Clinical reference
DSM-5 & CPT code index
84 diagnostic and billing codes with documentation guidance, differential diagnosis, and billing pairings — written for working clinicians.
Anxiety Disorders
- F41.1Generalized Anxiety DisorderExcessive anxiety and worry about various events or activities, occurring more days than not for at least 6 months.
- F41.0Panic DisorderRecurrent unexpected panic attacks with persistent concern about additional attacks or maladaptive behavior changes.
- F40.10Social Anxiety DisorderMarked fear or anxiety about social situations in which the individual is exposed to possible scrutiny by others.
- F41.8Other Specified Anxiety DisorderPresentations that cause clinically significant distress but do not meet full criteria for any specific anxiety disorder.
- F41.9Unspecified Anxiety DisorderAnxiety disorder that does not meet criteria for any specific anxiety disorder, used when insufficient information is available.
- F40.00AgoraphobiaMarked fear or anxiety about situations where escape might be difficult or help unavailable during panic-like symptoms.
- F40.11Social Anxiety Disorder, Performance OnlySocial anxiety restricted to speaking or performing in public settings.
- F40.218Specific Phobia, Natural Environment TypeMarked fear or anxiety about specific natural environment stimuli such as heights, storms, or water.
- F40.228Specific Phobia, Animal TypeMarked fear or anxiety about specific animals or insects.
- F40.298Specific Phobia, Other TypeSpecific phobia related to situations not covered by other subtypes (choking, vomiting, loud sounds, costumed characters).
Depressive Disorders
- F32.0Major Depressive Disorder, Single Episode, MildFirst episode of major depression with mild symptom severity and minor functional impairment.
- F32.1Major Depressive Disorder, Single Episode, ModerateFirst episode of major depression with moderate severity, significant functional impairment in social and occupational areas.
- F32.2Major Depressive Disorder, Single Episode, SevereFirst episode of major depression with severe symptoms causing marked functional impairment.
- F32.9Major Depressive Disorder, Single Episode, UnspecifiedDepression meeting major depressive criteria without severity specification.
- F33.0Major Depressive Disorder, Recurrent, MildRecurrent episodes of major depression with current episode being mild in severity.
- F33.1Major Depressive Disorder, Recurrent, ModerateRecurrent major depression with current episode at moderate severity.
- F33.2Major Depressive Disorder, Recurrent, SevereRecurrent major depression with current episode at severe level without psychotic features.
- F34.1Persistent Depressive Disorder (Dysthymia)Chronic depressed mood for most of the day, more days than not, for at least 2 years.
- F32.3Major Depressive Disorder, Single Episode, Severe with Psychotic FeaturesFirst major depressive episode with psychotic features such as delusions or hallucinations.
- F33.9Major Depressive Disorder, Recurrent, UnspecifiedRecurrent major depressive episodes without severity specification.
- F33.3Major Depressive Disorder, Recurrent, Severe with Psychotic FeaturesRecurrent major depression with current severe episode including psychotic features.
Bipolar Disorders
- F31.0Bipolar I Disorder, Current Episode HypomanicBipolar I disorder with current or most recent episode being hypomanic.
- F31.1Bipolar I Disorder, Current Episode Manic Without Psychotic FeaturesBipolar I disorder with current manic episode without psychotic features.
- F31.2Bipolar I Disorder, Current Episode Manic With Psychotic FeaturesBipolar I with current manic episode including delusions or hallucinations.
- F31.3Bipolar I Disorder, Current Episode Depressed, Mild or ModerateBipolar I disorder with current or most recent episode being depressive (mild to moderate).
- F31.9Bipolar Disorder, UnspecifiedBipolar disorder that does not meet criteria for a specific bipolar subtype.
- F31.4Bipolar I Disorder, Current Episode Depressed, Severe Without Psychotic FeaturesBipolar I with current severe depressive episode without psychotic features.
- F31.5Bipolar I Disorder, Current Episode Depressed, Severe with Psychotic FeaturesBipolar I with current severe depressive episode with psychotic features.
Neurodevelopmental
- F84.0Autism Spectrum DisorderPersistent deficits in social communication and interaction with restricted, repetitive patterns of behavior.
- F90.0ADHD, Predominantly Inattentive PresentationADHD characterized primarily by difficulties with sustained attention, organization, and follow-through.
- F90.1ADHD, Predominantly Hyperactive-Impulsive PresentationADHD characterized primarily by hyperactivity and impulsive behavior.
- F90.2ADHD, Combined PresentationADHD with both inattentive and hyperactive-impulsive symptoms meeting criteria.
- F90.9ADHD, UnspecifiedADHD where the specific presentation type has not been determined.
