Anatomy and Pathophysiology

Transcription

1 Anatomy and Pathophysiology for ICD-10 Module 9

2 Disclaimer not be copied, quoted, or presented without expressed approval AAPC This course was current No at part time this it was published. covered This course by was copyright prepared herein as a tool to be assist participant stored in understanding any how form to prepare or by any for means ICD-10-CM. (graphically, Although electronically, every reasonable or mechanically, effort has been including made photocopying, assure accuracy expressed information within permission se pages, AAPC ultimate and responsibility sources use this information lies with recording, or student. not AAPC be copied, does not accept responsibility or quoted, liability or with presented regard without to errors, omissions, expressed misuse, and approval misinterpretation. AAPC employees, No agents, part and this staff make no covered representation, by copyright warranty, herein or guarantee be that this compilation stored in a retrieval AAPC information in is any error-free form or and by will any bear means no (graphically, responsibility, electronically, or liability for mechanically, results or consequences including photocopying, use recording, this or course. expressed permission AAPC AAPC does not accept responsibility No part this or liability for covered any adverse by outcome copyright herein using this be study program stored for any reason including in any undetected form or by inaccuracy, any means opinion, (graphically, and electronically, analysis that might or mechanically, prove erroneous including or amended, photocopying, or coder s recording, or misunderstanding expressed or misapplication permission topics. AAPC Application and sources information in this text does not imply or guarantee claims payment. not be copied, Inquiries your local carrier(s) quoted, bulletins, or presented policy announcements, without expressed etc., should be approval made to resolve AAPC local billing requirements. No Payers part interpretations this covered vary by those copyright in this herein program. be Finally, law, stored applicable regulations, in payers any form instructions, or by any interpretations, means (graphically, enforcement, electronically, etc., or mechanically, change at any including time in any photocopying, particular area. recording, or expressed not be copied, permission AAPC and quoted, sources or presented without expressed approval AAPC not be and copied, sources quoted, No part or presented this without covered expressed by copyright approval herein be AAPC stored No part system this or transmitted covered in any by form copyright or by any herein means (graphically, be electronically, stored in or a retrieval mechanically, in including any form or photocopying, by any means recording, (graphically, or taping) electronically, without or mechanically, expressed including permission photocopying, AAPC recording, or and sources expressed permission AAPC in any form or by any Illustrations means (graphically, copyright electronically, Ingenix. All or rights mechanically, reserved. including photocopying, recording, or 2012 AAPC in any form or by any 2480 means South (graphically, 3850 West, Suite electronically, B, Salt Lake or mechanically, City, Utah including photocopying, recording, or expressed permission CODE AAPC (2633), and Fax , sources not be copied, Printed quoted,. or All presented rights reserved. without expressed approval AAPC expressed permission CPC, CPC-H, CPC-P AAPC, CIRCC, and CPMA, and sources CPCO are trademarks AAPC. Contents expressed permission AAPC Module 9 No part this covered by copyright herein be stored Mental Disorders in any form... or.. by.. any.... means..... (graphically, electronically, or.. mechanically, including photocopying, recording,... 1 or Terminology not be copied, quoted, or.. presented without expressed approval AAPC..1 Introduction... No... part this covered by..... copyright herein be stored..... in.. a. retrieval.1 Mental in Disorders any form or.. by.. any... means......(graphically, electronically, or.. mechanically, including photocopying, recording,....2 or Mood expressed Disorders... permission AAPC and sources Schizophrenia not be copied, quoted, or.. presented without expressed approval AAPC..5 Somatorm Disorders. No part... this covered by..... copyright herein be stored..... in.. a. retrieval.6 Substance in any Related form or Disorders by any means....(graphically, electronically, or.. mechanically, including photocopying, recording,....6 or Axis. expressed permission AAPC and sources ii Anatomy and Pathophysiology for ICD AAPC. All rights reserved.

