Lisa at 15:20, 26 October 2013

2013-10-26T15:20:22Z

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Prior to this year, most psychosocial and environmental problems have been indicated on Axis IV using generic language of either DSM-IV or the clinician's own remarks. However, wunder the new coding required these will need to be recorded with a code derived from the section "Other Conditions That May Be a Focus of Clinical Attention" (see p. 731- DSM-IV-TR). For convenience, we have listed the most common problems grouped together in the following categories for convenience:

Problems with primary support group -
* F910 (Conduct disorder confined to the family context)
* V61.20 (Parent-Child Relational Problem)
* V61.04 (Family disruption due to parent-child estrangement)
* V61.06 (Family disruption due to child in foster care or in care of non-parental family member)
* V61.20 (Counseling for parent-child problem, unspecified)
* V61.23 (Counseling for parent-biological child problem)
* V61.24 (Counseling for parent-adopted child problem)
* V61.25 (Counseling for parent (guardian)-foster child problem)
* V61.3 (Problems with aged parents or in-laws)
* V61.29 (Other parent-child problems)
* V61.07 (Family disruption due to death of family member)

Problems related to the social environment-
* V61.1 (Partner Relational Problem)
* V61.20 (Parent-Child Relational Problem)
* V61.8 (Sibling Relational Problem)
* V61.9 (Relational Problem Related to [a Mental Disorder or General Medical Condition])
* V62.81 (Relational Problem NOS)
* V61.1 (Partner Relational Problem)
* V61.20 (Parent-Child Relational Problem)
* V61.8 (Sibling Relational Problem)
* E02.92 (Rough housing and horseplay)
* V61.9 (Relational Problem Related to [a Mental Disorder or General Medical Condition])
* V62.4 (Acculturation Problem)
* V62.81 (Relational Problem NOS)
* V62.89 (Phase of Life Problem)
* V62.89 (Religious or Spiritual Problem)
* 313.3 (Relationship problems specific to childhood and adolescence)
* V61.10 (Counseling for marital and partner problems, unspecified)
* V61.20 (Counseling for parent-child problem, unspecified)
* V61.23 (Counseling for parent-biological child problem)
* V61.24 (Counseling for parent-adopted child problem)
* V61.25 (Counseling for parent (guardian)-foster child problem)
* V61.29 (Other parent-child problems)
* V61.3 (Problems with aged parents or in-laws)

Educational problems -
* V40.0 (Mental and behavioral problems with learning)
* V62.3 (Educational circumstances)
* V62.3 (Academic Problem)
* 309.23 (Specific academic or work inhibition)
* 313.83 (Academic underachievement disorder of childhood or adolescence)

Occupational problems -
* V57.22 (Encounter for vocational therapy)
* V62.2 (Occupational Problem)
* V62.1 (Adverse effects of work environment)
* V62.29 (Other occupational circumstances or maladjustment)
* V57.21 (Encounter for occupational therapy)
* V71.3 (Observation following accident at work)
* 309.23 (Specific academic or work inhibition)
* 327.36 (Circadian rhythm sleep disorder, shift work type)

Housing problems -
* V60.0 (Lack of housing)
* V60.1 (Inadequate housing)
* V60.4 (No other household member able to render care)
* V60.89 (Other specified housing or economic circumstances)
* V60.9 (Unspecified housing or economic circumstance)

Economic problems -
* V60.89 (Other specified housing or economic circumstances)
* V60.9 (Unspecified housing or economic circumstance)

Problems with access to health care services -
* V15.81 (Personal history of noncompliance with medical treatment, presenting hazards to health)
* V15.89 (Other specified personal history presenting hazards to health)
* V61.49 (Other health problems within the family)
* V63.0 (Residence remote from hospital or other health care facility)
* V15.9 (Unspecified personal history presenting hazards to health)
* V20.0 (Health supervision of foundling)
* V20.1 (Other healthy infant or child receiving care)
* V20.2 (Routine infant or child health check)
* V20.31 (Health supervision for newborn under 8 days old)
* V20.32 (Health supervision for newborn 8 to 28 days old)
* V49.89 (Other specified conditions influencing health status)

Problems related to interaction with the legal system/crime -
* V61.03 (Family disruption due to divorce or legal separation)
* V62.5 (Legal circumstances)

Other psychosocial and environmental problems -
* V62.9 (Unspecified psychosocial circumstance)
* V15.49 (Other psychological trauma)

Transitioning Axis IV to the new coding - Revision history

Lisa at 15:20, 26 October 2013