DSM-5-TR® Update

Supplement to
Diagnostic and Statistical Manual of
Mental Disorders, Fifth Edition,
Text Revision

September 2024

Previous updates:
September 2023
September 2022
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This supplement reflects updates to diagnostic criteria and related text, as well as coding
updates, changes, or corrections. This supplement is intended to be used only in conjunction
with DSM-5-TR, and it should not be relied upon as an independent source of information.

Cautionary Statement: DSM-5-TR is a classification of mental disorders that was developed for
use in clinical, educational, and research settings. The diagnostic categories, criteria, and textual
descriptions are meant to be employed by individuals with appropriate clinical training and
experience in diagnosis. It is important that DSM-5-TR not be applied mechanically by individuals
without clinical training. The specific diagnostic criteria included in DSM-5-TR are meant to serve
as guidelines to be informed by clinical judgment and are not meant to be used in a rigid
cookbook fashion.
 September 2024
DSM-5-TR® Update
Table of Contents

I. Coding Updates ................................................................................................................................ 6

I.A Pica .............................................................................................................................................. 6
I.B Rumination Disorder ................................................................................................................... 6
I.C Anorexia Nervosa ........................................................................................................................ 6
I.D Bulimia Nervosa ........................................................................................................................... 7
I.E Binge Eating Disorder .................................................................................................................. 7
I.F Insufficient Social or Health Insurance or Welfare Support ........................................................ 8
II. Criteria Updates ............................................................................................................................... 9
II.A Adjustment Disorders .................................................................................................................. 9
II.B Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease ......................................... 9
II.C Substance/Medication-Induced Major or Mild Neurocognitive Disorder ................................ 11
III. Text Updates .................................................................................................................................. 12
III.A Use of the Manual – Subtypes and Specifiers section............................................................... 12
III.B Disruptive Mood Dysregulation Disorder – Differential Diagnosis ........................................... 12
III.C Prolonged Grief Disorder – Differential Diagnosis .................................................................... 13
IV. DSM Online Assessment Measures ............................................................................................... 14
IV.A LEVEL 2—Mania—Altman Self-Rating Mania Scale [ASRM]) .......................................................... 14
LEVEL 2—Mania—Adult (Altman Self-Rating Mania Scale [ASRM]) ................................................... 14
LEVEL 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale [ASRM]).................................. 14
LEVEL 2—Mania—Parent/Guardian of Child Age 6–17 (adapted from the Altman Self-Rating Mania
Scale [ASRM]) ...................................................................................................................................... 14
IV.B Alternative Versions of the Cultural Formulation Interview (Military version) .............................. 14
V. DSM-5-TR Excerpts: Coding Changes ............................................................................................. 15
VI. Listing of ICD-10-CM Coding Updates in DSM-5-TR – Effective October 1, 2024 .......................... 21
I. Coding Updates
I.A Pica
The diagnostic criteria for pica include the following coding note at the top of page 372: “The ICD-10-CM
codes for pica are F98.3 in children and adolescents, and F50.89 in adults.” F50.89 is the current ICD-10-
CM code for “Other specified eating disorder.”
Effective October 1, 2024, a new unique code was created for pica in adults, F50.83, necessitating a
revision of the coding note in the diagnostic criteria for pica and updating the code for pica in the
classification and the alphabetical and numerical listing of DSM-5-TR diagnoses and ICD-10-CM codes.
The updated coding note is as follows: “The ICD-10-CM codes for pica are F98.3 in children and
adolescents and F50.83 in adults.”

Pica in adults – ICD-10-CM code up to September 30, 2024: F50.89

Pica in adults – Updated code: F50.83

I.B Rumination Disorder

The ICD-10-CM code for rumination disorder (up to September 30, 2024) is F98.21 which applies to cases
regardless of age. The National Center for Health Statistics (NCHS) is revising the codes for Rumination
Disorder with the applicable code depending on the age of the patient: F98.21 for rumination disorder in
in infants, children, and adolescents and a new ICD-10-CM code, F50.84, for rumination disorder in
adults. A coding note is being added to the diagnostic criteria for rumination disorder as follows: “The
ICD-10-CM codes for rumination disorder are F98.21 in infants, children, and adolescents and F50.84 in
adults.”

Rumination disorder in adults – New code: F50.84

I.C Anorexia Nervosa

The ICD-10-CM codes for anorexia nervosa, restricting type (F50.01), and anorexia nervosa, binge-eating
purging type (F50.02) have been revised to allow current severity or remission status to be indicated in
the ICD-10-CM code; these changes will take effect October 1, 2024. Notably, after October 1, 2024, the
codes F50.01 and F50.02 will no longer be valid.

Anorexia nervosa, Restricting type – code up to September 30, 2024: F50.01

Anorexia nervosa, Restricting type – New codes:
Anorexia nervosa, restricting type, mild: F50.010
Anorexia nervosa, restricting type, moderate: F50.011
Anorexia nervosa, restricting type, severe: F50.012
Anorexia nervosa, restricting type, extreme: F50.013
Anorexia nervosa, restricting type, in partial remission: F50.014
Anorexia nervosa, restricting type, in full remission: F50.014
Anorexia nervosa, restricting type, unspecified: F50.019

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 Anorexia nervosa, Binge-eating/purging type –code up to September 30, 2024: F50.02
Anorexia nervosa, Binge-eating/purging type – New codes:
Anorexia nervosa, binge eating/purging type, mild: F50.020
Anorexia nervosa, binge eating/purging type, moderate: F50.021
Anorexia nervosa, binge eating/purging type, severe: F50.022
Anorexia nervosa, binge eating/purging type, extreme: F50.023
Anorexia nervosa, binge eating/purging type, in partial remission: F50.024
Anorexia nervosa, binge eating/purging type, in full remission: F50.024
Anorexia nervosa, binge eating/purging type, unspecified: F50.029

I.D Bulimia Nervosa

The ICD-10-CM code for bulimia nervosa has been revised to allow current severity or remission status to
be indicated in the ICD-10-CM code; these changes will take effect October 1, 2024. Notably, after
October 1, 2024, the code F50.2 will no longer be valid.

Bulimia nervosa –code up to September 30, 2024: F50.2

Bulimia nervosa – New codes:
Bulimia nervosa, unspecified: F50.20
Bulimia nervosa, mild: F50.21
Bulimia nervosa, moderate: F50.22
Bulimia nervosa, severe: F50.23
Bulimia nervosa, extreme: F50.24
Bulimia nervosa, in partial remission: F50.25
Bulimia nervosa, in full remission: F50.25

I.E Binge Eating Disorder

The ICD-10-CM code for binge eating disorder has been revised to allow current severity or remission
status to be indicated in the ICD-10-CM code; these changes will take effect October 1, 2024. Notably,
after October 1, 2024, the code F50.81 will no longer be valid.

Binge eating disorder – code up to September 30, 2024: F50.81

Binge eating disorder – New codes:
Binge eating disorder, mild: F50.810
Binge eating disorder, moderate: F50.811
Binge eating disorder, severe: F50.812
Binge eating disorder, extreme: F50.813
Binge eating disorder, in partial remission: F50.814
Binge eating disorder, in full remission: F50.814
Binge eating disorder, unspecified: F50.819

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I.F Insufficient Social or Health Insurance or Welfare Support
The ICD-10-CM category insufficient social or health insurance or welfare support (not a mental disorder)
has been split into two categories: 1) insufficient health insurance coverage and 2) insufficient welfare
support, with each having new codes (Z59.71 and Z59.72, respectively) that become effective on
October 1, 2024.

Original code and text:

Z59.7 Insufficient Social or Health Insurance or Welfare Support
This category may be used for individuals who meet eligibility criteria for social or welfare support but are
not receiving such support, who receive support that is insufficient to address their needs, or who
otherwise lack access to needed insurance or support programs. Examples include inability to qualify for
welfare support because of lack of proper documentation or evidence of address, inability to obtain
adequate health insurance because of age or a preexisting condition, and denial of support owing to
excessively stringent income or other requirements

Revised codes and text:

Z59.71 Insufficient Health Insurance
This category should be used when insufficient health insurance has an impact on the individual’s
treatment or prognosis.
Z59.72 Insufficient Welfare Support
This category should be used when insufficient welfare support has an impact on the individual’s
treatment or prognosis.

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II. Criteria Updates
II.A Adjustment Disorders
Reason for change: Subtype definitions were revised to enhance meaning and to define “disturbance of
conduct” as shown in the table below.

Current subtypes Revised subtypes

Specify whether: Specify whether:
F43.21 With depressed mood: Low mood, tearfulness, F43.21 With depressed mood: Depressive symptoms
or feelings of hopelessness are predominant. (e.g., low mood, tearfulness, or feelings of
hopelessness) are predominant.

F43.22 With anxiety: Nervousness, worry, jitteriness, F43.22 With anxiety: Anxiety symptoms (e.g.,
or separation anxiety is predominant. nervousness, worry, jitteriness, or separation
anxiety) are predominant.

F43.23 With mixed anxiety and depressed mood: A F43.23 With mixed anxiety and depressed mood: A
combination of depression and anxiety is combination of depressed mood and anxiety
predominant. symptoms is predominant.

F43.24 With disturbance of conduct: Disturbance of F43.24 With disturbance of conduct: Behavioral
conduct is predominant. symptoms involving the violation of the rights of
others or of major age-appropriate societal norms
and rules (e.g., truancy, vandalism, reckless driving,
fighting, defaulting on legal responsibilities) are
predominant.

F43.25 With mixed disturbance of emotions and F43.25 With mixed disturbance of emotions and
conduct: Both emotional symptoms (e.g., conduct: Both emotional symptoms (e.g., depressed
depression, anxiety) and a disturbance of conduct mood, anxiety) and a disturbance of conduct are
are predominant. predominant.

F43.20 Unspecified: For maladaptive reactions that are F43.20 Unspecified: For maladaptive reactions that are
not classifiable as one of the specific subtypes of not classifiable as one of the specific subtypes of
adjustment disorder. adjustment disorder. [no changes]

II.B Major or Mild Neurocognitive Disorder Due to Alzheimer’s Disease

Reason for change: Many cases of neurocognitive disorder (NCD) have mixed etiologies—in such cases,
the diagnosis should be major or mild NCD due to multiple etiologies. A particularly common mixed
etiology presentation is the combination of NCD due to Alzheimer’s disease and NCD due to vascular
disease. However, the requirement in major and mild NCD due to Alzheimer’s disease for the absence of
a mixed etiology prevented Alzheimer’s disease from being included among the etiologies comprising

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 NCD due to multiple etiologies. Thus, the criterion major and mild NCD due to Alzheimer’s disease that
restricted multiple etiologies has been omitted.

