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**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R DSM-5 ICD-9-CM ICD-10 100: Posttraumatic Stress Disorder
100 Posttraumatic Stress
Disorder
309.81 Posttraumatic stress
disorder
309.81 Prolonged
posttraumatic stress
disorder
F43.10
F43.12
• Post-traumatic
stress disorder,
unspecified OR:
• Post-traumatic
stress disorder,
chronic
150 Deprivation/Maltreatment
Disorder
313.89 Reactive Attachment
Disorder of Infancy or
Early Childhood
313.89
313.9
Other or mixed
emotional
disturbances of
childhood or
adolescence, Other
(Reactive Attachment
Disorder)
Unspecified emotional
disturbance of
childhood or
adolescence
F93.8
F94.1
F98.8
F93.9
F94.8
F98.9
• Other childhood
emotional
disorders, OR:
• Reactive
attachment
disorder of
childhood, OR:
• Other specified
behavioral and
emotional
disorders with
onset usually
occurring in
childhood and
adolescence, OR:
• Childhood
emotional
disorder,
unspecified, OR:
• Other childhood
disorders of social
functioning, OR:
• Unspecified
behavioral and
emotional
disorders with
onset usually
occurring in
childhood and
adolescence
**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R DSM-5 ICD-9-CM ICD-10 200: Disorder of Affect
210 Prolonged Bereavement /
Grief Reaction
309.89
311
Other Specified Trauma-
and Stressor-Related
Disorder
Other Specified
Depressive Disorder
309.9
311
Unspecified trauma
and Stressor-Related
Disorder
Other Specified
Depressive Disorder
F32.8
F43.8
Other Specified
Depressive Disorder
Other Specified
Depressive Disorder
220: Anxiety Disorder
221 Separation Anxiety 309.21 Separation Anxiety
Disorder
309.21 Separation Anxiety
Disorder
F93.0 Separation Anxiety
Disorder
222 Specific Phobia 300.29 Specific Phobia (name
specific phobia)
300.29 Other isolated or
specific phobias
F40.xxx Code based on phobic
stimulus
223 Social Anxiety Disorder
(Social Phobia)
300.23 Social Anxiety Disorder
(Social Phobia)
300.23 Social Phobia F40.10 Social Anxiety Disorder
(Social Phobia)
224 Generalized Anxiety
Disorder
300.02 Generalized Anxiety
Disorder
300.02 Generalized Anxiety
Disorder
F41.1 Generalized Anxiety
Disorder
225 Anxiety Disorder NOS 300.09
300.00
Other Specified Anxiety
Disorder
Unspecified Anxiety
Disorder
300.09
300.0
Other Specified
Anxiety Disorder
Anxiety state,
unspecified
F41.8
F41.9
Other Specified Anxiety
Disorder
Unspecified Anxiety
Disorder
230: Depression of Infancy and Early Childhood
231 Type I: Major Depression 300.4 Persistent Depressive
Disorder (Dysthymia)
300.4 Persistent Depressive
Disorder (Dysthymia)
F34.1 Persistent Depressive
Disorder (Dysthymia)
232 Type II: Depressive
Disorder NOS
311
311
Other Specified
Depressive Disorder
Unspecified Depressive
Disorder
311
311
Other Specified
Depressive Disorder
Unspecified Depressive
Disorder
F32.8
F32.9
Other Specified
Depressive Disorder
Unspecified Depressive
Disorder
240 Mixed Disorder of
Emotional Expressiveness
(No Appropriate DSM-5
Diagnosis)
Consider Adjustment
Disorder if Appropriate
313.8 Other or mixed
emotional
disturbances of
childhood or
adolescence
F93.8
F98.9
Other Childhood
Emotional Disorders
Unspecified Behavioral &
Emotional Disorders
w/onset usually occurring
in childhood and
adolescence
300 Adjustment Disorder 309.0-
309.9
Adjustment Disorders
(w/specific
circumstances)
309.0-
309.9
Adjustment
Disorders(w/ specific
circumstances)
F43.20-
F43.35
Adjustment Disorders
(w/specific
circumstances)
**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R DSM-5 ICD-9-CM ICD-10 400: Regulation Disorders of Sensory Processing
410: Hypertensive
411 Type A: Fearful/Cautious 300.02
300.00
Generalized Anxiety
Disorder
