0 - Cyclothymic disorder ⑩ [Billable] There's more to see -- the rest of this entry is available only to subscribers. The primacy of the disorder is inherently nebulous as it shares diagnostic features with a multiplicity of disorders. ICD-10-CM Examples: F34. 0 is a valid billable ICD-10 diagnosis code for Cyclothymic disorder . 8 may differ. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. Previous Code: F33. However, the symptoms can produce ‘significant’ impairment of. 301. Cyclothymic Disorder is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, fifth edition), diagnosis assigned to individuals who experience mood cycling over a two year period, but have not met the diagnostic criteria for Bipolar I, Bipolar II, or Depressive disorder. F34. A reasonable alternative to DSM-5 for diagnosing depressive disorders is the World Health Organization's International Classification of Diseases-10 th Revision (ICD-10) . 20 to ICD-10-CMlence of cyclothymic disorder of 0. 301. Hence, this was the first time that bipolar diagnoses were supplemented with subtyped classifications such as Bipolar Disorder-Mixed, Bipolar. bipolar disorder ( F31. 0. Showing 1-25: ICD-10-CM Diagnosis Code F60. Subscribe to Codify by AAPC and get the code details in a flash. The symptoms of this disorder are more chronic and less severe than those of bipolar disorder. F31. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. Episode: Single or. You will undergo examinations and tests to diagnose your symptoms. Description ; F01. 1 shows typical patterns for each of the candidate disorders (major depressive episode, dysthymic disorder, bipolar disorder (I and II), borderline personality disorder and cyclothymic disorder). The 2024 edition of ICD-10-CM F31 became effective on October 1, 2023. Symptoms experienced by someone with cyclothymia can often negatively impact a person’s daily routine, causing issues at work. -) major depressive disorder, single episode ( F32. g. This is the American ICD-10-CM version of F31 - other international versions of ICD-10 F31 may differ. Both DSM-5 and ICD-10 recognizes that cyclothymic disorder is often observed in the relatives of BD patients and that some patients with cyclothymia eventually develop BD. 2017 Apr;15 (3):372-379. 8 for Other persistent mood [affective] disorders. 8 – Bipolar Type 11. Body System: Mental disorders: Chronic Condition: Yes:ICD-10-CM/PCS MS-DRG v40. 0 is a billable diagnosis code used to specify a medical diagnosis of cyclothymic disorder. Please see conventional, complimentary and. Schizoaffective disorder, mixed type. Discussion. Previous Code: F34. 01 to ICD-9-CM. fatigue or low energy. Tabular List. 86: Unplanned Readmission Rate with ICD F340 - Cyclothymic disorder: NA: Total Medicare payments at DRG: $5,883,826,653:Updated on January 08, 2021. The primary distinction between Dysthymia and Major Depressive Disorder is that Dysthymia is chronic, but symptomatically less severe. F34. borderline personality disorder ( F60. In the current international classifications of mental disorders (DSM-5 and ICD-10), cyclothymic disorder is considered a subtype of BD, similarly to BD I and BD II disorders, marked out by a chronic presentation of low-grade, alternating depressive and hypomanic symptoms. Cyclothymia, also known as cyclothymic disorder, is a mental illness that has been defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) since 1980. 89. 1 is a valid billable ICD-10 diagnosis code for Dysthymic disorder . Bipolar I disorder involves episodes of severe mania and often depression. 7 [convert to ICD-9-CM] Dependent personality disorder. disorder and cyclothymic disorder). 1 Dysthymic Disorder F34. 5. It also discusses the future directions and implications for improving the accuracy and validity. Mondo ID. 13 should only be used for claims with a date of service on or before September 30, 2015. 94: Avg LOS with ICD 30113 - Cyclothymic disorder: 15. 0 Cyclothymic Disorder F34. F60. Cyclothymic disorder also appears in the International Classification of Diseases (ICD-10), published by the World Health Organization. 2 Kleptomania . 301. 301. 