Original criteria:
For major neurocognitive disorder:
Probable Alzheimer’s disease is diagnosed if either of the following is present; otherwise, possible
Alzheimer’s disease should be diagnosed.
1. Evidence of a causative Alzheimer’s disease genetic mutation from family history or
genetic testing.
2. All three of the following are present:
a. Clear evidence of decline in memory and learning and at least one other
cognitive domain (based on detailed history or serial neuropsychological
testing).
b. Steadily progressive, gradual decline in cognition, without extended plateaus.
c. No evidence of mixed etiology (i.e., absence of other neurodegenerative or
cerebrovascular disease, or another neurological, mental, or systemic disease or
condition likely contributing to cognitive decline).
For mild neurocognitive disorder:
Probable Alzheimer’s disease is diagnosed if there is evidence of a causative Alzheimer’s disease genetic
mutation from either genetic testing or family history.
Possible Alzheimer’s disease is diagnosed if there is no evidence of a causative Alzheimer’s disease genetic
mutation from either genetic testing or family history, and the following are present:
1. Clear evidence of decline in memory and learning.
2. Steadily progressive decline in cognition, without extended plateaus.
3. No evidence of mixed etiology (i.e., absence of other neurodegenerative or
cerebrovascular disease, or another neurological or systemic disease or condition likely
contributing to cognitive decline).
D. The disturbance is not better explained by cerebrovascular disease, another
neurodegenerative disease, the effects of a substance, or another mental, neurological, or
systemic disorder.

Revised criteria:
For major neurocognitive disorder:
Probable Alzheimer’s disease is diagnosed if either of the following is present; otherwise, possible
Alzheimer’s disease should be diagnosed.
1. Evidence of a causative Alzheimer’s disease genetic mutation from family history or
genetic testing.
2. All three of Both of the following are present:
a. Clear evidence of decline in memory and learning and at least one other
cognitive domain (based on detailed history or serial neuropsychological
testing).

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 b. Steadily progressive, gradual decline in cognition, without extended plateaus.
c. No evidence of mixed etiology (i.e., absence of other neurodegenerative or
cerebrovascular disease, or another neurological, mental, or systemic disease or
condition likely contributing to cognitive decline).
For mild neurocognitive disorder:
Probable Alzheimer’s disease is diagnosed if there is evidence of a causative Alzheimer’s disease genetic
mutation from either genetic testing or family history.
Possible Alzheimer’s disease is diagnosed if there is no evidence of a causative Alzheimer’s disease genetic
mutation from either genetic testing or family history, and all three both of following are present:
1. Clear evidence of decline in memory and learning.
2. Steadily progressive decline in cognition, without extended plateaus.
3. No evidence of mixed etiology (i.e., absence of other neurodegenerative or
cerebrovascular disease, or another neurological or systemic disease or condition likely
contributing to cognitive decline).
D. The disturbance is not better explained by cerebrovascular disease, another
neurodegenerative disease, the effects of a substance, or another mental, neurological, or
systemic disorder.

II.C Substance/Medication-Induced Major or Mild Neurocognitive Disorder

Reason for change: To add the specifiers for mild NCD, accidentally omitted in the prior coding note in the
criteria (the changes shown below also apply to footnote g in the NCD coding table.

Original coding note:

Substance-induced major or mild neurocognitive disorder: The accompanying symptom specifiers “With
agitation,” “With anxiety,” “With mood symptoms,” “With psychotic disturbance,” “With other
behavioral or psychological disturbance,” and “Without accompanying behavioral or psychological
disturbance” cannot be coded but should still be recorded.

Revised coding note:

Substance-induced major or mild neurocognitive disorder: The accompanying symptom specifiers for
major NCD (“With agitation,” “With anxiety,” “With mood symptoms,” “With psychotic disturbance,”
“With other behavioral or psychological disturbance,” and “Without accompanying behavioral or
psychological disturbance”) cannot be coded but should still be recorded. The accompanying symptom
specifiers for mild NCD (“With behavioral disturbance” and “Without behavioral disturbance”) also
cannot be coded but should still be recorded.

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III. Text Updates
III.A Use of the Manual – Subtypes and Specifiers section
Reason for change: To provide a more accurate description.

Original text:
Specifiers and subtypes provide an opportunity to define a more homogeneous subgrouping of individuals
with the disorder who share certain features (e.g., major depressive disorder, with mixed features) and
to convey information that is relevant to the management of the individual’s disorder, such as the “with
other medical comorbidity” specifier in sleep-wake disorders.

Revised text:
Specifiers may define homogeneous subgroupings of individuals along relevant dimensions (e.g., etiology,
treatment response) who share certain features (e.g., major depressive disorder, with mixed features);
and to they may also convey information that is relevant to the management of the individual’s disorder,
such as the “with other medical comorbidity” specifier in sleep-wake disorders.

III.B Disruptive Mood Dysregulation Disorder – Differential Diagnosis

Reason for change: According to the first sentence of the note under disruptive mood dysregulation
disorder (DMDD) Criterion J, individuals whose symptoms meet criteria for both DMDD and oppositional
defiant disorder should only be given the diagnosis of DMDD. Thus, the first sentence of this text section
below is incorrect and has been removed.

Original text:
Attention-deficit/hyperactivity disorder, major depressive disorder, anxiety disorders, and autism
spectrum disorder. Unlike children diagnosed with bipolar disorder or oppositional defiant disorder—
for whom a diagnosis of disruptive mood dysregulation disorder cannot be given even if the symptoms
meet diagnostic criteria for that disorder children whose symptoms meet criteria for disruptive mood
dysregulation disorder also can receive a comorbid diagnosis of ADHD, major depressive disorder,
and/or anxiety disorder. However, children whose irritability is present only in the context of a major
depressive episode or persistent depressive disorder should receive one of those diagnoses rather than
disruptive mood dysregulation disorder. Children with disruptive mood dysregulation disorder may have
symptoms that also meet criteria for an anxiety disorder and can receive both diagnoses, but children
whose irritability is manifest only in the context of exacerbation of an anxiety disorder should receive
the relevant anxiety disorder diagnosis rather than disruptive mood dysregulation disorder. In addition,
children with autism spectrum disorders frequently present with temper outbursts when, for example,
their routines are disturbed. In that instance, the temper outbursts would be considered secondary to
the autism spectrum disorder, and the child should not receive the diagnosis of disruptive mood
dysregulation disorder.
Revised text:
Attention-deficit/hyperactivity disorder, major depressive disorder, anxiety disorders, and autism
spectrum disorder. Unlike children diagnosed with bipolar disorder or oppositional defiant disorder—

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 for whom a diagnosis of disruptive mood dysregulation disorder cannot be given even if the symptoms
meet diagnostic criteria for that disorder—c Children whose symptoms meet criteria for disruptive
mood dysregulation disorder also can receive a comorbid diagnosis of ADHD, major depressive disorder,
and/or anxiety disorder. However, children whose irritability is present only in the context of a major
depressive episode or persistent depressive disorder should receive one of those diagnoses rather than
disruptive mood dysregulation disorder. Children with disruptive mood dysregulation disorder may have
symptoms that also meet criteria for an anxiety disorder and can receive both diagnoses, but children
whose irritability is manifest only in the context of exacerbation of an anxiety disorder should receive
the relevant anxiety disorder diagnosis rather than disruptive mood dysregulation disorder. In addition,
children with autism spectrum disorders frequently present with temper outbursts when, for example,
their routines are disturbed. In that instance, the temper outbursts would be considered secondary to
the autism spectrum disorder, and the child should not receive the diagnosis of disruptive mood
dysregulation disorder.

III.C Prolonged Grief Disorder – Differential Diagnosis

Reason for change: To provide clarity about the distinction between normal grief and prolonged grief
disorders in the Differential Diagnosis section.

Original text:
Normal grief. Prolonged grief disorder is distinguished from normal grief by the presence of severe grief
reactions that persist at least 12 months (6 months in children or adolescents) after the death of a
person who was close to the bereaved individual. It is only when severe levels of grief response persist
for the specified duration following the death, interfere with the individual’s capacity to function, and
exceed cultural, social, or religious norms that prolonged grief disorder is diagnosed.

Revised text:
Normal grief. Prolonged grief disorder is distinguished from normal grief by the presence of severe grief
reactions that persist at least 12 months (6 months in children or adolescents) after the death of a
person who was close to the bereaved individual. It is only when the severe levels of grief response
persists for the specified duration following the death, is clinically significant (i.e., causes clinically
significant distress or impairment in functioning) interfere with the individual’s capacity to function, and
exceeds cultural, social, or religious norms that prolonged grief disorder is diagnosed.

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IV. DSM Online Assessment Measures
The changes are available on the DSM website (DSM5.org) Online Assessment Measures page.

IV.A LEVEL 2—Mania—Altman Self-Rating Mania Scale [ASRM])

• LEVEL 2—Mania—Adult (Altman Self-Rating Mania Scale [ASRM])
• LEVEL 2—Mania—Child Age 11–17 (Altman Self-Rating Mania Scale [ASRM])
• LEVEL 2—Mania—Parent/Guardian of Child Age 6–17 (adapted from the Altman Self-Rating
Mania Scale [ASRM])
Correct the 5-point scale to be consistent with the Altman Mania scale (i.e., 0 to 4) rather than (1-5).

IV.B Alternative Versions of the Cultural Formulation Interview (Military version)

Added an Alternative Version of the core CFI for Active-Duty Members, Veterans, and their Families to
the online Assessment measures page.

DSM-5-TR® Update, September 2024, Page 14 of 22

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V. DSM-5-TR Excerpts: Coding Changes

DSM-5-TR Classification
Feeding and Eating Disorders
The following specifiers apply to Feeding and Eating Disorders where indicated:
a
Specify if: In remission
b
Specify if: In partial remission, In full remission
c
Specify current severity: Mild, Moderate, Severe, Extreme

___.__ Picaa
F98.3 In children, and adolescents
F50.893 In adults
F98.21 Rumination Disordera
F98.21 In infants, children and adolescents
F50.84 In adults

F50.82 Avoidant/Restrictive Food Intake Disordera

___.__ Anorexia Nervosab,c
Specify whether:
F50.01___.__ Restricting type
F50.010 Mild
F50.011 Moderate
F50.012 Severe
F50.013 Extreme
F50.014 In partial remission
F50.014 In full remission
F50.019 Unspecified

F50.02___.__ Binge-eating/purging type

F50.020 Mild
F50.021 Moderate
F50.022 Severe
F50.023 Extreme
F50.024 In partial remission
F50.024 In full remission
F50.029 Unspecified

F50.2___.__ Bulimia Nervosab,c

F50.21 Mild
F50.22 Moderate
F50.23 Severe
F50.24 Extreme
F50.25 In partial remission
F50.25 In full remission
F50.20 Unspecified

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F50.81___.__ Binge-Eating Disorderb,c
F50.810 Mild
F50.811 Moderate
F50.812 Severe
F50.813 Extreme
F50.814 In partial remission
F50.814 In full remission
F50.819 Unspecified

F50.89 Other Specified Feeding or Eating Disorder

F50.9 Unspecified Feeding or Eating Disorder

Other Conditions That May Be a Focus of Clinical Attention

Z59.71 Insufficient Social or Health Insurance or Welfare Support

Z59.72 Insufficient Welfare Support

DSM-5-TR Criteria Sets

Pica
Diagnostic Criteria
[unchanged criteria omitted for ease of reference]
Coding note: The ICD-10-CM codes for pica are F98.3 in children and adolescents and F50.89 F50.83 in adults.
Specify if:
In remission: After full criteria for pica were previously met, the criteria have not been met for a sustained
period of time.

