Secondary Mental Or Behavioural Syndromes Associated With Disorders Or Diseases Classified Elsewhere

Secondary Mental Or Behavioural Syndromes Associated With Disorders Or Diseases Classified Elsewhere – Definitions & ICD 11 Codes

Definition of Secondary Mental Or Behavioural Syndromes Associated With Disorders Or Diseases Classified Elsewhere: This grouping includes syndromes characterised by the presence of prominent psychological or behavioural symptoms judged to be direct pathophysiological consequences of a medical condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., adjustment disorder or anxiety symptoms in response to being diagnosed with a life-threatening illness). These categories should be used in addition to the diagnosis for the presumed underlying disorder or disease when the psychological and behavioural symptoms are sufficiently severe to warrant specific clinical attention.

Exclusions:

Coded Elsewhere:

Secondary neurodevelopmental syndrome

Definition of Secondary neurodevelopmental syndrome: A syndrome that involves significant neurodevelopmental features that do not fulfill the diagnostic requirements of any of the specific neurodevelopmental disorders that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders (e.g., autistic-like features in Retts syndrome; aggression and self-mutilation in Lesch-Nyhan syndrome, abnormalities in language development in Williams syndrome), based on evidence from the history, physical examination, or laboratory findings.

This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the neurodevelopmental problems are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary neurodevelopmental syndrome

  6E60  Secondary neurodevelopmental syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

6E60.0 Secondary speech or language syndrome

Definition of Secondary speech or language syndrome: A syndrome that involves significant features related to speech or language development that do not fulfill the diagnostic requirements of any of the specific developmental speech or language disorders that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. Possible etiologies include a disease of the nervous system, sensory impairment, brain injury or infection.

Coding Note:

  • This diagnosis should be assigned in addition to the diagnosis for the presumed underlying disorder or disease when the neurodevelopmental problems are sufficiently severe to warrant specific clinical attention.

6E60.Y Other specified secondary neurodevelopmental syndrome

Coding Note:

  • Code also the causing condition

6E60.Z Secondary neurodevelopmental syndrome unspecified

Coding Note:

  • Code also the causing condition

Secondary psychotic syndrome

Definition of Secondary psychotic syndrome: A syndrome characterised by the presence of prominent hallucinations or delusions judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary psychotic syndrome

  6E61  Secondary psychotic syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

6E61.0 Secondary psychotic syndrome with hallucinations

Definition of Secondary psychotic syndrome with hallucinations: A syndrome characterised by the presence of prominent hallucinations that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. Delusions are not a prominent aspect of the clinical presentation. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.

Coding Note:

  • Code also the causing condition

Exclusions:

  • Delirium (6D70)
  • Mood disorders

6E61.1 Secondary psychotic syndrome with delusions

Definition of Secondary psychotic syndrome with delusions: A syndrome characterised by the presence of prominent delusions that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. Hallucinations are not a prominent aspect of the clinical presentation. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.

Coding Note:

  • Code also the causing condition

Exclusions:

  • Delirium (6D70)
  • Mood disorders

6E61.2 Secondary psychotic syndrome with hallucinations and delusions

Definition of Secondary psychotic syndrome with hallucinations and delusions: A syndrome characterised by the presence of both prominent hallucinations and prominent delusions that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.

Coding Note:

  • Code also the causing condition

Exclusions:

  • Delirium (6D70)
  • Mood disorders

6E61.3 Secondary psychotic syndrome with unspecified symptoms

Coding Note:

  • Code also the causing condition

Secondary mood syndrome

Definition of Secondary mood syndrome: A syndrome characterised by the presence of prominent mood symptoms (i.e., depression, elevated mood, irritability) judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., depressive symptoms in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the mood symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary mood syndrome

  6E62  Secondary mood syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

  • Adjustment disorder (6B43)
  • Delirium (6D70)

6E62.0 Secondary mood syndrome with depressive symptoms

Definition of Secondary mood syndrome with depressive symptoms: A syndrome characterised by the presence of prominent depressive symptoms such as persistently depressed mood, loss of interest in previously enjoyable activities, or signs such as tearful and downtrodden appearance that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., depressive symptoms in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the mood symptoms are sufficiently severe to warrant specific clinical attention.

Coding Note:

  • Code also the causing condition

Exclusions:

  • Adjustment disorder (6B43)
  • Delirium (6D70)

6E62.1 Secondary mood syndrome with manic symptoms

Definition of Secondary mood syndrome with manic symptoms: A syndrome characterised by the presence of prominent manic symptoms such as elevated, euphoric, irritable, or expansive mood states, rapid changes among different mood states (i.e., mood lability), or increased energy or activity that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders based on evidence from the history, physical examination, or laboratory findings.

Coding Note:

  • Code also the causing condition

Inclusions:

  • mood syndrome due to disorders or diseases not classified under Mental and behavioural disorders, with manic symptoms

Exclusions:

  • Adjustment disorder (6B43)
  • Delirium (6D70)

6E62.2 Secondary mood syndrome with mixed symptoms

Definition of Secondary mood syndrome with mixed symptoms: A syndrome characterised by the presence of both manic and depressive symptoms, either occurring together or alternating from day to day or over the course of a day that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders based on evidence from the history, physical examination, or laboratory findings. Manic symptoms may include elevated, euphoric, irritable, or expansive mood states, rapid changes among different mood states (i.e., mood lability), or increased energy or activity. Depressive symptoms may include persistently depressed mood, loss of interest in previously enjoyable activities, or signs such as tearful or downtrodden appearance. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., depressive symptoms in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the mood symptoms are sufficiently severe to warrant specific clinical attention.

