord V60 6 Problem Related to Living in a Residential Institution Economic Problems V60 2 Lack of Adequate Food or Safe Drinking Water V60 2 Extreme Poverty V60 2 Low Income V60 2 Insufficient Social Insurance or Welfare Support V60 9 Unspecified Housing or Economic Problem Other Problems Related to the Social Environment V62 89 Phase of Life Problem V60 3 Problem Related to Living Alone V62 4 Acculturation Difficulty V62 4 Social Exclusion or Rejection V62 4 Target of Adverse Disc rimination or Persecution V62 9 Unspecified Problem Related to Social Environment Problems Related to Crime or Interaction With the Legal System V62 89 Victim of Crime V62 5 Conviction in Civil or Criminal Proceedings Without Imprisonment V62 5 Imprisonment or Other Incarceration V62 5 Problems Related to Release From Prison V62 5 Problems Related to Other Legal Circumstances
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298
Other Health Service Encounters for Counseling and Medical Advice V65 49 Sex Counseling V65 40 Other Counseling or Consultation Problems Related to Other Psychosocial Personal and Environmental Circumstances V62 89 Religious or Spiritual Problem V61 7 Problems Related to Unwanted Pregnancy V61 5 Problems Related to Multiparity V62 89 Discord With Social Service Provider Including Probation Officer Case Manager or So cial Services Worker V62 89 Victim of Terrorism or Torture V62 22 Exposure to Disaster War or Other Hostilities V62 89 Other Problem Related to Psyc hosocial Circumstances V62 9 Unspecified Problem Related to Unspecified Psychosocial Circumstances Classification Other Circumstances of Personal History V15 49 Other Personal History of Psychological Trauma V15 59 Personal History of V62 22 Personal History of Mili tary Deployment V15 89 Other Personal Risk Factors V69 9 Problem Related to Lifestyle V71 01 Adult Antisocial Behavior V71 02 Child or Adolescent Antisocial Behavior Problems Related to Access to Medical and Other Health Care V63 9 Unavailability or Inaccessibility of Health Care Facilities V63 8 Unavailability or Inaccessibility of Other Helping Agencies Nonadherence to Medical Treatment V15 81 Nonadherence to Medical Treatment 278 00 Overweight or Obesity V65 2 Malingering V40 31 Wandering Associated With
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