Expand



Go Back   AAPC Forum > Medical Coding > ICD-10
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 06-01-2012, 09:26 AM
neall's Avatar
neall neall is offline
New
 
Join Date: Apr 2007
Location: Boise
Posts: 3
neall is on a distinguished road
Question ICD10 --Mental Health codes--DSM IV

I was attending a local Health care conference yesterday and the question was asked: Will ICD10 replace the DSM-IV-TR book for the mental health diagnosis codes. I looked online and what I found was not very clear. I decided I would ask the experts at AAPC rather than guess or assume. Can someone explain this more clearly please? I see the codes in the F section of the ICD10 book but know little about the DSM book as I have never had the opportunity to use it. Thank you!
__________________
Lourie Neal CPC
Reply With Quote
  #2  
Old 06-01-2012, 05:42 PM
mhanson1 mhanson1 is offline
Networker
 
Join Date: Apr 2007
Location: Des Moines, IA
Posts: 36
mhanson1 is on a distinguished road
Default

I am not an expert in mental health billing, but from what I understand, DSM-V will replace the current system, not ICD-10. Hope that helps.
Michelle Hanson, CPC
ICD-10 conversion coder
Reply With Quote
  #3  
Old 06-23-2012, 03:26 PM
lorrpb lorrpb is offline
Guru
 
Join Date: Apr 2007
Posts: 174
lorrpb is on a distinguished road
Default

From the research I did when writing my book, it's my understanding that DSM-V will not be a HIPAA mandated code set. Therefore, ICD-10-CM will need to be used.

Lorraine Papazian-Boyce
ICD-10-CM/PCS: A Map for Success
Reply With Quote
  #4  
Old 07-12-2012, 03:04 PM
kevbshields kevbshields is offline
True Blue
 
Join Date: Apr 2007
Location: Louisville, KY
Posts: 1,094
kevbshields will become famous soon enough
Default

Here's the skinny on DSM and its relationship to I-10.

DSM has never been a "HIPAA-compliant" code set. This means that providers continue to use it for its intended purpose: diagnosing patients, but coders must be bound by the ICD-9-CM guidelines, rules, etc. Most of the time the two align, as DSM is an extension of the mental health chapter of ICD-9, with clinical relevancy.

For ICD-10, the same is true. Coders will be bound by the conventions, guidelines, structure, etc within that classification system, as it is "HIPAA-compliant". DSM-V will replace DSM-IV-TR. Actually DSM-IV already has a "crosswalk" to I-10 codes. See Appendix H (pg 883) of DSM for this feature.

In other words, it does not matter what "DSM codes" the providers choose. Code selection is actually based on the narrative, clinical diagnoses of the practitioner and selected out of ICD (whichever version is appropriate for the date of service and assuming we get to implement I-10). I hope this helps. There seems a lot of confusion over this throughout the industry, though I've always blamed it on the providers.
__________________
Kevin B. Shields, RHIT, CPCO, CCS, CPC, CCS-P, CPC-H, CPC-P, CPC-I
Reply With Quote
  #5  
Old 07-19-2012, 10:23 AM
lorrpb lorrpb is offline
Guru
 
Join Date: Apr 2007
Posts: 174
lorrpb is on a distinguished road
Default

I agree, Kevin. I think that part of the confusion is because DSM-IV closely paralleled ICD-9 but DSM-V does not parallel ICD-10 at all.
Reply With Quote
  #6  
Old 09-18-2012, 11:05 PM
kevbshields kevbshields is offline
True Blue
 
Join Date: Apr 2007
Location: Louisville, KY
Posts: 1,094
kevbshields will become famous soon enough
Default

DSM-V is not to be published until around the middle of 2013. We still have some time. Since you've seen it, is the structure still similar to ICD-9 or something entirely different?
__________________
Kevin B. Shields, RHIT, CPCO, CCS, CPC, CCS-P, CPC-H, CPC-P, CPC-I
Reply With Quote
  #7  
Old 09-26-2012, 01:47 PM
lorrpb lorrpb is offline
Guru
 
Join Date: Apr 2007
Posts: 174
lorrpb is on a distinguished road
Default

Here's the low down on DSM 5. It explains the changes, but I don't actually see the code format.
http://www.dsm5.org/Pages/Default.aspx
Reply With Quote
  #8  
Old 12-03-2014, 09:16 AM
Terry Thomas Terry Thomas is offline
New
 
Join Date: Apr 2007
Posts: 4
Terry Thomas is on a distinguished road
Default DSM V coding classes/workshop

Is there a speciality certification for DSM V? Where can I take classes/workshop for this specifically. Best regards, Terry Thomas, CPC
Reply With Quote
  #9  
Old 12-07-2014, 03:55 PM
vfarley vfarley is offline
New
 
Join Date: Apr 2007
Location: Magic City Coders, Birmingham, AL
Posts: 1
vfarley is on a distinguished road
Default

There is no specialty certification for DSM V.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 05:22 PM.


Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ©2015, AAPC