ICD-11 Criteria for Secondary Psychotic Syndrome (6E61)
A syndrome characterised by the presence of prominent hallucinations or delusions judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.
Coding
Note: Code
aslo the causing condition
Exclusions:
- Acute and transient psychotic disorder (6A23)
- Delirium (6D70)
- Mood disorders (BlockL1‑6A6)
6E61.0 Secondary psychotic syndrome, with hallucinations
A syndrome characterised by the
presence of prominent hallucinations that is judged to be a direct
pathophysiological consequence of a health condition not classified under
mental and behavioural disorders, based on evidence from the history, physical
examination, or laboratory findings. Delusions are not a prominent aspect of
the clinical presentation. The symptoms are not accounted for by delirium or by
another mental and behavioural disorder, and are not a psychologically mediated
response to a severe medical condition (e.g., an acute stress reaction in
response to a life-threatening diagnosis). This category should be used in
addition the diagnosis for the presumed underlying disorder or disease when the
psychotic symptoms are sufficiently severe to warrant specific clinical
attention.
Coding
Note: Code
aslo the causing condition
Exclusions:
- Delirium (6D70)
- Mood disorders (BlockL1‑6A6)
6E61.1 Secondary psychotic syndrome, with delusions
A syndrome characterised by the
presence of prominent delusions that is judged to be a direct
pathophysiological consequence of a health condition not classified under
mental and behavioural disorders, based on evidence from the history, physical
examination, or laboratory findings. Hallucinations are not a prominent aspect
of the clinical presentation. The symptoms are not accounted for by delirium or
by another mental and behavioural disorder, and are not a psychologically
mediated response to a severe medical condition (e.g., an acute stress reaction
in response to a life-threatening diagnosis). This category should be used in
addition the diagnosis for the presumed underlying disorder or disease when the
psychotic symptoms are sufficiently severe to warrant specific clinical
attention.
Coding
Note: Code
aslo the causing condition
Exclusions:
- Delirium (6D70)
- Mood disorders (BlockL1‑6A6)
6E61.2 Secondary psychotic syndrome, with hallucinations and delusions
A syndrome characterised by the
presence of both prominent hallucinations and prominent delusions that is
judged to be a direct pathophysiological consequence of a health condition not
classified under mental and behavioural disorders, based on evidence from the
history, physical examination, or laboratory findings. The symptoms are not
accounted for by delirium or by another mental and behavioural disorder, and
are not a psychologically mediated response to a severe medical condition
(e.g., an acute stress reaction in response to a life-threatening diagnosis).
This category should be used in addition the diagnosis for the presumed
underlying disorder or disease when the psychotic symptoms are sufficiently
severe to warrant specific clinical attention.
Coding
Note: Code
aslo the causing condition
Exclusions:
- Delirium (6D70)
- Mood disorders (BlockL1‑6A6)
6E61.3 Secondary psychotic syndrome, with unspecified symptoms
Coding Note: Code aslo the causing condition
REFERENCE:
International Classification of Diseases Eleventh Revision (ICD-11). Geneva: World Health Organization; 2022. License: CC BY-ND 3.0 IGO.
https://creativecommons.org/licenses/by-nc-nd/3.0/igo/
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