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DSM-5 and ICD-10 Resources

In response to legislation passed on April 1, 2014 which delayed the ICD-10 implementation mandate, we revised plans and timelines related to the ICD-10 implementation and continued with the implementation of DSM-5 on October 1, 2014. CMS announced that the U.S. Department of Health and Human Services issued a rule on July 31, 2014 stating that ICD-10 implementation will occur October 1, 2015.

Optum Timeline

  • ICD-10 implementation on October 1, 2015: Use DSM-5 diagnostic criteria and labels, use ICD-10 billing codes associated with the DSM-5 conditions
  • DSM-5 implementation on October 1, 2014: Use DSM-5 diagnostic criteria and labels, use ICD-9 billing codes associated with the DSM-5 conditions

In addition to providing diagnostic criteria, the fifth edition of the Diagnostic and Statistical Manual (DSM-5) includes mapping to ICD billing codes. Below are resources to assist with the transition. Your use now of the DSM-5 will support your transition to ICD-10 because your clinical records will already reflect relevant documentation associated with the ICD-10 billing code.

Are you ready for the ICD-10-CM Change?  

Missed the webinar or want to review the materials again? Access a pre-recorded presentation or the webinar slides .  

ICD-10 Updates

ICD-10 Basics

ICD-10 Claim Submission Information

          Note: For additional information on claims, see Knowledge Brief section above

Diagnosis and Billing: The ICD-10 and DSM-5 Connection

Optum transitioned to use of the DSM-5 on October 1, 2014 for most memberships.

DSM-5 Transition - 2014