This document provides an overview of a workshop on understanding revisions made in the DSM-5 and ICD-10-CM diagnostic systems. The presenter, Dr. Greg Neimeyer, characterizes himself as being moderately well-informed about the significant features of both systems, though not an expert who could teach the workshop himself. He then outlines the workshop, which will cover the top 10 most significant changes in the DSM-5, the historical context of the DSM and ICD, disorder-specific revisions, and how the systems relate to each other and may develop in the future.
This document discusses two major classification systems for mental disorders: ICD-10 and DSM-IV. ICD-10 is maintained by the World Health Organization and provides an international standard for defining and classifying diseases. DSM-IV is published by the American Psychiatric Association and utilizes a multi-axial system to evaluate patients across several domains. Both systems aim to provide consistent diagnoses but have disadvantages like oversimplification, misdiagnoses, and potential stigmatization. ICD-11 was adopted in 2019 and DSM-5 removed the axis system and made other changes.
This is a presentation on how DSM5, ICD-9, and ICD-10 work together to create diagnosis acceptable for use in the Avatar system. In addition this presentation also helps us better understand how to use the manuals mentioned above. I placed all information on the slides, so feel free to move the information to notes or create bullets in relation to the topic. Good luck.
Ken Letizia.
This document provides an overview of the International Classification of Diseases version 10 (ICD-10). It discusses that ICD-10 is a statistical classification system that groups diseases and health conditions into categories that allows for collection and exchange of health data internationally. ICD-10 has 21 chapters that diseases are classified into and uses an alphanumeric coding system. It is the international standard for defining and reporting on diseases and health conditions.
The document discusses two major classification systems used in psychiatry: the International Classification of Diseases (ICD) published by the World Health Organization, and the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association. The ICD-10 is currently used and organizes mental disorders under chapter F, while the recently released DSM-5 reorganized disorders into chapters without the previous multiaxial assessment. Both classification systems aim to clearly define diagnoses, provide a common language for professionals, and offer effective treatment.
This document discusses the classification of psychiatric disorders. It defines classification as the process of grouping things based on similarities. In psychiatry, classification aims to enable patient care, communication between professionals, and research, though ideally it would be based on etiology. Major classifications include ICD-10 from WHO and DSM-IV from APA. These take categorical approaches but some argue for dimensional/spectrum models. Classification seeks to group syndromes, disorders, and illnesses while acknowledging limitations due to incomplete understanding of causes.
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Classification of Diseases/Disorders are important to improve treatment and prevention efforts. Two important classification system used in the field of Mental Disorders are DSM -V and ICD -10. Here we will discuss Strengths and Weaknesses of both.
This document discusses two major classification systems for mental disorders: ICD-10 and DSM-IV. ICD-10 is maintained by the World Health Organization and provides an international standard for defining and classifying diseases. DSM-IV is published by the American Psychiatric Association and utilizes a multi-axial system to evaluate patients across several domains. Both systems aim to provide consistent diagnoses but have disadvantages like oversimplification, misdiagnoses, and potential stigmatization. ICD-11 was adopted in 2019 and DSM-5 removed the axis system and made other changes.
This is a presentation on how DSM5, ICD-9, and ICD-10 work together to create diagnosis acceptable for use in the Avatar system. In addition this presentation also helps us better understand how to use the manuals mentioned above. I placed all information on the slides, so feel free to move the information to notes or create bullets in relation to the topic. Good luck.
Ken Letizia.
This document provides an overview of the International Classification of Diseases version 10 (ICD-10). It discusses that ICD-10 is a statistical classification system that groups diseases and health conditions into categories that allows for collection and exchange of health data internationally. ICD-10 has 21 chapters that diseases are classified into and uses an alphanumeric coding system. It is the international standard for defining and reporting on diseases and health conditions.
The document discusses two major classification systems used in psychiatry: the International Classification of Diseases (ICD) published by the World Health Organization, and the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association. The ICD-10 is currently used and organizes mental disorders under chapter F, while the recently released DSM-5 reorganized disorders into chapters without the previous multiaxial assessment. Both classification systems aim to clearly define diagnoses, provide a common language for professionals, and offer effective treatment.
This document discusses the classification of psychiatric disorders. It defines classification as the process of grouping things based on similarities. In psychiatry, classification aims to enable patient care, communication between professionals, and research, though ideally it would be based on etiology. Major classifications include ICD-10 from WHO and DSM-IV from APA. These take categorical approaches but some argue for dimensional/spectrum models. Classification seeks to group syndromes, disorders, and illnesses while acknowledging limitations due to incomplete understanding of causes.
Classificatory systems - Advantages & DisadvantagesHemangi Narvekar
Classification of Diseases/Disorders are important to improve treatment and prevention efforts. Two important classification system used in the field of Mental Disorders are DSM -V and ICD -10. Here we will discuss Strengths and Weaknesses of both.
The document provides information on two major classification systems for mental disorders:
1. The ICD (International Classification of Diseases) published by the WHO is used globally to classify all diseases and injuries. Chapter V covers mental disorders. ICD-10 is currently in use.
2. The DSM (Diagnostic and Statistical Manual of Mental Disorders) published by the APA is used primarily in the US to classify mental disorders. The latest version is DSM-5.
While both systems aim to standardize diagnosis, the ICD has broader scope and global use while the DSM is used more by US psychiatrists. Recent editions have increased alignment between the two classifications.
The document discusses disease classification and the International Classification of Diseases (ICD). It provides definitions of disease and classification, and outlines the history and types of disease classification. It describes the ICD-10 system which has 21 chapters arranged across 3 volumes and over 14,400 codes. The purpose of ICD is to facilitate the standardized collection and reporting of health data globally. Some challenges to ICD coding include its size, lack of training, and software issues.