81 became effective on October 1, 2023. Download the app!. Cyclothymic disorder is characterized by hypomanic and mini-depressive symptoms that last a few days, follow an irregular course, and are less severe than those in bipolar disorder; these symptom periods must occur for more than half the days during a period of ≥ 2 years. Traditionally, this has been severity, hypomania being milder in symptoms than mania; this view is reflected in ICD-10 language. 1 A type 1 excludes note is a pure excludes. 14 Alcohol abuse with alcohol-induced mood disorder F10. 51 Vascular dementia with behavioral disturbance F10. stated in. Cyclothymic disorder, or cyclothymia, is a form of bipolar disorder characterized by distinct episodes of hypomanic symptoms (elevated mood and euphoria) and depressive symptoms over a period of. Code F34. 301. Clinical descriptions: ICD-11 ICD-11 was released on 18 June 2018, although it is not yet available as a full manual but only as an interactive website with coding tools (World Health Organization 2018). 301. Showing 1-25: ICD-10-CM Diagnosis Code F60. F -codes are from the ICD -10. Applicable To. Persistent mood [affective] disorders. F34. 8 Other somatoform disorders; F45. 51: Vascular dementia with behavioral disturbance. F33. F34. MDD is one of the most common mental health disorders in the U. Most of these diagnoses fall in the category of Mood Disorders, as specified in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR; APA, 2000). . F45. Multiple retrospective studies have reported that in up to 60 percent of adults with bipolar disorder, onset of. “Other Specified” diagnoses are not limited to these disorders. Those who have this disorder usually fail to recognize it as well as doctors who treat them due to the fine line between pathological and normal mood swings (Colino, 2005). doi: 10. 10: Opioid abuse, uncomplicated F11. The ICD-10 and DSM-IV describe the cyclothymia (also called cyclothymic disorder) as a disorder that is characterized by a persistent instability of mood, involving numerous episodes of depression and episodes of elation (hypomania), in which the depressive or hypomanic episodes, however, are not that pronounced that they meet the criteria of. fatigue or low energy. 8 Other persistent mood [affective] disorders. 0 for Cyclothymic disorder is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders . 4 [convert to ICD-9-CM] Newborn affected by maternal nutritional disorders. 1 may differ. Bipolar disorder causes severe, unusual shifts in mood and energy that affect your ability to do normal tasks at home, school, or work. 0 Cyclothymic Disorder . “Cyclothymic disorder is actually a subset of bipolar disorder, according. It is a form of depression, so it is the combination of depressive symptoms with the time a person experiences them for that can lead to a diagnosis of dysthymia. 0 Cyclothymic disorder. 13 is a legacy non-billable code used to specify a medical diagnosis of cyclothymic disorder. ICD-10 includes only two bipolar diagnoses: Bipolar affective disorder (F31) and Cyclothymia (F34). sleeping too much or inability to sleep at all. The section on bipolar disorders in the ICD-11 is labeled “bipolar and related disorders,” which is consistent with the Diagnostic and Statistical Manual of Mental. Emotionally unstable; Emotionally unstable personality disorder; Explosive personality disorder; antisocial personality disorder (F60. The term "cyclothymia" is being used with different meanings. ICD-10 COVERED DIAGNOSIS TABLE Enclosure 1. F60. The data is not an ICD-10 conversion tool and doesn’t guarantee clinical accuracy. This review focuses on the “Bipolar or Related Disorders” section of the ICD-11 draft. , euphoria, irritability, or expansiveness, psychomotor activation) and depressive (e. Within this classification system, the use of the F31. 2 Bipolar disorder, current episode manic sever. 8 - other international versions of ICD-10 F34. This is the American ICD-10-CM version of F33. [10, 14]. Other specified persistent mood disorders . Listed below are all Medicare Accepted ICD-10 codes under F34 for Persistent mood [affective] disorders. ICD-10 COVERED DIAGNOSIS TABLE Diagnosis Code Description . Major Depressive Disorder (MDD) is a mental disorder characterized by persistent, often daily, low mood and/or decreased interest (anhedonia). 13 Cyclothymic disorder convert 301. 0 [convert to ICD-9-CM] Cyclothymic disorder Cyclothymia; Affective personality disorder; Cycloid personality;. 1994). F34. Abnormal behavior can include. 