I appreciate that the insurance industry recognizes ICD-10 codes rather than DSM codes, however there is more to codes than numbers. The descriptors that go with those codes should match the current nomenclature of our profession. Substance use disorders are our practice's specialty, and the presence of only DSM IV codes( (in light of the 2013 release of the DSM V) are especially problematic for us. We are finalizing our plan to switch, but this is troublesome and smells of there being other worries that we just haven't encountered yet.
303.90 (F10.20) Alcohol Use Disorder, Moderate has the same codes as 303.90 (F10.20) Alcohol Use Disorder, Severe. but the clinical implications are significant.
Equally relevant is the change in philosophy around the nomenclature of the addiction treatment and recovery field. We refer to Substance Use Disorders, instead of Substance Abuse or Dependency. Our state credentialing board has even changed its name from the NC Substance Abuse Professional Practice Board to the NC Addiction Specialist Professional Practice Board, and it's not like NC is on the cutting edge!
The writers of the DSM V were explicit in eliminating the words abuse and dependence are well explained in this document. https://www.samhsa.gov/data/sites/default/files/NSDUH-DSM5ImpactAdultMI-2016.pdf/ Although it is obviously very long, the information of relevance is described in Table 2.1 and Section 2.1-2.4.1.
Since TheraNest and Therapy Notes both use the DSM V diagnostic labels (instead of the very outdated DSV IV diagnostic labels), I cannot fathom why Simple Practice would not have used these appropriate terms, even if it is just to stay competitive!
What plans does Simple Practice have to improve this in the near future?
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