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The document discusses the classification of diseases and the International Classification of Diseases (ICD). It provides details on the history and development of the ICD, from early classifications in the 1700s to the current ICD-10 published in 1993. The ICD-10 aims to code diseases, injuries, and procedures numerically to facilitate data storage, retrieval and analysis. It contains three volumes organized into 21 chapters covering all disease and injury classifications.
The document provides an overview of the International Classification of Diseases (ICD-10) for classifying mental health disorders. ICD-10 was published by the World Health Organization in 1992 and includes 1000 categorical slots for mental disorders from F00-F99. The document describes the main categories of disorders in ICD-10 including organic disorders, substance use disorders, schizophrenia and psychotic disorders, mood disorders, neurotic disorders, and dissociative disorders. It also compares ICD-10 to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) which is used primarily in the United States.
The document discusses the classification of diseases. It begins by defining what a disease is and describing the main types. The most widely used system for classifying diseases is the World Health Organization's International Classification of Diseases (ICD). The ICD uses codes to map diseases and health conditions into broad diagnostic categories. It has gone through several revisions over time to ICD-10 to reflect advances in healthcare. The ICD classification system is used globally to facilitate disease tracking, epidemiology research, and clinical care.
ICD-10 is a statistical classification, which means that it contains a limited number of mutually exclusive code categories, which describe all disease concepts.
introduction to ICD 10 course ,presented according to the health offices computerization under the supervision of the national information center -Ministry of health and population.
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- Schizophrenia subtypes are removed, and specifiers are added for symptoms. Catatonia is now a separate entity.
- Bipolar II disorder is added as a new category under mood disorders.
- New disorders are added such as binge eating disorder, gaming disorder, and body dysmorphic disorder.
- The classification of PTSD is narrowed, and complex PTSD is proposed as a new category. Prolonged grief disorder is added.
London iCAAD 2019 - Dr Judith Landau and Gale Saler - Part 1 - ACCESSING THE ...iCAADEvents
This document discusses accessing knowledge and methods from treatment programs and therapeutic communities to facilitate resilience and improve outcomes, especially for youth. It covers 3 parts: background on issues facing youth globally like trauma, transitions, and technology; case studies and outcomes showing how connectedness to family through knowledge of intergenerational stories correlates with reduced risk behaviors; and how focusing on family resilience rather than dysfunction can increase self-esteem and competence for youth.
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The document provides an overview of psychological disorders, including a brief history of mental illness from the late 18th century to present. It discusses the problems in defining psychological disorders and criteria used, such as harmful dysfunction. It describes the Diagnostic and Statistical Manual of Mental Disorders (DSM), the classification system used in the US, which is now in its fifth edition. The DSM aims to provide a common language for professionals and guide treatment by establishing specific diagnoses and their symptoms.
This document provides an overview of the structure and principles of the International Classification of Diseases, 10th Revision (ICD-10). It describes the ICD-10 as a statistical classification system used to code diagnoses and procedures. The document outlines the history and development of the ICD, and provides details on the three volumes, 21 chapters, and alphanumeric coding structure of the ICD-10. It explains important concepts such as body system groupings, code conventions, and the use of inclusion/exclusion terms.
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There are two main systems for classifying mental disorders - the ICD-10 produced by the WHO and the DSM-5 produced by the APA. The ICD-10 provides diagnostic codes for diseases and includes personality disorders, while the DSM-5 is used primarily in the US and focuses on diagnostic criteria. Both systems aim to provide a common language for researchers, clinicians, and other professionals to classify disorders.
This document summarizes the rationale for the new diagnosis of somatic symptom disorder (SSD) in the DSM-5. The authors explain that SSD represents a consolidation of several previously separate diagnoses from the DSM-IV. It aims to address numerous issues with the previous somatoform disorder categories, such as unclear terminology, overreliance on the concept of "medically unexplained symptoms," overlapping criteria between diagnoses, and low reliability and prevalence rates in clinical practice. The new SSD criteria emphasize persistent somatic symptoms along with disproportionate thoughts, feelings and behaviors related to the symptoms, rather than focusing only on a lack of medical explanation for symptoms.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
The document provides information on two major classification systems for mental disorders:
1. The ICD (International Classification of Diseases) published by the WHO is used globally to classify all diseases and injuries. Chapter V covers mental disorders. ICD-10 is currently in use.
2. The DSM (Diagnostic and Statistical Manual of Mental Disorders) published by the APA is used primarily in the US to classify mental disorders. The latest version is DSM-5.
While both systems aim to standardize diagnosis, the ICD has broader scope and global use while the DSM is used more by US psychiatrists. Recent editions have increased alignment between the two classifications.
The document discusses disease classification and the International Classification of Diseases (ICD). It provides definitions of disease and classification, and outlines the history and types of disease classification. It describes the ICD-10 system which has 21 chapters arranged across 3 volumes and over 14,400 codes. The purpose of ICD is to facilitate the standardized collection and reporting of health data globally. Some challenges to ICD coding include its size, lack of training, and software issues.
International classification of diseasesTharaniRam
The document discusses the classification of diseases and the International Classification of Diseases (ICD). It provides details on the history and development of the ICD, from early classifications in the 1700s to the current ICD-10 published in 1993. The ICD-10 aims to code diseases, injuries, and procedures numerically to facilitate data storage, retrieval and analysis. It contains three volumes organized into 21 chapters covering all disease and injury classifications.
The document provides an overview of the International Classification of Diseases (ICD-10) for classifying mental health disorders. ICD-10 was published by the World Health Organization in 1992 and includes 1000 categorical slots for mental disorders from F00-F99. The document describes the main categories of disorders in ICD-10 including organic disorders, substance use disorders, schizophrenia and psychotic disorders, mood disorders, neurotic disorders, and dissociative disorders. It also compares ICD-10 to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) which is used primarily in the United States.