8 may differ. Appendix C: Principal diagnoses which convert CC/MCC to non-CC. It is a form of depression, so it is the combination of depressive symptoms with the time a person experiences them for that can lead to a diagnosis of dysthymia. DSM-5-TR Additions and Revisions Text Revisions. F34. Dysthymia is a relatively new term for this combination of ongoing symptoms, so your doctor might be more. 9 Somatoform disorder, unspecified; F45. ICD-10 code F34 for Persistent mood [affective] disorders is a medical classification as listed by WHO under the range -Mood [affective] disorders . crying spells. • Codes from chapter 5 are assigned based on the express documentation of the provider’s clinical judgment regarding the patient’s mental or behavioral disorder(s). Showing 1-25: ICD-10-CM Diagnosis Code F60. This is the American ICD-10-CM version of F34. F25. Phase IV: Residual phase: symptoms of the acute stage are either absent or no longer prominent. bipolar disorder ( F31. D. F60. F45. Sexual, emotional, and physical abuse if the child/young person shows disinhibition, hypervigilance, or hypersexuality. According to DSM-5, if an individual with cyclothymic disorder. 71. Cyclothymic disorder however is a subtype of bipolar disorder, and characterized by chronic but less extreme mood states [17, 18]. F34. ICD-10-CM Diagnosis Code F34. There are a number of rule-outs to consider, and there is debate. 89 Other specified persistent mood disorders. 94: Avg LOS with ICD 30113 - Cyclothymic disorder: 15. Lesley Stevens MB BS FRCPsych, Ian Rodin BM MRCPsych, in Psychiatry (Second Edition), 2011. F33 Major depressive disorder, recurrent. bipolar disorder, single manic episode (F30. Do-. The 2024 edition of ICD-10-CM F34 became effective on October 1, 2023. F34. 10); 54. Even though it is milder than bipolar I or II disorders, cyclothymia requires ongoing treatment to manage symptoms. F31. F34. ICD-10-CM Diagnosis Code F45. In other words, cyclothymia is a. 50 - Bipol I cur depres NOS: Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is. F60. 3 Bipolar disorder, current episode depressed,. 8 - other international versions of ICD-10 F30. 99: Readmission Rate with ICD 30113 - Cyclothymic disorder: NA:. 81 is a valid billable ICD-10 diagnosis code for Disruptive mood dysregulation disorder . The historic roots of dysthymic and cyclothymic disorders--part of the subaffective spectrum--are essentially Greek, but the first use of the word 'dysthymia' in psychiatry was by C. 0 Cyclothymic disorder. Other types of bipolar disorders. When documenting behavioral disorders, the following descriptors apply: Type: Depressive, manic, or bipolar disorder. ICD-9-CM 301. ICD-11 will formally replace ICD-10 in 2022. Cyclothymia is a mental health disorder that is characterized by mood swings that range from mild to severe. This activity will review the evaluation, diagnosis, and. 0); bipolar I. Symptoms include hopelessness, low self-esteem, poor concentration, and changes in sleep and appetite. Other specified persistent mood disorders. F31. Comparable to DSM-5, in ICD-11 bipolar disorders are subdivided into bipolar I and bipolar II disorder, with similar diagnostic criteria. 01: Readmission Rate with ICD F340 - Cyclothymic disorder: NA: Unplanned Readmission Rate at DRG: 9. 06 Mental, behavioural or neurodevelopmental disorders 07 Sleep-wake disorders 08 Diseases of the nervous system 09 Diseases of the visual system 10. The term ’’cyclothymia’’ is being used with different meanings. Behavioral health disorders are classified in Chapter 5 of the ICD-10-CM . Billable - F34. Persistent mood [affective] disorders (includes cyclothymic disorder and. 89 - other international versions of ICD-10 F34. . 3 Borderline personality disorder. 0 Cyclothymic disorder F05 Delirium due to known physiological condition F22 Delusional disorders F02. R isks for cyclothymic disorder and temperament ap-pear to be similar in men and women, to have a minor female preponderance and a greater chance. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Borderline personality disorder: Epidemiology, pathogenesis, clinical features, course, assessment, and diagnosis. You can, however, also work with. substance/ medication- induced bipolar and related disorders 5. 