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Ovid: Oxford Handbook of Psychiatry

Editors: Semple, David; Smyth, Roger; Burns, Jonathan; Darjee, Rajan; McIntosh, Andrew Title: Oxford Handbook of Psychiatry, 1st Edition Copyright ©2005 Oxford University Press > Table of Contents > Chapter 24 – ICD-10/DSM-IV Index Chapter 24 ICD-10/DSM-IV Index P.924
ICD-10 Classification of Mental and Behavioural Disorders (1992) The following index provides ICD-10 coding information with the ‘equivalent’ DSM-IV coding, and a page reference (where available). As ‘mental and behavioural disorders due to psychoactive substance abuse’ is so dissimilar in organisaton to DSM-IV (i.e. separate coding for substance use and substance-induced disorders), equivalent codings have not been included (see p. 926). F00–F09 Organic, including symptomatic, mental disorders

ICD-10 DSM-IV Disorder Page
F00 290 Dementia in Alzheimer’s disease 134
F00.0 290.10 Early onset  
F00.1 290.0 Late onset  
F00.2 294.1 Atypical or mixed type  
F00.9 294.1 Unspecified  
F01 290.40 Vascular dementia 144
F01.0 290.40 Acute onset  
F01.1 290.40 Multi-infarct  
F01.2 290.40 Subcortical  
F01.3 290.40 Mixed cortical and subcortical  
F02.0 290.10 Dementia in Pick’s disease 142
F02.1 290.0 Dementia in Creutzfeldt-Jakob disease 146
F02.2 294.1 Dementia in Huntington’s disease 172
F02.3 294.1 Dementia in Parkinson’s disease 170
F02.4 294.9 Dementia in HIV disease 165
F02.8 294.1 Dementia in other specified diseases  
F03 294.8 Unspecified dementia  
F04 294.0 Organic amnesic syndrome, not induced by alcohol and other psychoactive substances 148
F05 293.0 Delirium 734
F05.0 293.0 Delirium not superimposed on dementia  
F05.1 293.0 Delirium superimposed on dementia  
F06 293.8 Mental disorders due to brain damage, dysfunction, and physical disease  
F06.0 293.82 Hallucinosis  
F06.1 293.89 Catatonic disorder 898
F06.2 293.81 Delusional (schizophrenia-like) disorder 130
F06.3 293.83 Mood (affective) disorders 130–1
F06.4 293.84 Anxiety disorder 131
F06.5 293.9 Dissociative disorder 746
F06.6 293.9 Emotionally labile (asthenic) disorder  
F06.7 294.9 Mild cognitive disorder  
F07 310.1 Personality and behavioural disorders due to brain disease, damage, or dysfunction  
F07.0 310.1 Organic personality disorder 156
F07.1 310.1 Postencephalitic syndrome 166
F07.2 310.1 Post-concussional syndrome 156
F09 293.9 Unspecified organic or symptomatic mental disorder  

P.925
P.926
F10–F19 Mental and behavioural disorders due to psychoactive substance abuse

ICD-10 Drug Page
F10 Alcohol 524–7
F11 Opioids 538
F12 Cannabinoids 546
F13 Sedatives and hypnotics 540
F14 Cocaine 542
F15 Stimulants including caffeine 542
F16 Hallucinogens 544
F17 Tobacco
F18 Solvents 547
F19 Multiple or other 547

Notes: A 4th character denotes the clinical condition and a 5th modifies it: F1x.0—Acute Intoxication F1x.0—.00 uncomplicated F1x.0—.01 with trauma or other bodily injury F1x.0—.02 with other medical complications F1x.0—.03 with delirium F1x.0—.04 with perceptual distortions F1x.0—.05 with coma F1x.0—.06 with convulsions F1x.0—.07 pathological intoxication F1x.1—Harmful use F1x.2—Dependence syndrome F1x.2—.20 currently abstinent F1x.2—.21 currently abstinent but in a protected environment F1x.2—.22 on a clinically supervised maintenance or replacement regime F1x.2—.23 currently abstinent, but receiving treatment with aversive or blocking drugs F1x.2—.24 currently using F1x.2—.25 continuous use F1x.2—.26 episodic use F1x.3—Withdrawal state F1x.3—.30 uncomplicated F1x.3—.31 convulsions F1x.4—Withdrawal state with delirium F1x.4—.40 with convulsions F1x.4—.41 without convulsions F1x.5—Psychotic disorder F1x.5—.50 schizophrenia-like F1x.5—.51 predominantly delusional F1x.5—.52 predominantly hallucinatory F1x.5—.53 predominantly polymorphic P.927
F1x.5—.54 predominantly depressive F1x.5—.55 predominantly manic F1x.5—.56 mixed F1x.6—Amnestic disorder F1x.7—Residual and late-onset psychotic disorder F1x.7—.70 flashbacks F1x.7—.71 personality or behavioural disorder F1x.7—.72 residual affective disorder F1x.7—.73 dementia F1x.7—.74 other persisting cognitive impairment F1x.7—.75 late-onset psychotic disorder P.928
F20–F29 Schizophrenia, schizotypal, and delusional disorders

