DSM, ICD & CPT Coding

Changes to ICD-10-CM Codes Relevant to Psychologists: The coding changes described in this article went into effect on October 1, 2017. The changes most relevant to psychologists pertain to the following topics/conditions:

Substance use disorders (in remission)
Avoidant/restrictive food intake disorder
Pain management and neurology

Effective October 1, 2017 DSM-5 Diagnoses and New ICD-10-CM Codes

DSM-5 Diagnoses and New ICD-10-CM Codes, Effective October 1, 2017

Diagnostic Coding and ICD-10-CM by American Psychological Association

Changes to ICD-10-CM Codes for DSM-5 Diagnoses

CPT Coding

For 2018 update on billing codes including Telehealth CPT Codes:

Testing code changes 1/1/2019

Psychological and Neuropsychological Testing Codes for Psychologists (including crosswalks from 2018 to 2019 codes)

For updated billing and CPT info: Barbara Griswold, LMFT: Navigating the Insurance Maze

General Critique of the DSM-5

Books

Frances, A. (2013). Saving Normal: An Insider’s Revolt Against Out-of-Control Psychiatric Diagnosis, DSM-5 – Big Pharma, and the Medicalization of Ordinary Life.New York: William Morrow.

Frances, A. (2013). Essentials of Psychiatric Diagnosis – Responding to the Challenge of DSM-5. New York: Guilford Press.

Greenberg, G. (2013). The Book of Woe: The DSM and the Unmaking of Psychiatry. New York: Blue Rider Press.

Paris, J. (2013). The Intelligent Clinician’s Guide to the DSM-5. New York: Oxford University Press.

Websites

The Americanization of Mental Illness

Boycott DSM-5 Statement

Boycott on our FB page

Boycott info website

Boycott: additional articles

Breggin, P.R., M.D. on Pychiatric Drug Facts

Carney, J.: 1984 Revisited – The New DSM.

Carney, J.: DSM-5 Boycott Launched!

Carney, J.: The DSM-5 Field Trials: Inter-Rater Reliability Ratings Take a Nose Dive.

The Citizens Commission on Human Rights (CCHR) is a non-profit dedicated to investigating and exposing psychiatric violations of human rights.

Critical Statement by the director of National Institute for Mental Health (NIHM), Thomas Insel.

The Dirtiest Word in the DSM

Frances, A.: DSM-5 Field Trials Discredit APA.

Frances, A.: DSM 5 Is Guide Not Bible – Ignore Its Ten Worst Changes.

Frances, A.: Is Government Intervention Needed to Prevent an Unsafe DSM 5?

Frances, A.: DSM 5 Boycotts and Petitions.

Frances, A.: Is Not Following Doctor’s Orders a Mental Disorder?

Frances, A.: DSM 5 Boycotts and Petitions – Too many, too sectarian.

Frances, A.: Why DSM 5 Won’t Meet The Press. It Is Counting On A Captive Audience.

Frances, A.: Price Gouging: Why Will DSM-5 Cost $199 a Copy? Because it thinks it has a monopoly but probably doesn’t.

Frances, A.: Sunday Dialogue – Defining Mental Illness. Readers React.

Frances, A.: Does DSM-5 Have a Captive Audience?

Frances, A.: NIMH vs DSM-5: No One Wins, Patients Lose.

Frances, A.: The Inmates Seem to Have Taken Over the Asylum.

Frances, A.: The International Reaction to DSM-5.

Frances, A.: One manual shouldn’t dictate US mental health research.

Frances, A.: DSM-5: Where Do We Go From Here?

Frances, A.: The New Crisis in Confidence in Psychiatric Diagnosis.

Frances, A.: The Role of Biological Tests in Psychiatric Diagnosis.

Frances, A.: Is Criticism of DSM-5 ‘Anti-psychiatry’?

Frances, A.: DSM-5 Writing Mistakes Will Cause Great Confusion.

Frances, A. & Spitzer, R.: To the APA Board of Trustees.

Friedman, R. A.: The Book Stops Here.

Genova, P, M.D. Dump the DSM

How doctors think. Medical mistakes in Diagnosis

The Illusions of Psychiatry

Insel, T. R.: Director’s Blog. (National Institute for Mental Health)

Kinderman, P.: ‘Grief and anxiety are not mental illnesses’.

Psychiatrists, MDs & Psychologists—No Medical Test Exists for Any “Mental Disorder”.

Radical Therapy, Critical Theory, and Antipsychiatry: Bibliography

Sandeen, A.: Dr. Robert Spitzer – DSM-5 process can hardly be described as ‘transparent’ and ‘open’.

Statement of Concern was opened by a committee of 40 prominent psychologists, psychiatrists, other professionals, and representatives of service users’ organizations from seven countries, including Australia and New Zealand. Their press release is titled: International Mental Health Experts Call for Boycott of DSM-5.

Thomas Szasz, MD on psychiatric diagnosis and mental Illness

Zur, O., Nordmarken, N.: DSM: Diagnosing for Money and Power Summary of the Critique of the DSM.

Critique by Diagnosis

Autism:

Frances, A.: Will the DSM-5 Reduce Rates of Autism?

Frances, A.: Two Fatal Technical Flaws in the DSM-5 Definition of Autism.

Greenfield, B.: How Will the New Definition of Autism in DSM-5 Affect Children? Parents, Advocates Anxious Over Changes.

Hill, N.: Autism Awareness: Changes in DSM-5.

