Organic Psychotic Conditions (290-294)

Includes:            psychotic organic brain syndrome

Excludes:            nonpsychotic syndromes of organic etiology (310.0-310.9)

psychoses classifiable to 295-298 and without impairment of orientation, comprehension, calculation, learning capacity, and judgement, but associated with physical disease, injury, or condition affecting the brain [e.g., following childbirth] (295.0-298.8)

290       Senile and presenile organic psychotic conditions

Code first the associated neurological condition

Excludes:            dementia not classified as senile, presenile, or arteriosclerotic (294.10-294.11)

psychoses classifiable to 295-298 occurring in the senium without dementia or delirium (295.0-298.8)

senility with mental changes of nonpsychotic severity (310.1)

transient organic psychotic conditions (293.0-293.9)

290.0            Senile dementia, uncomplicated

Senile dementia:

NOS

simple type

Excludes:            mild memory disturbances, not amounting to dementia, associated with senile brain disease (310.1)

senile dementia with:

delirium or confusion (290.3)

delusional [paranoid] features (290.20)

depressive features (290.21)

290.1            Presenile dementia

Brain syndrome with presenile brain disease

Excludes:            arteriosclerotic dementia (290.40-290.43)

dementia associated with other cerebral conditions (294.10-294.11)

290.10      Presenile dementia, uncomplicated

Presenile dementia:

NOS

simple type

290.11      Presenile dementia with delirium

Presenile dementia with acute confusional state

290.12      Presenile dementia with delusional features

Presenile dementia, paranoid type

290.13      Presenile dementia with depressive features

Presenile dementia, depressed type

290.2            Senile dementia with delusional or depressive features

Excludes:            senile dementia:

NOS (290.0)

with delirium and/or confusion (290.3)

290.20      Senile dementia with delusional features

Senile dementia, paranoid type

Senile psychosis NOS

290.21      Senile dementia with depressive features

290.3            Senile dementia with delirium

Senile dementia with acute confusional state

Excludes:            senile:

dementia NOS (290.0)

psychosis NOS (290.20)

290.4            Arteriosclerotic dementia

Multi-infarct dementia or psychosis

Use additional code to identify cerebral atherosclerosis (437.0)

Excludes:            suspected cases with no clear evidence of arteriosclerosis (290.9)

290.40      Arteriosclerotic dementia,uncomplicated

Arteriosclerotic dementia:

NOS

simple type

290.41      Arteriosclerotic dementia with delirium

Arteriosclerotic dementia with acute confusional state

290.42      Arteriosclerotic dementia with delusional features

Arteriosclerotic dementia, paranoid type

290.43      Arteriosclerotic dementia with depressive features

Arteriosclerotic dementia, depressed type

290.8            Other specified senile psychotic conditions

Presbyophrenic psychosis

290.9            Unspecified senile psychotic condition

Excludes:            alcoholism without psychosis (303.0-303.9)

291.0            Alcohol withdrawal delirium

Alcoholic delirium

Delirium tremens

Excludes:            alcohol withdrawal (291.81)

291.1            Alcohol amnestic syndrome

Alcoholic polyneuritic psychosis

Korsakoff's psychosis, alcoholic

Wernicke-Korsakoff syndrome (alcoholic)

291.2            Other alcoholic dementia

Alcoholic dementia NOS

Alcoholism associated with dementia NOS

Chronic alcoholic brain syndrome

291.3            Alcohol withdrawal hallucinosis

Alcoholic:

hallucinosis (acute)

psychosis with hallucinosis

Excludes:            alcohol withdrawal with delirium (291.0)

schizophrenia (295.0-295.9) and paranoid states (297.0-297.9) taking the form of chronic hallucinosis with clear consciousness in an alcoholic

291.4            Idiosyncratic alcohol intoxication

Pathologic:

alcohol intoxication

drunkenness

Excludes:            acute alcohol intoxication (305.0)

in alcoholism (303.0)

simple drunkenness (305.0)

291.5            Alcoholic jealousy

Alcoholic:

paranoia

psychosis, paranoid type

Excludes:            nonalcoholic paranoid states (297.0-297.9)

schizophrenia, paranoid type (295.3)

291.8            Other specified alcoholic psychosis

291.81      Alcohol withdrawal

Alcohol:

abstinence syndrome or symptoms

withdrawal syndrome or symptoms

Excludes:            alcohol withdrawal:

delirium (291.0)

hallucinosis (291.3)

delirium tremens (291.0)