The document discusses the classification of diseases. It begins by defining what a disease is and describing the main types. The most widely used system for classifying diseases is the World Health Organization's International Classification of Diseases (ICD). The ICD uses codes to map diseases and health conditions into broad diagnostic categories. It has gone through several revisions over time to ICD-10 to reflect advances in healthcare. The ICD classification system is used globally to facilitate disease tracking, epidemiology research, and clinical care.
ICD-10 is a statistical classification, which means that it contains a limited number of mutually exclusive code categories, which describe all disease concepts.
introduction to ICD 10 course ,presented according to the health offices computerization under the supervision of the national information center -Ministry of health and population.
The document appears to be a set of multiple choice questions about public health topics including indicators of economic and social conditions, causes of death in Canada, definitions of illness, disease, and sickness, approaches to health like the ICF framework, and cultural safety in healthcare. It covers a wide range of concepts related to measuring population health outcomes, understanding disease etiology and progression, defining health and approaches to conceptualizing it, and considerations for providing culturally safe care. The questions assess understanding of factors that influence health outcomes for populations and individuals.
ICD 11 proposed changes - A New Perspective On An Old DreamMohamed Sedky
The document discusses proposed changes in the ICD-11 classification system compared to previous versions. Some key points:
- Neurodevelopmental disorders are reorganized, and autism is now classified as autism spectrum disorder.
- Schizophrenia subtypes are removed, and specifiers are added for symptoms. Catatonia is now a separate entity.
- Bipolar II disorder is added as a new category under mood disorders.
- New disorders are added such as binge eating disorder, gaming disorder, and body dysmorphic disorder.
- The classification of PTSD is narrowed, and complex PTSD is proposed as a new category. Prolonged grief disorder is added.
London iCAAD 2019 - Dr Judith Landau and Gale Saler - Part 1 - ACCESSING THE ...iCAADEvents
This document discusses accessing knowledge and methods from treatment programs and therapeutic communities to facilitate resilience and improve outcomes, especially for youth. It covers 3 parts: background on issues facing youth globally like trauma, transitions, and technology; case studies and outcomes showing how connectedness to family through knowledge of intergenerational stories correlates with reduced risk behaviors; and how focusing on family resilience rather than dysfunction can increase self-esteem and competence for youth.
The Diagnostic and Statistical Manual of Mental Disorders (DSM)Hemangi Narvekar
The Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association (APA), offers a common language and standard criteria for the classification of mental disorders.
7 Big ICD 10 Changes for Primary Care Part IIIAnkush Verma
Physician documentation requirements for asthma diagnoses have been expanded in ICD-10. Documentation must specify whether asthma is mild intermittent, mild persistent, moderate persistent or severe persistent, and whether it is uncomplicated, with acute exacerbation, or with status asthmaticus. ICD-10 also includes new codes related to factors that influence health status and contact with health services, such as codes for health hazards related to socioeconomic and psychosocial circumstances, body mass index, and lifestyle problems including tobacco use, lack of exercise, and high-risk sexual behavior. Primary care providers should be aware of these new ICD-10 codes that are relevant but may not appear in code mapping.
Introduction to Psychological Disorderswindstar2002
The document provides an overview of psychological disorders, including a brief history of mental illness from the late 18th century to present. It discusses the problems in defining psychological disorders and criteria used, such as harmful dysfunction. It describes the Diagnostic and Statistical Manual of Mental Disorders (DSM), the classification system used in the US, which is now in its fifth edition. The DSM aims to provide a common language for professionals and guide treatment by establishing specific diagnoses and their symptoms.
This document provides an overview of the structure and principles of the International Classification of Diseases, 10th Revision (ICD-10). It describes the ICD-10 as a statistical classification system used to code diagnoses and procedures. The document outlines the history and development of the ICD, and provides details on the three volumes, 21 chapters, and alphanumeric coding structure of the ICD-10. It explains important concepts such as body system groupings, code conventions, and the use of inclusion/exclusion terms.
The document provides an overview of the Hunter Syndrome market insights, epidemiology, and market forecast from 2020 to 2030. It discusses key insights on the disease including prevalence, symptoms, types, and current treatment practices. It also includes graphs on epidemiology segmentation and prevalence trends in the 7 major markets from 2017-2030. The market outlook discusses the current ERT treatment and potential opportunities for new emerging therapies to treat the disease. It forecasts that the market size will increase significantly due to expected launches of new therapies and increasing R&D activities.
There are two main systems for classifying mental disorders - the ICD-10 produced by the WHO and the DSM-5 produced by the APA. The ICD-10 provides diagnostic codes for diseases and includes personality disorders, while the DSM-5 is used primarily in the US and focuses on diagnostic criteria. Both systems aim to provide a common language for researchers, clinicians, and other professionals to classify disorders.
This document summarizes the rationale for the new diagnosis of somatic symptom disorder (SSD) in the DSM-5. The authors explain that SSD represents a consolidation of several previously separate diagnoses from the DSM-IV. It aims to address numerous issues with the previous somatoform disorder categories, such as unclear terminology, overreliance on the concept of "medically unexplained symptoms," overlapping criteria between diagnoses, and low reliability and prevalence rates in clinical practice. The new SSD criteria emphasize persistent somatic symptoms along with disproportionate thoughts, feelings and behaviors related to the symptoms, rather than focusing only on a lack of medical explanation for symptoms.
How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
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it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
1. GREG J. NEIMEYER, PHD
UNIVERSITY OF FLORIDA
Understanding the DSM-5 and the ICD-10-CM:
Problems and Prospects in the Diagnostic
Revisions.
2. When it comes to my level of familiarity
with the DSM-5 and the ICD-10-CM, I
would characterize myself as….
3. A . H I G H L Y I N F O R M E D . I K N O W M O S T , I F
N O T A L L O F T H E M O S T S I G N I F I C A N T
F E A T U R E S O F E A C H S Y S T E M A N D C O U L D
E A S I L Y T E A C H T H I S W O R K S H O P M Y S E L F -
B U T I D O N ’ T W A N T T O .