3 in 9 Mental Disorders any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or system Terminology Undifferentiated Having no special structure or or transmitted any form or by any means (graphically, electronically, function. or mechanically, including photocopying, recording, or taping) Affect The without external expressed expression permission emotion. AAPC and Apathy Absence sources emotion. No part this covered Introduction by copyright herein be stored system Cataplexy A or transmitted debilitating in any form medical or by any condition, means (graphically, which electronically, Mental health or mechanically, is a psychological including condition photocopying, as opposed recording, or taping) causes without a person expressed to suddenly become permission weak and collapse, AAPC and to a sources pathological condition. Mental illnesses are usually triggered not be by copied, intense emotions. quoted, or disturbances presented without emotional expressed state mind approval that is AAPC No part this covered usually by expressed copyright through herein failure be maladaptive stored behavior system Conversion or transmitted Disorder A in any form condition or by any in means which (graphically, patient s electronically, and ten demonstrates or mechanically, impaired including functioning photocopying, recording, or taping) present without with physical expressed symptoms permission such as pain or numbness, but physiological not be copied, evidence can not be found as quoted, or presented without expressed approval AAPC AAPC and affected sources patient. and cause sources se symptoms. No part this covered Although by copyright exact herein cause most be mental illnesses stored is in any form or by any means (graphically, electronically, not known, or it is mechanically, becoming clear including through photocopying, research that recording, or taping) Dementia A without expressed serious loss cognitive permission ability in AAPC a and many sources se conditions are caused by a combination previously unimpaired not be copied, person, beyond what might quoted, be or presented genetic, without biological, psychological, expressed and environmental approval AAPC and expected sources through normal No aging part process. this covered factors. by Mental copyright illness herein is not be result personal stored weakness or a character or mechanically, defect, and including recovery photocopying, a mental recording, or in any form or by any means (graphically, electronically, Lithium A drug used to treat manic phase expressed permission AAPC and illness sources is not simply a matter will and self-discipline. bipolar disorders. not be copied, quoted, or They presented are medical without conditions expressed that disrupt approval a person s AAPC and Mania An sources excessively intense No part enthusiasm, this interest, or covered thinking, by copyright feeling, mood, herein ability be to relate to ors, stored and system desire. or transmitted in any form or by any means (graphically, electronically, daily functioning. or mechanically, It is not a discriminatory including photocopying, disorder as recording, or expressed permission AAPC and people sources any age, race, social status, or income bracket Malingering Willful not be copied, and deliberate faking symptoms sources a disease or injury. No part this covered and by y copyright are treatable. herein be stored quoted, or can presented be affected. without The symptoms expressed can be mild approval to severe, AAPC and Projection The act transferring one s own unacceptable thoughts or feelings to someone else. can arise a combination sources. It is commonly There are many causes mental disorders, and y believed that se disorders are a result genetic and Psychology The sources study behavior No part and this processes covered by copyright herein be stored vulnerabilities exposed by environmental stressors. system or transmitted mind. in any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or However, many or factors can play a role as well. Psychotrophic Any not be copied, substance capable affecting quoted, Scientists believe re is a strong link between or presented without expressed approval AAPC and mind, sources emotions and behaviors. severity and complexity mental disorders in adulthood and abuse or neglect wher physical, No part this covered by copyright herein be stored taping) Regression A without expressed response to stress, permission which causes AAPC an individual emotional or sexual children during developmental to revert not be back copied, to an earlier level development years. Sexual abuse in childhood plays a significant role quoted, or presented without expressed approval AAPC and (a sources child return to sucking No ir part thumb this through in mental disorders in adult females. covered by copyright herein be stored system parental or transmitted divorce). in any form or by any means (graphically, electronically, Social influences or mechanically, can affect including mental photocopying, health a recording, or taping) Repression Involuntary without expressed blockage permission unpleasant AAPC feelings or experiences not be copied, conscious. quoted, or bullying presented by without ors, and expressed this can be detrimental approval to AAPC and negative sources way. School age children are ten victims No part this covered development by copyright herein child who is be being bullied (victim). stored system Sublimination Transformation or transmitted in any or by any one s means emotions, (graphically, redirecting without unacceptable expressed impulses into permission constructive activities. AAPC electronically, Oftentimes, or children mechanically, who have including endured photocopying, this type recording, or taping) 2012 AAPC. All rights reserved. 1 Module

4 Mental Disorders Module 9 treatment expressed over a long period permission time will snap AAPC all and a sources ten characterized by an unrealistically high self-image, sudden, not and be lash copied, out at world in a very unfavorable quoted, or presented a lack without sleep accompanied expressed by little or approval no fatigue, AAPC way. Or social factors No that part can affect this mental health covered by runaway copyright trains herein thought, be engaging in potentially stored are employment in any problems, form or by socioeconomic any means (graphically, inequality, electronically, harmful or pleasurable mechanically, activities including to an photocopying, alarming degree, recording, or financial expressed difficulties, religion, permission lack social cohesion, AAPC and a sources distractibility, and an increased agitation movement. death in not be family, copied, or divorce. quoted, or presented If se without symptoms expressed persist for more than approval a continuous AAPC No part this covered by week, copyright are not herein result drug be use, and are stored severe Many mental in illnesses any form have or by been any linked