ICD-10 is Here - Do You Need Help Figuring It Out?

New book, DSM-5 Insanely Simplified: Unlocking the Spectrums within DSM-5 and ICD-10, addresses changes in medical billing

Nov 06, 2015, 12:00 ET from Chiron Publications

ASHEVILLE, N.C., Nov. 6, 2015 /PRNewswire/ -- Announcing a new book release from innerQuest Books and Chiron Publications, DSM-5 Insanely Simplified: Unlocking the Spectrums within DSM-5 and ICD-10, by Steven Buser, MD and Leonard Cruz, MD.

Therapists, psychologists, and psychiatrists are now facing the most substantial revision of their codes for reimbursement from insurance companies in decades.  The number of diagnostic codes increased from approximately 13,000 codes in ICD-9 to approximately 68,000 codes in ICD-10 when these changes went into effect on October 1.

The codes used to submit to Medicare, Medicaid, Blue Cross Blue Shield, and virtually all other insurers changed to ICD-10. Every diagnostic code currently used by therapists became instantly obsolete.  Patient charges submitted after October 1 with the outdated ICD-9 codes will be returned unpaid. Therapists must adapt to the new coding system or not receive payment.

DSM-5 Insanely Simplified, Unlocking the Spectrums within DSM-5 and ICD-10, written by Dr. Steven Buser and Dr. Leonard Cruz, addresses the changes in medical billing and assists in the adoption of DSM-5 and ICD-10. The book has a number of features to assist Psychiatry and Family Practice clinicians in the field. The book provides a diagnostic summary of the DSM-5 and ICD-10 criteria allowing a quick review of diagnostic categories within the new classifications, a summary of the changes in the new classification system, as well as an in-depth review of the concept of a spectrum of illness for depression, anxiety, psychosis and much of psychiatry.

"This will be a daunting change for many mental health providers accustomed to diagnosing clients using DSM-IV and ICD-9," says Buser.  "When DSM-5 was adopted, mental health clinicians were challenged to revamp their thinking about diagnosis. With the ICD-10 changes now upon us, our need to further adapt is even more paramount.  DSM-5 Insanely Simplified: Unlocking the Spectrums within DSM-5 and ICD-10 covers the most commonly used ICD-10 codes for mental health along with a summary of their diagnostic features.  Virtually every ICD-10 code a therapist will need is easily accessible in that first section."

Here are two examples of typical changes ICD-10 introduces. 

Major Depression, single episode, of moderate severity without mood congruent psychotic features is no longer classified as 296.22 as it has been for over 35 years, but now is F32.1. Panic disorder with agoraphobia used to be 300.21, but now can be either F41.0 or F40.00 depending if the panic or the agoraphobia is the more pronounced feature.

Another example, pertains to Alcohol Abuse (previously 305.00).

For years mental health providers utilized the diagnosis code for Alcohol Abuse (305.00) or if more severe, Alcohol Dependence (303.90) when treating alcoholism. These two diagnoses, however, have collapsed into Alcohol Use Disorder (F10.20), which then must be subdivided into separate levels of severity.

ICD-10's "F Section" for mental illness is broken down into 10 subsections as follows:

F01-F09 Mental disorders due to clear physiological conditions
F10-F19 Mental disorders due to substance abuse
F20-F29 Schizophrenia, schizotypal, delusional, and other psychotic processes
F30-F39 Mood disorders
F40-F48 Anxiety, dissociative, stressor-related, and somatoform disorders
F50-F59 Behavioral syndromes with physical factors
F60-F69 Personality Disorder
F70-F79 Intellectual disabilities
F80-F89 Pervasive developmental disorders
F90-F98 Disorders of childhood and adolescence
F99-F99 Unspecified mental disorders

Those who support adoption of ICD-10 point to the critical need for better data. According to a RAND report, ICD-10 offers five major benefits:

  • More-accurate payments for new procedures
  • Fewer miscoded, rejected, and improper reimbursement claims
  • Better understanding of the value of new procedures
  • Improved disease management
  • Better understanding of health care outcomes

Source - Libicki, Martin C., and Irene T. Brahmakulam. The Costs and Benefits of Moving to the ICD-10 Code Sets. Santa Monica, CA: RAND, 2004. The Costs and Benefits of Moving to the ICD-10 Code Sets. RAND Corporation. Web. 27 May 2015.

DSM-5 Insanely Simplified: Unlocking the Spectrums within DSM-5 and ICD-10 by Steve Buser, MD and Leonard Cruz, MD available from innerQuest Books and Chiron Publications.

To further assist therapists in their transition to ICD-10 and DSM-5, a 90-minute training seminar is available.  Many of the concepts in the book are explained in the video as well. Therapists can visit the web page below to view this important training video titled Dissecting DSM-5: What You Need to Know.  


Steven Buser, MD and Leonard Cruz, MD are practicing psychiatrists with more than 60 years of collective medical experience. In 2008 they founded and manage the Asheville Jung Center as a global resource for education

Chiron Publications is a 30-year-old International publisher, with over 150 psychological books released, owned by Steven Buser, MD and Leonard Cruz, MD,

For more information visit:
Chiron Publications, www.innerquestbooks.com, www.ashevillejungcenter.org

Contact Information: (828) 333-4787
Steven Buser, MD
Jennifer Fitzgerald, General Manager

SOURCE Chiron Publications