Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + 100 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 308.0 Predominant disturbance of emotions Anxiety as acute reaction to exceptional (gross) stress 308.1 Predominant disturbance of consciousness Fugues as acute reaction to exceptional (gross) stress 308.2 Predominant psychomot disturbance Agitation states as acute reaction to exceptional (gross) stress Stup as acute reaction to exceptional (gross) stress 308.3 Other acute reactions to stress** Acute situational disturbance Brief acute posttraumatic stress disder 308.4 Mixed disders as reaction to stress 308.9 Unspecified acute reaction to stress 309.81 Prolonged posttraumatic stress disder** Chronic posttraumatic stress disder 308.3 309.81 Acute Stress Disder Post traumatic Stress Disder 150 Deprivation/Maltreatment Disder 313.89 313.9 Emotional Disturbance of NEC** Unspecified emotional Disturbance of 313.89 Reactive Attachment Disder of Infancy Early + To be used as a guide in Clinical Assessment/ Page 1 of 7
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 309.00 Adjustment disder with depressed mood Grief reaction 309.0 Adjustment Disder with Depressed Mood 309.1 Prolonged depressive reaction** 220 Anxiety Disder of Infancy & Early 300.00 Anxiety state, unspecified** 300.00 Anxiety Disder NOS Children Anxiety: neurosis, reaction, state (neurotic) Atypical anxiety disder 300.01 Panic disder. Panic: attack, state 300.01 Panic disder without 300.02 Generalized anxiety disder 300.02 Generalized Anxiety Disder 309.21 Separation anxiety disder 309.21 Separation Anxiety Disder 313.0 Overanxious disder** Anxiety and fearfulness of childhood and Overanxious disder of childhood and 221 Separation Anxiety 309.21 Separation anxiety disder 309.21 Separation Anxiety Disder 222 Specific Phobia 300.29 Other isolated specific phobias 300.29 Specific Phobia 223 Social Anxiety Disder 300.23 Social Phobia 300.02 Social Phobia 313.2 Sensitivity, shyness and social withdrawn disder (requires 5 th digit subclassification listed below) 313.21 Shyness disder of childhood Sensitivity reaction of childhood 313.22 Introverted disder of childhood --Social withdrawal of childhood --Withdrawal reaction of childhood 224 Generalized Anxiety Disder 300.02 Generalized Anxiety Disder 225 Anxiety Disder NOS 300.0 Anxiety Disder NOS + To be used as a guide in Clinical Assessment/ Page 2 of 7
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 313.1 Misery and unhappiness disder 300.4 Neurotic Depression --Anxiety depression --Depression with anxiety --Depressive reaction --Dysthymic Disder --Neurotic depressive State --Reactive Depression 313.9 Unspecified emotional disturbances of childhood 296.20 Maj Depressive Disder, Single Episode, Unspecified 296.30 Maj Depressive Disder, Recurrent, Unspecified 311 Depressive Disder NOS 300.4 Dysthymic Disder 313.9 Disder of Infancy,, Adolescence NOS + To be used as a guide in Clinical Assessment/ Page 3 of 7
Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + 300 Adjustment Disder ICD 9 CM Exclusions to this 309 309.0 Adjustment Reaction (309.0 309.9) Brief depressive reaction --Adjustment disder with depressed mood --Grief reaction 309.9 Adjustment Disder: Unspecified 309.24 Adjustment reaction with anxious mood 309.24 Adjustment Disder with Anxiety 309.28 Adjustment reaction with mixed emotional features 309.3 With predominant disturbance of conduct --conduct disturbance as adjustment reaction --destructiveness as adjustment reaction 309.4 With mixed disturbances of emotions and conduct 309.29 Other --culture shock 309.82 Adjustment reaction with physical symptoms 309.28 Adjustment Disder with Mixed Anxiety and Depressed Mood 309.3 Adjustment Disder with Disturbance of Conduct 309.4 Adjustment Disder with Mixed Disturbance of Emotions and Conduct 309.9 Adjustment Disder NOS 309.9 Adjustment Disder NOS 309.83 Adjustment reaction with withdrawal --Elective mutism as adjustment reaction 313.23 Selective Mutism --Hospitalism (in children) NOS 309.9 Adjustment Disder NOS 309.9 Unspecified adjustment reaction 309.9 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 312.9 Unspecified disturbance of conduct 312.9 Disruptive Behavi Disder NOS 411* Type A: Fearful/Cautious 313.0 Overanxious disder** --Anxiety and fearfulness of childhood and --Overanxious disder of childhood and 300.02 Generalized Anxiety Disder + To be used as a guide in Clinical Assessment/ Page 4 of 7
Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + 412* Type B: Negative/Defiant ICD 9 CM Exclusions to this 420* Hypo/Underresponsive 314.00 Attention deficit disder Without mention of hyperactivity --Predominantly inattentive type 430* Sensy Stimulation Seeking/Impulsive (Note: Also see 313.2, 313.21 313.22 f Sensitivity, shyness and social withdrawn disder) 312.81 Conduct Disder Child onset type (Note: f young child over 36 months of age) 312.81 Conduct Disder Child onset (Note: f young child over 36 months of age) 312.9 Unspecified disturbance of conduct 312.9 Disruptive Behavi Disder NOS 313.81 Oppositional Defiant Disder 313.81 Oppositional Defiant Disder 314.00 Attention Deficit Disder Predominately inattentive type 314.0 314.01 314.9 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 312.30 314.01 Impulse Control Disder NOS ADHD-Hyperactive impulsive disder 314.9 Attention Deficit/Hyperactivity Disder NOS 500* Sleep Disder 510* Sleep Onset Disder 307.40 Nonganic sleep disder, unspecified 307.47 Dyssomnia NOS Parasomnia NOS 307.41 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 327.02 Insomnia Related to. + To be used as a guide in Clinical Assessment/ Page 5 of 7
Crosswalk between Diagnostic Classifications 0-3, ICD 9 CM and + 520* Night Waking Disder ICD 9 CM Exclusions to this 307.42 Persistent disder of initiating maintaining wakefulness Hyposomnia, insomnia, sleeplessness associated with: anxiety, conditioned arousal, depression (maj) (min), psychosis 307.43 Transient disder of initiating maintaining wakefulness Hypersomnia associated with acute intermittent emotional reactions conflicts 307.44 Persistent disder of initiating maintaining wakefulness Hypersomnia associated with depression (maj) (min) 307.45 Circadian Rhythm Sleep Disder of 307.42 327.02 Primary Insomnia Or Insomnia Related to 307.15 Hypersomnia Related to. 307.44 327.15 Primary Hpersomnia Hypersomnia Related to. 307.30 327.31 Circadian Rhythm Sleep Disder, Unspecified type Delayed Sleep Phase Type 307.46 Somnambulism night terrs 307.46 Sleep Terr Disder Sleepwalking 307.47 Other dysfunctions of sleep stages arousal from sleep Nightmares: NOS, REM-sleep type, sleep drunkenness 307.48 Repetitive intrusions of sleep Repetitive intrusions of sleep with: atypical polysomnographic features, environmental disturbances, repeated REM-sleep interruptions 307.49 Other Sht sleeper, subjective insomnia complaint Disder 307.47 Dyssomnia NOS, Nightmare Disder, Parasomnia NOS 307.47 Parasomnia NOS 307.42 Primary Insomnia 600 Feeding Behavi Disders 601 Feeding Behavi Disders 307.50 Eating Disder, unspecified 307.59 Other Infantile feeding disturbances of + To be used as a guide in Clinical Assessment/ 307.59 Feeding Disder of Infancy Early Page 6 of 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 307.59 Other Caregiver/Infant Reciprocity Infantile feeding disturbances of Loss of appetite of 603 Infantile Anexia 307.59 Other Infantile feeding disturbances of Loss of appetite of 800 Other Disders * Not Axis I Diagnoses 307.59 Feeding Disder of Infancy Early 307.59 Feeding Disder of Infancy Early References American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disders (DSM-IV-TR) Fourth Edition (Text Revision), 2000. National Center f Health Statistics, International Classification of Diseases, Ninth Revision, Clinical Modification, 2004. Zero to Three, Diagnostic Classification of Mental Health and Developmental Disders of Infancy and Early : Revised Edition (DC: 0-3 R), Washington, DC, 2005. Maine DC 0-3 Committee, Crosswalk f DC 0-3 to ICD-9 Coding. 2004. 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