Covered Diagnoses & Crosswalk of DSM-IV Codes to ICD-9-CM Codes

by APA Practice Organization

December, 2003

What Is the Crosswalk?

The crosswalk is a document designed to help you determine which ICD-9-CM diagnosis code corresponds to a particular DSM-IV-TR diagnosis code.

Do I Need to Use It?

Under the Health Insurance Portability and Accessibility Act (HIPAA), insurance companies who accept and process insurance claims electronically are only required to accept ICD-9-CM diagnosis codes. Because there is no HIPAA requirement that insurance companies also accept DSM-IV-TR codes, insurance companies are likely to only accept electronic claims that use ICD-9-CM diagnosis codes, and which will require psychologists who are only familiar with DSM-IV-TR to convert their DSM-IV-TR diagnosis codes into ICD-9-CM diagnosis codes.

If your insurance company requires you to submit paper or electronic claims using only ICD-9-CM diagnosis codes, and you are only familiar with DSM-IV-TR diagnosis codes, then you will need to use this crosswalk to convert your DSM-IV-TR diagnosis code(s) into ICD-9-CM diagnosis codes.

How Does it Work?

The DSM-IV-TR codes and descriptions are provided in the columns on the left side of the page; the corresponding ICD-9-CM diagnosis code and ICD-9-CM diagnosis description are provided in the columns on the right side of the page. Find the appropriate DSM-IV-TR code, and follow the table across to find the corresponding ICD-9-CM code. In many cases — but not all — the ICD-9-CM code and description will be identical to the DSM-IV-TR code.

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DSM-IV-TR codes reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Text Revision, Copyright 2002. American Psychiatric Association.