When it comes to my level of familiarity
with the DSM-5 and the ICD-10-CM, I
would characterize myself as….
4. B . M O D E R A T E L Y W E L L - I N F O R M E D . I K N O W
A B O U T M A N Y , I F N O T M O S T , O F T H E O F T H E
S I G N I F I C A N T F E A T U R E S O F E A C H S Y S T E M ,
A N D P R O B A B L Y A L L O F T H E M A J O R O N E S A T
L E A S T
When it comes to my level of familiarity
with the DSM-5 and the ICD-10-CM, I
would characterize myself as….
5. C . S O M E W H A T W E L L - I N F O R M E D . I ’ V E
H E A R D B I T S A N D P I E C E S O F B O T H S Y S T E M S
H E R E A N D T H E R E B U T I ’ M N O T S U R E H O W
M A N Y O F T H E M I C O U L D R E C A L L O F F H A N D .
When it comes to my level of familiarity
with the DSM-5 and the ICD-10-CM, I
would characterize myself as….
6. D . I A M G E N U I N E L Y C L U E L E S S . I F I ’ V E
H E A R D A N Y T H I N G A T A L L A B O U T T H E T W O
S Y S T E M S I H O N E S T L Y C A N ’ T R E C A L L A
S I N G L E O N E O F T H E M A T T H E M O M E N T .
When it comes to my level of familiarity
with the DSM-5 and the ICD-10-CM, I
would characterize myself as….
8. Not representing APA
Not representing the other APA
Not hear representing the WHO or ICD
No proprietary or commercial interests
All materials that are used are either open source or
used with express permission, so you can feel free to
use everything that we provide
We all bring perspectives. I will share mine but
there is nothing sacrosanct about it.
Disclaimers
9. Overview of the Workshop
More heat than light?:
The Top 10 most significant changes in the DSM-5
Back to the future?
Historical backdrop of DSM and ICD
The devil is in the details
Disorder-Specific revisions
To infinity and beyond
Articulation with ICD and Future Developments
10. More Heat Than Light:
Top 10 Most Significant Changes in the DSM-5
1.Overall “Mission Creep”
2. Discontinuation of the Multi-axial Diagnosis
3. Greater (bio)medical orientation
4. Inclusion of Section III: Emerging Measures & Models
5. Dimensionalizing Disorders (e.g. ASD, Schiz)
6. Reclassification & Re-combination of Disorders
7. Addition of Non-Substance Addictive Disorders
8. Movement towards “Clinical Utility” vs. “Validity”
9. Movement from Roman to Arabic Numbers
10. Designed to articulate with the ICD
13. Setting the Stage:
The Globalization of Psychology
Changes in demographics & infrastructure, training
and education have changed the field of psychology
ICD fosters global communication among health care
professionals – builds from an internationally
derived foundation each country to modify for its
unique needs (i.e. Clinical Modification).
14. Purposes of ICD
Monitor health epidemics/threats to public
Assess health/disease burden
Identify vulnerable/at risk populations
Define obligations of WHO members to provide
health care access to their populations
Form guidelines for care & standards of practice
Facilitate research into more effective treatments
15. Global Health Monitoring Reveals
Mental disorders account for greater disease burden
than any category, except communicable diseases
(WHO, 2008)
Depression - leading cause of years lost due to
disability globally; disease burden 50% higher for
females than males (WHO, 2012)
For serious mental disorders, the treatment gap
between those who need and those who receive
treatment is 32 - 78%, depending on disorder (Kohn
et al of WHO, 2004); substantially higher in
developing countries
16. History of ICD
Early nomenclatures - alphabetized lists of disease
names
Nomenclatures developed into classification systems
organized according to topography and later etiology
Origins of the ICD:
-1851 Great Exhibition
-Led to First International Statistical Conference
(1853) in Brussels -causes of death a topic considered
for international comparison
-Convened every 2 years until 1878.
-Succeeded by ISI; still hold biennial meetings
17. History of ICD, continued
1893: ISI issued 1st edition of international
classification system – the International List of
Causes of Death.
By 1899: Available in English, French, German, &
Spanish languages - adopted in US, Mexico, Canada,
South America and some cities in Europe.
U.S. committed to ICD from outset.
18. History of ICD, continued
ICD-1 first revision 1900 (in use 1900-1909). No
Mental and Behavioral Disorders
ICD-2 1909 (1910-1920), International
Classification of Causes of Sickness & Death
ICD-3 1920 (1921-1929)
ICD-4 1929 (1930-1938), transfer to categories
based on etiology
ICD-5 1938 (1939-1948),practical consideration
devoted to comparability between successive ICD
versions (GEMs)
And then WWI and the founding of the UN
19. The United Nations and the
World Health Organization
UN founded WHO in 1945 to handle global issues in
areas such as health, labor, and trade
WHO headquartered in Geneva, Switzerland - linked
global health and global peace
WHO currently has 7,000 public health
experts/employees – (1800 staff in Geneva, remainder in
6 regional offices & 150 individual country/area offices)
Serves as a resource repository and provides technical
support to governments, and information to health
professionals
20. History of ICD, continued
WHO constitution ratified 1948 and entrusted with
the ICD
ICD-6 1948 (1949-1957 ) 1st WHA adopted the
renamed International Classification of Diseases,
Injuries, and Causes of Death.
Morbidity added to mortality
Introduced Mental, Psychoneurotic, and Personality
Disorders.
21. ICD Sample Chapters and Codes
Chapter Range of Codes
I. Certain infectious and parasitic diseases A00-B99
II. Neoplasms C00-D48
III. Disease of the blood D50-D89
IV. Endocrine, nutritional and metabolic diseases E00-E90
V. Mental and behavioral disorders F00-F99
VI. Diseases of the nervous system G00-G99
VII. Diseases of the eye and adnexa H00-H59
VIII. Diseases of the ear and mastoid process H60-H95
IX. Diseases of the circulatory system I00-I99
X. Diseases of the respiratory system J00-J99
…continues through XXI. Factors influencing
health status and contact with health services (Z00-
Z98)
23. History of ICD, continued
ICD-7 1955 (1958-1967)
ICD-8 1965 (1968-1978)
ICD-9 1975 (1979-1994).