Personality Disorders
- F60.3Borderline Personality DisorderPattern of instability in interpersonal relationships, self-image, and affects, with marked impulsivity.
- F60.4Histrionic Personality DisorderPervasive pattern of excessive emotionality and attention-seeking behavior.
- F60.5Obsessive-Compulsive Personality DisorderPervasive pattern of preoccupation with orderliness, perfectionism, and control.
- F60.6Avoidant Personality DisorderPervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
- F60.81Narcissistic Personality DisorderPervasive pattern of grandiosity, need for admiration, and lack of empathy.
- F60.2Antisocial Personality DisorderPervasive pattern of disregard for and violation of the rights of others since age 15.
- F60.1Schizoid Personality DisorderPervasive pattern of detachment from social relationships and restricted range of emotional expression.
- F60.0Paranoid Personality DisorderPervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent.
Substance Use Disorders
- F10.20Alcohol Use Disorder, ModerateProblematic pattern of alcohol use with 4-5 diagnostic criteria met, leading to clinically significant impairment.
- F12.20Cannabis Use Disorder, ModerateProblematic pattern of cannabis use with 4-5 symptoms causing significant impairment.
- F11.20Opioid Use Disorder, ModerateProblematic pattern of opioid use with 4-5 symptoms meeting criteria.
- F13.20Sedative, Hypnotic, or Anxiolytic Use Disorder, ModerateProblematic pattern of sedative, hypnotic, or anxiolytic use with 4-5 criteria met.
- F15.20Stimulant Use Disorder, ModerateProblematic pattern of stimulant use (amphetamine, cocaine, or other) with 4-5 criteria met.
- F14.20Cocaine Use Disorder, ModerateProblematic pattern of cocaine use with 4-5 criteria met causing significant impairment.
Eating Disorders
- F50.00Anorexia Nervosa, Restricting TypeRestriction of energy intake leading to significantly low body weight, with intense fear of gaining weight.
- F50.2Bulimia NervosaRecurrent episodes of binge eating followed by compensatory behaviors to prevent weight gain.
- F50.81Binge Eating DisorderRecurrent episodes of binge eating without regular compensatory behaviors.
- F50.89Other Specified Feeding or Eating DisorderFeeding or eating disorder causing significant distress but not meeting full criteria for any specific eating disorder.
- F50.02Anorexia Nervosa, Binge-Eating/Purging TypeAnorexia nervosa with recurrent episodes of binge eating or purging behavior.
Psychotic Disorders
- F20.9SchizophreniaChronic psychotic disorder characterized by delusions, hallucinations, disorganized thinking, and negative symptoms.
- F25.0Schizoaffective Disorder, Bipolar TypeUninterrupted period of illness with concurrent mood (manic) and psychotic symptoms, plus psychosis without mood symptoms.
- F22Delusional DisorderOne or more delusions persisting for at least 1 month without other prominent psychotic symptoms.
- F23Brief Psychotic DisorderSudden onset of psychotic symptoms lasting at least 1 day but less than 1 month, with full return to premorbid functioning.
- F25.1Schizoaffective Disorder, Depressive TypeSchizoaffective disorder where only major depressive episodes have occurred (no manic episodes).
Sleep-Wake Disorders
Somatic Disorders
Dissociative Disorders
Billing & CPT Codes
- 90785Interactive ComplexityAdd-on code for therapy sessions involving communication difficulties or complicating factors.
- 90837Psychotherapy, 60 MinutesIndividual psychotherapy session lasting approximately 53-60 minutes.
- 90839Psychotherapy for Crisis, First 60 MinutesPsychotherapy for a clinical crisis requiring urgent assessment and intervention.
- 96127Brief Behavioral AssessmentBrief emotional/behavioral assessment using standardized instruments with scoring and documentation.
- 99354Prolonged Service, First HourAdd-on code for prolonged clinical services beyond the typical service time.
- 90832Psychotherapy, 30 MinutesIndividual psychotherapy session lasting approximately 16-37 minutes.
- 90834Psychotherapy, 45 MinutesIndividual psychotherapy session lasting approximately 38-52 minutes.
- 90846Family Psychotherapy Without Patient PresentFamily psychotherapy session conducted without the identified patient present, lasting approximately 50 minutes.
- 90847Family Psychotherapy With Patient PresentFamily psychotherapy session conducted with the identified patient present, lasting approximately 50 minutes.
- 90853Group PsychotherapyGroup psychotherapy session with multiple patients, typically lasting 60-90 minutes.
- 90791Psychiatric Diagnostic EvaluationComprehensive psychiatric diagnostic evaluation including history, mental status exam, and treatment recommendations.
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