Pertinent Information Required in Documentation to Support DSM-5 and ICD10 coding

Pertinent Information Required in Documentation to Support DSM-5 and ICD10 coding

Even though both DSM-5 and ICD-10 are widely used to define illnesses, they may or may not be utilized at the same time due to a number of variances. Unlike DSM-5, which is solely utilized for mental diseases, ICD-10 is only used for inpatient claims after a diagnosis has been made (Healthcare BPO, 2021). ICD-10 also distinguishes between dependency and substance abuse, although DSM-5 does not. General pertinent information about a patient's previous psychiatric and substance use, abuse, and treatment, psychosocial history, suicide/homicide risk assessment, mental status examination, clinical impression, abnormal findings, external causes of injury, social circumstances, and complaints is required for DSM5 and ICD-10 coding to be supported in documentation (Nathan, 2021) Pertinent Information missing from the given case study The DSM-5 is primarily concerned with assisting healthcare providers in correctly classifying and diagnosing disorders (Best Notes, 2019). On the other side, the ICD-10 is