ICD-10 1990 (1994 -present).
ICD-11 (approval expected, 2017)
24. Comparing Timetables:
The United States’ Timetable
The U.S. still uses the ICD-9-CM (1975).
2015 – The U.S. implements the ICD-10-CM
2017- The rest of the world moves to the ICD-11
US considered waiting for ICD-11
ICD-9-CM outdated, cannot support current needs
for health information or fit HIT advances
ICD-10-CM implementation is October 1, 2015
25. Do not be daunted
Psychologists do not use the entire ICD
Rational, hierarchical, decimal coding structure
ICD-10-CM code set is free from the CDC website. Free
conversions available (e.g. www.icd10data.com).
27. ICD-10-CM Sample Chapters and Codes
Chapter Range of Codes
I. Certain infectious and parasitic diseases A00-B99
II. Neoplasms C00-D48
III. Disease of the blood D50-D89
IV. Endocrine, nutritional and metabolic diseases E00-E90
V. Mental and behavioral disorders F00-F99
VI. Diseases of the nervous system G00-G99
VII. Diseases of the eye and adnexa H00-H59
VIII. Diseases of the ear and mastoid process H60-H95
IX. Diseases of the circulatory system I00-I99
X. Diseases of the respiratory system J00-J99
…continues through XXI. Factors influencing
health status and contact with health services (Z00-
Z98)
28. Changes
All MBD codes begin with the letter F.
7 characters possible; most MBD have 4 - 5 characters
Codes with the identical first 3 letter & number characters
share common traits and belong to the same category (e.g.
F10- Alcohol-related disorders)
Subsequent numbers add to specificity (e.g.
F10.20 Alcohol Dependence, uncomplicated;
F10.23 Alcohol Dependence with withdrawal)
29. Mental & Behavioral Disorders-Chap 5
F01-F09 Mental disorders due to known physiological conditions
F10-F19 Mental and behavioral disorders due to psychoactive
substance use
F20-F29 Schizophrenia, schizotypal, delusional, and other non-
mood psychotic disorders
F30-F39 Mood [affective] disorders
F40-F48 Anxiety, dissociative, stress-related, somatoform and
other nonpsychotic mental disorders
F50-F59 Behavioral syndromes associated with physiological
disturbances and physical factors
F60-F69 Disorders of adult personality and behavior
F70-F79 Intellectual disabilities
F80-F89 Pervasive and specific developmental disorders
F90-F98 Behavioral and emotional disorders with onset usually
occurring in childhood and adolescence
F99 Unspecified mental disorder
31. ICD-10-CM Coding Structure Sample 1
F33.2
F = Mental and Behavioral Disorders
F30-39 = Mood [affective] disorders
F33 = Recurrent Depressive Disorder
F33.2 = Recurrent Depressive Disorder, current episode severe,
without psychotic symptoms
ICD-9-CM 296.3 Major depressive disorder, recurrent episode
DSM-5 codes: 296.33 while the ICD-9-CM is in effect, and F33.2
for when ICD-10-CM is implemented. Harmonized.
47. A U T I S M S P E C T R U M D I S O R D E R
S O C I A L ( P R A G M A T I C ) C O M M U N I C A T I O N D I S O R D E R
S P E C I F I C L E A R N I N G D I S O R D E R
A T T E N T I O N - D E F I C I T / H Y P E R A C T I V I T Y D I S O R D E R
I N T E L L E C T U A L D I S A B I L I T Y ( I N T E L L E C T U A L
D E V E L O P M E N T A L D I S O R D E R)
Neurodevelopmental Disorders
47
48. Encompasses autistic disorder, Asperger’s disorder,
childhood disintegrative disorder, & pervasive
developmental disorder NOS.
Symptoms in two core areas:
A. deficits in social communication & social interaction
B. restricted repetitive behaviors, interests, & activities
Autism Spectrum Disorder
50. Severity specifiers:
Based on social communication impairments and
restricted, repetitive behavior patterns.
Assessed using new dimensional assessment
Severity Levels:
1. Requiring Support
2. Requiring Substantial Support
3. Requiring Very Substantial Support
Autism Spectrum Disorder
51. -Difficulty in the social use of language, e.g., meet and
greet, volume regulation, social norms of speaking, etc.
-Absence of repetitive behaviors.
Social (Pragmatic) Learning Disorder
53. Two symptom domains:
1. inattention
2. hyperactivity/impulsivity
At least 6 symptoms in one domain required
(adults: 5 symptoms)
Onset prior to age 12
Subtypes replaced by specifiers
Attention-Deficit/Hyperactivity Disorder
57. D E L U S I O N A L D I S O R D E R
B R I E F P S Y C H O T I C D I S O R D E R
S C H I Z O P H R E N I F O R M D I S O R D E R
S C H I Z O P H R E N I A
S C H I Z O A F F E C T I V E D I S O R D E R
S C H I Z O T Y P A L P E R S O N A L I T Y D I S O R D E R
Schizophrenia Spectrum &
Other Psychotic Disorders
57
60. Schizotypal
Schizoaffective Disorder
Criterion A requires that a major mood episode be present for
the majority of the disorder’s duration.
Delusional Disorder
Criterion A no longer requires that delusions be “non-bizarre.”
Catatonia
A specifier that can be added to psychotic, bipolar, depressive,
or other medical disorder, or an unidentified medical
condition.
Schizophrenia Spectrum &
Other Psychotic Disorders
61. Bipolar I disorder
Bipolar II disorder
Cyclothymic disorder
Substance/medication induced bipolar
& related disorder
Other specified bipolar and related disorder
Unspecified bipolar and related disorder
Bipolar and Related Disorders
61
62. At least one manic episode, which may be preceded by
or followed by a hypomanic or major depressive
episode.