means to (graphically, genetics, electronically, enough or to mechanically, impair social interaction, including photocopying, a diagnosis recording, or suggesting expressed that y are inherited. permission Genes make AAPC up to mania result. structure not be each copied, cell in body and determine quoted, how or presented without expressed approval AAPC we look, act, and think. No This part does not this necessarily mean covered by Bipolar copyright disorder, herein also sometimes be referred to stored as manic that if a family in any member form or suffers by any means a mental (graphically, illness, electronically, depression, or mechanically, is a mood disorder including which photocopying, both recording, or fspring expressed that family member permission will also have AAPC a mental states mania and depression exist at different times. illness. not It only be copied, indicates that potential greater quoted, for or presented Someone without suffering expressed bipolar disorder approval will likely AAPC m to develop some form No part mental this disorder. covered by experience copyright a period herein mania, be followed by a stored period in a retrieval in any form or by any means (graphically, electronically, depression. or mechanically, These shifts usually including follow photocopying, a set pattern recording, with or The abnormal expressed balance special permission chemicals in AAPC brain, mood changes occurring anywhere once every called neurotransmitters, not be copied, also be linked to quoted, mental or presented few months without to in expressed some rare cases once approval every few AAPC illness. Neurotransmitters No help part nerve this cells in brain covered by hours. copyright Additionally, herein for someone be suffering stored bipolar communicate in with any form each or or. by any If y means are (graphically, out balance electronically, disorder, or characteristics mechanically, including both a manic photocopying, and a depressive recording, or or not working expressed properly, messages permission not be AAPC sent to and sources state coexist. brain correctly. not be copied, Brain injuries can also cause disruption quoted, or presented without expressed approval AAPC neurotransmitters. No part this covered by Anxiety copyright can be herein a healthy emotion, be unless it stored interferes a retrieval in any form or by any means (graphically, electronically, with normal mechanically, functioning. including It is very photocopying, common for one recording, or expressed permission AAPC to feel anxiety prior to a test, oral presentation, or job Mental Disorders not be copied, quoted, or presented interview. without Common expressed types anxiety approval disorders include: Serious mental illnesses include major depression, AAPC schizophrenia, bipolar disorder, No part obsessive-compulsive this covered by Phobia copyright herein be stored disorder (OCD), in any panic form disorder, or by any posttraumatic means (graphically, stress electronically, or mechanically, including photocopying, recording, or expressed permission AAPC Panic disorder disorder (PTSD) and borderline personality disorder. not be copied, quoted, or presented Agoraphobia Mood disorders, also known as affective disorders, are without expressed approval AAPC characterized by experience No part this mood that is unusual covered by Social copyright anxiety herein disorder be stored for circumstances. in any form or by any means (graphically, electronically, Obsessive-compulsive or mechanically, including disorderphotocopying, recording, or Generalized anxiety disorde Mood disorders not be copied, in which a single mood exists to quoted, an or presented without expressed approval AAPC unhealthy degree are called No part unipolar this disorders. Severe covered by Post-traumatic copyright herein stress disorder be stored depression is in an any example form or by a unipolar any means mood (graphically, disorder electronically, or mechanically, including photocopying, recording, or A phobia is an irrational, intense, and persistent fear and is relatively expressed common among permission both adolescents AAPC and certain situations, activities, things, animals, or adults. not Depression be copied, be characterized by a number quoted, or presented without expressed approval AAPC symptoms, including diminished No part pleasure this or interest, covered by people. copyright The main herein symptom be a phobia is an stored excessive irregular sleep in any patterns, form or fatigue, by any suicidal means thoughts, (graphically, electronically, and unreasonable or mechanically, desire including to avoid photocopying, feared object recording, or lack concentration expressed or memory, permission and delusional AAPC guilt. situation. When fear is beyond one s control, and is Generally not speaking, be copied, a person be diagnosed quoted, with or presented interfering without with daily expressed life, a person is approval diagnosed with AAPC depression if four or more No part se this features have been covered by an anxiety copyright disorder. herein Fear is be caused by what stored are called present for a in two-week any form period, or by any in tandem means (graphically, with eir electronically, neutral, or unconditioned, mechanically, and including conditioned photocopying, stimuli, which recording, or loss interest expressed or a generally permission depressed mood. AAPC trigger eir conditioned or unconditioned responses. not be copied, quoted, or presented A conditioned without response expressed is one that is approval learned a AAPC Mania is anor type No part unipolar this mood disorders. covered by previous copyright experience herein or be observation stored anor Mania is essentially in any form inverted or by any state means depression, (graphically, electronically, or mechanically, including photocopying, recording, or 2 Anatomy and Pathophysiology for ICD AAPC. All rights reserved.

