PPS and IO: Changing an Existing Diagnosis
- The descriptions for DSM-5, ICD-9, ICD-10, and DSM-IV have all been updated.
- The descriptions used in the new diagnosis list are all the long form versions for each code set. The previous diagnosis list used the abbreviated short descriptions for ICD-9/DSM-IV.
- The descriptions used for the ICD-9 and ICD-10 codes vary based on whether or not the diagnosis pairing exists in DSM-5.
- For ICD-9 & ICD-10 pairings that belong to DSM-5, the DSM-5 description is used for both codes. These descriptions are mostly the same for both ICD-9 and ICD-10, however cases exists where the DSM-5 description differs between the two codes. The Substance-Related and Addictive Disorders category of DSM-5 is a good example of this.
- For ICD-9 and ICD-10 pairings which fall outside of DSM-5, the ICD-9 and ICD-10 descriptions are used instead. In other words, diagnoses outside of DSM-5 will have ICD descriptions while diagnoses within DSM-5 will use DSM descriptions.
- The new diagnosis list contains every possible mapping of ICD-9 to ICD-10 as well as current DSM-5 descriptions.
- The new diagnosis list includes two non-billable diagnosis codes that can be assigned to patients.
- These codes are for providers who are not allowed to diagnose their patients or for services that do not require an insurance billable diagnosis.
- NOTE: Any claims billed to insurance using these codes will result in a rejection, so care should be taken when using these non-billable diagnoses.
- Neither of these diagnoses are considered to be in DSM-5, so the Show DSM-5 diagnoses only checkbox should be unchecked when searching for the codes.