ICD-10 DSM-IV Disorder Page
F20 295 Schizophrenia 186
F20.0 295.30 Paranoid  
F20.1 295.10 Hebephrenic  
F20.2 295.2 Catatonic  
F20.3 295.90 Undifferentiated  
F20.4 311 Post-schizophrenic depression  
F20.5 295.60 Residual  
F20.6 295.90 Simple  
F21 301.22 Schizotypal disorder 226
F22 297 Persistent delusional disorder 230
F22.0 297.1 Delusional disorder  
F22.8 297.1 Other persistent delusional disorders  
F23   Acute and transient psychotic disorders 236
F23.0 298.9 Acute polymorphic psychotic disorder without symptoms of schizophrenia  
F23.1 295.40 Acute polymorphic psychotic disorder with symptoms of schizophrenia  
F23.2 295.40 Acute schizophrenia-like psychotic disorder  
F23.3 297.1 Other acute predominantly delusional psychotic disorders  
F24 297.3 Induced delusional disorder 238
F25 295.7 Schizoaffective disorder 228
F25.0 295.70 Manic type  
F25.1 295.70 Depressive type  
F25.2 295.70 Mixed type  
F28 298.9 Other non-organic psychotic disorders 239
F29 298.9 Unspecified non-organic psychosis  

Notes: Schizophrenia—a 5th character denotes course : continuous (1), episodic with progressive deficit (2), episodic but stable deficit (3), episodic remittent (4), incomplete remission (5), complete remission (6), other (8) and period of observation less than one year (9). Acute and transient psychotic disorders—a 5th character may be used to identify the presence (1) or absence (0) of acute stress. P.929
P.930
F30–F39 Mood (Affective) Disorders

ICD-10 DSM-IV Disorder Page
F30   Manic episode 304
F30.0 296.00 Hypomania  
F30.1 296.03 Mania without psychotic symptoms  
F30.2 296.04 Mania with psychotic symptoms  
F31   Bipolar affective disorder 308
F31.0 296.40 Current episode hypomanic  
F31.1 296.43 Current episode manic without psychotic symptoms  
F31.2 296.44 Current episode manic with psychotic symptoms  
F31.3 296.52 Current episode mild or moderate depression  
F31.4 296.53 Current episode severe depression without psychotic symptoms  
F31.5 296.54 Current episode severe depression with psychotic symptoms  
F31.6 296.60 Current episode mixed  
F31.7 296.66 Currently in remission  
F32   Depressive episode 246
F32.00 296.21 Mild without somatic symptoms  
F32.01 296.21 Mild with somatic symptoms  
F32.10 296.22 Moderate without somatic symptoms  
F32.11 296.22 Moderate with somatic symptoms  
F32.2 296.23 Severe without psychotic symptoms  
F32.3 296.24 Severe with psychotic symptoms  
F32.8 311 Other 250
F33   Recurrent depressive disorder 270
F33.00 296.31 Current episode mild without somatic symptoms  
F33.01 296.31 Current episode mild with somatic symptoms  
F33.10 296.32 Current episode moderate without somatic symptoms  
F33.11 296.32 Current episode moderate with somatic symptoms  
F33.2 296.33 Current episode severe without psychotic symptoms  
F33.3 296.34 Current episode severe with psychotic symptoms  
F33.4 296.36 Currently in remission  
F34   Persistent mood (affective) disorders  
F34.0 301.13 Cyclothymia 326
F34.1 300.4 Dysthymia 272
F38   Other mood (affective) disorders 250
F38.0 296.90 Other single mood (affective) disorders  
F38.1 296.90 Other recurrent mood (affective) disorders  
F38.8 296.90 Other specified mood (affective) disorders  
F39 296.90 Unspecified mood (affective)disorders  