5 Module 9 Mental Disorders taping) individual. without An expressed unconditioned response permission one that AAPC happens naturally not be copied, and has not been learned. quoted, or presented Fear blood without expressed approval F AAPC system Panic or transmitted disorder is in an any anxiety form disorder by any that means causes (graphically, unexpected without and repeated expressed episodes permission intense fear causing AAPC electronically, Fear injections or mechanically, and transfusions including photocopying, F40.231recording, or taping) heart to race, not sweating, be copied, and shortness breath even quoted, to or presented Fear or without medical expressed care approval F AAPC and sources point feeling suffocated. No They part seem this to come covered by copyright herein be stored system suddenly, or transmitted without in any warning, form and or by a any specific means cause (graphically, or event electronically, or mechanically, including photocopying, recording, or taping) cannot without be identified expressed as provoking permission m. Agoraphobia AAPC and Panic sources disorder [episodic paroxysmal F41.0 arise not be panic copied, disorder, making one fearful quoted, or presented anxiety] without agoraphobia expressed approval AAPC and being sources in a place where help No part not be this available, such as covered by copyright herein be stored system in or large transmitted crowds in or any outside form or ir by any own means home. (graphically, Anor electronically, Generalized or anxiety mechanically, disorder including photocopying, F41.1 recording, or taping) example without this expressed type behavior permission social anxiety, AAPC which can generate not fear be copied, being judged by ors. quoted, or presented Or mixed without anxiety disorders expressed approval F41.3 AAPC Obsessive-Compulsive Disorder (OCD) is an anxiety in any form or by any means (graphically, electronically, Or specified or mechanically, anxiety disorders including photocopying, F41.8 recording, or disorder in which thoughts are played over and over again in head until y become obsessive resulting not be copied, quoted, or presented Anxiety disorder, without unspecified expressed approval F41.9 AAPC in repetitive behaviors, which n become compulsions. Examples obsessions are a fear germs or a fear in any form or by any means (graphically, electronically, Obsessive-compulsive or mechanically, disorder including photocopying, F42 recording, or being hurt. Compulsions include washing your hands, counting, checking on things or cleaning. Untreated, not be copied, quoted, or presented Acute stress without reaction expressed approval F43.0 AAPC OCD can take over one s life. system Post-Traumatic or transmitted in Stress any Disorder form by (PTSD) any means is anxiety (graphically, electronically, or mechanically, including photocopying, recording, or taping) disorder without that expressed can develop after exposure permission to a terrifying AAPC and Adjustment sources disorder, unspecified F43.20 event or ordeal not be in copied, which grave physical harm occurred quoted, or presented without expressed approval AAPC and or sources was threatened. Traumatic No events part that this trigger covered Adjustment by copyright disorder herein with depressed be mood stored F43.21 system PTSD or transmitted include violent in any personal form or by assaults, any means natural (graphically, or electronically, or mechanically, including photocopying, recording, or taping) human-caused without expressed disasters, accidents, permission or military combat. AAPC and Adjustment sources disorder anxiety F43.22 and The sources ICD-10-CM code range No for part anxiety, this dissociative, covered Adjustment by copyright disorder herein with mixed be anxiety stored F43.23 system stress-related, or transmitted somatorm in any and or by or any nonpsychotic means (graphically, electronically, and depressed or mechanically, mood including photocopying, recording, or taping) mental without disorders expressed is F40 F48. permission AAPC not be copied, quoted, or presented Adjustment without disorder with expressed disturbance approval AAPC To code for se conditions in ICD-10-CM, F43.24 No part this covered conduct by copyright herein be stored following is necessary: Type disorder expressed permission AAPC and Adjustment sources disorder mixed disturbance emotions without and expressed conduct approval AAPC F43.25 not be copied, quoted, or presented Associated conditions in any form or by any means (graphically, electronically, Adjustment or disorder mechanically, with or including symptoms photocopying, F43.29 recording, or Arachnophobia expressed permission F AAPC not be copied, quoted, or In presented above without table, necessity expressed for type approval disorder AAPC and Or sources animal type phobia No part this F covered as by well as copyright any or herein conditions be associated with stored in any form or by any means (graphically, electronically, current disorder mechanically, is shown. including photocopying, recording, or Fear thunderstorms expressed permission F AAPC and Or sources natural environment No type part phobia this F covered by copyright herein be stored 2012 AAPC. All rights reserved. 3

6 Mental Disorders Module 9 expressed permission AAPC Type disorder Mood not Disorders be copied, quoted, or presented without expressed approval AAPC Severity Mood disorders are one No part most this commonly reported covered by copyright herein be stored conditions in psychiatry. any form or Mood by any is means persistent (graphically, electronically, Status or mechanically, including photocopying, recording, or emotional expressed state a person, permission and affect is external AAPC Associated conditions, as necessary display not one s be copied, emotional state. Mood disorders quoted, are or presented without expressed approval AAPC characterized by a disturbance No part in this regulation covered by Manic copyright episode herein without psychotic be symptoms, stored F30.10 mood, behavior, in any and form affect or by and any are means divided (graphically, into three electronically, unspecified or mechanically, including photocopying, recording, or major categories: expressed depressive permission disorders, bipolar AAPC disorders, and depression-associated not be copied, medical illness or drug quoted, and or presented Manic without episode without expressed psychotic symptoms, approval AAPC F30.11 alcohol abuse. No part this covered by mildcopyright herein be stored An overall expressed low feeling self-esteem, permission depression, AAPC and Manic episode without psychotic symptoms, loss interest not be copied, in activities that were once found quoted, pleasurable F30.12 or presented moderate without expressed approval AAPC characterize major No part depressive this disorders. It covered is by copyright herein be stored a disabling condition in any form that or by can any have means adverse (graphically, effects on electronically, Manic or episode, mechanically, severe, without including psychotic photocopying, recording, or one s personal, expressed pressional, permission and family life as AAPC well and as F30.13 sources symptoms on sleeping, not be eating, copied, and grooming habits. Incidents quoted, or presented without expressed approval AAPC suicide are high among No people part who this are diagnosed covered by Manic copyright episode, herein severe, with be psychotic stored with major in depressive any form disorder. or by any It means can also (graphically, be known F30.2 electronically, symptoms or mechanically, including photocopying, recording, or as recurrent expressed depressive disorder, permission clinical depression, AAPC major depression, not be copied, unipolar depression, or unipolar quoted, or presented Manic without episode in expressed partial remission approval F30.3 AAPC disorder. Depressive disorders No part are this differentiated covered by copyright herein be stored bipolar