Transitioning Axis IV to the new coding

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)