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IDC-10 Has Been Postponed

Deborah O. Day, Psy.D - Friday, April 11, 2014

Last week, the US Congress postponed the mandatory implementation of the IDC-10 for diagnosis and billing purposes in the medical and psychological community. This move is designed to give all providers more time to implement this new system. It will now be mandatory to use this system beginning October 2015. This gives providers additional time to learn the IDC-10 and the DSM5, the new version of the Diagnostic and Statical Manual. The coding for both IDC-9 and 10 are included in DSM5, streamlining the process for all providers. Along with the change, adjustments are needed for the entire process of reaching a diagnosis. DSM5 no longer uses the multiaxial system; it adopts a dimensional format for ranking severity of disorders based on symptom severity. New diagnostic categories have been added and other diagnosis have new criteria. For example, there is a new category for Neurodevelopmental Disorders in children. This includes diagnosis that are the very mild front-end of the Pervasive Developmental Disorder spectrum, such as the new Social Pragmatic Communication Disorder. This system has done away with the Global Assessment of Functioning score, instead adopting the WHODAS, a less subjective 30 question, self report questionnaire. This face valid instrument has a form that can also be completed by the clinician.


For further information about these very significant and far reaching changes, please go to the website Psychiatry.org/DSM5.

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