Changes:
Criterion A for Manic Episode and Hypomanic Episode
emphasizes changes in activity and energy, as well as mood
Dropped “mixed episode”
Added “mixed specifier”
Added “with anxious distress” specifier
Bipolar I Disorder
63. Specify if (clinical
status/features):
With anxious distress
With mixed features
With rapid cycling
With melancholic features
With atypical features
With psychotic features
With catatonia
With peripartum onset
With seasonal pattern
Bipolar I Disorder
Severity/course specifiers:
• Mild
• Moderate
• Severe
• In partial remission
• In full remission
64. Coding based on:
Current or most recent episode, and
Specifiers: mild, moderate, severe, with psychotic features, in
partial remission, in full remission, unspecified
Example:
296.43 [F31.13] Bipolar I Disorder, Most Recent
Episode Manic, Severe
Bipolar I Disorder
65. Both hypomanic and depressive periods without ever
fulfilling the criteria for an episode of mania,
hypomania or major depression.
Duration: at least 2 years
Cyclothymic Disorder
66. D I S R U P T I V E M O O D D Y S R E G U L A T I O N D I S O R D E R
M A J O R D E P R E S S I V E D I S O R D E R
P E R S I S T E N T D E P R E S S I V E D I S O R D E R ( D Y S T H Y M I A )
P R E M E N S T R U A L D Y S P H O R I C D I S O R D E R
Depressive Disorders
66
67. Temper outbursts involving yelling, rages or
physical aggression
Overreacting to common stressors
Temper outbursts occurring on average 3 or more
times a week for at least 12 months (not symptom-free
for more than 3 months at a time)
Children age 6 to 18 years
Introduced by Brotman (2006) as Severe Mood
Disregulation Disorder; DSM-5 considered
“Temper Disregulation Disorder”
Disruptive Mood
Dysregulation Disorder (DMDD)
71. What is the Bereavement
Exclusion?
I N T H E D S M - I V T H E R E W A S A N E X C L U S I O N
F O R A M A J O R D E P R E S S I V E E P I S O D E T H A T
W A S A P P L I E D T O D E P R E S S I V E S Y M P T O M S
L A S T I N G L E S S T H A N 2 M O N T H S F O L L O W I N G
T H E D E A T H O F A L O V E D O N E ( I . E . T H E
B E R E A V E M E N T E X C L U S I O N )
72. Why the Bereavement Exclusion
was not Maintained in DSM-5
D S M - 5 D R O P S T H I S E X C L U S I O N B E C A U S E :
1 . B E R E A V E M E N T C A N P R E C I P I T A T E A M D E
2 . I M P O R T A N T T O R E M O V E I M P L I C A T I O N
T H A T B E R E A V E M E N T L A S T S O N L Y 2 M O N T H S
73. Incorporates both Dysthymia and Major Depressive
Disorder, Chronic
Depressed mood that occurs for most of the day for
at least 2 years (1 year for children)
Not considered “milder” form of depression
Persistent Depressive Disorder (Dysthymia)
73
74. Moved from DSM-IV Appendix (for further study) to
DSM-5 Section II
Mood, irritability, dysphoria and anxiety symptoms
that occur during the majority of menstrual cycles.
Premenstrual Dysphoric Disorder
77. Excessive anxiety and worry (apprehensive
expectation) occurring for at least 6 months (had
considered 3 months)
Difficulty controlling the worrying
GAD vs. GAWD
3 or more of the following (1 or more for children):
1. Restlessness
2. Fatigue
3. Difficulty concentrating
4. Irritability
5. Muscle tension
6. Sleep problems
Generalized Anxiety Disorder
78. Panic Disorder: Combined Panic Disorder with and
without Agoraphobia
Agoraphobia: Codable diagnosis
Separation Anxiety Disorder: revised to be more
applicable to adults. Fearful or anxious about
separation from attachment figures (duration: 4 weeks
in children; 6 months in adults).
Anxiety Disorders
80. Failure to speak in specific social situations (e.g.,
school, with playmates) where speaking is expected.
Duration: at least 1 month
The failure to speak is not due to a lack of knowledge
with the spoken language required
Selective Mutism
81. O B S E S S I V E - C O M P U L S I V E D I S O R D E R
B O D Y D Y S M O R P H I C D I S O R D E R
H O A R D I N G D I S O R D E R
T R I C H O T I L L O M A N I A ( H A I R - P U L L I N G D I S O R D E R )
E X C O R I A T I O N ( S K I N - P I C K I N G ) D I S O R D E R
Obsessive-Compulsive &
Related Disorders
81
82. Repetitive behaviors or mental acts in response to
preoccupations with perceived defects or flaws in
physical appearance.
Added “with muscle dysmorphia” specifier
Body Dysmorphic Disorder
83. Replaced “impulse” with “urge” because OCD is not
in the impulse and conduct disorder category
Removed criterion that individual recognizes that
obsessions and/or compulsions are excessive or
unreasonable
New specifiers:
good or fair insight
poor insight
absent insight/delusional
Obsessive Compulsive Disorder (OCD)
85. Repeated pulling of one’s own hair
Deleted DSM-IV’s Criterion B & C (tension and
gratification).
Added: Repeated attempts to decrease hair
Trichotillomania (Hair-Pulling Disorder)
85
86. Repeated skin picking that results in skin lesions
Most common areas: face, arms, hands
Excoriation (Skin-Picking) Disorder
86
87. R E A C T I V E A T T A C H M E N T D I S O R D E R
D I S I N H I B I T E D S O C I A L E N G A G E M E N T D I S O R D E R
P O S T T R A U M A T I C S T R E S S D I S O R D E R
A C U T E S T R E S S D I S O R D E R
A D J U S T M E N T D I S O R D E R S
Trauma- & Stress-Related
Disorders
87
89. Criterion A is more explicit with regard to how an
individual experienced “traumatic” events.