Rumination Disorder
Diagnostic Criteria
F98.21
[unchanged criteria omitted for ease of reference]
Coding note: The ICD-10-CM codes for rumination disorder are F98.21 in infants, children, and adolescents and
F50.84 in adults.

Specify if:
In remission: After full criteria for rumination disorder were previously met, the criteria have not been met for
a sustained period of time.

Anorexia Nervosa
Diagnostic Criteria
[unchanged criteria omitted for ease of reference]

Coding note: The ICD-10-CM code depends on the subtype (see below).
Specify whether:
F50.01 Restricting type: During the last 3 months, the individual has not engaged in recurrent episodes of binge-
eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas). This
subtype describes presentations in which weight loss is accomplished primarily through dieting, fasting, and/or
excessive exercise.

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 F50.02 Binge-eating/purging type: During the last 3 months, the individual has engaged in recurrent episodes
of binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas).
If not current, specify if:
In partial remission: After full criteria for anorexia nervosa were previously met, Criterion A (low body weight)
has not been met for a sustained period, but either Criterion B (intense fear of gaining weight or becoming fat or
behavior that interferes with weight gain) or Criterion C (disturbances in self-perception of weight and shape) is
still met.
In full remission: After full criteria for anorexia nervosa were previously met, none of the criteria have been
met for a sustained period of time.
Specify current severity:
The minimum level of severity is based, for adults, on current body mass index (BMI) (see below) or, for children and
adolescents, on BMI percentile. The ranges below are derived from World Health Organization categories for
thinness in adults; for children and adolescents, corresponding BMI percentiles should be used. The level of severity
may be increased to reflect clinical symptoms, the degree of functional disability, and the need for supervision.
Mild: BMI ≥ 17 kg/m2.
Moderate: BMI 16–16.99 kg/m2.
Severe: BMI 15–15.99 kg/m2.
Extreme: BMI < 15 kg/m2.

Coding note: The ICD-10-CM code depends on the subtype and the current severity/remission status (see below).
Restricting type Binge-eating/purging type
F50.010 Mild F50.020 Mild
F50.011 Moderate F50.021 Moderate
F50.012 Severe F50.022 Severe
F50.013 Extreme F50.023 Extreme
F50.014 In partial remission F50.024 In partial remission
F50.014 In full remission F50.024 In full remission
F50.019 Unspecified F50.029 Unspecified

Bulimia Nervosa
Diagnostic Criteria
F50.2
[unchanged criteria omitted for ease of reference]
Coding note: The ICD-10-CM code depends on the current severity/remission status specifier (see below). Code
F50.20 when current severity/remission status of bulimia nervosa is not specified.

If not current, Specify if:

F50.25 In partial remission: After full criteria for bulimia nervosa were previously met, some, but not all, of the
criteria have been met for a sustained period of time.
F50.25 In full remission: After full criteria for bulimia nervosa were previously met, none of the criteria have
been met for a sustained period of time.
Specify current severity:
The minimum level of severity is based on the frequency of inappropriate compensatory behaviors (see below). The
level of severity may be increased to reflect other symptoms and the degree of functional disability.
F50.21 Mild: An average of 1–3 episodes of inappropriate compensatory behaviors per week.
F50.22 Moderate: An average of 4–7 episodes of inappropriate compensatory behaviors per week.
F50.23 Severe: An average of 8–13 episodes of inappropriate compensatory behaviors per week.
F50.24 Extreme: An average of 14 or more episodes of inappropriate compensatory behaviors per week.
F50.20 Unspecified

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 Binge-Eating Disorder
Diagnostic Criteria
F50.81
[unchanged criteria omitted for ease of reference]
Coding note: The ICD-10-CM code depends on the current severity/remission status specifier (see below). Code
F50.819 if the current severity/remission status of binge-eating disorder is not specified

If not current, specify if:

F50.814 In partial remission: After full criteria for binge-eating disorder were previously met, binge eating occurs
at an average frequency of less than one episode per week for a sustained period of time.
F50.814 In full remission: After full criteria for binge-eating disorder were previously met, none of the criteria
have been met for a sustained period of time.
Specify current severity:
The minimum level of severity is based on the frequency of episodes of binge eating (see below). The level of severity
may be increased to reflect other symptoms and the degree of functional disability.
F50.810 Mild: 1–3 binge-eating episodes per week.
F50.811 Moderate: 4–7 binge-eating episodes per week.
F50.812 Severe: 8–13 binge-eating episodes per week.
F50.813 Extreme: 14 or more binge-eating episodes per week.
F50.819 Unspecified

Section II: Other Conditions That May Be a Focus of Clinical Attention

Z59.71 Insufficient Health Insurance
This category should be used when insufficient health insurance has an impact on the individual’s treatment or
prognosis.
Z59.72 Insufficient Welfare Support
This category should be used when insufficient welfare support has an impact on the individual’s treatment or
prognosis.

DSM-5-TR Alphabetical Listing (Appendix)

Anorexia nervosa
F50.02 Binge-eating/purging type
F50.024 In full remission
F50.024 In partial remission
F50.023 Extreme
F50.020 Mild
F50.021 Moderate
F50.022 Severe
F50.029 Unspecified
F50.01 Restricting type
F50.014 In full remission
F50.014 In partial remission
F50.013 Extreme
F50.010 Mild
F50.011 Moderate
F50.012 Severe

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Copyright © 2024 American Psychiatric Association. All rights reserved.
 F50.019 Unspecified

F50.81 Binge-eating disorder

F50.814 In full remission
F50.814 In partial remission
F50.813 Extreme
F50.810 Mild
F50.811 Moderate
F50.812 Severe
F50.819 Unspecified

F50.2 Bulimia nervosa

F50.25 In full remission
F50.25 In partial remission
F50.24 Extreme
F50.21 Mild
F50.22 Moderate
F50.23 Severe
F50.20 Unspecified

Z59.71 Insufficient social or health insurance or welfare support

Z59.72 Insufficient welfare support

Pica
F50.893 In adults
F98.3 In children and adolescents

F98.21 Rumination disorder

F50.84 In adults
F98.21 In infants, children, and adolescents

DSM-5-TR Numerical Listing (Appendix)

F50.010 Anorexia nervosa, Restricting type, Mild
F50.011 Anorexia nervosa, Restricting type, Moderate
F50.012 Anorexia nervosa, Restricting type, Severe
F50.013 Anorexia nervosa, Restricting type, Extreme
F50.014 Anorexia nervosa, Restricting type, In full remission
F50.014 Anorexia nervosa, Restricting type, In partial remission
F50.019 Anorexia nervosa, Restricting type, Unspecified
F50.020 Anorexia nervosa, Binge-eating/purging type, Mild

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Copyright © 2024 American Psychiatric Association. All rights reserved.
F50.021 Anorexia nervosa, Binge-eating/purging type, Moderate
F50.022 Anorexia nervosa, Binge-eating/purging type, Severe
F50.023 Anorexia nervosa, Binge-eating/purging type, Extreme
F50.024 Anorexia nervosa, Binge-eating/purging type, In full remission
F50.024 Anorexia nervosa, Binge-eating/purging type, In partial remission
F50.029 Anorexia nervosa, Binge-eating/purging type, Unspecified
F50.20 Bulimia nervosa, Unspecified
F50.21 Bulimia nervosa, Mild
F50.22 Bulimia nervosa, Moderate
F50.23 Bulimia nervosa, Severe
F50.24 Bulimia nervosa, Extreme
F50.25 Bulimia nervosa, In full remission
F50.25 Bulimia nervosa, In partial remission
F50.810 Binge-eating disorder, Mild
F50.811 Binge-eating disorder, Moderate
F50.812 Binge-eating disorder, Severe
F50.813 Binge-eating disorder, Extreme
F50.814 Binge-eating disorder, In full remission
F50.814 Binge-eating disorder, In partial remission
F50.819 Binge-eating disorder, Unspecified

F50.893 Pica, in adults

F50.84 Rumination disorder, in adults

F98.21 Rumination disorder, in infants, children, and adolescents

F98.3 Pica, in children and adolescents

Z59.71 Insufficient social or health insurance or welfare support

Z59.72 Insufficient welfare support

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Copyright © 2024 American Psychiatric Association. All rights reserved.
VI. Listing of ICD-10-CM Coding Updates in DSM-5-TR – Effective October 1, 2024

Listing of DSM-5-TR Diagnoses and Updated ICD-10-CM Codes

ICD-10-CM Code ICD-10-CM Code
Disorder/ Condition through September beginning October
30, 2024 1, 2024
Pica in adults F50.89 F50.83
Rumination disorder in adults Not available F50.84
Anorexia nervosa, restricting type F50.01 See replacement codes
below
Anorexia nervosa, restricting type, mild Not available F50.010
Anorexia nervosa, restricting type, moderate Not available F50.011
Anorexia nervosa, restricting type, severe Not available F50.012
Anorexia nervosa, restricting type, extreme Not available F50.013
Anorexia nervosa, restricting type, in partial remission Not available F50.014
Anorexia nervosa, restricting type, in full remission Not available F50.014
Anorexia nervosa, restricting type, unspecified Not available F50.019
Anorexia nervosa, binge eating/purging type F50.02 See replacement codes
below
Anorexia nervosa, binge eating/purging type, mild Not available F50.020
Anorexia nervosa, binge eating/purging type, moderate Not available F50.021
Anorexia nervosa, binge eating/purging type, severe Not available F50.022
Anorexia nervosa, binge eating/purging type, extreme Not available F50.023
Anorexia nervosa, binge eating/purging type, in partial Not available F50.024
remission
Anorexia nervosa, binge eating/purging type, in full Not available F50.024
remission
Anorexia nervosa, binge eating/purging type, unspecified Not available F50.029
Bulimia nervosa F50.2 See replacement codes
below
Bulimia nervosa, mild Not available F50.21
Bulimia nervosa, moderate Not available F50.22
Bulimia nervosa, severe Not available F50.23
Bulimia nervosa, extreme Not available F50.24
Bulimia nervosa, in partial remission Not available F50.25
Bulimia nervosa, in full remission Not available F50.25
Bulimia nervosa, unspecified Not available F50.20
Binge eating disorder F50.81 See replacement codes
below
Binge eating disorder, mild Not available F50.810
Binge eating disorder, moderate Not available F50.811
Binge eating disorder, severe Not available F50.812
Binge eating disorder, extreme Not available F50.813
Binge eating disorder, in partial remission Not available F50.814
Binge eating disorder, in full remission Not available F50.814

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Copyright © 2024 American Psychiatric Association. All rights reserved.
Binge eating disorder, unspecified Not available F50.819
Insufficient health insurance coverage Z59.7 Z59.71
Insufficient welfare support Z59.7 Z59.72