Unspecified Anxiety
Disorder
300.02
300.00
Generalized Anxiety
Disorder
Unspecified Anxiety
Disorder
F41.1
F41.9
Generalized Anxiety
Disorder
Unspecified Anxiety
Disorder
412 Type B: Negative Defiant 313.81
312.9
Oppositional Defiant
Disorder
Unspecified Disruptive,
Impulse-Control, and
Conduct Disorder
313.81
312.9
Oppositional Defiant
Disorder
Unspecified Disruptive,
Impulse-Control, and
Conduct Disorder
F91.3
F91.9
Oppositional Defiant
Disorder
Unspecified Disruptive,
Impulse-Control, and
Conduct Disorder
420 Hypotensive / Under
Responsive
300.23 Social Anxiety Disorder 313.20 Sensitivity, shyness,
and social withdrawal
disorder
F40.10 Social Anxiety Disorder
430 Sensory Stimulation –
Seeking Impulsive
314.01 Attention Deficit
Disorder, Predominantly
hyperactive/impulsive
presentation
314.01 Attention Deficit
Disorder,
Predominantly
hyperactive/impulsive
presentation
F90.1 Attention Deficit Disorder,
Predominantly
hyperactive/impulsive
presentation
500: Sleep Behavior Disorder
510 Sleep-Onset Disorder
(Protodyssomnia_
307.45 Circadian Rhythm Sleep-
Wake Disorders, Delayed
sleep phase type
307.45 Circadian Rhythm
Sleep-Wake Disorders,
Delayed sleep phase
type
G47.21 Circadian Rhythm sleep-
Wake Disorders, Delayed
sleep phase type
520 Night-Waking Disorder
(Protodyssomnia)
307.45 Circadian Rhythm sleep-
Wake Disorders,
Unspecified type
307.45 Circadian Rhythm
Sleep-Wake Disorders,
Unspecified type
G47.20 Circadian Rhythm Sleep-
Wake Disorders,
Unspecified type
600: Feeding Behavior Disorder
601 Feeding Disorder of State
Regulation
307.59
307.50
Other Specified Feeding or
Eating Disorder
Unspecified Feeding or
Eating Disorder
307.59
307.50
Other Specified
Feeding or Eating
Disorder
Unspecified Feeding or
Eating Disorder
F50.8
F50.9
Other Specified Feeding
or Eating Disorder
Unspecified Feeding or
Eating Disorder
602 Feeding Disorder of
Caregiver – Infant
Reciprocity
Same as above Same as above Same as above
**Final DRAFT** Florida’s Crosswalk for DC:0-3R, DSM-5, ICD-9-CM and ICD-10
Axis 1 DC:O-3R DSM-5 ICD-9-CM ICD-10
603 Infantile Anorexia Same as above Same as above Same as above
604 Sensory Food Aversions Same as above Same as above Same as above
605 Feeding Disorder
Associated with
Concurrent Medical
Condition
Same as above Same as above Same as above
606 Feeding Disorder
Associated with Insults to
the Gastrointestinal Tract
Same as above Same as above Same as above
700: Disorders of Relating and Communicating
710 Multisystem
Developmental Disorder
(MSDD) for children
under the age of two
years: Pervasive
Developmental Disorders
can be utilized for
children over the age of
two if identified.
307.9
299.00
Unspecified
Communication Disorder
Autism Spectrum Disorder
307.9
299.00
Unspecified
Communication
Disorder
Autism Spectrum
Disorder
F80.9
F84.0
Unspecified
Communication Disorder
Autism Spectrum Disorder
Please Note: There are challenges with “cross walking” the DC:0-3R to the DSM-5. The DSM-5 eliminated the DSM-IV-TR diagnosis “Disorder
of Infancy, Childhood, or Adolescence, NOS,” with no appropriate substitution specific to infants and young children. In addition; NOS (Not
Otherwise Specified) is no longer an option. Other Specified and Unspecified have been added to most of the diagnoses. This “crosswalk”
represents this clinician’s best clinical judgment in the use of the DSM-5 diagnoses. Clinicians are encouraged to use the DC:0-3R in
diagnosing infants and young children and “crosswalk” to the ICD-9 codes until October 1, 2015 and then to the ICD-10 codes for billing
purposes.
Developed by:
Kathryn Shea, LCSW
The Florida Center for Early Childhood
Sarasota, FL
August, 2015
