Diagnosis
American Academy of Pediatrics FASD Toolkit on Diagnosis and Prevention AAP toolkit was developed to raise awareness, promote surveillance and screening, and ensure that all affected children receive appropriate and timely interventions.
www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/fetal-alcohol-spectrum-disorders-toolkit/Pages/default.aspx
Link directly to the Algorithm for Evaluation (in pdf)
Recognizing Alcohol-Related Neurodevelopmental Disorder
www.niaaa.nih.gov/sites/default/files/ARNDConferenceConsensusStatementBooklet_Complete.pdf
DSM 5: Neurodevelopmental Disorder Associated with Prenatal Alcohol Exposure (ND-PAE)
(DSM-5, pgs 798-801 315.8 (F88))
Article from Speech Therapy www.smartspeechtherapy.com/what-is-nd-pae-and-how-is-it-related-to-fasd/ understanding the difference between FASD and ND-PAE, excellent explanations.
CDC Diagnostic Codes
ICD-9 Codes
Primary Diagnosis
760.71 Fetal Alcohol Syndrome (Exposure to alcohol in utero)
V29.8 Observation for other suspected condition (neonatal period)
293.83 Mood disorder secondary to medical problem
760.4 Maternal nutritional disorder
761.9 Maternal complication of pregnancy affecting fetus or newborn, unspecified (including mental health)
349.89 Static encephalopathy
349.9 CNS disorder, NOS
Facial Features
743.10 Microcephaly
796.4 Dysmorphic Features
Growth
783.22 Underweight
783.3 Feeding difficulty and mismanagement
783.41 Failure to thrive in childhood
783.43 Short stature
Development
315.5 Developmental delay, mixed
783.40 Lack of normal physiological development in childhood
783.42 Delayed milestones
CNS Abnormality
294.9 Cognitive disorder, NOS
331.83 Mild cognitive impairment
317 Mild intellectual disabilities (IQ 50-70)
318.0 Moderate intellectual disabilities (IQ 35-49)
318.1 Severe intellectual disabilities (IQ 20-34)
318.2 Profound intellectual disabilities (IQ <20)
349.82 Toxic encephalopathy [Report with appropriate E code]
309.81 Complex emotional trauma (also PTSD)
313.89 Reactive attachment disorder
312.34 Intermittent explosive disorder
315.31 Expressive language disorder
315.32 Mixed receptive-expressive language disorder
315.5 Mixed developmental disorder (low acuity code)
315.9 Delay in Development, unspecified
313.83 Academic underachievement
314.00 ADD
314.01 ADHD
314.1 Hyperkinesis with developmental delay [Use additional code to identify any associated neurological disorder]
314.2 Hyperkinetic conduct disorder
314.8 Hyperkinetic syndrome, unspecified
315.00 Reading disorder, unspecified
315.01 Alexia
315.02 Developmental dyslexia
315.09 Specific reading disorder
315.1 Mathematics disorder
315.2 Disorder of written expression
331.83 Mild cognitive impairment, so stated
781.3 Hypotonia (unspecified), Lack of coordination 7
84.60 Symbolic dysfunction, unspecified
784.61 Alexia and dyslexia
784.69 Symbolic dysfunction, other (e.g., acalculia, apraxia, agnosia)
799.51 Attention or concentration deficit (not associated with ADD)
799.52 Cognitive communication deficit
799.53 799.54 Visuospatial deficit Psychomotor deficit
799.55 Frontal lobes and executive function deficits 799.59 Other signs and symptoms involving cognition
V40.0 Problems with learning
V40.1 Problems with communication (e.g., speech)
V40.39 Behavioral problems, other
V40.9 Mental or behavioral problem, unspecified
V71.09 Observation for suspected mental condition, not found
Secondary Diagnosis
345.XX Seizure disorders [Code requires a 4th and 5th digit]
343.X CP (congenital or infantile) [Code requires a 4th digit]
760.7X 780.52 Noxious influences affecting fetus, excluding alcohol Insomnia, unspecified 995.50 and E967.1 Child abuse by parent 995.50 and E967.9 Child abuse by 3rd party
995.55 Shaken baby syndrome [Use E967.X to identify perpetrator]
V61.20 Counseling for parent-child problems, unspecified
V61.29 Parent-child problems, other
V65.42 Counseling on substance use and abuse
V79.1 Special screening for alcoholism
V79.2 Special screening for intellectual disabilities