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Automatic Diagnostic Codes and inability to edit Codes

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5 comments

  • Kimberly Dudley

    I absolutely agree. It is incredibly frustrating the at the diagnostic codes do not match the DSM 5. It makes it nearly impossible to look up the code based on the common dx name and impossible to find the minute details. ICD-10 codes are also not correct making it difficult to accurately record dxs.

    This needs a massive overhaul. 

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  • Ruth

    Hi Sara and Kimberly, the reason we don't include DSM V codes in our diagnosis list is because they're not billable to insurance. In earlier iterations of the platform, we did include DSM V options; however, this led to many claims denials from insurance payers and customers not getting paid for services rendered. If you have any thoughts on how to include non-billable codes, while deterring customers from trying to bill insurance with them, we'd love to hear about it. Upvote and comment on this feature request in our Ideas and Suggestions Board: https://simplepractice.uservoice.com/forums/918553-simplepractice-feedback/suggestions/38646712-update-diagnostic-codes. In your comments, please specify why using non-billable codes is important to your work. I look forward to continuing this conversation with our Product Team and other customers! 

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  • Sara Schoenhorn LCSW

    Ruth,

    I think there is a misunderstanding.  My request from SimplePractice is not about the V codes.  It is about billable DSM5 codes.  For example, today I wanted to code my client with Unspecified Disruptive, Impulse-Control , and Conduct Disorder F91.9.   When I pull up F91.9 on Simple Practice it says Conduct Disorder, Unspecified, which attaches my client to Conduct Disorder, which he does not have, he has impulse-control difficulties.  It would be so helpful if the codes were matched to the DSM5.  I hope this explains the problem better. 

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  • Kimberly Dudley

    I’m a private pay practitioner. I still need accurate DSM-V (DSM-5) codes in my system for diagnosing clients appropriately as this is a file that will follow them for a lifetime. That said I don’t know the ins and outs of billable diagnostic codes, and quite frankly don’t entirely care. I need access to dx codes that follow our diagnostic manual for both DSM-V and ICD-10 coding.

    I will add this to the link as well.

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  • Ruth

    To clarify, the DSM V is the DSM 5, V is the roman numeral for the number 5. There aren't any billable DSM 5 codes for insurance reimbursement; however, I do understand that not all of our customers are billing to insurance. Thank you for providing more insight into why you rely on the DSM 5, please comment and vote on the link above so our Product Team can also see your reasoning for wanting this feature request. 

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