Neurodevelopmental Disorders DC: 0-5 Diagnosis DSM-5 Description DSM-5 code ICD-10 Description ICD-10 code Line on Prioritized List 4 Comments Attention Deficit/Hyperactivity Disorder (36 months and older) Attention Deficit/Hyperactivity Disorder Attention Deficit/Hyperactivity Disorder 122 – Guideline 20 See full details in guideline for children under 5 yrs. First line therapy is structured training.” Overactivity Disorder of Toddlerhood (Only between 24-36 months of age) Unspecified Attention Deficit/Hyperactivity Disorder 314.01 Attention Deficit/Hyperactivity Disorder, Unspecified type F90. 9 Tourette’s Disorder Tourette’s Disorder 307.23 Tourette’s Disorder F95.2 445 Listed under Obsessive Compulsive disorders in the DC: 0-5 Motor or Vocal Tic Disorder Tic Disorders (Transient, or Persistent motor/vocal) Tic disorders F95.9
Other Anxiety Disorder of Infancy/Early Childhood Other Specified Anxiety Disorder 300.9 Other Specified Anxiety Disorder F41.8 413 Generalized Anxiety Disorder Generalized Anxiety Disorder 300.02 Generalized Anxiety Disorder F41.1 Selective Mutism Selective Mutism 312.23 Selective Mutism F94.0 471 (below the line, Not reimbursable) Mood Disorders DC: 0-5 Diagnosis DSM-5 Description DSM-5 code ICD-10 Description ICD-10 code Line on Prioritized List 4 Comments Depressive Disorder of Early Childhood Major Depressive Disorder, Single Episode 296.23 Severe Depressive Episode without psychotic Symptoms F32.2 7 Rule out ADHD, Trauma, Anxiety, Autism and Conduct Disorder Moderate Depressive Episode 296.22 Moderate Depressive Episode F32.1 204 Mild Depressive Episode 296.21 Mild Depressive Episode F32.0
Disruptive Mood Dysregulation Disorder, 296.99 (F34.81) — not to be used for children under 6 yrs. Disorder of Dysregulated Anger and Aggression of Early Childhood Other Specified Depressive Disorder 311 Other specified persistent mood disorder F34.89 Other Mood Disorder of Early Childhood Unspecified Depressive disorder 311 Unspecified mood [affective] disorder F39 Depressive Disorder of Early Childhood Persistent Depressive Disorder 300.4 Dysthymic Disorder F34.1 431 Obsessive Compulsive and Related Disorders DC: 0-5 Diagnosis DSM-5 Description DSM-5 code ICD-10 Description ICD-10 code Line on List 4 Comments Disorder Disorder 301.4 Disorder F42.2 460 Trichotillomania Trichotillomania 312.39 Trichotillomania F63.3 Skin Picking Disorder of Infancy/Early Childhood Excoriation (skin-picking disorder) 698.4 Excoriation disorder) L98.1 552 (Below the line, not reimbursable) Compulsive
Other Obsessive and Related Disorders Other Obsessive Compulsive and Related Disorders 300.3 disorder, unspecified F42.9 460 Motor or Vocal Tic Disorder and Tourette’s Disorder — See Neurodevelopmental Disorders section of this document Sleep Disorders DC: 0-5 Diagnosis DSM-5 Description ICD-10 Description Prioritized List 4 line/ Comments Sleep Onset Disorder Insomnia Disorder Nonorganic Insomnia (F51.0) Not reimbursable as Behavioral Health codes. Services may be available through the home visiting, early learning, or physical health systems. Consider whether the sequelae of the symptoms of these disorders meet a separate diagnosis that is treatable and reimbursable by a behavioral health provider Night Waking Disorder Insomnia Disorder Nonorganic Insomnia (F51.0) Partial Arousal Sleep Disorder Non-Rapid Eye Movement Sleep Arousal Disorders — Sleep terror type Sleep Terrors (F51.4) Nightmare Disorder of Early Childhood Nightmare Disorder Sleep Terrors (F51.5)