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Copyright © 2024 American Psychiatric Association. All rights reserved.
 September 2023
DSM-5-TR™ Update
Table of Contents
I. CODING UPDATES: 2

I.A PARKINSON'S DISEASE, CODING CHANGE 2

I.B INADEQUATE HOUSING, CODING CHANGE 2

II. TEXT UPDATES 3

II.A DELUSIONAL DISORDER, DIFFERENTIAL DIAGNOSIS: PP. 107-108 3

II.B SCHIZOPHRENIA, DIFFERENTIAL DIAGNOSIS: P. 120 3

II.C CONDUCT DISORDER, DIFFERENTIAL DIAGNOSIS, P. 537 4

III. LISTING OF ICD-10-CM CODING UPDATES IN DSM-5-TR - 2023 5

DSM-5-TRTM Update, September 2023, Page 1 of 5

Copyright © 2023 American Psychiatric Association. All rights reserved.
I. Coding Updates:

I.A Parkinson's Disease, Coding Change

The ICD-10-CM code for Parkinson’s disease has changed from G20 to G20.C, reflecting a change to the
ICD-10-CM code that takes effect on October 1, 2023. Note that G20.C is the code for Parkinson’s
disease, unspecified. Additional codes are also newly available to indicate the presence or absence of
dyskinesia, with or without fluctuations, which do not appear in DSM-5-TR.
The ICD-10-CM code for Parkinson's disease (in the DSM-5-TR Classification [Major or Mild
Neurocognitive Disorder Due to Parkinson’s Disease], the Neurocognitive Disorders chapter [1) coding
table, “Parkinson’s disease, probably due to”; and 2) criteria set for Major or Mild Neurocognitive
Disorder Due to Parkinson’s Disease], Alphabetical Listing and Numerical Listing of DSM-5-TR Diagnoses
and ICD-10-CM Codes of DSM-5-TR Diagnoses and ICD-10-CM Codes [all listings for “Major
neurocognitive disorder probably due to Parkinson’s disease” and “Mild neurocognitive disorder
probably due to Parkinson’s disease”]) is revised as follows:
Parkinson's disease– Original code: G20
Parkinson's disease– Updated code: G20.C

I.B Inadequate Housing, Coding Change

The ICD-10-CM code for Inadequate Housing (in the DSM-5-TR Classification [Other Conditions That
May Be a Focus of Clinical Attention, “Housing Problems”], the Other Conditions That May Be a Focus of
Clinical Attention chapter [“Housing Problems”], Alphabetical and Numerical Listing of DSM-5-TR
Diagnoses and ICD-10-CM Codes) is revised as follows:
Inadequate Housing – Original code: Z59.1
Inadequate Housing – Updated code: Z59.10

DSM-5-TRTM Update, September 2023, Page 2 of 5

Copyright © 2023 American Psychiatric Association. All rights reserved.
 II. Text Updates

II.A Delusional Disorder, Differential Diagnosis: pp. 107-108

Reason for change: To clarify the boundary between delusional disorder and psychotic versions of some
of the Obsessive-Compulsive and Related Disorders (e.g., body dysmorphic disorder with absent
insight/delusional beliefs).

Original text:
Obsessive-compulsive and related disorders. If an individual with obsessive-compulsive disorder is
completely convinced that his or her obsessive-compulsive disorder beliefs are true, then the diagnosis
of obsessive-compulsive disorder, with absent insight/delusional beliefs specifier, should be given rather
than a diagnosis of delusional disorder. Similarly, if an individual with body dysmorphic disorder is
completely convinced that his or her body dysmorphic disorder beliefs are true, then the diagnosis of
body dysmorphic disorder, with absent insight/delusional beliefs specifier, should be given rather than a
diagnosis of delusional disorder.
Revised text:
Obsessive-compulsive and related disorders. If an individual with obsessive-compulsive disorder, body
dysmorphic disorder, or hoarding disorder is completely convinced that his or her obsessive-compulsive
and related disorder beliefs are true, then the diagnosis is obsessive-compulsive disorder, body
dysmorphic disorder, or hoarding disorder, respectively, “with absent insight/delusional beliefs”
specifier, rather than delusional disorder.

II.B Schizophrenia, Differential Diagnosis: p. 120

Reason for change: To clarify the boundary between schizophrenia and psychotic versions of some of
the Obsessive-Compulsive and Related Disorders.

Original text:
Obsessive-compulsive disorder and body dysmorphic disorder. Individuals with obsessive-compulsive
disorder and body dysmorphic disorder may present with poor or absent insight, and the
preoccupations may reach delusional proportions. But these disorders are distinguished from
schizophrenia by their prominent obsessions, compulsions, preoccupations with appearance or body
odor, hoarding, or body-focused repetitive behaviors.
Revised text:
Obsessive compulsive and related disorders with poor or absent insight: When individuals are
completely convinced that their obsessive-compulsive beliefs, body dysmorphic disorder beliefs (e.g.,
defective physical appearance), or hoarding disorder beliefs (e.g., catastrophic consequences of
discarding objects) are true, the specifier “with absent insight/delusional beliefs” applies. These
disorders are distinguished from schizophrenia by the absence of the other required psychotic features
DSM-5-TRTM Update, September 2023, Page 3 of 5
Copyright © 2023 American Psychiatric Association. All rights reserved.
(hallucinations, disorganized speech, disorganized or catatonic behavior, negative symptoms). Another
important differentiating feature between schizophrenia and these disorders is that the latter are
characterized by prominent obsessions or preoccupations and the compulsive (repetitive) behaviors that
occur in response.

II.C Conduct Disorder, Differential Diagnosis, p. 537

Reason for change: To align the differential diagnosis text for conduct disorder to be consistent with
Criterion E of adjustment disorders.

Original text:
Adjustment disorders. The diagnosis of an adjustment disorder (with disturbance of conduct or with
mixed disturbance of emotions and conduct) should be considered if clinically significant conduct
problems that do not meet the criteria for another specific disorder develop in clear association with the
onset of a psychosocial stressor and do not resolve within 6 months of the termination of the stressor
(or its consequences). Conduct disorder is diagnosed only when the conduct problems represent a
repetitive and persistent pattern that is associated with impairment in social, academic, or occupational
functioning.
Revised text:
Adjustment disorders. The diagnosis of an adjustment disorder (with disturbance of conduct or with
mixed disturbance of emotions and conduct) should be considered if clinically significant conduct
problems that do not meet the criteria for another specific disorder develop in clear association with the
onset of a psychosocial stressor and resolve within 6 months of the termination of the stressor (or its
consequences). Conduct disorder is diagnosed only when the conduct problems represent a repetitive
and persistent pattern that is associated with impairment in social, academic, or occupational
functioning.

DSM-5-TRTM Update, September 2023, Page 4 of 5

Copyright © 2023 American Psychiatric Association. All rights reserved.
III. Listing of ICD-10-CM Coding Updates in DSM-5-TR - 2023

Listing of DSM-5-TR Diagnoses and New ICD-10-CM Codes

Previous Codes Current Codes

Parkinson's Disease G20 G20.C

Inadequate Housing Z59.1 Z59.10

DSM-5-TRTM Update, September 2023, Page 5 of 5

Copyright © 2023 American Psychiatric Association. All rights reserved.
 September 2022
DSM-5-TR™ Update
Table of Contents

I. USE OF THE MANUAL 6

I.A SUBTYPES AND SPECIFIERS (TEXT UPDATE) 6

II. SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS 6

II.A CATATONIC DISORDER DUE TO ANOTHER MEDICAL CONDITION (CODING UPDATE TO ICD-10-CM
MEDICAL CODES USED AS EXAMPLES) 6

III. BIPOLAR AND RELATED DISORDERS 6

III.A BIPOLAR I: MAJOR DEPRESSIVE EPISODE, CRITERION A9 (CRITERIA UPDATE) 6

III.B BIPOLAR II: MAJOR DEPRESSIVE EPISODE, CRITERION A9 (CRITERIA UPDATE) 6
III.C BIPOLAR SPECIFIERS, MANIC OR HYPOMANIC EPISODE, WITH MIXED FEATURES, CRITERION A6 (CRITERIA UPDATE) 6

IV. DEPRESSIVE DISORDERS 7

IV.A MAJOR DEPRESSIVE DISORDER 7

IV.A.1 MAJOR DEPRESSIVE DISORDER, CRITERION A.9 (CRITERIA UPDATE) 7
IV.A.2 MAJOR DEPRESSIVE DISORDER (TEXT UPDATE) 7

V. TRAUMA AND STRESSOR-RELATED DISORDERS 7

V.A PROLONGED GRIEF DISORDER (CODING UPDATE TO ICD-10-CM DISORDER CODE) 7

V.B OTHER SPECIFIED TRAUMA- AND STRESSOR-RELATED DISORDER (CODING UPDATE TO ICD-10-CM DISORDER CODE) 7

VI. SUBSTANCE-RELATED AND ADDICTIVE DISORDERS 8

VI.A OPIOID-INDUCED ANXIETY DISORDER (CODING UPDATE TO ICD-10-CM DISORDER CODE) 8

VII. NEUROCOGNITIVE DISORDERS 8

VII.A CHAPTER INTRODUCTION (TEXT UPDATE) 8

VII.B DELIRIUM (CODING UPDATE TO ICD-10-CM MEDICAL CODES USED AS EXAMPLES) 9
VII.C OTHER SPECIFIED DELIRIUM (CODING UPDATE TO ICD-10-CM DISORDER CODE) 9
VII.D UNSPECIFIED DELIRIUM (CODING UPDATE TO ICD-10-CM DISORDER CODE) 9
VII.E MAJOR NEUROCOGNITIVE DISORDER (CRITERIA UPDATE – SPECIFIERS, CODING UPDATE TO ICD-10-CM DISORDER CODE) 9
VII.F MILD NEUROCOGNITIVE DISORDERS (CODING UPDATE TO ICD-10-CM DISORDER CODE) 13
VII.G MAJOR OR MILD NEUROCOGNITIVE DISORDER DUE TO TRAUMATIC BRAIN INJURY (CODING UPDATE TO
ICD-10-CM MEDICAL CODES USED AS EXAMPLES) 13

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Copyright © 2022 American Psychiatric Association. All rights reserved.
VII.H MAJOR OR MILD NEUROCOGNITIVE DISORDER DUE TO UNKNOWN ETIOLOGY (NEWLY ADDED DISORDER) 14
VII.I UNSPECIFIED NEUROCOGNITIVE DISORDER (CHANGE IN THE DISORDER DEFINITION) 14

VIII. OTHER CONDITIONS THAT MAY BE A FOCUS OF CLINICAL ATTENTION 15

VIII.A CURRENT SUICIDAL BEHAVIOR, INITIAL AND SUBSEQUENT ENCOUNTERS (CODING UPDATE TO ICD-10-CM
CONDITION CODE) 15
VIII.B NONADHERENCE TO MEDICAL TREATMENT (CODING UPDATE TO ICD-10-CM CONDITION CODE) 15
VIII.C IMPAIRING EMOTIONAL OUTBURSTS (NEWLY ADDED CONDITION) 15