P.931
P.932
F40–F49 Neurotic, stress-related, and somatoform disorders

ICD-10 DSM-IV Disorder Page
F40   Phobic anxiety disorders  
F40.00 300.22 Agoraphobia without panic disorder 350
F40.01 300.21 Agoraphobia with panic disorder 350
F40.1 300.23 Social phobias 354
F40.2 300.29 Specific (isolated) phobias 352
F41   Other anxiety disorders  
F41.0 300.01 Panic disorder (episodic paroxysmal anxiety) 344
F41.1 300.02 Generalised anxiety disorder 356
F41.2 300.00 Mixed anxiety and depressive disorder  
F41.3 300.00 Other mixed anxiety disorders  
F42   Obsessive-compulsive disorder 358
F42.0 300.3 Predominantly obsessional thoughts or ruminations  
F42.1 300.3 Predominantly compulsive acts(obsessional rituals)  
F42.2 300.3 Mixed obsessional thoughts and acts  
F43   Reaction to severe stress and adjustment disorders  
F43.0 308.3 Acute stress reaction 362
F43.1 309.81 Post-traumatic stress disorder 368
F43.2 309.9 Adjustment disorders 364
F44   Dissociative (conversion) disorders 746
F44.0 300.12 Dissociative amnesia  
F44.1 300.13 Dissociative fugue  
F44.2 300.15 Dissociative stupor  
F44.3 300.15 Trance and possession disorders  
F44.4 300.15 Dissociative motor disorders  
F44.5 300.15 Dissociative convulsions  
F44.6 300.15 Dissociative anaesthesia and sensory loss  
F44.7 300.15 Mixed dissociative (conversion) disorders  
F44.80 300.11 Ganser syndrome 93
F44.81 300.14 Multiple personality disorder 96
F44.82 300.11 Transient dissociate (conversion) disorders occurring in childhood and adolescence  
F45   Somatoform disorders  
F45.0 300.81 Somatisation disorder 742
F45.1 300.82 Undifferentiated somatoform disorder  
F45.2 300.7 Hypochondriacal disorder 748
F45.3 300.82 Somatoform autonomic dysfunction  
F45.4 307.80 Persistent somatoform pain disorder 744
F48   Other neurotic disorders  
F48.0 300.82 Neurasthenia 754
F48.1 300.6 Depersonalisation-derealisation syndrome 372

Notes: Somatoform autonomic dysfunction—5th character denotes organ or system: unspecified (0), heart and cardiovascular system (1), upper gastrointestinal tract (2), lower gastrointestinal tract (3), respiratory system (4), genitourinary system (5), other (8), multiple (9). P.933
P.934
F50–F59 Behavioural syndromes associated with physiological disturbance and physical factors

ICD-10 DSM-IV Disorder Page
F50   Eating disorders  
F50.0 307.1 Anorexia nervosa 376
F50.1 307.1 Atypical anorexia nervosa 376
F50.2 307.51 Bulimia nervosa 384
F50.3 307.51 Atypical bulimia nervosa 384
F50.4 307.50 Overeating associated with other psychological disturbances  
F50.5 307.50 Vomiting associated with other psychological disturbances  
F51   Non-organic sleep disorders  
F51.0 307.42 Insomnia 392
F51.1 307.44 Hypersomnia 400
F51.2 307.45 Disorder of the sleep-wake schedule 408
F51.3 307.46 Sleepwalking (somnambulism) 414
F51.4 307.46 Sleep terrors (night terrors) 415
F51.5 307.47 Nightmares 418
F52   Sexual dysfunction, not caused by organic disorder or disease  
F52.0 302.71 Lack or loss of sexual desire 428
F52.1 302.79 Sexual aversion and lack of sexual enjoyment 428
F52.2 302.72 Failure of genital response 430, 432
F52.3 302.73/4 Orgasmic dysfunction 430, 432
F52.4 302.75 Premature ejaculation 432
F52.5 306.51 Non-organic vaginismus 430
F52.6 302.76 Non-organic dyspareunia 431
F52.7 302.9 Excessive sexual drive 429
F53   Mental and behavioural disorders associated with the puerperium, not elsewhere classified 436
F53.0 293.9 Mild  
F53.1 293.9 Severe  
F54 316 Psychological and behavioural factors associated with disorders or diseases classified elsewhere  
F55 305 Abuse of non-dependence-producing substances  
F55.0 305.90 Harmful use of antidepressants  
F55.1 305.90 Harmful use of laxatives  
F55.2 305.90 Harmful use of analgesics  
F55.3 305.90 Harmful use of antacids  
F55.4 305.90 Harmful use of vitamins  
F55.5 305.90 Harmful use of steroids or hormones  
F55.6 305.90 Harmful use of specific herbal or folk remedies  
F55.8 305.90 Harmful use of other substances that do not produce dependence  
F59 300.9 Unspecified behavioural syndromes associated with physiological disturbances and physical factors  

