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Diagnosis is a requirement in many instances to obtain medications and services. Professionals diagnose Autism Spectrum Disorder based on criteria listed in the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5). The diagnosis is then translated into the required International Statistical Classification of Diseases and
Related Health Problems, tenth revision (ICD-10) code. This code is needed for reimbursement and reporting.
There are significant changes in the structure and labels within the DSM-5. It appears that the newly defined Autism Spectrum Disorder is much more narrow and specific. For some individuals a diagnosis of Language Disorder or Social (Pragmatic) Language Disorder may more closely describe the characteristics of an individual.
Please consult these publications for specific criteria and pertinent information.
DSM-5: Autism Spectrum Disorder
DSM-5: Social (Pragmatic) Communication Disorder
DSM-5: Language Disorder
DSM-5: Selective Mutism
DSM-5: Social Anxiety Disorder
DSM-5: General Anxiety Disorder
DSM-5: Obsessive-Compulsive Disorder
DSM-5: ADHD
DSM-5: Reactive Attachment Disorder
ICD-10
DSM-5: Selective Mutism 313.23
These behaviors are usually observed in an individual with this diagnosis. Behaviors may occur in varying degrees and often with unique aspects characteristic of the individual.
Failure to Speak in Specific Social Situations:
- In specific social situations this individual may be reluctant and fail to speak completely. Speaking in other social situations may occur without difficulty.
- When there is an expectation to speak in a particular social interaction this person may, on repeated occasions, be unable to speak.
Differential Diagnosis:
- Other disorders to consider are Communication Disorders, Neurodevelopmental Disorders, and Social Anxiety Disorder.
The American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5):
- Please consult this publication for additional information regarding specific criteria for this diagnosis, severity specifications, differential diagnosis, comorbidity, and other pertinent aspects of the disorder.
ICD-10 code: F94.0 Elective Mutism
