Emotional Disturbance of Childhood NEC** Unspecified emotional Disturbance of Childhood or adolescence
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1 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and Post traumatic Stress Disder ICD 9 CM Exclusions to this 308 Acute reaction to stress** (requires 4 th digit subclassification listed below). Includes: Catastrophic stress Gross stress reaction (acute) Transient disders in response to exceptional physical mental stress which usually subside within hours days Predominant disturbance of emotions Anxiety as acute reaction to exceptional (gross) stress Predominant disturbance of consciousness Fugues as acute reaction to exceptional (gross) stress Predominant psychomot disturbance Agitation states as acute reaction to exceptional (gross) stress Stup as acute reaction to exceptional (gross) stress Other acute reactions to stress** Acute situational disturbance Brief acute posttraumatic stress disder Mixed disders as reaction to stress Unspecified acute reaction to stress Prolonged posttraumatic stress disder** Chronic posttraumatic stress disder Acute Stress Disder Post traumatic Stress Disder 150 Deprivation/Maltreatment Disder Emotional Disturbance of NEC** Unspecified emotional Disturbance of Reactive Attachment Disder of Infancy Early + To be used as a guide in Clinical Assessment/ Page 1 of 7
2 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + ICD 9 CM Exclusions to this 200 Disder of Affect 210 Prolonged Bereavement/Grief Reaction Adjustment disder with depressed mood Grief reaction Adjustment Disder with Depressed Mood Prolonged depressive reaction** 220 Anxiety Disder of Infancy & Early Anxiety state, unspecified** Anxiety Disder NOS Children Anxiety: neurosis, reaction, state (neurotic) Atypical anxiety disder Panic disder. Panic: attack, state Panic disder without Generalized anxiety disder Generalized Anxiety Disder Separation anxiety disder Separation Anxiety Disder Overanxious disder** Anxiety and fearfulness of childhood and Overanxious disder of childhood and 221 Separation Anxiety Separation anxiety disder Separation Anxiety Disder 222 Specific Phobia Other isolated specific phobias Specific Phobia 223 Social Anxiety Disder Social Phobia Social Phobia Sensitivity, shyness and social withdrawn disder (requires 5 th digit subclassification listed below) Shyness disder of childhood Sensitivity reaction of childhood Introverted disder of childhood --Social withdrawal of childhood --Withdrawal reaction of childhood 224 Generalized Anxiety Disder Generalized Anxiety Disder 225 Anxiety Disder NOS Anxiety Disder NOS + To be used as a guide in Clinical Assessment/ Page 2 of 7
3 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + ICD 9 CM Exclusions to this 230 Depression of Infancy and Early 231 Type I Maj Depression 232 Type II Depressive Disder NOS 240 Mixed Disder of Emotional Expressiveness 296.2X Maj Depressive Disder, Single Episode, Unspecified 5 th digit: 0 unspecified 1 mild, 2 moderate, 3 severe without mention of psychotic behavi, 4 severe with specified as with psychotic behavi, 5 in partial unspecified remission, 6 in full remission 296.3X Maj Depressive Disder, Recurrent, Unspecified 5 th digit: same as above 311 Depressive Disder, not elsewhere classified --Depressive Disder NOS --Depressive State NOS--Depression NOS Misery and unhappiness disder Neurotic Depression --Anxiety depression --Depression with anxiety --Depressive reaction --Dysthymic Disder --Neurotic depressive State --Reactive Depression Unspecified emotional disturbances of childhood Maj Depressive Disder, Single Episode, Unspecified Maj Depressive Disder, Recurrent, Unspecified 311 Depressive Disder NOS Dysthymic Disder Disder of Infancy,, Adolescence NOS + To be used as a guide in Clinical Assessment/ Page 3 of 7
4 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and Adjustment Disder ICD 9 CM Exclusions to this Adjustment Reaction ( ) Brief depressive reaction --Adjustment disder with depressed mood --Grief reaction Adjustment Disder: Unspecified Adjustment reaction with anxious mood Adjustment Disder with Anxiety Adjustment reaction with mixed emotional features With predominant disturbance of conduct --conduct disturbance as adjustment reaction --destructiveness as adjustment reaction With mixed disturbances of emotions and conduct Other --culture shock Adjustment reaction with physical symptoms Adjustment Disder with Mixed Anxiety and Depressed Mood Adjustment Disder with Disturbance of Conduct Adjustment Disder with Mixed Disturbance of Emotions and Conduct Adjustment Disder NOS Adjustment Disder NOS Adjustment reaction with withdrawal --Elective mutism as adjustment reaction Selective Mutism --Hospitalism (in children) NOS Adjustment Disder NOS Unspecified adjustment reaction Adjustment Disder NOS --Adaptation reaction NOS --Adjustment reaction NOS 400* Regulation Disders of Sensy Processing Sensy Processing when coupled with parent/child interaction 410* Hypersensitive Unspecified disturbance of conduct Disruptive Behavi Disder NOS 411* Type A: Fearful/Cautious Overanxious disder** --Anxiety and fearfulness of childhood and --Overanxious disder of childhood and Generalized Anxiety Disder + To be used as a guide in Clinical Assessment/ Page 4 of 7
