Organic Psychotic Conditions ICD 9 Codes (290-294)


5.  MENTAL, BEHAVIORAL AND NEURODEVELOPMENTAL DISORDERS (290-319)
PSYCHOSES (290-299)
Excludes:   intellectual disabilities (317-319)
ORGANIC PSYCHOTIC CONDITIONS (ICD 9 CODES: 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       Dementias
Code first the associated neurological condition
Excludes:    dementia due to alcohol (291.0-291.2)
dementia due to drugs (292.82)
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 (310.89)
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    Vascular 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  Vascular dementia, uncomplicated
Arteriosclerotic dementia:
NOS
simple type
290.41  Vascular dementia with delirium
Arteriosclerotic dementia with acute confusional state
290.42  Vascular dementia with delusions
Arteriosclerotic dementia, paranoid type
290.43  Vascular dementia with depressed mood
Arteriosclerotic dementia, depressed type
290.8    Other specified senile psychotic conditions
Presbyophrenic psychosis
290.9    Unspecified senile psychotic condition
291       Alcohol-induced mental disorders
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-induced persisting amnestic disorder
Alcoholic polyneuritic psychosis
Korsakoff's psychosis, alcoholic
Wernicke-Korsakoff syndrome (alcoholic)
291.2    Alcohol-induced persisting dementia
Alcoholic dementia NOS
Alcoholism associated with dementia NOS
Chronic alcoholic brain syndrome
291.3    Alcohol-induced psychotic disorder with hallucinations
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    Alcohol-induced psychotic disorder with delusions
Alcoholic:
paranoia
psychosis, paranoid type
Excludes: nonalcoholic paranoid states (297.0-297.9)
schizophrenia, paranoid type (295.3)
291.8    Other specified alcohol-induced mental disorders
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)
291.82  Alcohol induced sleep disorders
Alcohol induced circadian rhythm sleep disorders
Alcohol induced hypersomnia
Alcohol induced insomnia
Alcohol induced parasomnia
291.89  Other
Alcohol-induced anxiety disorder
Alcohol-induced mood disorder
Alcohol-induced sexual dysfunction
291.9    Unspecified alcohol-induced mental disorders
Alcoholic:
mania NOS
psychosis NOS
Alcoholism (chronic) with psychosis
Alcohol-related disorder NOS
292       Drug-induced mental disorders
Includes:     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
Drug:
abstinence syndrome or symptoms
withdrawal syndrome or symptoms
292.1    Drug-induced psychotic disorders
292.11  Drug-induced psychotic disorder with delusions
Paranoid state induced by drugs
292.12  Drug-induced psychotic disorder with hallucinations
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 persisting dementia
292.83  Drug-induced persisting amnestic disorder
292.84  Drug-induced mood disorder
Depressive state induced by drugs
292.85  Drug induced sleep disorders
Drug induced circadian rhythm sleep disorder
Drug induced hypersomnia
Drug induced insomnia
Drug induced parasomnia
292.89  Other
Drug-induced anxiety disorder
Drug-induced organic personality syndrome
Drug-induced sexual dysfunction
Drug intoxication
292.9    Unspecified drug-induced mental disorder
Drug-related disorder NOS
Organic psychosis NOS due to or associated with drugs
293       Transient mental disorders due to conditions classified elsewhere
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    Delirium due to conditions classified elsewhere
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 mental disorders due to conditions classified elsewhere
293.81  Psychotic disorder with delusions in conditions classified elsewhere
Transient organic psychotic condition, paranoid type
293.82  Psychotic disorder with hallucinations in conditions classified elsewhere
Transient organic psychotic condition, hallucinatory type
293.83  Mood disorder in conditions classified elsewhere
Transient organic psychotic condition, depressive type
293.84  Anxiety disorder in conditions classified elsewhere
293.89  Other
Catatonic disorder in conditions classified elsewhere
293.9    Unspecified transient mental disorder in conditions classified elsewhere
Organic psychosis:
infective NOS
posttraumatic NOS
transient NOS
Psycho-organic syndrome
294       Persistent mental disorders due to conditions classified elsewhere
Includes:     organic psychotic brain syndromes (chronic), not elsewhere classified
294.0    Amnestic disorder in conditions classified elsewhere
Korsakoff's psychosis or syndrome (nonalcoholic)
Code first underlying condition
Excludes: alcoholic:
amnestic syndrome (291.1)
Korsakoff's psychosis (291.1)
294.1    Dementia in conditions classified elsewhere
Dementia of the Alzheimer's type
Code first any underlying physical condition as:
Alzheimer's disease (331.0)
cerebral lipidoses (330.1)
dementia with Lewy bodies (331.82)
dementia with Parkinsonism (331.82)
epilepsy (345.0-345.9)
frontal dementia (331.19)
frontotemporal dementia (331.19)
general paresis [syphilis] (094.1)
hepatolenticular degeneration (275.1)
Huntington's chorea (333.4)
Jakob-Creutzfeldt disease (046.11-046.19)
multiple sclerosis (340)
Parkinson's disease (332.0)
Pick's disease of the brain (331.11)
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
Use additional code, where applicable, to identify:
wandering in conditions classified elsewhere (V40.31)
294.2    Dementia, unspecified
Excludes: mild memory disturbances, not amounting to dementia (310.89)
294.20  Dementia, unspecified, without behavioral disturbance
Dementia NOS
294.21  Dementia, unspecified, with behavioral disturbance
Aggressive behavior
Combative behavior
Violent behavior
Use additional code, where applicable, to identify:
wandering in conditions classified elsewhere (V40.31)
294.8    Other persistent mental disorders due to conditions classified elsewhere
Amnestic disorder NOS
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 (310.89)
294.9    Unspecified persistent mental disorders due to conditions classified elsewhere
Cognitive disorder NOS
Organic psychosis (chronic)

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