San Mateo County Mental Health Services
DSM IV to ICD 9 Cross Walk for Diagnoses Requiring Clinician Decision Use this cross walk of DSM IV diagnosis to record the appropriate ICD 9 diagnosis. These diagnoses require the clinician to choose the appropriate ICD 9 diagnoses. All other cross walks of DSM IV to ICD 9 will be done automatically by MIS.
Schizophrenia and Other Psychotic Disorders DSM IV Disorder ICD 9 Disorder 295.10 Schizophrenia Disorganized Type 295.1x Schizophrenic Disorders, Disorganized Type 295.20 Schizophrenia Catatonic Type 295.2x Schizophrenic Disorders, Catatonic Type 295.30 Schizophrenia Paranoid Type 295.3x Schizophrenic Disorders, Paranoid Type 295.40 Schizophreniform Disorder 295.4x Acute Schizophrenic Episode 295.60 Schizophrenia Residual Type 295.6x Schizophrenic Disorders, Residual Type 295.70 Schizoaffective Disorder 295.7x Schizo-Affective Type 295.90 Schizophrenia Undifferentiated Type 295.9x Schizophrenic Disorders, Undifferentiated Type
The 5th digit for the ICD 9 Diagnosis for the above Schizophrenic disorders must be specified as follows: 0 Unspecified 3 Subchronic w/ Acute Exacerbation 1 Subchronic 4 Chronic w/ Acute Exacerbation 2 Chronic 5 in Remission
Pervasive Developmental Disorders DSM IV Disorder ICD 9 Disorder 299.00 Autistic Disorder 299.0x Infantile Autism 299.10 Childhood Disintegrative Disorder 299.1x Childhood Disintegrative Disorder The 5th digit for the ICD 9 Diagnosis for the above Autistic disorders must be specified as follows: 0 Current or Active Status 1 Residual State
Other Conditions That May Be A Focus of Clinical Attention V61.12 Physical Abuse of Adult (if by Partner) V61.11 Counseling for Victim of Spousal or Partner Abuse Sexual Abuse of Adult (if by Partner) V61.12 Counseling for Perpetrator of Spousal or Partner Abuse
Inclusion of a diagnosis on this sheet does not imply the diagnosis is medically necessary for specialty mental health services.
QI-Policies\06-01 Attach A DSM-ICD Crosswalk.doc Page 1 of 2 San Mateo County Mental Health Services
DSM IV to ICD 9 Cross Walk for Diagnoses Requiring Clinician Decision Use this cross walk of DSM IV diagnosis to record the appropriate ICD 9 diagnosis. These diagnoses require the clinician to choose the appropriate ICD 9 diagnoses. All other cross walks of DSM IV to ICD 9 will be done automatically by MIS.
Substance Abuse Disorders DSM IV Disorder ICD 9 Disorder 303.00 Alcohol Intoxication 303.0x Acute Alcohol Intoxication 305.00 Alcohol Abuse 305.0x Alcohol Abuse 304.40 Amphetamine Dependence 304.4x Amphetamine and Other Psychostimulant Dependence 305.70 Amphetamine Abuse 305.7x Amphetamine or Related Acting Sympathomimetic 305.90 Caffeine Intoxication 305.9x Other, Mixed, or Drug Abuse PCP Abuse, Inhanlant Abuse, or Other (Unknown)
Substance Abuse 304.30 Cannabis Dependence 304.3x Cannabis Dependence 305.20 Cannabis Abuse 305.2x Cannabis Abuse 304.20 Cocaine Dependence 304.2x Cocaine Dependence 305.60 Cocaine Abuse 305.6x Cocaine Abuse 304.50 Hallucinogen Dependence 304.5x Hallucinogen Dependence 305.30 Hallucinogen Abuse 305.3x Hallucinogen Abuse 304.6 Inhalant Abuse 304.6x Other Specified Drug Dependence PCP Abuse 304.00 Opioid Dependence 304.0x Opioid Type Dependence 305.50 Opioid Abuse 305.5x Opioid Abuse 304.10 Sedative, Hypnotic, or Anxiolytic Dependence 304.1x Barbituate and Similarly Acting Sedative or Hypnotic Dependence 305.40 Sedative, Hypnotic, or Anxiolytic Abuse 305.4x Barbituate and Similarly Acting Sedative or Hypnotic Abuse 304.80 Polysubstance Dependence 304.7x Combinations of Opioid Type Drug with Any Other 304.8x Combinations of Drug Dependence Excluding Opioid Type
Drugs 304.90 Other (or Unknown) Substance Dependence 304.9x Unspecified Drug Dependence The 5th digit for the ICD 9 Diagnosis for the above Substance Use disorders must be specified as follows: 0 Unspecified 2 Episodic 1 Continuous 3 in Remission
Inclusion of a diagnosis on this sheet does not imply the diagnosis is medically necessary for specialty mental health services. QI-Policies\06-01 Attach A DSM-ICD Crosswalk.doc Page 2 of 2