Attorney Articles | Regarding the Release of the DSM 5 TR

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Regarding the Release of the DSM 5 TR

Regarding the Release of the DSM 5 TR

Regarding the Release of the DSM 5 TR

Therapists should be aware that the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) was released this month by the American Psychiatric Association. It is available on the APA websitei and through other vendors, such as Amazonii and Barnes and Noble.iii

Since its publication in 2013, the DSM-5 has undergone a variety of revisions based upon updates to the scientific literature. (For those who are interested, each of the revisions to the DSM-5 which have occurred over the years are available for review on the APA website.)iv  The DSM-5-TR includes new references and clarifications to diagnostic criteria, and updates to ICD-10-CM codes.v  Prominent changes include a new disorder entitled “prolonged grief disorder”, and new ICD-10-CM codes for suicidal behavior and nonsuicidal self-injury. 

According to the APA, the major changes from DSM-5 to DSM-5 TR include:vi

  • Revised text for many disorders with updated sections on associated features, prevalence, development and course, risk and prognostic factors, culture, diagnostic markers, suicide, and differential diagnosis
  • The addition of prolonged grief disorder with corresponding ICD-10-CM code, F43.8
  • Over 70 modified criteria sets with clarifications
  • Considerations of the impact of racism and discrimination on mental disorders integrated into the textvii
  • New ICD-10-CM codes to flag and monitor suicidal behavior and nonsuicidal self-injury which can be used without the requirement of another diagnosis
  • Updated ICD-10-CM codes implemented since 2013, including coding updates for substance intoxication and withdrawal and other disorders
  • Updated text in the Gender Dysphoria chapter, including updates to the terminology to describe gender dysphoria based on updated culturally sensitive language.

Given the importance of this manual in diagnosis, treatment planning and for billing purposes, clinicians are advised to obtain a copy of the DSM-5 TR at their earliest opportunity.


v ICD-10-CM stands for the International Classification of Diseases, 10th Edition, Clinical Modification. For DSM-5-TR, only ICD-10-CM codes are used because it is the version of ICD that is in effect in the United States. Although based on the World Health Organization’s ICD-10 codes, ICD-10-CM codes in DSM-5 provide the only permissible diagnostic codes for mental disorders for clinical use in the United States. In the United States, and the use of ICD-10-CM codes for disorders in DSM-5-TR is mandated by the Health Care Financing Administration for purposes of reimbursement under Medicare.