DSM Directory | Document 6

APA DSM DSM-IV DSM-V WHO ICD ICD-10 ICD-11 American Psychiatric
Association Diagnostic and Statistical Manual of Mental Disorders World Health
Organization Classifications DSM Revision Process DSM-ICD Harmonization
Coordination Group International Advisory Group Global Scientific Partnership
Coordination Group for Revision of ICD Mental and Behavioural Disorders ICD Update and
Revision Platform WHO Collaborating Centre DSM-V Task Force DSM-V Somatic
Distress Disorders Work Group CISSD Project Somatoform Somatisation Somatization
Functional Somatic Syndromes Myalgic encephalomyelitis ME
Chronic fatigue syndrome CFS PVFS Fibromyalgia FM IBS CS CI MUS
http://tinyurl.com/dsm-vdirectory
Document 6: DSM-IV and ICD-10 classifications around the so-called Somatoform
Disorders and Functional Somatic Syndromes, Neurasthenia, ME, PVFS, CFS

DSM-IV Codes and Categories for Somatoform Disorders and ICD-10 Equivalents
DSM-IV

ICD-10

Code Category

Code Category

300.81 Somatization disorder

F45.0 Somatization disorder

300.81 Undifferentiated somatoform disorder

F45.1 Undifferentiated somatoform disorder

300.11 Conversion disorder

F44. Dissociative (conversion) disorders

307.80 Pain disorder

F45.4 Persistent somatoform pain disorder

300.7 Hypochondriasis

F45.2 Hypochondriacal disorder

300.7 Body dysmorphic disorder

300.81 Somatoform disorder not otherwise specified

F45.3 Somatoform autonomic dysfunction

F45.8 Other somatoform disorders
F45.9 Somatoform disorder unspecified
F48.0 Neurasthenia (in other neurotic
disorders category)

Directory: APA DSM WHO ICD Revision Process http://meagenda.wordpress.com

APA
DSM-IV (Diagnostic and Statistical Manual for Mental Disorders) online:
http://www.psychiatryonline.com/index.aspx

ICD
International Statistical Classification of Diseases and Related Health Problems 10th
Revision (ICD-10) Version for 2007
http://www.who.int/classifications/icd/en/
Tabular List of inclusions and four-character subcategories:
http://www.who.int/classifications/apps/icd/icd10online/

ICD-10 Chapter V
http://www.who.int/classifications/apps/icd/icd10online/index.htm?gF40.htm+F454
Mental and behavioural disorders (F00-F99)
Neurotic, stress-related and somatoform disorders (F40-F48)

ICD-10 Chapter VI
http://www.who.int/classifications/apps/icd/icd10online/?gg90.htm+g933
Diseases of the nervous system (G00-G99)
Other disorders of the nervous system (G90-99)
G93.3

Postviral fatigue syndrome

Benign myalgic encephalomyelitis

Images of the entry for Chronic Fatigue Syndrome, WHO ICD-10

http://www.meactionuk.org.uk/G93-3-ICD-10-index.jpg
http://www.meactionuk.org.uk/G93-3-ICD-10-index-closeup.jpg

Directory: APA DSM WHO ICD Revision Process http://meagenda.wordpress.com

ICD-10 Chapter XVIII

http://www.who.int/classifications/apps/icd/icd10online/?gr50.htm+r53
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)
R53

Malaise and fatigue

Asthenia NOS
Debility:
NOS
chronic
nervous
General physical deterioration
Lethargy
Tiredness
Excludes:
debility:
congenital ( P96.9 )
senile ( R54 )
exhaustion and fatigue (due to)(in):
combat ( F43.0 )
excessive exertion ( T73.3 )
exposure ( T73.2 )
heat ( T67.- )
neurasthenia ( F48.0 )
pregnancy ( O26.8 )
senile asthenia ( R54 )
fatigue syndrome ( F48.0 )
postviral ( G93.3 )

ICD-10 Chapter V
http://www.who.int/classifications/apps/icd/icd10online/?gf40.htm+f480
Mental and behavioural disorders (F00-F99)
Neurotic, stress-related and somatoform disorders (F40-F48)
F48

Other neurotic disorders

F48.0 Neurasthenia
Considerable cultural variations occur in the presentation of this disorder, and two main
types occur, with substantial overlap. In one type, the main feature is a complaint of
increased fatigue after mental effort, often associated with some decrease in
occupational performance or coping efficiency in daily tasks. The mental fatiguability
is typically described as an unpleasant intrusion of distracting associations or
recollections, difficulty in concentrating, and generally inefficient thinking. In the other
type, the emphasis is on feelings of bodily or physical weakness and exhaustion after
only minimal effort, accompanied by a feeling of muscular aches and pains and
Directory: APA DSM WHO ICD Revision Process http://meagenda.wordpress.com

inability to relax. In both types a variety of other unpleasant physical feelings is

common, such as dizziness, tension headaches, and feelings of general instability.
Worry about decreasing mental and bodily well-being, irritability, anhedonia, and in its
initial and middle phases but hypersomnia may also be prominent.
Fatigue syndrome
Use additional code, if desired, to identify previous physical illness.
Excludes:
asthenia NOS ( R53 )
burn-out ( Z73.0 )
malaise and fatigue ( R53 )
postviral fatigue syndrome ( G93.3 )
psychasthenia ( F48.8 )

Directory: APA DSM WHO ICD Revision Process http://meagenda.wordpress.com