- You are reading a report or a form and the diagnosis section contains only the meaningless code numbers. Where can you find the real name of the diagnosis?
- You have the DSM but the ICD-9 codes are becoming more common (for reasons, see below), the numbers are not identical and the names often differ just enough to be unacceptable to computers and others.
- You know the diagnosis you want to use but don't know the code number or are unsure of the exact current name.
Well, you could look up the Individual code numbers on the internet (if you have a handy computer and connection and know the site's URL) or you can purchase ICD-9 coding books designed for physicians' offices and hospitals and so are much larger and expensive. Also, I know of no product with just the ICD diagnoses we need - Chapter V - Mental Disorders.
Simple, quick to use, complete, and handy to carry.
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• The codes are listed in numerical order for easy locating.
• The codes are in the common clusters such as Mood disorders, Acute reactions to stress, and Pervasive developmental disorders. (Note: ICD capitalizes only the first word; DSM capitalizes each word's initial letter)
• All five digits are offered and explained.
• The official (primary) diagnostic label is listed first. Alternative and some historical names are listed next.
• Diagnoses in common use (and which may differ from DSM-IV) and which are not primary in ICD-9 are highlighted in color.
• All names are the exactly correct wording, spelling and capitalization.
ICD-9 was somewhat expanded for use after October 2004 with the addition of many DSM diagnoses. However the names are not identical and there are dozens and dozens which do not match or occur in the other's list.
Crosswalks between them are not very available
• For members of the American Psychological Association who are also members of the Practice Organization, there is a DSM/ICD comparison online but I can't show you unless you have paid for both memberships. For my critique of it, click here.
• The crosswalk in the back of DSM-IV-TR is to ICD-10 not 9 and 9 and 10 are completely different.
• For a complete crosswalk of DSM-IV-TR and ICD-9-CM, Chapter 5, Sixth Edition see Ed Zuckerman's Clinician's Thesaurus, 6th Edition, available from Guilford Press. I cannot sell it alone here because of copyright restrictions.
• HIPAA made ICD-9 the official list of diagnoses for all insurance claims and so it will be used by everyone.
• DSM-V (Five) has been postponed several times and is now promised for 2012.
• ICD-10 is available but is radically different from ICD-9 and may never be implemented in the US.
• ICD-9 is produced by the World Health Organization and put into the public domain so use is free (probably a major reason for its adoption by the insurance industry). My version contains all and only the mental health diagnoses. BTW, I sought permission to reprint it.
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*****
DSM-IV-TR© means the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, Fourth Edition, 1994 and the current version is called TR for Text Revision, copyrighted 2002.
ICD-9 means the International Classification of Diseases from the World Health Organization in its Ninth Revision, Sixth edition, CM for Clinical Modification. The mental disorders are in Chapter V.