1. directly experiences the traumatic event
2. witnesses the traumatic event in person
3. learns that the traumatic event occurred to a close family
member or close friend or
4. experiences first-hand repeated or extreme exposure to
aversive details of the traumatic event
Posttraumatic Stress Disorder
91. Separate criteria set for “PTSD for Children 6 Years and
Under”
Directly under the PTSD criteria box
Same code number
Specify:
With dissociative symptoms
With delayed expression
Posttraumatic Stress Disorder
92. The development of characteristic anxiety,
dissociative, and other symptoms that occurs from 3
days to 1 month after exposure to a trauma.
Acute Stress Disorder
93. The development of emotional/behavioral symptoms in
response to an identifiable stressor (within 3 months of the
stressor)
These symptoms/behaviors are clinically significant as
evidenced by either:
1. Distress that is more excessive than what is normally
expected from such a stressor.
2. Impaired social, occupational, or academic functioning.
Adjustment Disorders
94. Specify:
With Depressed Mood
With Anxiety
With Mixed Anxiety & Depressed Mood
With Disturbance of Conduct
With Mixed Disturbance of Emotions & Conduct
Unspecified
Adjustment Disorders
100. Disorders:
Anorexia Nervosa
1. Refusal to maintain body weight at or above minimally
normal weight for age and height (e.g., less than 85%
of body weight)
2. Intense fear of gaining weight or becoming fat or
persistent behavior that interferes with weight gain
3. Disturbance in the way in which one’s body weight or
shape is experienced, undue influence of body weight
or shape on self-evaluation, or denial of the
seriousness of low body weight
1. Amenorrhea (absence of at least three consecutive
menstrual cycles)- Rationale: This requirement was already
excluded for males, premenarcheal and postmenopausal
females, and women using birth control pills. Data indicate
females who menstruate but otherwise meet criteria for AN
are clinically similar to non-menstruating females with AN.
4. Restricting and Binge-Eating or Purging Type
(twice the mortality rate of restricting type)
101. Disorders:
Bulimia Nervosa
1. Feel incapable of controlling the urge to binge
and consumes more food than a person
normally would at one sitting
2. Purging or other compensatory behavior
(vomiting, laxatives, diuretics, exercising)
3. Engages in such behavior at least once per
week for three months
4. Self-evaluation is unduly influenced by body
shape and weight
5. Does not meet criteria for
anorexia
102. Disorders:
Binge Eating Disorder
1. Loss of control and distress about binge eating
2. At least one binge per week for an extended
period of time (3 months or longer)
3. Differentials from Bulimia include
no compensatory behavior
more likely to be obese
only slightly more common in females than in
males
bingeing precedes dieting
prevalence: probably about 2%
of adults in U.S.
112. DSM-IV Diagnoses
112
Substance Dependence Substance Abuse
At least 3 of 7:
1. Tolerance
2. Withdrawal
3. Using larger amounts than intended
4. Unsuccessful attempts to stop or
control substance use
5. Spending a great deal of time
obtaining, using, or recovering from
the effects of the substance
6. Important activities given up or
reduced because of substance use
7. Continued use despite substance-
related physical or psychological
problems
At least 1 of 4:
1. Failure to fulfill major role
obligations at work, home,
or school
2. Use in physically hazardous
situations (e.g., drunk
driving)
3. Substance-related legal
problems
4. Continued use despite
recurrent substance-related
social or interpersonal
problems
* Add craving
113. Problematic pattern of use with at least 2 of the
following occurring within a 12 month period:
1. Using larger amounts than intended
2. Unsuccessful attempts to stop or control substance use
3. Spending a great deal of time obtaining, using,
or recovering from the effects of the substance
4. Craving or strong urge to use substance
5. Failure to fulfill obligations at work, home, or school
6. Continued use despite recurrent substance-related social
or interpersonal problems
7. Important activities given up or reduced because of use
8. Use in physically hazardous situations (e.g., drunk driving)
9. Continued use despite substance-related physical or
psychological problems
10. Tolerance
11. Withdrawal
Substance Use Disorder
114. Problematic pattern of use with at least 2 of the
following occurring within a 12 month period:
1. Using larger amounts than intended
2. Unsuccessful attempts to stop or control substance use
3. Spending a great deal of time obtaining, using,
or recovering from the effects of the substance
4. Craving or strong urge to use substance
5. Failure to fulfill obligations at work, home, or school
6. Continued use despite recurrent substance-related social
or interpersonal problems
7. Important activities given up or reduced because of
substance use
8. Use in physically hazardous situations (e.g., drunk driving)
9. Continued use despite substance-related physical or
psychological problems
10. Tolerance
11. Withdrawal
Substance Use Disorder
Impaired
control
115. Problematic pattern of use with at least 2 of the
following occurring within a 12 month period:
1. Using larger amounts than intended
2. Unsuccessful attempts to stop or control substance use
3. Spending a great deal of time obtaining, using,
or recovering from the effects of the substance
4. Craving or strong urge to use substance
5. Failure to fulfill obligations at work, home, or school
6. Continued use despite recurrent substance-related social
or interpersonal problems
7. Important activities given up or reduced because of
substance use
8. Use in physically hazardous situations (e.g., drunk driving)
9. Continued use despite substance-related physical or
psychological problems
10. Tolerance
11. Withdrawal
Substance Use Disorder
Social
impairment
116. Problematic pattern of use with at least 2 of the
following occurring within a 12 month period:
1. Using larger amounts than intended