42. Tabular List. To diagnose yourself, take the cyclothymic disorder test. Cyclothymic disorder. The primacy of the disorder is inherently nebulous as it shares diagnostic features with a multiplicity of disorders. Cyclothymic Disorder (or cyclothymia) is a milder form of bipolar. People suffering from this disorder are capable of experiencing only severe depression and not manic episodes. Manic episode, severe with psychotic symptoms. 10 should only be used for claims with a date of service on or before September 30, 2015. 89 became effective on October 1, 2023. bipolar and related disorder due to another medical condition 6. . The newest version of the code — ICD-10, which was released on October 1, 2015 — contains more digits (3 to 7 digits) than the previous version (3 to 5 digits). 0 Cyclothymic Disorder F34. Cyclothymia is characterized by episodes consisting of hypomanic and depressive symptoms that do not meet the full. But cyclothymia symptoms remain present at. ↓ See below for any exclusions, inclusions or special notations. F30 Manic episode. Unspecified anxiety disorder is coded using the ICD-10-CM code F41. 0. Primer. Cyclothymic disorder symptoms usually start to appear in adolescence or early adult life. Disease Ontology ID. 4 [convert to ICD-9-CM] Histrionic personality disorder. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10. the designation of ‘disorder’. 4 years (Table 1). Parent Code: F34. Mental, Behavioral and Neurodevelopmental disorders. F34. The purpose of this paper was to review the available evidence about classic diagnostic validators as they apply to the diagnosis of BD in children and adolescents ( 9, 10 ). With cyclothymic disorder, an individual might feel great one week, and then low or down the next. Other persistent mood disorders. 0 became effective on October 1, 2023. The wording of criterion B in bipolar I disorder and criterion C in bipolar II disorder in DSM-5: “The occurrence of the manic and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecifiedEpidemiology. A phobia is a type of anxiety disorder. 12 to ICD-10-CM; 301. Current diagnostic criteria for cyclothymic disorder (DSM-5 and ICD-10), Bipolar disorder is a complex and heterogeneous condition that poses many diagnostic challenges and requires personalized treatment. Mixed Depressive and Anxiety Disorder: Included in Depressive Disorder grouping because of relevance to differentiating from Depressive Disorders. These changes substantially harmonize the ICD-11 and DSM-5 systems, one overarching goal of the revision. “Cyclothymic disorder is actually a subset of bipolar disorder, according. F34 Persistent mood [affective] disorders. 0 references. PDD is a consolidation of DSM-IV diagnosis of chronic major depressive disorder and dysthymic disorder. World Psychiatry, 12(2), 137-148. 5 result found: ICD-10-CM Diagnosis Code F34. Cyclothymic disorder. , euphoria, irritability, or expansiveness, psychomotor activation) and depressive (e. 99: Readmission Rate with ICD 30113 - Cyclothymic disorder: NA:. Cyclothymia is just one of many ways the brain and its vast capacity can occasionally cause problems for an individual. Want to read the entire topic? Access the full ICD-10. 2 became effective on October 1, 2023. The ICD-10 defines Cyclothymia as having several depressive or hypomania periods which are not severe to be classified as bipolar disorder. Cyclothymic disorder: Also known as cyclothymia, experts often classify this condition as a type of bipolar disorder. Pediatric bipolar disorder greatly disrupts normal development and psychosocial functioning, and increases the risk for behavioral, academic, social, and legal problems, as well as psychosis, substance abuse, and suicide [ 3-5 ]. Cyclothymic Disorder Cyclothymic Disorder (ICD) - Diagnostic Criteria European Description. ICD-10 dysthymia subsumes a number of categories which include recurrent depression of mood. In cyclothymic disorder, moods swing between short periods of mild depression and hypomania, an elevated mood. 2217/npy. This article reviews the current state of knowledge and research on bipolar disorder diagnosis, including the use of biomarkers, neuroimaging, and clinical features. Factitious disorder imposed on self, with predominantly physical signs and symptoms. F60. To code a diagnosis of this type, you must use one of the four child codes of F34 that describes the diagnosis 'persistent mood [affective] disorders' in more detail. These shifts can make it difficult to carry out day-to-day tasks. The diagnosis is then specified as to. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Since ICD-10 a manic episode has been codable only within mood disorders. ICD-10 code F34. Which of the following is true of cyclothymic disorders? a. DSM-IV and ICD-10 define "cyclothymia" or "cyclothymic disorder" as a long lasting, subeffective disorder with frequent shifts between hypomanic and (sub)depressive states. A diagnosis of cyclothymic disorder is given to individuals with periods of both hypomanic and depressive symptoms without meeting the full criteria for mania, hypomania or major. This was the first year ICD-10-CM was implemented into the HIPAA code set. Billable - F34. lence of cyclothymic disorder of 0. borderline personality disorder ( F60. 73 to . Applicable To. In the tradition of Kurt Schneider cyclothymia was understood as a synonym for manic-depressive illness. Those. F34 Persistent mood [affective] disorders. Affective psychosis; Episodic mood disorder; Mild mood disorder; Moderate mood disorder; Mood disorder; Mood disorder in full remission; Mood disorder in partial remission; Mood disorder severe with psychosis mood. 4–2. Other persistent mood disorders. F34. 32: Delayed ejaculation: Delirium: 293. F34. DSM-IV and ICD-10 define ’’cyclothymia’’ or ’’cyclothymic disorder’’ as a long lasting, subaffective disorder with frequent shifts between hypomanic and (sub)depressive states. CMHB Serious Emotional Disturbance (SED) Diagnosis ICD 10 Diagnostic Codes Effective October 1, 2022 Diagnoses below are from the DSM -5-TR. sleep disturbance. Cyclothymic disorder is a mood disorder characterized by chronic, fluctuating mood disturbances that consist of numerous hypomanic symptoms ( not a hypomanic episode) and depressive symptoms ( not a depressive episode), that are chronologically distinct from each other. 13 should only be used for claims with a date of service on or before September 30, 2015. ↓ See below for any exclusions, inclusions or special notations. 9. This ICD-10 to ICD-9 data is based on the 2018 General Equivalency Mapping (GEM) files published by the Centers for Medicare & Medicaid Services (CMS) for informational purposes only. Cyclothymic disorder is a mood disorder characterized by chronic, fluctuating mood disturbances that consist of numerous hypomanic symptoms ( not a hypomanic episode) and depressive symptoms ( not a depressive episode), that are chronologically distinct from each other. 5 Obsessive-compulsive personality disorder. ↓ See below for any exclusions, inclusions or special notations. 0 for Cyclothymic disorder is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders . Do-. Cyclothymic disorder is characterized by hypomanic and mini-depressive symptoms that last a few days, follow an irregular course, and are less severe than those in bipolar disorder; these symptom periods must occur for more than half the days during a period of ≥ 2 years. Cyclothymic Disorder. Bipolar disorder is a mental health condition where you have different mood episodes over time — ranging from low-energy depression to high-energy mania. Search Results. According to Brieger and Marneros (1997), the cyclothymic temperament matches cyclothymic disorders to a great extent. For major depression, the two sets of criteria are largely the same, whereas for other disorders such as dysthymia, the criteria differ substantially. 9 Persistent mood [affective] disorder, unspecified. These mood swings are less severe than with bipolar disorder or major depression. 81 Disruptive mood dysregulation disorder. ICD-10 Basics Check out these videos to learn more about ICD-10. 81 Narcissistic personality disorder. 0 Cyclothymic disorder . The person will show signs of deterioration in function. Schizoaffective psychosis, bipolar type. This is the American ICD-10-CM version of F33. weight loss or gain. Psychiatric Association, 2013) and ICD-10 (WHO, 1992), changes introduced by. Version 2024. ICD-10 AND DSM-IV APPROACHES In DSM-IV, dysthymic disorder is one of the depressive disorders and cyclothymic disorder is one of the bipolar dis-Appendix 1 Diagnostic Criteria ICD-10 251 F32. episodes may become superimposed on a persistent affective disorder. These codes can be used for all HIPAA-covered transactions. cyclothymia . ICD-10-CM/PCS MS-DRG v41. Diagnosis and Treatment of Cyclothymia: The "Primacy" of Temperament. 