Coding Note:

  • Code also the causing condition

Exclusions:

  • Adjustment disorder (6B43)
  • Delirium (6D70)

6E62.3 Secondary mood syndrome with unspecified symptoms

Coding Note:

  • Code also the causing condition

Exclusions:

  • Adjustment disorder (6B43)
  • Delirium (6D70)

Secondary anxiety syndrome

Definition of Secondary anxiety syndrome: A syndrome characterised by the presence of prominent anxiety symptoms judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., anxiety symptoms or panic attacks in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the anxiety symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary anxiety syndrome

  6E63  Secondary anxiety syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

  • Adjustment disorder (6B43)
  • Delirium (6D70)

Secondary obsessive-compulsive or related syndrome

Definition of Secondary obsessive-compulsive or related syndrome: A syndrome characterised by the presence of prominent obsessions, compulsions, hoarding, skin picking, hair pulling, other body-focused repetitive behaviours, or other symptoms characteristic of obsessive-compulsive and related disorder that is judged to be the direct pathophysiological consequence of a disorder or disease not classified under Mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by Delirium or by another Mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., repetitive ruminations in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the obsessive-compulsive or related symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary obsessive-compulsive or related syndrome

  6E64  Secondary obsessive-compulsive or related syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

Secondary dissociative syndrome

Definition of Secondary dissociative syndrome: A syndrome characterised by the presence of prominent dissociative symptoms (e.g., depersonalization, derealization) that is judged to be the direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., as part of an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the dissociative symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary dissociative syndrome

  6E65  Secondary dissociative syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

  • Delirium (6D70)
  • Acute stress reaction (QE84)

Secondary impulse control syndrome

Definition of Secondary impulse control syndrome: A syndrome characterised by the presence of prominent symptoms that are characteristic of Impulse Control Disorders or Disorders Due to Addictive Behaviours (e.g., stealing, fire-setting, aggressive outbursts, compulsive sexual behaviour, excessive gambling) that are judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., as part of an adjustment disorder in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the impulse control symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary impulse control syndrome

  6E66  Secondary impulse control syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

  • Delirium (6D70)

Secondary neurocognitive syndrome

Definition of Secondary neurocognitive syndrome: A syndrome that involves significant cognitive features that do not fulfill the diagnostic requirements of any of the specific neurocognitive disorders and are judged to be a direct pathophysiological consequence of a health condition or injury not classified under mental and behavioural disorders (e.g., cognitive changes due to a brain tumour), based on evidence from the history, physical examination, or laboratory findings. This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the cognitive symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary neurocognitive syndrome

  6E67  Secondary neurocognitive syndrome

Coding Note:

  • Code also the causing condition

Exclusions:

  • Disorders with neurocognitive impairment as a major feature

Coded Elsewhere:

  • Delirium (6D70)

Secondary personality change

Definition of Secondary personality change: A syndrome characterised by a persistent personality disturbance that represents a change from the individual’s previous characteristic personality pattern that is judged to be a direct pathophysiological consequence of a health condition not classified under Mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., social withdrawal, avoidance, or dependence in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the personality symptoms are sufficiently severe to warrant specific clinical attention.

ICD 11 Code For Secondary personality change

  6E68  Secondary personality change

Coding Note:

  • Code also the causing condition

Exclusions:

Secondary catatonia syndrome

Definition of Secondary catatonia syndrome: Secondary catatonia syndrome is a syndrome of primarily psychomotor disturbances, characterized by the co-occurrence of several symptoms of decreased, increased, or abormal psychomotor activity, which occurs as a direct pathophysiological consequence of a medical condition not classified under Mental, Behavioural or Neurodevelopmental Disorders. Examples of medical conditions that may be associated with Catatonia include diabetic ketoacidosis, hypercalcemia, hepatic encephalopathy, homocystinuria, neoplasms head trauma, cerebrovascular disease, and encephalitis.

ICD 11 Code For Secondary catatonia syndrome

  6E69  Secondary catatonia syndrome

Coding Note:

  • Use additional code, if desired, for any underlying disorder if known.

Other specified secondary mental or behavioural syndrome

ICD 11 Code For Other specified secondary mental or behavioural syndrome

  6E6Y  Other specified secondary mental or behavioural syndrome

Secondary mental or behavioural syndrome unspecified

ICD 11 Code For Secondary mental or behavioural syndrome unspecified

  6E6Z  Secondary mental or behavioural syndrome unspecified

Other specified mental behavioural or neurodevelopmental disorders

ICD 11 Code For Other specified mental behavioural or neurodevelopmental disorders

  6E8Y  Other specified mental behavioural or neurodevelopmental disorders

Mental behavioural or neurodevelopmental disorders unspecified

ICD 11 Code For Mental behavioural or neurodevelopmental disorders unspecified

  6E8Z  Mental behavioural or neurodevelopmental disorders unspecified

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