disorders in any by form or absence by any means a manic (graphically, or hypomanic electronically, Manic or episode mechanically, in full remission including photocopying, F30.4 recording, or episode. expressed permission AAPC Hypomania not be is copied, a persistent and pervasive elevated quoted, or or presented Or without manic episodes expressed approval F30.8 AAPC euphoric or irritable mood No with part thoughts this and behaviors covered by copyright herein be stored that mirror in any mood. form Many or by people any means diagnosed (graphically, with this electronically, Manic or episode, mechanically, unspecified including photocopying, F30.9 recording, or condition expressed are extremely outgoing, permission competitive, AAPC have and a lot sources energy, not and be copied, a decreased need for sleep. It differs quoted, or presented without expressed approval AAPC mania because re are No no part psychotic this symptoms associated with it. in Creativity any form and or by a desire any means and drive (graphically, for success electronically, without or psychotic mechanically, features, including unspecified photocopying, recording, or covered by Bipolar copyright disorder, herein current episode be manic stored F31.10 are also classic expressed symptoms permission hypomania. AAPC not be copied, quoted, or presented Bipolar without disorder, current expressed episode manic approval AAPC F31.11 Bipolar disorders are characterized No part this by very abrupt mood covered by without copyright psychotic herein features, be mild stored swings, ranging any form periods or by any elated means happiness (graphically, to electronically, or mechanically, including photocopying, recording, or major depression expressed within a very permission short period AAPC time. Bipolar disorder, current episode manic F31.12 There are not two be copied, types bipolar disorder: type I and quoted, type or presented without without psychotic expressed features, moderate approval AAPC II. People with type I have No experienced part this least one covered fully by copyright herein be stored manic episode in any with form periods or by any major means depression. (graphically, People electronically, Bipolar or disorder, mechanically, current including episode manic photocopying, recording, or F31.13 type expressed II disorder experience permission periods hypomania AAPC without psychotic features, severe alternating not be with copied, episodes major depression. quoted, or presented without expressed approval AAPC No part this covered by Bipolar copyright disorder, herein current episode be manic stored The ICD-10-CM in any code form range or by for any mood means disorders (graphically, is F31.2 electronically, severe or with mechanically, psychotic features including photocopying, recording, or F30 F39. expressed permission AAPC To code not mood be copied, disorders in ICD-10-CM, following quoted, is or presented Bipolar without disorder, current expressed episode depressed, approval AAPC F31.30 necessary: No part this covered by mild copyright or moderate herein severity, be unspecified stored 4 Anatomy and Pathophysiology for ICD AAPC. All rights reserved.

7 Module 9 Mental Disorders expressed permission AAPC and among sources people with mental health disorders. Oftentimes, Bipolar disorder, not be copied, current episode depressed, F31.31 quoted, or if presented a person without is depressed, expressed y inappropriately approval believe that AAPC and mild sources No part this covered drugs by or copyright alcohol will herein help m be to relax or to forget stored ir in any form or by any means (graphically, electronically, problems, even or mechanically, if only temporarily. including Unfortunately, photocopying, since recording, or Bipolar disorder, expressed current episode permission depressed, F31.32 AAPC and alcohol sources is a depressant se people only intensify moderate not be copied, quoted, or feelings presented y without are trying expressed to get away. approval See coding AAPC No part this covered examples by copyright under Substance herein Related be Disorders. stored system or Bipolar transmitted disorder, in any current form episode or by any depressed, means (graphically, F31.4 electronically, or mechanically, including photocopying, recording, or severe, without expressed psychotic features permission AAPC not be copied, quoted, or Schizophrenia presented without expressed approval AAPC and Bipolar sources disorder, current episode No part depressed, this covered Schizophrenia by copyright is a herein disorder making be it difficult stored for F31.5 system or severe, transmitted with psychotic in any form features or by any means (graphically, electronically, affected person or mechanically, to differentiate including between photocopying, thoughts and recording, or expressed permission AAPC and reality. sources It is a very complex disorder and a specific not be copied, quoted, or cause presented for it without has not yet expressed been identified although approval it AAPC and Bipolar sources disorder, currently No in remission, part this covered be by genetic. copyright Psychiatrists herein categorize be schizophrenia stored into F31.70 a retrieval system or most transmitted recent episode in any unspecified form or by any means (graphically, electronically, five types: or mechanically, including photocopying, recording, or Bipolar disorder, not be copied, in partial remission, most Catatonic type displays symptoms agitation, F31.71 quoted, or presented without expressed approval AAPC and recent sources episode hypomanic decreased sensitivity to pain, inability to take care No part this covered by copyright herein be stored personal needs, and rigid muscles. Bipolar disorder, expressed in full remission, permission most AAPC and sources Disorganized type displays symptoms childlike behavior, without delusions, expressed flat affect, hallucinations, approval AAPC F31.72 recent episode not be hypomanic copied, quoted, or presented No part this covered by incoherence, copyright inappropriate herein be laughter, and social stored system or Bipolar transmitted disorder, in any in partial form or remission, by any means most (graphically, electronically, withdrawal. F31.73 or mechanically, including photocopying, recording, or recent episode expressed manic permission AAPC and sources Paranoid type displays symptoms anger, anxiety, not be copied, quoted, or presented argumentative without behavior, expressed and delusions approval grandeur. AAPC and Bipolar sources disorder, in full remission, No part most this F31.74 covered by Undifferentiated copyright herein type displays be symptoms stored more system or recent transmitted episode in manic any form or by any means (graphically, electronically, than one or type mechanically, schizophrenia. including photocopying, recording, or expressed permission AAPC and sources Residual type is when illness seems to have gone Bipolar disorder, not