5 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + 412* Type B: Negative/Defiant ICD 9 CM Exclusions to this 420* Hypo/Underresponsive Attention deficit disder Without mention of hyperactivity --Predominantly inattentive type 430* Sensy Stimulation Seeking/Impulsive (Note: Also see 313.2, f Sensitivity, shyness and social withdrawn disder) Conduct Disder Child onset type (Note: f young child over 36 months of age) Conduct Disder Child onset (Note: f young child over 36 months of age) Unspecified disturbance of conduct Disruptive Behavi Disder NOS Oppositional Defiant Disder Oppositional Defiant Disder Attention Deficit Disder Predominately inattentive type Attention Deficit Disder --Requires 5 th digit subclassification-listed below With hyperactivity combined type --Overactivity NOS --Predominantly hyperactive/impulsive Unspecified hyperkinetic syndrome --Hyperkinetic reaction of childhood NOS --Hyperkinetic syndrome NOS Impulse Control Disder NOS ADHD-Hyperactive impulsive disder Attention Deficit/Hyperactivity Disder NOS 500* Sleep Disder 510* Sleep Onset Disder Nonganic sleep disder, unspecified Dyssomnia NOS Parasomnia NOS Transient disder of initiating maintaining sleep Hyposomnia associated with acute intermittent emotional reactions conflicts Insomnia associated with acute intermittent emotional reactions conflicts Sleeplessness associated with Insomnia Related to. + To be used as a guide in Clinical Assessment/ Page 5 of 7
6 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + 520* Night Waking Disder ICD 9 CM Exclusions to this Persistent disder of initiating maintaining wakefulness Hyposomnia, insomnia, sleeplessness associated with: anxiety, conditioned arousal, depression (maj) (min), psychosis Transient disder of initiating maintaining wakefulness Hypersomnia associated with acute intermittent emotional reactions conflicts Persistent disder of initiating maintaining wakefulness Hypersomnia associated with depression (maj) (min) Circadian Rhythm Sleep Disder of Primary Insomnia Or Insomnia Related to Hypersomnia Related to Primary Hpersomnia Hypersomnia Related to Circadian Rhythm Sleep Disder, Unspecified type Delayed Sleep Phase Type Somnambulism night terrs Sleep Terr Disder Sleepwalking Other dysfunctions of sleep stages arousal from sleep Nightmares: NOS, REM-sleep type, sleep drunkenness Repetitive intrusions of sleep Repetitive intrusions of sleep with: atypical polysomnographic features, environmental disturbances, repeated REM-sleep interruptions Other Sht sleeper, subjective insomnia complaint Disder Dyssomnia NOS, Nightmare Disder, Parasomnia NOS Parasomnia NOS Primary Insomnia 600 Feeding Behavi Disders 601 Feeding Behavi Disders Eating Disder, unspecified Other Infantile feeding disturbances of + To be used as a guide in Clinical Assessment/ Feeding Disder of Infancy Early Page 6 of 7
7 Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + ICD 9 CM Exclusions to this Loss of appetite of 602 Feeding Disders of Caregivers Other Caregiver/Infant Reciprocity Infantile feeding disturbances of Loss of appetite of 603 Infantile Anexia Other Infantile feeding disturbances of Loss of appetite of 800 Other Disders * Not Axis I Diagnoses Feeding Disder of Infancy Early Feeding Disder of Infancy Early References American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disders (DSM-IV-TR) Fourth Edition (Text Revision), National Center f Health Statistics, International Classification of Diseases, Ninth Revision, Clinical Modification, Zero to Three, Diagnostic Classification of Mental Health and Developmental Disders of Infancy and Early : Revised Edition (DC: 0-3 R), Washington, DC, Maine DC 0-3 Committee, Crosswalk f DC 0-3 to ICD-9 Coding Perez, L. and Newman, M., Crosswalk f San Mateo, Califnia, Developmental Approach to Infant Mental Health. In addition, the Crosswalk developed by Flida was used as a reference. + To be used as a guide in Clinical Assessment/ Page 7 of 7
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