P.935
P.936
F60–F69 Disorders of adult personality and behaviour

ICD-10 DSM-IV Disorder Page
F60   Specific personality disorders 447
F60.l0 301.0 Paranoid  
F60.1 301.20 Schizoid  
F60.2 301.7 Dissocial  
F60.30 301.9 Emotionally unstable—impulsive type  
F60.31 301.83 Emotionally unstable—borderline type  
F60.4 301.50 Histrionic  
F60.5 301.4 Anankastic  
F60.6 301.82 Anxious (avoidant)  
F60.7 301.6 Dependent  
F61 301.9 Mixed and other personality disorders  
F62   Enduring personality changes, not attributable to brain damage and disease  
F62.0 301.9 After catastrophic experience  
F62.1 301.9 After psychiatric illness  
F63 312 Habit and impulse disorders  
F63.0 312.31 Pathological gambling 386
F63.1 312.33 Pathological fire-setting (pyromania) 386
F63.2 312.32 Pathological stealing (kleptomania) 386
F63.3 312.39 Trichotillomania 387
F64   Gender identity disorders  
F64.0 302.85 Transsexualism 758
F64.1 302.85 Dual-role transvestism  
F64.2 302.6 Gender identity disorder of childhood  
F65 Disorders of sexual preference   465
F65.0 302.81 Fetishism  
F65.1 302.3 Fetishistic transvestism  
F65.2 302.4 Exhibitionism  
F65.3 302.82 Voyeurism  
F65.4 302.2 Paedophilia  
F65.5 302.83/4 Sadomasochism  
F65.6 302.9 Multiple disorders of sexual preference  
F66   Psychological and behavioural disorders associated with sexual development and orientation  
F66.0 302.6 Sexual maturation disorder  
F66.1 302.6 Egodystonic sexual orientation  
F66.2 302.6 Sexual relationship disorder  
F68   Other  
F68.0 300.9 Elaboration of physical symptoms for psychological reasons  
F68.1 300.19 Intentional production or feigning of symptoms or disabilities, either physical or psychological  

Notes: For F66—Psychological and behavioural disorders associated with sexual development and orientation—a 5th character denotes orientation (.x0 heterosexuality, .x1 homosexuality, .x2 bisexuality, .x8 other, including prepubertal). P.937
F70–F79 Mental retardation

ICD-10 DSM-IV Disorder Page
F70 317 Mild mental retardation 686
F71 318.0 Moderate mental retardation 686
F72 318.1 Severe mental retardation 686
F73 318.2 Profound mental retardation 686
F78 319 Other mental retardation  
F79 319 Unspecified mental retardation  

Notes: A 4th character may be employed to specify the extent of associated behavioural impairment: F7x.0 none or minimal F7x.1 significant, requiring attention or treatment F7x.8 other impairments of behaviour F7x.9 unspecified (without mention of impairment of behaviour) P.938
F80–F89 Disorders of psychological development

ICD-10 DSM-IV Disorder Page
F80   Specific developmental disorders of speech and language 586
F80.0 315.39 Specific speech articulation disorder  
F80.1 315.31 Expressive language disorder  
F80.2 315.32 Receptive language disorder  
F80.3 307.9 Acquired aphasia with epilepsy (Landau-Kleffner)  
F80.8 307.9 Other developmental disorders of speech and language  
F81   Specific developmental disorders of scholastic skills 586
F81.0 315.00 Specific reading disorder  
F81.1 315.2 Specific spelling disorder  
F81.2 315.1 Specific disorder of arithmetical skills  
F81.3 315.9 Mixed disorder of scholastic skills  
F81.8 315.9 Other developmental disorders of scholastic skills  
F81.9 315.9 Developmental disorder of scholastic skills, unspecified  
F82 315.4 Specific developmental disorder of motor function  
F83 315.4 Mixed specific developmental disorders  
F84   Pervasive developmental disorders 582
F84.0 299.00 Childhood autism 583
F84.1 299.80 Atypical autism 584
F84.2 299.80 Rett’s syndrome 582
F84.3 299.10 Other childhood disintegrative disorder 583
F84.4 299.80 Overactive disorder associated with mental retardation and stereotyped movements  
F84.5 299.80 Asperger’s syndrome 582
F84.8 299.80 Other pervasive developmental disorders  
F88 299.80 Other disorders of psychological development  
F89 299.80 Unspecified disorder of psychological development  