IX. ASSESSMENT MEASURES 16

IX.A WORLD HEALTH ORGANIZATION DISABILITY ASSESSMENT SCHEDULE 2.0 (TEXT UPDATE) 16
IX.B DSM-5-TR PARENT/GUARDIAN-RATED LEVEL 1 CROSS-CUTTING SYMPTOM MEASURE—CHILD AGE 6–17
(UPDATE TO THE ASSESSMENT MEASURE) 16
IX.C DSM-5-TR SELF-RATED LEVEL 1 CROSS-CUTTING SYMPTOM MEASURE— CHILD AGE 11–17
(UPDATE TO THE ASSESSMENT MEASURE) 16

X. CONDITIONS FOR FURTHER STUDY 16

X.A DEPRESSIVE EPISODES WITH SHORT-DURATION HYPOMANIA (SECTION III): CRITERION A9 (CRITERIA UPDATE) 16
X.B SUICIDAL BEHAVIOR DISORDER (REMOVAL OF THE CONDITION) 17

XI. ALPHABETICAL LISTING OF DSM-5-TR DIAGNOSES AND ICD-10-CM CODES 17

XI.A FOOD INSECURITY (CODING UPDATE TO DSM DISORDER CODE) 17

XII. DSM-5-TR CODING UPDATE TABLE 18

XII.A LISTING OF DSM-5-TR DIAGNOSES AND NEW ICD-10-CM CODES 18

XII.B CODING CORRECTIONS (EFFECTIVE IMMEDIATELY) 27

DSM-5-TRTM Update, September 2022, Page 5 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
I. Use of the Manual
I.A Subtypes and Specifiers (Text Update)
Due to coding updates in the Neurocognitive Disorders chapter listed below, the coding example
in the Subtypes and Specifiers section was revised as follows:

Original: “(e.g., “0” in the fifth character in the F02.80 diagnostic code for major
neurocognitive disorder due to Alzheimer’s disease, to indicate the absence of a
behavioral disturbance versus a “1” in the fifth character of the F02.81 diagnostic code
for major neurocognitive disorder due to Alzheimer’s disease to indicate the presence of
a behavioral disturbance)”

Updated: “(e.g., “0” in the fifth character in the F06.70 diagnostic code for mild
neurocognitive disorder due to traumatic brain injury, to indicate the absence of a
behavioral disturbance versus a “1” in the fifth character of the F06.71 diagnostic code
for mild neurocognitive disorder due to traumatic brain injury to indicate the presence
of a behavioral disturbance)”

II. Schizophrenia Spectrum and Other Psychotic Disorders

II.A Catatonic Disorder Due to Another Medical Condition (Coding Update to ICD-10-CM Medical
Codes Used as Examples)
The ICD-10-CM code for Hepatic Encephalopathy (listed under Catatonic Disorder Due to
Another Medical Condition) was revised as follows:
Coding note: The code for hepatic encephalopathy was revised as follows:
Hepatic Encephalopathy - Original code (valid through September 30, 2022): K72.90
Hepatic Encephalopathy - Updated code (Valid on October 1, 2022): K76.82

III. Bipolar and Related Disorders

III.A Bipolar I: Major Depressive Episode, Criterion A9 (Criteria Update)
III.B Bipolar II: Major Depressive Episode, Criterion A9 (Criteria Update)
III.C Bipolar Specifiers, Manic or hypomanic episode, with mixed features, Criterion A6 (Criteria
Update)
In the criteria of three disorders listed above, the term “commit suicide” was replaced with more
sensitive and less stigmatizing language
Original: “Recurrent thoughts of death (not just fear of dying), recurrent suicidal
ideation without a specific plan, or a suicide attempt or a specific plan for committing
suicide.”
Updated: “Recurrent thoughts of death (not just fear of dying), recurrent suicidal
ideation without a specific plan, a specific suicide plan, or a suicide attempt”

DSM-5-TRTM Update, September 2022, Page 6 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
IV. Depressive Disorders
IV.A Major Depressive Disorder
IV.A.1 Major Depressive Disorder, Criterion A.9 (Criteria Update)
The term “commit suicide” was replaced with more sensitive and less stigmatizing language
Original: “Recurrent thoughts of death (not just fear of dying), recurrent suicidal
ideation without a specific plan, or a suicide attempt or a specific plan for committing
suicide.”
Updated: “Recurrent thoughts of death (not just fear of dying), recurrent suicidal
ideation without a specific plan, a specific suicide plan, or a suicide attempt”

IV.A.2 Major Depressive Disorder (Text Update)

Prolonged grief disorder was added as a new entry in the differential diagnosis for Major
Depressive Disorder
Prolonged grief disorder. Prolonged grief disorder is a persistent pervasive grief response that
continues to cause clinically significant distress or impairment for more than 12 months after
the death of someone close. It can be differentiated from a major depressive episode not only
by the requirement for intense yearning or longing for, or preoccupation with, the deceased,
but also by the requirement that the other symptoms such as emotional pain (e.g., anger,
bitterness, sorrow), marked reduction in emotional experiences, feeling that life is meaningless,
and difficulty reintegrating socially or feeling engaged in ongoing activities be judged to result
from the significant interpersonal loss. By contrast, in a major depressive episode, there is a
more generalized depressed mood that is not specifically related to the loss. It should be noted
that both prolonged grief disorder and major depressive disorder should be diagnosed if criteria
for both are met.

V. Trauma and Stressor-Related Disorders

V.A Prolonged Grief Disorder (Coding Update to ICD-10-CM Disorder Code)
The ICD-10-CM code for Prolonged Grief Disorder (on DSM-5-TR Classification, the Disorder
page, Alphabetical and Numerical Listing of DSM-5-TR Diagnoses and ICD-10-CM Codes) was
revised as follows:
Prolonged Grief Disorder - Original code (valid through September 30, 2022): F43.8
Prolonged Grief Disorder - Updated code (Valid on October 1, 2022): F43.81

V.B Other Specified Trauma- and Stressor-Related Disorder (Coding Update to ICD-10-CM Disorder
Code)
The ICD-10-CM code for Other Specified Trauma- and Stressor-Related Disorder (in the DSM-5-TR
Classification, the Disorder page, Alphabetical and Numerical Listing of DSM-5-TR Diagnoses and
ICD-10-CM Codes) was revised as follows:

DSM-5-TRTM Update, September 2022, Page 7 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
 Other Specified Trauma- and Stressor-Related Disorder - Original code (valid through
September 30, 2022): F43.8
Other Specified Trauma- and Stressor-Related Disorder - Updated code (Valid on
October 1, 2022): F43.89

VI. Substance-Related and Addictive Disorders

VI.A Opioid-Induced Anxiety Disorder (Coding Update to ICD-10-CM Disorder Code)
Codes to be corrected are found in the DSM-5-TR Classification. (ICD-10-CM codes are correctly
listed in all other places where this disorder appears in the manual.)
___.__ Opioid-Induced Anxiety Disorders
F11.180 F11.188 With mild use disorder
F11.280 F11.288 With moderate or severe use disorder
F11.980 F11.988 Without use disorder

VII. Neurocognitive Disorders

VII.A Chapter Introduction (Text Update)
The following text will be added to the chapter introduction before “Neurocognitive Domains”
section:

For major and mild NCDs, the diagnostic criteria for several of the etiological subtypes allow for
the designation of the degree of certainty regarding the possible presence of the medical
conditions, as well the strength of the causal connection between the medical condition and the
NCD. For NCD due to Alzheimer’s disease, frontotemporal NCD, and NCD with Lewy bodies,
establishing whether these medical conditions are present in the individual can be extremely
challenging, and sometimes the etiology can only be firmly established postmortem; for these
subtypes, the probable/possible designation precedes the name of the medical condition (e.g.,
mild NCD due to possible Alzheimer’s disease, major NCD due to probable frontotemporal
degeneration). Because the diagnostic criteria for vascular NCD and NCD due to Parkinson’s
disease require clear evidence of the presence of vascular disease or Parkinson’s disease,
respectively, for those subtypes the uncertainty is about the causal connection between the
medical condition and the NCD. For those subtypes, the designations “probably due to” and
“possibly due to” apply.

DSM-5-TRTM Update, September 2022, Page 8 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
VII.B Delirium (Coding Update to ICD-10-CM Medical Codes Used as Examples)
The ICD-10-CM code for Hepatic Encephalopathy (listed coding note for delirium) was revised as
follows:
Coding note: The code for hepatic encephalopathy was revised as follows (occurs in two places):

Hepatic Encephalopathy - Original code (valid through September 30, 2022): K72.90
Hepatic Encephalopathy - Updated code (Valid on October 1, 2022): K76.82

VII.C Other Specified Delirium (Coding Update to ICD-10-CM Disorder Code)

The ICD-10-CM code for Other Specified Delirium (in the DSM-5-TR Classification, the Disorder
page, Alphabetical and Numerical Listing of DSM-5-TR Diagnoses and ICD-10-CM Codes) was
revised as follows:
Other Specified Delirium - Original code: R41.0
Other Specified Delirium - Updated code: F05

VII.D Unspecified Delirium (Coding Update to ICD-10-CM Disorder Code)

The ICD-10-CM code for Unspecified Delirium (in the DSM-5-TR Classification, the Disorder page,
Alphabetical and Numerical Listing of DSM-5-TR Diagnoses and ICD-10-CM Codes) was revised as
follows:
Unspecified Delirium - Original code: R41.0
Unspecified Delirium - Updated code: F05

VII.E Major Neurocognitive Disorder (Criteria Update – Specifiers, Coding Update to ICD-10-CM
Disorder Code)
Effective October 1, 2022, the new ICD-10-CM coding scheme summarized below replaces the
current coding approach for major and mild neurocognitive disorders.
For major neurocognitive disorders, F01, F02, or F03 is used depending on the medical etiology,
as shown in the table below. The severity specifiers mild, moderate, and severe are now coded
in the 4th character (A, B, or C, respectively) as listed below in green type:

DSM-5-TRTM Update, September 2022, Page 9 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
Note: NCD subtypes listed in order of appearance in DSM-5-TR.
Major NCD Due Major NCD Due Major NCD Due Major NCD Due Major NCD Due Major NCD Due
to Probable to Possible to Probable to Possible to [Medical to Unknown
[Medical [Medical Vascular Disease Vascular Disease Etiology] Etiology
Etiology] Etiology]
Code first the No medical code No medical code No medical code Code first the No medical code
etiological is neededa. is needed for is needed for etiological is needed
medical vascular disease. vascular disease. medical
conditiona. conditionb.
• F02.A- Mild • F03.A- Mild • F01.A- Mild • F03.A- Mild • F02.A- Mild • F03.A- Mild
• F02.B- • F03.B- • F01.B- • F03.B- • F02.B- • F03.B-
Moderate Moderate Moderate Moderate Moderate Moderate
• F02.C- Severe • F03.C- Severe • F01.C- Severe • F03.C- Severe • F02.C- Severe • F03.C- Severe
a
Probable and possible medical etiologies comprise the following (with etiological codes used only for the probable diagnoses): Alzheimer’s disease
(code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease (code first G20).
Probable and possible vascular disease are listed separately in the table.
b
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply, with exception of vascular disease which does not receive a medical code).

