Medical and legal problems in psychiatric coding under the DSM and ICD systems
Abstract
The various diagnostic systems in psychiatry have differed in their terminology and associated numerical codes. Lack of attention to coding variations in the DSM and ICD systems during the review of patient records can lead to misinterpretation and confusion; reliance on historical or statistical studies that use differing systems may be questionable. Two cases illustrate the problems caused by lack of awareness of these factors. Specification by the psychiatrist of both the diagnostic system used and the appropriate revision or edition can lessen communication error or misunderstanding.
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