291.89      Other

291.9            Unspecified alcoholic psychosis

Alcoholic:

mania NOS

psychosis NOS

Alcoholism (chronic) with psychosis

Includes:            drug-induced mental disorders

organic brain syndrome associated with consumption of drugs

Use additional code for any associated drug dependence (304.0-304.9)

Use additional E code to identify drug

292.0            Drug withdrawal syndrome

Drug:

abstinence syndrome or symptoms

withdrawal syndrome or symptoms

292.1            Paranoid and/or hallucinatory states induced by drugs

292.11      Drug-induced organic delusional syndrome

Paranoid state induced by drugs

292.12      Drug-induced hallucinosis

Hallucinatory state induced by drugs

Excludes:            states following LSD or other hallucinogens, lasting only a few days or less ["bad trips"] (305.3)

292.2            Pathological drug intoxication

Drug reaction resulting in brief psychotic states

NOS

idiosyncratic

pathologic

Excludes:            expected brief psychotic reactions to hallucinogens ["bad trips"] (305.3)

physiological side-effects of drugs (e.g., dystonias)

292.8            Other specified drug-induced mental disorders

292.81      Drug-induced delirium

292.82      Drug-induced dementia

292.83      Drug-induced amnestic syndrome

292.84      Drug-induced organic affective syndrome

Depressive state induced by drugs

292.89      Other

Drug-induced organic personality syndrome

292.9            Unspecified drug-induced mental disorder

Organic psychosis NOS due to or associated with drugs

Includes:            transient organic mental disorders not associated with alcohol or drugs

Code first the associated physical or neurological condition

Excludes:            confusional state or delirium superimposed on  senile dementia (290.3)

dementia due to:

alcohol (291.0-291.9)

arteriosclerosis (290.40-290.43)

drugs (292.82)

senility (290.0)

293.0            Acute delirium

Acute:

confusional state

infective psychosis

organic reaction

posttraumatic organic psychosis

psycho-organic syndrome

Acute psychosis associated with endocrine, metabolic, or cerebrovascular disorder

Epileptic:

confusional state

twilight state

293.1            Subacute delirium

Subacute:

confusional state

infective psychosis

organic reaction

posttraumatic organic psychosis

psycho-organic syndrome

psychosis associated with endocrine or metabolic disorder

293.8            Other specified transient organic mental disorders

293.81      Organic delusional syndrome

Transient organic psychotic condition, paranoid type

293.82      Organic hallucinosis syndrome

Transient organic psychotic condition, hallucinatory type

293.83      Organic affective syndrome

Transient organic psychotic condition, depressive type

293.84      Organic anxiety syndrome

293.89      Other

293.9            Unspecified transient organic mental disorder

Organic psychosis:

infective NOS

posttraumatic NOS

transient NOS

Psycho-organic syndrome

Includes:            organic psychotic brain syndromes (chronic), not elsewhere classified

294.0            Amnestic syndrome

Korsakoff's psychosis or syndrome (nonalcoholic)

Excludes:            alcoholic:

amnestic syndrome (291.1)

Korsakoff's psychosis (291.1)

294.1            Dementia in conditions classified elsewhere

Code first any underlying physical condition as:

dementia in:

Alzheimer's disease (331.0)

cerebral lipidoses (330.1)

epilepsy (345.0-345.9)

general paresis [syphilis] (094.1)

hepatolenticular degeneration (275.1)

Huntington's chorea (333.4)

Jakob-Creutzfeldt disease (046.1)

multiple sclerosis (340)

Pick's disease of the brain (331.1)

polyarteritis nodosa (446.0)

syphilis (094.1)

Excludes:            dementia:

arteriosclerotic (290.40-290.43)

presenile (290.10-290.13)

senile (290.0)

epileptic psychosis NOS (294.8)

294.10      Dementia in conditions classified elsewhere without behavioral disturbance

Dementia in conditions classified elsewhere NOS

294.11      Dementia in conditions classified elsewhere with behavioral disturbance

Aggressive behavior

Combative behavior

Violent behavior

Wandering off

294.8            Other specified organic brain syndromes (chronic)

Epileptic psychosis NOS

Mixed paranoid and affective organic psychotic states

Use additional code for associated epilepsy (345.0-345.9)

Excludes:            mild memory disturbances, not amounting to dementia (310.1)

294.9            Unspecified organic brain syndrome (chronic)

Organic psychosis (chronic)

Section: Mental Disorders Classification

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