Following the 4th character severity codes (A, B, C) noted above, individual 5th and 6th character
codes for accompanying behavioral or psychological disturbances are then added according to
the applicable specifier (e.g., major neurocognitive disorder with probable frontotemporal
degeneration, severe, with agitation would be coded as F02.C11).
When more than one behavioral or psychological disturbance occurs, code each of the
disturbances separately as if they were separate conditions. For example, for major
neurocognitive disorder with probable Alzheimer’s disease, severe, accompanied by agitation,
delusions, and depression, four codes are needed: G30.9 Alzheimer’s disease; F02.C11 (major
NCD with probable Alzheimer’s disease, severe, with agitation), F02.C2 (major NCD with
probable Alzheimer’s disease, severe, with psychotic disturbance), and F02.C3 (major NCD with
probable Alzheimer’s disease, severe, with mood symptoms).

Original specifiers:
Without behavioral disturbance: If the cognitive disturbance is not accompanied by any
clinically significant behavioral disturbance.
With behavioral disturbance (specify disturbance): If the cognitive disturbance is accompanied
by a clinically significant behavioral disturbance (e.g., psychotic symptoms, mood disturbance,
agitation, apathy, or other behavioral symptoms).

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Updated specifiers:
Note: “x” in the 4th character of the codes below represents A, B, or C (for mild, moderate, or
severe severity, respectively), as noted in the prior table above.
.x11 With agitation: If the cognitive disturbance is accompanied by clinically significant
agitation.
.x4 With anxiety: If the cognitive disturbance is accompanied by clinically significant
anxiety.
.x3 With mood symptoms: If the cognitive disturbance is accompanied by clinically
significant mood symptoms (e.g., dysphoria, irritability, euphoria).
.x2 With psychotic disturbance: If the cognitive disturbance is accompanied by delusions
or hallucinations.
.x18 With other behavioral or psychological disturbance: If the cognitive disturbance is
accompanied by other clinically significant behavioral or psychological disturbance
(e.g., apathy, aggression, disinhibition, disruptive behaviors or vocalizations, sleep or
appetite/eating disturbance).
.x0 Without accompanying behavioral or psychological disturbance: If the cognitive
disturbance is not accompanied by any clinically significant behavioral or psychological
disturbance.

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This table summarizes the new NCD coding approach, combining the components noted above. Note that x in the 4th character represents the
severity codes A, B, or C. Finally, code any accompanying behavioral or psychological disturbance (fifth and sixth characters).
Note: NCD subtypes listed in order of appearance in DSM-5-TR.
Major NCD Due to Major NCD Due to Major NCD Due to Major NCD Due to Major NCD Due to Major NCD Due to
Probable [Medical Possible [Medical Probable Vascular Possible Vascular [Medical Etiology] Unknown Etiology
Etiology] Etiology] Disease Disease
Code first the No additional medical No additional medical No additional medical Code first the No additional medical
etiological medical code. a code for vascular code for vascular etiological medical code
conditiona. disease. disease. conditionb.
• F02.x11 With • F03.x11 With • F01.x11 With • F03.x11 With • F02.x11 With • F03.x11 With
agitation agitation agitation agitation agitation agitation
• F02.x4 With • F03.x4 With • F01.x4 With • F03.x4 With • F02.x4 With • F03.x4 With
anxiety anxiety anxiety anxiety anxiety anxiety
• F02.x3 With mood • F03.x3 With mood • F01.x3 With mood • F03.x3 With mood • F02.x3 With mood • F03.x3 With mood
symptoms symptoms symptoms symptoms symptoms symptoms
• F02.x2 With • F03.x2 With • F01.x2 With • F03.x2 With • F02.x2 With • F03.x2 With
psychotic psychotic psychotic psychotic psychotic psychotic
disturbance disturbance disturbance disturbance disturbance disturbance
• F02.x18 With other • F03.x18 With other • F01.x18 With other • F03.x18 With other • F02.x18 With other • F03.x18 With other
behavioral or behavioral or behavioral or behavioral or behavioral or behavioral or
psychological psychological psychological psychological psychological psychological
disturbance (e.g., disturbance (e.g., disturbance (e.g., disturbance (e.g., disturbance (e.g., disturbance (e.g.,
apathy) apathy) apathy) apathy) apathy) apathy)
• F02.x0 Without • F03.x0 Without • F01.x0 Without • F03.x0 Without • F02.x0 Without • F03.x0 Without
accompanying accompanying accompanying accompanying accompanying accompanying
behavioral or behavioral or behavioral or behavioral or behavioral or behavioral or
psychological psychological psychological psychological psychological psychological
disturbance disturbance disturbance disturbance disturbance disturbance
a
Probable and possible medical etiologies comprise the following (with etiological codes used only for the probable diagnoses): Alzheimer’s disease (code first G30.9), frontotemporal
degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease (code first G20). Probable and possible vascular disease are listed separately in the table.
b
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion disease (code first A81.9), Huntington’s
disease (code first G10), another medical condition (code first the other medical condition), and multiple etiologies (code first all medical conditions that apply, with exception of vascular disease
which does not receive a medical code).
Coding note: When more than one behavioral or psychological disturbance occurs, code for each of the disturbances. For example, for major neurocognitive disorder with probable Alzheimer’s
disease, severe, accompanied by agitation, delusions, and depression, four codes are needed: G30.9 Alzheimer’s disease; F02.C11 (major NCD, severe, with agitation), F02.C2 (major NCD, severe,
with psychotic disturbance), and F02.C3 (major NCD, severe, with mood symptoms).

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VII.F Mild Neurocognitive Disorders (Coding Update to ICD-10-CM Disorder Code)
In DSM-5-TR Classification, Mild Neurocognitive Disorder Coding and Recording Procedures, Mild
Neurocognitive Disorder coding table, Alphabetical and Numerical Listing of DSM-5-TR Diagnoses
and ICD-10-CM Codes)
Coding note: Code based on medical or substance etiology. An additional code indicating the
etiological medical condition must immediately precede the diagnostic code F06.7z for mild
neurocognitive disorder due to a medical etiology. An additional code is not used for medical
etiologies that are judged to be “possible” (i.e., mild NCD due to possible Alzheimer’s disease, due to
possible frontotemporal degeneration, due to possible Lewy body disease, possibly due to vascular
disease, possibly due to Parkinson’s disease). See coding table on pp. 682–683. For
substance/medication-induced mild neurocognitive disorder, code based on type of substance; see
“Substance/Medication-Induced Major or Mild Neurocognitive Disorder.” Note: G31.84 is used for
mild neurocognitive disorder due to unknown etiology and for mild neurocognitive disorder due to a
possible medical etiology (e.g., possible Alzheimer’s disease); no additional code for medical or
substance etiology is used.

Mild NCD Due to Probable Etiologya, Mild NCD Due to Possible Etiologyc,
Mild NCD Due to [Medical Etiology]b Mild NCD Due to Unknown Etiology
Code first the etiological medical condition. No additional medical code
• F06.70 –Without behavioral disturbance • G31.84
• F06.71 –With behavioral disturbance

a
Probable medical etiologies comprise the following (with etiological codes): Alzheimer’s disease (code first G30.9), frontotemporal
degeneration (code first G31.09), Lewy body disease (code first G31.83), vascular disease (code first I67.9), Parkinson’s disease (code
first G20).
b
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code
first B20), prion disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other
medical condition), and multiple etiologies (code first all medical conditions that apply).
cPossible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration,

Lewy body disease, vascular disease, Parkinson’s disease.

VII.G Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury (Coding Update to ICD-
10-CM Medical Codes Used as Examples)
The code for Diffuse traumatic brain injury with loss of consciousness of unspecified duration,
sequela (in DSM-5-TR Classification, Major Neurocognitive Disorder, Coding and Recording
Procedures, Major and Mild Neurocognitive Disorders coding table, Major or Mild
Neurocognitive Disorder Due to Traumatic Brain Injury, Alphabetical and Numerical Listing of
DSM-5-TR Diagnoses and ICD-10-CM Codes) was revised in DSM-5-TR as follows:
Diffuse traumatic brain injury with loss of consciousness of unspecified duration,
sequela – Original code (valid through September 30, 2022): S06.2X9S
Diffuse traumatic brain injury with loss of consciousness of unspecified duration,
sequela – Original code (Valid on October 1, 2022): S06.2XAS

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VII.H Major or Mild Neurocognitive Disorder Due to Unknown Etiology (Newly Added Disorder)
This new diagnosis, major or mild neurocognitive disorder due to unknown etiology, will be
added after major or mild neurocognitive disorder due to multiple etiologies.
Diagnostic Criteria:
A. The criteria are met for major or mild neurocognitive disorder.
B. There is evidence from the history, physical examination, or laboratory findings that suggest the
neurocognitive disorder is the pathophysiological consequence of a presumed medical condition,
a combination of medical conditions, or a combination of medical conditions and substances or
medications, but there is insufficient information to establish a specific cause.
C. The cognitive deficits are not better explained by another mental disorder or
substance/medication-induced neurocognitive disorder and do not occur exclusively during the
course of a delirium.
Coding note (see coding table on pp. 682–683): For major neurocognitive disorder (NCD) due to
unknown etiology: 1) code first F03 (there is no additional medical code). 2) Next, code the current
severity of the cognitive disturbance (mild, moderate, severe) and 3) whether or not there is an
accompanying behavioral or psychological disturbance. For example, for major NCD due to
unknown etiology, moderate, with psychotic disturbance, the ICD-10-CM code is F03.B2. For
major NCD with multiple clinically significant behavioral and psychological disturbances, multiple
ICD-10-CM codes are needed. For example, major NCD with unknown etiology, severe,
accompanied by agitation, delusions, and depression, three codes are needed: F03.C11 (with
agitation); F03.C2 (with psychotic disturbance); and F03.C3 (with mood symptoms).
For mild NCD due to unknown etiology, code G31.84. (Note: “With behavioral disturbance” and
“Without behavioral disturbance” cannot be coded but should still be recorded.)
This category is included to cover the clinical presentation of a major or mild neurocognitive
disorder for which there is evidence from the history, physical examination, or laboratory findings
suggestive of a medical etiology or a medical etiology in combination with use of a substance or
medication, but there is insufficient information to establish a specific cause.

VII.I Unspecified Neurocognitive Disorder (Change in the Disorder Definition)

Unspecified neurocognitive disorder description was modified following the addition of “Major
or Mild Neurocognitive Disorder Due to Unknown Etiology”:
This category applies to presentations in which symptoms characteristic of a neurocognitive
disorder that cause clinically significant distress or impairment in social, occupational, or other
important areas of functioning predominate but do not meet the full criteria for any of the
disorders in the neurocognitive disorders diagnostic class. The unspecified neurocognitive
disorder category is used in situations in which the precise etiology cannot be determined with
sufficient certainty to make an etiological attribution.
Coding note: For unspecified major or mild neurocognitive disorder, code R41.9. (Note: Do not
use additional codes for any presumed etiological medical conditions.) “With behavioral
disturbance” and “without behavioral disturbance” cannot be coded but should still be
recorded.)