be copied, in partial remission, most F31.75 quoted, or presented away, but without some expressed symptoms remain. approval AAPC and recent sources episode depressed No part this covered by copyright herein be stored in any form or by any means (graphically, electronically, The ICD-10-CM or mechanically, code range for including schizophrenia photocopying, is recording, or Bipolar disorder, expressed in full remission, permission most F31.76 AAPC and F20. F29. sources recent episode not be depressed copied, quoted, or presented without expressed approval AAPC No part this covered To by code schizophrenia copyright herein ICD-10-CM, be following stored is system or Bipolar transmitted disorder, in any in partial form or remission, by any means most (graphically, electronically, necessary: F31.77 or mechanically, including photocopying, recording, or recent episode expressed mixed permission AAPC Type and Bipolar sources disorder, in full remission, No part most this F31.78 covered by copyright herein be stored system or recent transmitted episode in mixed any form or by any means (graphically, electronically, Paranoid schizophrenia or mechanically, including photocopying, F20.0 recording, or In above not table, be copied, necessity for type disorder, quoted, or presented Disorganized without schizophrenia expressed approval F20.2 AAPC and severity, sources status, and any or No conditions part this associated with covered by copyright herein be stored system or transmitted current disorder in any is form shown. or by any means (graphically, electronically, Undifferentiated or mechanically, schizophrenia including photocopying, F20.3 recording, or The last category not be copied, mood disorders is depression associated quoted, or presented Residual schizophrenia without expressed approval F20.5 AAPC with a medical illness or No drug part and this alcohol abuse. covered by copyright herein be stored system The or transmitted combinations in any se form conditions or by any means are very (graphically, frequent electronically, or mechanically, including photocopying, recording, or 2012 AAPC. All rights reserved. 5

8 Mental Disorders Module 9 Schizophreniform not be copied, disorder F20.81 quoted, or presented Hypochondriasis without expressed approval F45.21 AAPC Or schizophrenia in any form or by any means (graphically, F20.89 electronically, Body dysmorphic mechanically, disorder including photocopying, F45.22 recording, or not be copied, quoted, or presented Or without hypochondriacal expressed disorders approval F45.29 AAPC Schizotypal disorder No part this F21 covered by copyright herein be stored in any form or by any means (graphically, electronically, Pain disorder mechanically, exclusively including related to photocopying, F45.41 recording, or Delusional expressed disorders permission AAPC F22 psychological factors Brief psychotic disorder No part this F23 covered by Pain copyright disorder herein with related be psychological stored F45.42 in any form or by any means (graphically, electronically, factorsor mechanically, including photocopying, recording, or Shared psychotic expressed disorder permission AAPC F24 not be copied, quoted, or presented Or without somatorm expressed disorders approval F45.8 AAPC Schizoaffective in any disorder, form bipolar by any type means (graphically, F25.0 electronically, Somatorm or mechanically, disorder, unspecified including photocopying, F45.9 recording, or Schizoaffective not be copied, disorder, depressive type F25.1 quoted, or presented Depersonalization-derealization without expressed syndrome approval F48.1 AAPC Or schizoaffective in any form disorders by any means (graphically, F25.8 electronically, Or or specified mechanically, nonpsychotic including mental photocopying, F48.8 recording, or expressed permission AAPC disorders Schizoaffective not be copied, disorder, unspecified F25.9 quoted, or presented without expressed approval AAPC No part this covered by Nonpsychotic copyright herein mental disorder, be unspecified stored F48.9 In above in table, any form necessity or by any for means type (graphically, disorder electronically, or mechanically, including photocopying, recording, or is shown. expressed permission AAPC ICD-10-CM guidelines state to code also associated acute or chronic pain (G89.-) for Pain disorder with Somatorm in any form Disorders related psychological factors (F45.42). by any means (graphically, electronically, or mechanically, including photocopying, recording, or Somatorm expressed disorders are conditions permission where a AAPC patient Pain Disorders Related to Psychological Factors complains not be symptoms, copied, but no physiological evidence quoted, or presented without expressed approval AAPC can be found as a cause No part symptoms. this The test results covered by The ficial copyright ICD-10-CM herein coding be guidelines stored state to in se patients in any are form usually or by normal, any means causing (graphically, increased electronically, assign or code mechanically, F45.41 for pain including that is photocopying, exclusively psychological. Code F45.41, Pain disorder with related psycho- recording, or stress expressed not being able to permission figure out what is AAPC wrong with m. not be These copied, disorders differ malingering quoted, or presented logical without factors, should expressed be used following approval appropriate AAPC disorders (deliberate faking No part an illness this or injury) covered by code copyright category herein G89, Pain be not elsewhere stored classified, if in that patient in any truly form feels or by any symptoms means (graphically, y are electronically, re is or documentation mechanically, including a psychological photocopying, component recording, for or describing. expressed permission AAPC a patient with acute or chronic pain. The ICD-10-CM code range No part for somatorm this disorders covered is by copyright herein be stored F45. F50. Substance Related Disorders in any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or Many mental health disorders involve dependence on Below are expressed some examples permission somatorm disorders: AAPC various types substances. The most common types drugs involved in substance related disorders are: central Somatization in any disorder form or by any means (graphically, F45.0 nervous system depressants (slow activity central electronically, or mechanically, including photocopying, recording, or nervous system), central nervous system stimulants Undifferentiated not be copied, somatorm disorder quoted, F45.1 (increase activity central nervous system), or presented without expressed approval AAPC and hallucinogens (causes one to see things that are not Hypochondriacal in any form disorder, or by unspecified any means (graphically, F45.20 really re). Frequent use se drugs result in a electronically, or mechanically, including photocopying, recording, or 6 Anatomy and Pathophysiology for ICD AAPC. All rights reserved.