Jabr, F.: By the Numbers: Autism Is Not a Math Problem.

Lohr, W. D. & Tanguay, P.: DSM-5 and Proposed Changes to the Diagnosis of Autism. Pediatric Annals.

Scrowley: APA approves diagnostic changes to DSM-5 autism definition.

Willingham, E.: New DSM criteria for autism: Who will be left behind?

Wilson, C.E., et al.: Comparison of ICD-10R, DSM-IV-TR and DSM-5 in an Adult Autism Spectrum Disorder Diagnostic Clinic.

Aspergers:

Hill, N.: Autism Awareness: Changes in DSM-5.

Jabr, F.: By the Numbers: Autism Is Not a Math Problem.

Malcom, L.: What happens when Asperger’s no longer exists?

Attention-Deficit/Hyperactivity Disorder – ADHD:

Hickey, P. In DSM-5, A-D-H-D Still Spells Misbehavior.

Disruptive Mood Dysregulation Disorder:

Axelson D. et al.: Examining the proposed disruptive mood dysregulation disorder diagnosis in children in the Longitudinal Assessment of Manic Symptoms study.

Cambpell, H.: In Defense of DSM-5 Making Tantrums A Mental Disorder.

Bereavement:

Frances. A.: Normal Grief vs Depression In DSM5.

Grief is agony, but let’s not call it a mental illness.

Grief over DSM-5 Depression Criteria. (2013).

Gup, T.: Diagnosis: Human.

Noel, S.: Good Grief: Why the DSM-5 Is Wrong About Bereavement and Depression.

Fetishes Disorders:

Fetishes and the DSM: When Is a Kink a Mental Health Issue?

Somatic Symptom Disorder:

Bernard, T.: Physical Illnesses May Soon Be Labeled Mental Disorder.

Chapman, S.: Somatic Symptom Disorder could capture millions more under mental health diagnosis.

Den Broeder, G.: The new somatic symptom disorder in DSM-5 risks mislabeling many people as mentally ill.

Frances, A.: Mislabeling Medical Illness As Mental Disorder.

Frances, A.: Bad News – DSM 5 Refuses to Correct Somatic Symptom Disorder.

Frances, A.: Why Did DSM 5 Botch Somatic Symptom Disorder?

Gross, M.: Has the manual gone mental?

King, S. A.: The new somatic symptom disorder in DSM-5 risks mislabeling many people as mentally ill.

Binge Eating Disorder:

Hanlon, P.: DSM-5 To Include Binge Eating Disorder.

Female Sexual Dysfunction:

Frances, A.: Female Sexual Dysfunction: A Case of Pharma Disease Mongering.

Substance-Related and Addictive Disorders:

Jabr, F.: The Newest Edition of Psychiatry’s “Bible,” the DSM-5, Is Complete.

Moran, M.: Gambling Disorder to Be Included in Addictions Chapter.

Davey, M.: Cannabis disorders less likely to be diagnosed.

Paraphilic Disorders:

Gray. E.: Sexual Fetishes Likely Still Included In DSM-5 — But Not Necessarily As Mental Illnesses.

Keenan, J.: We’re Kinky, Not Crazy – Including “paraphilic disorders” in the DSM V is redundant, unscientific, and stigmatizing.

Pappas, S.: What’s Crazy? Sexual Fetishes Spur Psychiatric Manual Controversy.

DSM V: The Controversy

On DSM V – General:

DSM-5 Controversies

Responses to the Critique of the DSM-5

Grohol, J. M.: Some Empty Arguments against the DSM-5.

Grohol, J. M.: You Do Make a Difference in the DSM-5.

Grohol, J. M.: DSM-5 Published, ‘Critical Guidebook for Clinicians’.

Kupfer, D. J.: Statement by David Kupfer, MD

Wakefield, J.C. & First, M. B.: Validity of the bereavement exclusion to major depression: does the empirical evidence support the proposal to eliminate the exclusion in DSM-5?

DSM-5 and Psychopharmacological Companies

Drug Company Profits Set to Increase from Additions to DSM-5

Corporate Interests Behind WebMD’s Friendly, Free Advice.
“….For example, in 2010, no matter how you answered one of its questionnaires, WebMD diagnosed you with depression and “linked you to a river of pills.”

Critique of Psychopharmacological Industry and Medicating Psychiatrists

Is psychiatry committing ‘professional suicide’?

Antipsychotic Prescriptions in Children Have Skyrocketed: Study

Top 10 Drug Company Settlements: Multibillion-dollar settlements against big drug companies have become all too common in recent years. Here’s a rogues gallery of the worst offenders.

Psychiatric Drugs Facts by Dr. Peter Bregin

Insurance Reimbursement & DSM-5

From American Psychiatric Association

American Psychiatric Association: DSM-5 – Insurance Implications of DSM-5.

American Psychiatric Association: How quickly will insurance companies be able to transition to DSM-5?

ApA Answers Insurance-Related Questions About DSM-5

Insurance Implications of DSM-5

Additional Resources

United Behavioral Health (UBH) Industry Changes: Diagnostic Code Sets – SDSM-5 and ICD-10, FAQ Ap./2013

Does DSM 5 Have a Captive Audience? No. DSM 5 codes are not needed for insurance reimbursement By Allen J. Frances, M.D.

The DSM-5 and ICD-10 By Barbara Griswold, LMFT

The Effect of the Inclusion of Binge Eating Disorder in the DSM-5 By J. Dolores