01 is grouped within Diagnostic Related Group (s) (MS-DRG v41. 0 references. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0: Readmission Rate at DRG: 16. Listed below are all Medicare Accepted ICD-10 codes under F34. F34. Cyclothymic disorder is characterized by hypomanic and mini-depressive periods that last a few days, follow an irregular course, and are less severe than those in bipolar disorder; these symptom periods must occur for more than half the days during a period of ≥ 2 years. 10. These mood swings can occur over the course of days, weeks, or even months and can interfere with a person’s ability to function normally in everyday life. The validity of pediatric bipolar subtypes may be of particular interest now, as DSM-5 and WHO/ICD-11 committees are meeting to determine the future classification system. F34. It can be a part of fear or. 0. Cyclothymic disorder. conduct disorders ( F91. Episodic paroxysmal anxiety (F41. F34. doi: 10. In order for a diagnosis of. . Cyclothymia is a mental health disorder that is characterized by mood swings that range from mild to severe. Psychology. F34. The 2024 edition of ICD-10-CM F34. Similarly, cyclothymia, which stood in the ICD-10 under a separate grouping, is now incorporated in the core bipolar or related disorders heading. F60. F33. 9431 Cyclothymic disorder. The efficacy of psychotherapy and pharmacotherapy in treating depressive and anxiety disorders: a meta‐analysis of direct comparisons. F60. Cyclothymic disorder: F341: Dysthymic disorder: F3481: Disruptive mood dysregulation disorder: F3489: Other specified persistent mood disorders: F349:The 2024 edition of ICD-10-CM F40. F34. 10. DSM-5 criteria 19 defines cyclothymic disorder as having the same mood swings as the ICD-10, but notes that: A person should have had many periods of hypomania, and periods of depression for at least two years, or one year in children and teenagers. -); cyclothymia (F34. aggressiveness. This is the American ICD-10-CM version of F34. Cyclothymic disorder in youth: Why is it overlooked, what do we know and where is the field headed? Neuropsychiatry (London), 2(6), 509-519. Convert to ICD-9. 1 [convert to ICD-9-CM] Dysthymic disorder. 1 - other international versions of ICD-10 F33. 32 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. -) manic episode ( F30. 82). F34. Affective personality disorder. ICD-10-CM/PCS codes version 2016/2017/2018/2019/2020/2021, ICD10 data search engineClassification of mood disorders. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). F31. Cyclothymia. 13 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 301. Additional/Related Information. Bipolar disorder, current episode depressed, moderate. Obsessive-compulsive personality disorder. Cyclothymic disorder is a mild form of bipolar disorder II, characterized by emotional ups and downs. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) Reimbursement claims with a date of service on or after October 1, 2015 require the use. Many Anthem HealthKeepers Plus members may have behavioral health disorders that are not properly managed. Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental illness that causes unusual shifts in a person’s mood, energy, activity levels, and concentration. Cyclothymia, which in ICD-9 and DSM-II was subsumed under the affective personalities, was first introduced into DSM-III and DSM-IV and subsequently into ICD-10 as a form of. 89 Other Specifi ed Bipolar and Related Disorder . Of the 1377 participants, 47. 44 % of Total ICD 30113 - Cyclothymic disorder in DRG: 2. Cyclothymic disorder: F4481: Dissociative identity disorder: F5000: Anorexia nervosa, unspecified: F5001: Anorexia nervosa, restricting type: F5002: Anorexia nervosa, binge eating/purging type:. Cyclothymic disorder. Later ICD-10 followed this development, although one slight conceptual difference between ICD-10 and DSM-IV is that the former lists dysthymic and cyclothymic disorder under a common heading that stresses their chronic courses, while the latter focuses on the bipolar–unipolar distinction and therefore assigns the two disorders to. Diagnosis is clinical and based on history. DSM. Dysthymic disorder. F34.