9 Module 9 Mental Disorders taping) dependence without on expressed drug, and will permission result in severe AAPC withdrawal symptoms not be copied, if patient stops taking m. quoted, or presented Alcohol abuse without with alcohol-induced expressed approval F AAPC No part this covered psychotic by copyright disorder, herein unspecified be stored expressed permission AAPC and Alcohol sources abuse with alcohol-induced anxiety F not be copied, quoted, or presented disorder without expressed approval AAPC in any form or by any means (graphically, electronically, Alcohol abuse or mechanically, with alcohol-induced including sexual photocopying, F recording, or expressed permission AAPC and dysfunction sources No part this covered Alcohol by copyright abuse with herein alcohol-induced be sleep stored F in any form or by any means (graphically, electronically, disorder or mechanically, including photocopying, recording, or not be copied, quoted, or presented Alcohol abuse without with or expressed alcohol-induced approval F AAPC No part this covered disorder by copyright herein be stored system The or transmitted ICD-10-CM in code any range form for by substance any means related (graphically, disorders without is F10 F19. expressed permission AAPC and Alcohol sources abuse with unspecified alcohol- F10.19 electronically, or mechanically, including photocopying, recording, or taping) not be copied, quoted, or presented induced disorder without expressed approval AAPC and To sources code substance related disorders No part in this ICD-10-CM, covered by copyright herein be stored system following or transmitted is necessary: in any form or by any means (graphically, electronically, Alcohol dependence, or mechanically, uncomplicated including photocopying, F10.20recording, or Substance expressed permission AAPC not be copied, quoted, or presented Alcohol dependence, without in expressed remission approval F10.21 AAPC Dependence or abuse system or transmitted With or without in any current form or intoxication by any means (graphically, electronically, Alcohol dependence or mechanically, with intoxication, including photocopying, F recording, or Associated expressed psychotic disorder permission AAPC and uncomplicated sources Status (in not remission) be copied, quoted, or presented without expressed approval AAPC No part this covered Alcohol by copyright dependence herein with intoxication be stored F in any form or by any means (graphically, electronically, delirium or mechanically, including photocopying, recording, or Alcohol abuse, uncomplicated F10.10 not be copied, quoted, or presented Alcohol dependence without with expressed intoxication, approval F AAPC Alcohol abuse with intoxication, F No part this covered unspecified by copyright herein be stored uncomplicated expressed permission AAPC and Alcohol sources dependence withdrawal, F Alcohol abuse with intoxication delirium F not be copied, quoted, or presented uncomplicated without expressed approval AAPC Alcohol abuse with intoxication, F in any form or by any means (graphically, electronically, Alcohol dependence or mechanically, with withdrawal including photocopying, F recording, or unspecified expressed permission AAPC and delirium sources Alcohol abuse with alcohol-induced mood F10.14 No part this covered Alcohol by copyright dependence herein with withdrawal be with stored F disorder in any form or by any means (graphically, electronically, perceptual or disturbance mechanically, including photocopying, recording, or Alcohol abuse with alcohol-induced F not be copied, quoted, or presented Alcohol dependence without with expressed withdrawal, approval F AAPC psychotic disorder with delusions No part this covered unpecified by copyright herein be stored Alcohol abuse with alcohol-induced F expressed permission AAPC and Alcohol sources dependence alcohol-induced F10.24 psychotic disorder with hallucinations not be copied, quoted, or presented mood disorder without expressed approval AAPC 2012 AAPC. All rights reserved. 7

10 Mental Disorders Module 9 Alcohol not dependence be copied, with alcohol-induced quoted, F10.250or presented Nicotine without dependence, expressed unspecified, with approval F AAPC psychotic disorder No delusions part this covered by or copyright nicotine-induced herein disorders be stored Alcohol expressed dependence with alcohol-induced permission AAPC F Nicotine dependence, unspecified, with F psychotic not be disorder copied, with hallucinations quoted, or presented unspecified without nicotine-induced expressed disorders approval AAPC Alcohol dependence in any form with or by alcohol-induced any means (graphically, F10.259electronically, Nicotine or mechanically, dependence, cigarettes, including photocopying, F recording, or psychotic expressed disorder, unspecified permission AAPC uncomplicated Alcohol dependence with No alcohol-induced part this F10.26 covered by Nicotine copyright dependence, herein cigarettes, be in stored F persisting amnestic in any form disorder by any means (graphically, electronically, remission or mechanically, including photocopying, recording, or Alcohol not dependence be copied, with alcohol-induced quoted, F10.27 or presented Nicotine without dependence, expressed cigarettes, with approval F AAPC persisting dementia No part this covered by withdrawal copyright herein be stored Alcohol expressed dependence with alcohol-induced permission AAPC F Nicotine dependence, cigarettes, with or F anxiety not disorder be copied, quoted, or presented nicotine-induced without expressed disorders approval AAPC Alcohol dependence in any form with or by alcohol-induced any means (graphically, F electronically, Nicotine or mechanically, dependence, cigarettes, including with photocopying, F recording, or sexual dysfunction expressed permission AAPC unspecified