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VIII. Other Conditions That May Be a Focus of Clinical Attention
VIII.A Current Suicidal Behavior, Initial and Subsequent Encounters (Coding Update to ICD-10-CM
Condition Code)
For T codes only, the 6th 7th character should be coded as follows:
The code for Current Suicidal Behavior, Initial encounter (in DSM-5-TR Classification, Other
Conditions That May Be a Focus of Clinical Attention, Alphabetical and Numerical Listing of DSM-
5-TR Diagnoses and ICD-10-CM Codes) was revised as follows:
Current Suicidal Behavior, Initial encounter – As appears in DSM-5-TR: T14.91A
Current Suicidal Behavior, Initial encounter – Corrected code (Valid IMMEDIATELY):
T14.91XA

The code for Current Suicidal Behavior, Subsequent encounter (in DSM-5-TR Classification,
Other Conditions That May Be a Focus of Clinical Attention, Alphabetical and Numerical Listing of
DSM-5-TR Diagnoses and ICD-10-CM Codes) was revised as follows:
Current Suicidal Behavior, Subsequent encounter – As appears in DSM-5-TR: T14.91D
Current Suicidal Behavior, Subsequent encounter – Corrected code (Valid
MMEDIATELY): T14.91XD

VIII.B Nonadherence to Medical Treatment (Coding Update to ICD-10-CM Condition Code)

The code for Nonadherence to medical treatment (in DSM-5-TR Classification, Other Conditions
That May Be a Focus of Clinical Attention, Alphabetical and Numerical Listing of DSM-5-TR
Diagnoses and ICD-10-CM Codes) was revised in DSM-5-TR as follows:
Nonadherence to Medical Treatment – Original code (valid through September 30,
2022): Z91.19
Nonadherence to Medical Treatment- Updated code (Valid on October 1, 2022):
Z91.199

VIII.C Impairing Emotional Outbursts (Newly Added Condition)

Impairing Emotional Outbursts is being added to DSM-5-TR Classification, Other Conditions That
May Be a Focus of Clinical Attention, Alphabetical and Numerical Listing of DSM-5-TR Diagnoses
and ICD-10-CM Codes:
R45.89 Impairing Emotional Outbursts
This category may be used when the focus of clinical attention is displays of anger or distress
manifested verbally (e.g., verbal rages, uncontrolled crying) and/or behaviorally (e.g., physical
aggression toward people, property, or self) that lead to significant functional impairment. In
addition to occurring in the context of a number of different mental disorders (e.g., attention-
deficit/hyperactivity disorder, autism spectrum disorder, oppositional defiant disorder,
generalized anxiety disorder, posttraumatic stress disorder, mood and psychotic disorders) they
can also occur independently of other conditions, as is often the case in young children.

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IX. Assessment Measures
IX.A World Health Organization Disability Assessment Schedule 2.0 (Text Update)
A broken link in the WHODAS 2.0 Scoring Instructions provided by WHO on p. 854 and in the
Online Assessment Measures was replaced.
CURRENT: “WHODAS 2.0 population norms. For the population norms for IRT-based
scoring of the WHODAS 2.0 and for the population distribution of IRT-based scores for
WHODAS 2.0, please see
www.who.int/classifications/icf/Pop_norms_distrib_IRT_scores.pdf”
Correction: “WHODAS 2.0 population norms. For the population norms for IRT-based
scoring of the WHODAS 2.0 and for the population distribution of IRT-based scores for
WHODAS 2.0, see Table 6.1 and Figure 6.1 (p. 43) in the free online PDF manual
published by the World Health Organization: “Measuring Health and Disability: Manual
for WHO Disability Assessment Schedule (WHODAS 2.0),” June 2012.”

IX.B DSM-5-TR Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17

(Update to the Assessment Measure)
The term “commit suicide” was replaced with more sensitive and less stigmatizing language
Original: “24. In the past TWO (2) WEEKS, has he/she talked about wanting to kill
himself/herself or about wanting to commit suicide?”
Updated: “24. In the past TWO (2) WEEKS, has he/she talked about wanting to kill
himself/herself or about wanting to end their life?”

IX.C DSM-5-TR Self-Rated Level 1 Cross-Cutting Symptom Measure— Child Age 11–17 (Update to
the Assessment Measure)
The term “commit suicide” was replaced with more sensitive and less stigmatizing language
Appears on the DSM website, Online Assessment Measures
Original: “24. In the last 2 weeks, have you thought about killing yourself or committing
suicide?”
Updated: “24. In the last 2 weeks, have you thought about killing yourself or ending
your life?”

X. Conditions for Further Study

X.A Depressive Episodes With Short-Duration Hypomania (Section III): Criterion A9 (Criteria
Update)
The term “commit suicide” was replaced with more sensitive and less stigmatizing language

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 Original: “Recurrent thoughts of death (not just fear of dying), recurrent suicidal
ideation without a specific plan, or a suicide attempt or a specific plan for committing
suicide.”
Updated: “Recurrent thoughts of death (not just fear of dying), recurrent suicidal
ideation without a specific plan, a specific suicide plan, or a suicide attempt”

X.B Suicidal Behavior Disorder (Removal of the Condition)

Update
The DSM Steering Committee and the APA’s Assembly and Board of Trustees approved the
deletion of Suicidal Behavior Disorder from Section III “Conditions for Further Study.”
The decision was based on concerns that the proposed disorder did not meet the criteria for a
mental disorder (required for inclusion in Section III) but constituted a behavior with diverse
causes. Moreover, a history of a suicide attempt in the past two years did not necessarily
indicate anything about a person’s current risk for suicide, limiting its clinical utility.
Additionally, the decision was influenced by the view of clinicians working to reduce the stigma
of suicidal behavior that a diagnostic label based on a single past event could lead to
discrimination against a person with a history of suicidal behavior. Lastly, the retention of
suicidal behavior disorder in Section III was not necessary to stimulate further research on
suicidality, an area that is an intense focus of research activity.
Impact
Suicidal Behavior Disorder has been deleted from Section III, located in “Conditions for Further
Study.”
Notes
ICD-10-CM codes for suicidal behavior in the chapter “Other Conditions That May Be a Focus of
Clinical Attention” will NOT be affected. They will remain in DSM-5-TR and are valid ICD-10-CM
codes.

XI. Alphabetical Listing of DSM-5-TR Diagnoses and ICD-10-CM Codes

XI.A Food insecurity (Coding Update to DSM Disorder Code)
Code for correction is found in the Alphabetical Listing of DSM-5-TR Diagnoses and ICD-10-CM
Codes. (ICD-10-CM codes are correctly listed in all other places in the manual.)
F59.41 Z59.41 Food insecurity

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 XII. DSM-5-TR Coding update table
XII.A Listing of DSM-5-TR Diagnoses and New ICD-10-CM Codes

Listing of DSM-5-TR Diagnoses and New ICD-10-CM Codes

ICD-10-CM Code ICD-10-CM Code

Disorder through September beginning October
30, 2022 1, 2022
Diffuse traumatic brain injury with loss of consciousness of unspecified duration, Sequela
S06.2X9S S06.2XAS
[Example under Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury]

Hepatic encephalopathy [Examples under Catatonic Disorder Due to Another Medical

K72.90 K76.82
Condition and Delirium]

Impairing Emotional Outbursts [Condition newly added to DSM-5-TR] Not applicable R45.89

Other Specified Delirium R41.0 F05

Unspecified Delirium R41.0 F05

a,cMajor See replacement

Neurocognitive Disorder Due to [Medical Etiology], With behavioral disturbance F02.81
codes below
a,cMajorNeurocognitive Disorder Due to [Medical Etiology], Without behavioral disturbance
(renamed Major neurocognitive disorder due to [Medical etiology], unspecified severity, F02.80 F02.80
without accompanying behavioral or psychological disturbance)

aMajor Neurocognitive Disorder Due to [Medical Etiology], Mild, With agitation Not available F02.A11

aMajor Neurocognitive Disorder Due to [Medical Etiology], Mild, With anxiety Not available F02.A4

aMajor Neurocognitive Disorder Due to [Medical Etiology], Mild, With mood symptoms Not available F02.A3

aMajor Neurocognitive Disorder Due to [Medical Etiology], Mild, With psychotic disturbance Not available F02.A2

aMajor Neurocognitive Disorder Due to [Medical Etiology], Mild, With other behavioral or
Not available F02.A18
psychological disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Mild, Without accompanying
Not available F02.A0
behavioral or psychological disturbance

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

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aMajor Neurocognitive Disorder Due to [Medical Etiology], Moderate, With agitation Not available F02.B11

aMajor Neurocognitive Disorder Due to [Medical Etiology], Moderate, With anxiety Not available F02.B4

aMajor Neurocognitive Disorder Due to [Medical Etiology], Moderate, With mood symptoms Not available F02.B3

aMajor Neurocognitive Disorder Due to [Medical Etiology], Moderate, With psychotic

Not available F02.B2
disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Moderate, With other behavioral
Not available F02.B18
or psychological disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Moderate, Without accompanying
Not available F02.B0
behavioral or psychological disturbance

aMajor Neurocognitive Disorder Due to [Medical Etiology], Severe, With agitation Not available F02.C11

aMajor Neurocognitive Disorder Due to [Medical Etiology], Severe, With anxiety Not available F02.C4

aMajor Neurocognitive Disorder Due to [Medical Etiology], Severe, With mood symptoms Not available F02.C3

aMajor Neurocognitive Disorder Due to [Medical Etiology], Severe, With psychotic

Not available F02.C2
disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Severe, With other behavioral or
Not available F02.C18
psychological disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Severe, Without accompanying
Not available F02.C0
behavioral or psychological disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Unspecified severity, With
Not available F02.811
agitation

aMajor Neurocognitive Disorder Due to [Medical Etiology], Unspecified severity, With anxiety Not available F02.84

aMajorNeurocognitive Disorder Due to [Medical Etiology], Unspecified severity, With mood

Not available F02.83
symptoms
aMajorNeurocognitive Disorder Due to [Medical Etiology], Unspecified severity, With
Not available F02.82
psychotic disturbance
aMajor Neurocognitive Disorder Due to [Medical Etiology], Unspecified severity, With other
Not available F02.818
behavioral or psychological disturbance