Eating Disorders DC: 0-5 Diagnosis DSM-5 Description DSM-5 code ICD-10 Description ICD-10 code Line on Prioritized List 4 Comments Pica Pica 307.52 Pica of Infancy and Childhood F98.3 149 In children under 24 months, differentiate from developmentally appropriate mouthing Undereating Disorder Avoidant/ Restrictive Food Intake Disorder 307.59 Other specified eating disorder F50.89 149 Overeating Disorder Unspecified Feeding or Eating Disorder 307.50 Eating Disorder, Unspecified F50.9 381 Must be over 24 months of age Atypical Eating Disorder (Rumination) Rumination Disorder 307.53 Rumination Disorder of Infancy and Childhood F98.21 149 Atypical Eating Disorder (Hoarding) Other Specified Trauma- and Disorder 309.89 Other reaction to severe Stress F43.8 443 Must have documented food hoarding in response to stressor. Not to be confused to DSM-5 Hoarding Disorder 300.3 (ICD 10- F42)
Crying Disorders DC: 0-5 Diagnosis DSM-5 Description ICD-10 Description Prioritized List 4 line/ Comments Excessive Crying Disorder No equivalent diagnosis Nonspecific Symptoms Peculiar to Infancy (Excessive Crying in Infants; R68.11) Not reimbursable as Behavioral Health codes. Services may be available through home visiting systems, or physical health systems. Consider whether the sequelae of the symptoms of these disorders meet a separate diagnosis that is treatable and reimbursable by a behavioral health provider Other Sleep, Eating, and Excessive Crying Disorder of Infancy/Early Childhood Other Specified Feeding or Eating Disorder Other Specified Sleep-Wake Disorder Other Eating Disorders Other Nonorganic Sleep Disorders Excessive Crying Disorder None listed Excessive Crying of infant, R68.11 Elimination Disorders DC: 0-5 Diagnosis DSM-5 DSM-5 code ICD-10 Description ICD-10 code Line on List 4 Comments No applicable diagnosis Encopresis 307.7 Encopresis not due to a substance or known physiological condition F98.1 468 Developmental age over 4 years Rule out Medical Condition and Anxiety
Enuresis 307.6 Enuresis not due to a substance or known physiological condition F98.0 Not reimbursable as a Behavioral Health code Trauma, Stress and Deprivation Disorders DC: 0-5 Diagnosis DSM-5 Description DSM-5 code ICD-10 Description ICD-10 code Line on List 4 Comments Post-Traumatic Stress Disorder Acute Stress Reaction 308.3 Acute Stress Reaction F43.0 290 Post-traumatic Stress disorder for Children 6 years and under 309.81 Post-Traumatic Stress Disorder F43.10 173 Reactive Attachment Disorder Reactive Attachment Disorder 313.89 Reactive Attachment Disorder F94.1 448 Disinhibited Social Engagement Disorder Disinhibited Social Engagement Disorder 313.89 Disinhibited Attachment Disorder of Childhood F94.2
No applicable diagnosis -Child physical abuse -Child Sexual Abuse -Child Neglect -Child psychological abuse V61.21 Mental Health Services for victim of child abuse by parent Z69.010 121 Reimbursable as primary diagnosis Mental Health Services for victim of non-parental child abuse Z69.020 Other Trauma, Stress, and Deprivation Disorder Unspecified Trauma- and Disorder 309.89 Reaction to Severe Stress, Unspecified F43.8 443 Z63.4 Disappearance and death of family member reimbursable only when identified as secondary diagnosis with a primary diagnosis of F43.8, Other reactions to severe stress. Complicated Grief Disorder Other Specified Trauma- and Disorder (Persistent Complex Bereavement Disorder) 309.89 AND V62.82 Other Reactions to Severe Stress (Disappearance or death of family member) F43.8 AND secondary Z63.4
Other Stress Related Disorders DC: 0-5 Diagnosis DSM-5 Description DSM-5 code ICD-10 Description ICD-10 code Prioritized List 4 line number Comments Adjustment Disorder Adjustment Disorder w/ Depressed mood; w/ Anxiety; w/ Anxiety and depressed mood; w/ Disturbance of conduct; w/ Mixed disturbance of emotion and conduct; unspecified 309.0; 309.24; 309.28; 309.3, 309.4; 309.9 Adjustment Disorder w/ Depressed mood; w/ Anxiety; w/ Anxiety and Depressed mood; w/ Disturbance of conduct; w/ Mixed disturbance of emotion and conduct; unspecified F43.21, F43.22, F43.23, F43.24, F43.25, F43.20 443 No applicable Diagnosis Personal (past) history of physical or sexual abuse or psychological abuse V15.41; V15.42 Personal (past) history of physical or sexual abuse or psychological abuse Z62.810; Z62.811; Z62.812 Reimbursable as primary diagnosis