2. Unsuccessful attempts to stop or control substance use
3. Spending a great deal of time obtaining, using,
or recovering from the effects of the substance
4. Craving or strong urge to use substance
5. Failure to fulfill obligations at work, home, or school
6. Continued use despite recurrent substance-related social
or interpersonal problems
7. Important activities given up or reduced because of
substance use
8. Use in physically hazardous situations (e.g., drunk driving)
9. Continued use despite substance-related physical or
psychological problems
10. Tolerance
11. Withdrawal
Substance Use Disorder
Risky use
117. Problematic pattern of use with at least 2 of the
following occurring within a 12 month period:
1. Using larger amounts than intended
2. Unsuccessful attempts to stop or control substance use
3. Spending a great deal of time obtaining, using,
or recovering from the effects of the substance
4. Craving or strong urge to use substance
5. Failure to fulfill obligations at work, home, or school
6. Continued use despite recurrent substance-related social
or interpersonal problems
7. Important activities given up or reduced because of
substance use
8. Use in physically hazardous situations (e.g., drunk driving)
9. Continued use despite substance-related physical or
psychological problems
10. Tolerance
11. Withdrawal
Substance Use Disorder
pharmacological
118. 1. Use code that applies to the class of substances but record the
specific substance
e.g. 305.70 (F15.10) mild methamphetamine use disorder
(rather than mild stimulant use disorder)
2. Coding for Severity
-Mild (2-3 symptoms)
-Moderate (4-5 symptoms)
-Severe (6 or more symptoms)
3. Specify remission
-in early remission (no criteria for 3-12 months)
-in sustained remission (no criteria for 12 months or more)
-In a controlled environment (if individual in an environment
where substance access is limited)
Substance Use Disorder
Coding Protocol
119. I N T O X I C A T I O N
W I T H D R A W A L
( S U B S T A N C E - I N D U C E D M E N T A L D I S O R D E R S )
Substance-Induced
Disorders
119
120. DiagnoSTIC SPECIFIERS Associated with
Substance Class
PSY BP De
p
Anx OC
D
Sleep Sex Deler Neur
o
Alcoh I/W I/W I/W I/W I/W I/W I/W I/W/P
Caff I I/W
Cann I I/W I
Hall I I I I I
Inhal I I I I I/P
Opioid I/W W I/W I/W I/W
Seda I/W I/W I/W W I/W I/W I/W I/W/P
Stim I I/W I/W I/W I/W I/W I I
Tobac W
I= specifier “with onset during intoxication” may be used for the category
W=specifier “with onset during withdrawal may be used for the category
P=the disorder is persisting
122. A. When recordnig the name of the disorder, the
comorbid SUD (if any) is listed first, followed by the
word “with,” followed by the name of the substance-
induced disorder, followed by the specification of
onset (i.e., onset during intoxication, onset during
withdrawal).
E.g., in the case of depressive symptoms occurring during
withdrawal in a man with severe cocaine use disorder, the
diagnosis is:
F14.24, severe cocaine use disorder with cocaine-induced
depressive disorder, with onset during withdrawal (a
separate dx of the comorbid severe cocaine use disorder is
not given).
Coding Convetnions
124. Persistent and recurrent problematic gambling
behavior leading to clinically significant impairment
or distress, as indicated by 4 or more of the
following within a 12-month period:
1. Needs to gamble with increasing amounts of money
2. Restless or irritable with attempting to cut down or stop
3. Has made repeated unsuccessful efforts to control or stop
4. Often preoccupied with gambling
5. Often gambles when feeling distressed
6. After losing money gambling, returns to re-coup losses
7. Lies to conceal the extend of involvement with gambling
8. Jeopardized or lost significant relationship, job or
educational or career opportunity because of gambling
9. Relies on other to provide money to relieve desperate
financial situations caused by gambling
Gambling Disorder
125. Specify if
1. Episodic (gambling-free for several months)
or Persistent (continuous symptoms)
2. In early remission (symptom-free for 3-12 months)
or sustained remission (symptom-free > 12 months).
3. Severity:
Mild: 4-5 criteria met
Moderate: 6-7 criteria met
Severe: 8-9 criteria met
Gambling Disorder
127. Online Gaming
Cybersex
Online Relationships
Online Social Networking
Online Shopping and
Auction Houses
Others
Types of Problematic
Internet Use
128. P A R A N O I D , S C H I Z O I D , A N D S C H I Z O T Y P A L
A N T I S O C I A L , B O R D E R L I N E , H I S T R I O N I C , N A R C I S S I S T I C
A V O I D A N T , D E P E N D E N T A N D O B S E S S I V E - C O M P U L S I V E
Personality Disorders
128
130. Exercise
You are on the DSM-5 committee and have been
mandated to trim the number of PDs down to 6 or less.
What do you cut?
Schizotypal
Schizoid
Paranoid
Antisocial
Borderline
Narcissistic
Histrionic
Dependent
Avoidant
Obsessive-Compulsive
DSM-5 Personality Disorders
131. Exercise
You are on the DSM-5 committee and have been
mandated to trim the number of PDs down to 6 or less.
What do you cut?
Schizotypal
Schizoid
Paranoid
Antisocial
Borderline
Narcissistic
Histrionic
Dependent
Avoidant
Obsessive-Compulsive
DSM-5 Personality Disorders
132. Exercise
How similar is your list to the DSM-5 proposal?
Antisocial
Avoidant
Borderline
Narcissistic
Obsessive-Compulsive
Schizotypal
DSM-5 Personality Disorders
136. Classification system used to track morbidity and
mortality of all diseases.
Developed by the World Health Organization
International Classification of Diseases (ICD)
(1)
137. ICD-9-CM (Clinical Modification) – current version
Based on WHO’s ICD-9 (1975)
National Center for Health Statistics developed “clinical
modification” (CM) version for U.S.
Codes are numerical from 001 to 999.
ICD
138. ICD-10-CM
Based on WHO’s ICD-10 (1989)
Implementation in U.S. scheduled for October 2014
Codes are alphanumerical (A00-Z99)
Chapter V Mental & Behavioral Disorders are “F codes”
Codes available free online at
http://www.cdc.gov/nchs/icd/icd10cm.htm
ICD