What? More Diagnosis Code Changes? Check out the latest ICD-10 Updates.
As most of you know, diagnosis codes went through a major overhaul last year on October 1, 2015, when we made the transition to ICD-10 codes. This meant for the first time in more than 30 years, there were new codes for ALL diagnoses. Now, just 12 months later, some of these codes have been updated again. These new codes should be used for sessions starting October 1, 2016.
The updates affect 14 mental health diagnoses, including codes for frequently-used diagnoses such as Obsessive-Compulsive Disorder, Hoarding Disorder, Binge-Eating Disorder, Premenstrual Dysphoric Disorder, Disruptive Mood Dysregulation Disorder, and Gender Dysphoria in Adolescents and Adults, to name a few. To view a list of code changes and a chart with the old and new codes, click here. We’ve also detailed the new codes below (in bold):
F80.82 – Social (Pragmatic) Communication Disorder (previously F80.89)
F34.81 – Disruptive Mood Dysregulation Disorder (previously F34.8)
F32.81 – Premenstrual Dysphoric Disorder (previously N94.3)
F32.89 – Other Specified Depressive Disorder (previouslyF32.8)
F42.2 – Obsessive-Compulsive Disorder (previously F42)
F42.3 – Hoarding Disorder (previously F42)
F42.4 – Excoriation (Skin-Picking) Disorder (previously L98.1)
F42.8 – Other Specified Obsessive-Compulsive and Related Disorder (previously F42)
F42.9 – Unspecified Obsessive-Compulsive and Related Disorder (previously F42)
F50.89 – Pica, in adults (previously F50.8)
F50.89 – Avoidant/Restrictive Food Intake Disorder (previously F50.8)
F50.81 – Binge-Eating Disorder (previously F50.8)
F50.89 – Other Specified Feeding or Eating Disorder (previously F50.8)
F64.0 – Gender Dysphoria in Adolescents and Adults (previously F64.1)
Many codes were updated so that new DSM-5 diagnoses now had their own individual codes, instead of sharing codes with older diagnoses. It is now clearer which diagnosis you are giving when using a code. The update also moved Excoriation (Skin-Picking) Disorder and Premenstrual Dysphoric Disorder into the “Mental and Behavioral Disorders” Chapter 5, so they became “F codes.”
It is unknown whether insurance plans will allow some “grace period” during which time they will accept the old codes.
It is important to note that due to these updates, these new codes will no longer match those in the DSM-5. Providers should continue to use the DSM-5 to determine the correct diagnosis, but then use the new codes for these 14 diagnoses.
In addition, providers are warned to avoid diagnoses with the word “unspecified” in the title, which may no longer be covered by insurance plans, as they move toward increasing specificity.
For more articles on last year’s ICD-10 transition, and the relationship between the DSM-5 diagnoses and ICD-10 codes, or other answers to your insurance questions check out my website at www.theinsurancemaze.com.