Recent changes to ICD-10-CM codes relevant to psychologists

The Centers for Medicare and Medicaid Services release annual changes affecting hundreds of codes.

The Centers for Medicare and Medicaid Services released changes to ICD-10-CM codes effective as of Oct. 1. Changes to some mental, behavioral and neurodevelopmental disorders codes are among 360 new, 142 deleted and 226 revised diagnostic codes for fiscal year 2018.

Most of the changes to mental health codes relate to new specifiers, which occur after the decimal point of the parent code, for substance abuse disorders. Psychologists can now select a specific ICD-10-CM code when a patient is in remission from abuse of a variety of substances, including alcohol, opioids and cannabis. These specifiers will allow for more accurate diagnostic recording.

An additional code, for avoidant/restrictive food intake disorder, has been moved from “Other specified eating disorder” to “Other eating disorder,” classifying it alongside Binge eating disorder (F50.81). Additional changes were made to diagnostic codes for pain management and neurology.

Psychologists practicing in healthcare settings where the use of diagnostic codes other than the mental health codes is common may find it helpful to refer to the FY18 Conversion Table available for download from the Center for Disease Control.

The chart below lists the original and new codes for the mental health disorders.

Disorder Original Code
(Valid until Sept. 30, 2017)
New Code
(Effective Oct. 1, 2017)
Alcohol use disorder, mild, in early or sustained remission F10.10 F10.11
Alcohol use disorder, moderate, in early or sustained remission F10.20 F10.21
Alcohol use disorder, severe, in early or sustained remission F10.20 F10.21
 
Opioid use disorder, mild, in early or sustained remission F11.10 F11.11
Opioid use disorder, moderate, in early or sustained remission F11.20 F11.21
Opioid use disorder, severe, in early or sustained remission F11.20 F11.21
 
Cannabis use disorder, mild, in early or sustained remission F12.10 F12.11
Cannabis use disorder, moderate, in early or sustained remission F12.20 F12.21
Cannabis use disorder, severe, in early or sustained remission F12.20 F12.21
 
Sedative, hypnotic, or anxiolytic use disorder, mild, in early or sustained remission F13.10 F13.11
Sedative, hypnotic, or anxiolytic use disorder, moderate, in early or sustained remission F13.20 F13.21
Sedative, hypnotic, or anxiolytic use disorder, severe, in early or sustained remission F13.20 F13.21
 
Cocaine use disorder, mild, in early or sustained remission F14.10 F14.11
Cocaine use disorder, moderate, in early or sustained remission F14.20 F14.21
Cocaine use disorder, severe, in early or sustained remission F14.20 F14.21
 
Amphetamine-type substance use disorder, mild, in early or sustained remission F15.10 F15.11
Amphetamine-type substance use disorder, moderate, in early or sustained remission F15.20 F15.21
Amphetamine-type substance use disorder, severe, in early or sustained remission F15.20 F15.21
 
Phencyclidine use disorder, mild, in early or sustained remission F16.10 F16.11
Phencyclidine use disorder, moderate, in early or sustained remission F16.20 F16.21
Phencyclidine use disorder, severe, in early or sustained remission F16.20 F16.21
 
Other hallucinogen use disorder, mild, in early or sustained remission F16.10 F16.11
Other hallucinogen use disorder, moderate, in early or sustained remission F16.20 F16.21
Other hallucinogen use disorder, severe, in early or sustained remission F16.20 F16.21
 
Tobacco use disorder, moderate, in early or sustained remission F17.200 F17.201
Tobacco use disorder, severe, in early or sustained remission F17.200 F17.201
 
Inhalant use disorder, mild, in early or sustained remission F18.10 F18.11
Inhalant use disorder, moderate, in early or sustained remission F18.20 F18.21
Inhalant use disorder, severe, in early or sustained remission F18.20 F18.21
 
Other (or Unknown) Substance Use Disorder, mild, in early or sustained remission F19.10 F19.11
Other (or Unknown) Substance Use Disorder, moderate, in early or sustained remission F19.20 F19.21
Other (or Unknown) Substance Use Disorder, severe, in early or sustained remission F19.20 F19.21
 
Avoidant/restrictive food intake disorder F50.89 F50.82