P.939
P.940
F90–F98 Behavioural and emotional disorders with onset usually occuring in childhood and adolescence

ICD-10 DSM-IV Disorder Page
F90   Hyperkinetic disorders 576
F90.0 314.9 Disturbance of activity and attention  
F90.1 312.81 Hyperkinetic conduct disorder  
F90.8 314.9 Other hyperkinetic disorders  
F91 312.8 Conduct disorders 580
F91.0 312.89 Confined to the family context  
F91.1 312.89 Undersocialised conduct disorder  
F91.2 312.89 Socialised conduct disorder  
F91.3 313.81 Oppositional defiant disorder 581
F91.8 312.89 Other conduct disorders  
F92   Mixed disorders of conduct and emotions  
F92.0 312.89 Depressive conduct disorder  
F92.8 312.89 Other mixed disorders of conduct and emotions  
F93   Emotional disorders with onset specific to childhood  
F93.0 309.21 Separation anxiety disorder of childhood 590
F93.1 300.29 Phobic anxiety disorder of childhood 597
F93.2 300.23 Social anxiety disorder of childhood 596
F93.3 V61.8 Sibling rivalry disorder  
F93.8 313.9 Other childhood emotional disorders  
F94   Disorders of social functioning with onset specific to childhood and adolescence  
F94.0 313.23 Elective mutism 596
F94.1 313.89 Reactive attachment disorder of childhood 590
F94.2 313.89 Disinhibited attachment disorder of childhood 590
F94.8 313.9 Other childhood disorders of social functioning  
F95   Tic disorders 602
F95.0 307.21 Transient tic disorder  
F95.1 307.22 Chronic motor or vocal tic disorder  
F95.2 307.23 Combined vocal and multiple motor tic disorder (de la Tourette)  
F95.8 307.20 Other tic disorders  
F98   Other  
F98.0 307.6 Non-organic enuresis 588
F98.1 307.7 Non-organic encopresis 588
F98.2 307.59 Feeding disorder of infancy and childhood 589
F98.3 307.52 Pica of infancy and childhood 589
F98.4 307.3 Stereotyped movement disorders  
F98.5 307.0 Stuttering (stammering) 586
F98.6 307.9 Cluttering 586
F98.8 313.9 Other specified behavioural and emotional disorders with onset usually occurring in infancy or childhood  

P.941
P.942
The ICD-10 multiaxial system In multiaxial diagnosis, a patient’s problems are viewed within a broader context, which includes: clinical diagnosis, assessment of disability, and psychosocial factors. In ICD-10, multiaxial diagnoses are made along three axes, as follows: Axis I—clinical diagnoses This includes all disorders, both psychiatric and physical, including learning disability and personality disorders. Axis II—disabilities Conceptualised in line with WHO definitions of impairments, disabilities, and handicaps (p. 688), this covers a number of specific areas of functioning which are rated on a scale of 0 (‘no disability’) to 5 (‘gross disability’):

  • Personal care Personal hygiene, dressing, feeding, etc.
  • Occupation Expected functioning in paid activities, studying, home-making, etc.
  • Family and household Participation in family life.
  • Functioning in a broader social context Participation in the wider community, including contact with friends, leisure, and other social activities.

Axis III—contextual factors The factors considered to contribute to the occurrence, presentation, course, outcome, or treatment of the present Axis I disorder(s). They include problems related to:

  • negative events in childhood
  • education and literacy
  • primary support group, including family circumstances
  • social environment
  • housing or economic circumstances
  • (un)employment
  • physical environment
  • certain psychosocial circumstances
  • legal circumstances
  • family history of disease or disabilities
  • lifestyle or life-management difficulties

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