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

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aMajorNeurocognitive Disorder Due to [Medical Etiology], Unspecified severity, Without
F02.80 F02.80
accompanying behavioral or psychological disturbance

bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Mild, With agitation Not available F03.A11

bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Mild, With anxiety Not available F03.A4

bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Mild, With mood

Not available F03.A3
symptoms
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Mild, With psychotic
Not available F03.A2
disturbance
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Mild, With other
Not available F03.A18
behavioral or psychological disturbance
bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Mild, Without
Not available F03.A0
accompanying behavioral or psychological disturbance

bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Moderate, With agitation Not available F03.B11

bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Moderate, With anxiety Not available F03.B4

bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Moderate, With mood

Not available F03.B3
symptoms
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Moderate, With
Not available F03.B2
psychotic disturbance
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Moderate, With other
Not available F03.B18
behavioral or psychological disturbance
bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Moderate, Without
Not available F03.B0
accompanying behavioral or psychological disturbance

bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Severe, With agitation Not available F03.C11

bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Severe, With anxiety Not available F03.C4

bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Severe, With mood

Not available F03.C3
symptoms

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

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bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Severe, With psychotic
Not available F03.C2
disturbance
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Severe, With other
Not available F03.C18
behavioral or psychological disturbance
bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Severe, Without
Not available F03.C0
accompanying behavioral or psychological disturbance
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Unspecified severity,
Not available F03.911
With agitation
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Unspecified severity,
Not available F03.94
With anxiety
bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Unspecified severity,
Not available F03.93
With mood symptoms
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Unspecified severity,
Not available F03.92
With psychotic disturbance
bMajor Neurocognitive Disorder Due to Possible [Medical Etiology], Unspecified severity,
Not available F03.918
With other behavioral or psychological disturbance
bMajorNeurocognitive Disorder Due to Possible [Medical Etiology], Unspecified severity,
Not available F03.90
Without accompanying behavioral or psychological disturbance

cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Mild, With agitation Not available F02.A11

cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Mild, With anxiety Not available F02.A4

cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Mild, With mood

Not available F02.A3
symptoms
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Mild, With psychotic
Not available F02.A2
disturbance
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Mild, With other
Not available F02.A18
behavioral or psychological disturbance
cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Mild, Without
Not available F02.A0
accompanying behavioral or psychological disturbance
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Moderate, With
Not available F02.B11
agitation

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

DSM-5-TRTM Update, September 2022, Page 21 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Moderate, With anxiety Not available F02.B4

cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Moderate, With mood

Not available F02.B3
symptoms
cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Moderate, With
Not available F02.B2
psychotic disturbance
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Moderate, With other
Not available F02.B18
behavioral or psychological disturbance
cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Moderate, Without
Not available F02.B0
accompanying behavioral or psychological disturbance

cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Severe, With agitation Not available F02.C11

cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Severe, With anxiety Not available F02.C4

cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Severe, With mood

Not available F02.C3
symptoms
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Severe, With psychotic
Not available F02.C2
disturbance
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Severe, With other
Not available F02.C18
behavioral or psychological disturbance
cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Severe, Without
Not available F02.C0
accompanying behavioral or psychological disturbance
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Unspecified severity,
Not available F02.811
With agitation
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Unspecified severity,
Not available F02.84
With anxiety
cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Unspecified severity,
Not available F02.83
With mood symptoms
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Unspecified severity,
Not available F02.82
With psychotic disturbance
cMajor Neurocognitive Disorder Due to Probable [Medical Etiology], Unspecified severity,
Not available F02.818
With other behavioral or psychological disturbance
cMajorNeurocognitive Disorder Due to Probable [Medical Etiology], Unspecified severity,
Not available F02.80
Without accompanying behavioral or psychological disturbance

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

DSM-5-TRTM Update, September 2022, Page 22 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
 See new F01 codes
Major Neurocognitive Disorder Due to Vascular Disease, With behavioral disturbance F01.51
below

Major Neurocognitive Disorder Due to Probable Vascular Disease, Mild, With agitation Not available F01.A11

Major Neurocognitive Disorder Due to Probable Vascular Disease, Mild, With anxiety Not available F01.A4

Major Neurocognitive Disorder Due to Probable Vascular Disease, Mild, With mood
Not available F01.A3
symptoms

Major Neurocognitive Disorder Due to Probable Vascular Disease, Mild, With psychotic
Not available F01.A2
disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Mild, With other
Not available F01.A18
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Mild, Without

Not available F01.A0
accompanying behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Moderate, With agitation Not available F01.B11

Major Neurocognitive Disorder Due to Probable Vascular Disease, Moderate, With anxiety Not available F01.B4

Major Neurocognitive Disorder Due to Probable Vascular Disease, Moderate, With mood
Not available F01.B3
symptoms

Major Neurocognitive Disorder Due to Probable Vascular Disease, Moderate, With psychotic
Not available F01.B2
disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Moderate, With other
Not available F01.B18
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Moderate, Without other
Not available F01.B0
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Severe, With agitation Not available F01.C11

Major Neurocognitive Disorder Due to Probable Vascular Disease, Severe, With anxiety Not available F01.C4

Major Neurocognitive Disorder Due to Probable Vascular Disease, Severe, With mood
Not available F01.C3
symptoms

Major Neurocognitive Disorder Due to Probable Vascular Disease, Severe, With psychotic
Not available F01.C2
disturbance

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

DSM-5-TRTM Update, September 2022, Page 23 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
Major Neurocognitive Disorder Due to Probable Vascular Disease, Severe, With other
Not available F01.C18
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Severe, Without

Not available F01.C0
accompanying behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Unspecified severity, With
Not available F01.511
agitation

Major Neurocognitive Disorder Due to Probable Vascular Disease, Unspecified severity, With
Not available F01.54
anxiety

Major Neurocognitive Disorder Due to Probable Vascular Disease, Unspecified severity, With
Not available F01.53
mood symptoms

Major Neurocognitive Disorder Due to Probable Vascular Disease, Unspecified severity, With
Not available F01.52
psychotic disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Unspecified severity, With
Not available F01.518
other behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Probable Vascular Disease, Unspecified severity,

F01.50 F01.50
Without accompanying behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Mild, With agitation Not available F03.A11

Major Neurocognitive Disorder Due to Unknown Etiology, Mild, With anxiety Not available F03.A4

Major Neurocognitive Disorder Due to Unknown Etiology, Mild, With mood symptoms Not available F03.A3

Major Neurocognitive Disorder Due to Unknown Etiology, Mild, With psychotic disturbance Not available F03.A2

Major Neurocognitive Disorder Due to Unknown Etiology, Mild, With other behavioral or
Not available F03.A18
psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Mild, Without accompanying

Not available F03.A0
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Moderate, With agitation Not available F03.B11

Major Neurocognitive Disorder Due to Unknown Etiology, Moderate, With anxiety Not available F03.B4

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

DSM-5-TRTM Update, September 2022, Page 24 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
Major Neurocognitive Disorder Due to Unknown Etiology, Moderate, With mood symptoms Not available F03.B3

Major Neurocognitive Disorder Due to Unknown Etiology, Moderate, With psychotic

Not available F03.B2
disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Moderate, With other behavioral
Not available F03.B18
or psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Moderate, Without accompanying

Not available F03.B0
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Severe, With agitation Not available F03.C11

Major Neurocognitive Disorder Due to Unknown Etiology, Severe, With anxiety Not available F03.C4

Major Neurocognitive Disorder Due to Unknown Etiology, Severe, With mood symptoms Not available F03.C3

Major Neurocognitive Disorder Due to Unknown Etiology, Severe, With psychotic disturbance Not available F03.C2

Major Neurocognitive Disorder Due to Unknown Etiology, Severe, With other behavioral or
Not available F03.C18
psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Severe, Without accompanying

Not available F03.C0
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Unspecified severity, With

Not available F03.911
agitation

Major Neurocognitive Disorder Due to Unknown Etiology, Unspecified severity, With anxiety Not available F03.94

Major Neurocognitive Disorder Due to Unknown Etiology, unspecified severity, With mood
Not available F03.93
symptoms

Major Neurocognitive Disorder Due to Unknown Etiology, Unspecified severity, With

Not available F03.92
psychotic disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Unspecified severity, With other
Not available F03.918
behavioral or psychological disturbance

Major Neurocognitive Disorder Due to Unknown Etiology, Unspecified severity, Without

Not available F03.90
accompanying behavioral or psychological disturbance

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

DSM-5-TRTM Update, September 2022, Page 25 of 27

Copyright © 2022 American Psychiatric Association. All rights reserved.
aMild Neurocognitive Disorder Due to [Medical Etiology], With behavioral disturbance G31.84 F06.71

aMild Neurocognitive Disorder Due to [Medical Etiology], Without behavioral disturbance G31.84 F06.70

bMild Neurocognitive Disorder Due to Possible [Medical Etiology], With behavioral

G31.84 G31.84
disturbance
bMild Neurocognitive Disorder Due to Possible [Medical Etiology], Without behavioral
G31.84 G31.84
disturbance
cMild Neurocognitive Disorder Due to Probable [Medical Etiology], With behavioral
G31.84 F06.71
disturbance
cMild Neurocognitive Disorder Due to Probable [Medical Etiology], Without behavioral
G31.84 F06.70
disturbance

Mild Neurocognitive Disorder Due to Unknown Etiology G31.84 G31.84

Nonadherence to Medical Treatment Z91.19 Z91.199

Other Specified Trauma- and Stressor-Related Disorder F43.8 F43.89

Prolonged Grief Disorder F43.8 F43.81

a
Medical etiologies comprise the following (with etiological codes): traumatic brain injury (code first S06.2XAS), HIV infection (code first B20), prion
disease (code first A81.9), Huntington’s disease (code first G10), another medical condition (code first the other medical condition), and multiple
etiologies (code first all medical conditions that apply; for major neurocognitive disorder, vascular disease does not receive a medical code; if mild
neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease).
b
Possible medical etiologies comprise the following (no additional medical code): Alzheimer’s disease, frontotemporal degeneration, Lewy body
disease, vascular disease, Parkinson’s disease.
c
Probable medical etiologies comprise the following (use etiological codes for probable diagnoses only; do not use with the possible etiologies):
Alzheimer’s disease (code first G30.9), frontotemporal degeneration (code first G31.09), Lewy body disease (code first G31.83), Parkinson’s disease
(code first G20). If mild neurocognitive disorder due to probable vascular disease is present, code first I67.9 for vascular disease. Major
neurocognitive disorder due to probable vascular disease is not included here (see separate listings); vascular disease does not receive a medical
code for major neurocognitive disorder.

DSM-5-TRTM Update, September 2022, Page 26 of 27

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 XII.B Coding Corrections (Effective Immediately)

Coding Corrections (Effective Immediately)

Disorder Prior Code Correct Code

Food insecurity F59.41 Z59.41

Opioid-Induced Anxiety Disorder, With mild use disorder F11.180 F11.188

Opioid-Induced Anxiety Disorder, With moderate or severe use disorder F11.280 F11.288

Opioid-Induced Anxiety Disorder, Without use disorder F11.980 F11.988

Current Suicidal Behavior, Initial encounter T14.91A T14.91XA

Current Suicidal Behavior, Subsequent encounter T14.91D T14.91XD

DSM-5-TRTM Update, September 2022, Page 27 of 27

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