nicotine-induced disorders Alcohol dependence with No alcohol-induced part this F covered by Nicotine copyright dependence, herein chewing be tobacco, stored F sleep disorder in any form or by any means (graphically, electronically, uncomplicated or mechanically, including photocopying, recording, or Alcohol not dependence be copied, with or alcoholinduced disorder No part this covered by remission copyright herein be stored quoted, F10.288or presented Nicotine without dependence, expressed chewing tobacco, approval in F AAPC Alcohol expressed dependence with unspecified permission AAPC F10.29 Nicotine dependence, chewing tobacco, F alcohol-induced not be copied, disorder quoted, or presented with withdrawal without expressed approval AAPC Alcohol use in is any anor form category by any that means follows (graphically, electronically, Nicotine or mechanically, dependence, chewing including tobacco, photocopying, F recording, or same descriptions expressed as above. permission The code range AAPC is with or nicotine-induced disorders F F10.99 not be copied, quoted, or presented without expressed approval AAPC No part this covered by Nicotine copyright dependence, herein chewing be tobacco, stored F in any form or by any means (graphically, electronically, with unspecified or mechanically, nicotine-induced including photocopying, disorders recording, or ICD-10-CM guidelines state to use additional code for blood alcohol level, if applicable (Y90.-) not be copied, quoted, or presented Nicotine without dependence, expressed or tobacco approval F AAPC No part this covered by product, copyright uncomplicated herein be stored Nicotine dependence, in any form unspecified, or by any means (graphically, F electronically, or mechanically, including photocopying, recording, or uncomplicated expressed permission AAPC Nicotine dependence, or tobacco F not be copied, quoted, or presented product, without in remission expressed approval AAPC Nicotine dependence, unspecified, No part this in F covered by copyright herein be stored remission in any form or by any means (graphically, electronically, Nicotine or mechanically, dependence, or including tobacco photocopying, F recording, or expressed permission AAPC product, with withdrawal Nicotine not dependence, be copied, unspecified, with quoted, F or presented without expressed approval AAPC withdrawal No part this covered by copyright herein be stored 8 Anatomy and Pathophysiology for ICD AAPC. All rights reserved.

11 Module 9 Mental Disorders expressed permission AAPC and Sources sources Nicotine dependence, not be copied, or tobacco product, F quoted, or presented without expressed approval AAPC and with sources or nicotine-induced No disorders Comprehensive Medical Terminology (Fourth Edition) by part this covered by copyright herein be stored Betty Davis Jones. Nicotine dependence, expressed or tobacco permission product, F AAPC and Stedman s sources Medical Dictionary, 28th edition with unspecified not be copied, nicotine-induced disorders quoted, or presented without expressed approval AAPC No part this covered Bates by Pocket copyright Guide herein to Physical be Examination and stored History in any form or by any means (graphically, electronically, Taking, Third or Edition mechanically, (Lynn including S. Bickley-Lippincott) photocopying, recording, or taping) Axis without expressed permission AAPC Mental illnesses not be are copied, categorized by axis, using a fiveaxis sources system. Each axis represents No part a different this part covered by copyright herein be stored quoted, or presented without expressed approval AAPC and system diagnosis: or transmitted in any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or Axis I Mood not be copied, and thought disorders, which ten quoted, or presented without expressed approval AAPC respond to medication and No part psychorapy. this covered by copyright herein be stored system or transmitted Axis II Mental in any retardation form or by and any personality means (graphically, electronically, or mechanically, including photocopying, recording, or disorders, expressed which ten do not permission respond to AAPC medication. not be copied, quoted, or presented without expressed approval AAPC Axis III Medical conditions that contribute to psychological condition. Axis IV Stressors not be copied, that contribute to quoted, or presented without expressed approval AAPC psychological condition. No part this covered by copyright herein be stored system or transmitted Axis V Global in any assessment form or by any functioning means (graphically, (GAF). electronically, or mechanically, including photocopying, recording, or A number expressed is assigned to permission patient to indicate AAPC level not functioning. be copied, The range is 0 100, with 0 quoted, or presented without expressed approval AAPC representing lowest No level, part and 100 this representing covered by copyright herein be stored highest in level. any form or by any means (graphically, electronically, or mechanically, including photocopying, recording, or The definition and classification mental disorders is a key issue faced by mental health providers. With so many variations mental disorders (and we only discussed very few in this module), standardized criteria must be used in diagnosing se conditions. Currently, re are two widely established systems that classify mental disorders: International Classification Diseases (used for reporting se diagnoses to insurance companies for payment services), produced by World Health Organization, and Diagnostic and Statistical Manual Mental Disorders, produced by American Psychiatric Association. They have deliberately converged ir codes in recent revisions so that manuals are ten broadly comparable, although significant differences remain AAPC. All rights reserved. 9