Schizophrenia E006

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/q-z/schizophrenia-e006-f200-f203f205f209

Last amended

Rulebase for schizophrenia

<h5>Current RMA Instruments</h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2016/083.pdf&quot; target="_blank">Reasonable Hypothesis SOP</a></address></td><td>83 of 2016</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2016/084.pdf&quot; target="_blank">Balance of Probabilities SOP</a></address></td><td>84 of 2016</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="04c56b9c-a9c2-44f2-b9e8-dd4e0e1df37d" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><ul><li>ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9</li><li>ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9</li></ul><h5>Brief description</h5><p>Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.</p><h5><strong>Confirming the diagnosis</strong></h5><p>A report from a specialist psychiatrist that conforms with the Repatriation Commission <a href="/node/21517" target="_blank"><em>Guidelines for Psychiatric Compensation Claims </em></a>is required for diagnosis.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>catatonic schizophrenia</li><li>hebephrenic schizophrenia</li><li>paranoid schizophrenia</li><li>residual schizophrenia</li></ul><h5><strong>Conditions not covered by SOP</strong></h5><ul><li>acute schizophrenic (like) episode, ICD code 295.4</li><li>latent schizophrenia, ICD code 295.5</li><li>mood disorders with psychotic features, ICD code 296.99</li><li>psychosis due to the direct physiological effects of a substance, ICD code 292.89</li><li>schizoaffective disorder, ICD code 295.7</li><li>schizoid personality disorder, ICD code 301.2</li><li>simple schizophrenia, ICD code 295.0</li></ul><p>(all non-SOP conditions)</p><h5>Clinical onset</h5><p>Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.</p><p><strong>Clinical worsening</strong></p><p>The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   </p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/rulebase-schizophrenia

A category 1A stressor

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/category-1a-stressor

A category 1B stressor

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/category-1b-stressor

A clinically significant psychiatric condition

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/clinically-significant-psychiatric-condition

A course of therapeutic radiation to the brain

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/course-therapeutic-radiation-brain

A drug or a drug from the class of drugs in specified list 1

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/drug-or-drug-class-drugs-specified-list-1

A moderate to severe cerebral trauma

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/moderate-severe-cerebral-trauma

Alcohol dependence or alcohol abuse

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/alcohol-dependence-or-alcohol-abuse

Atomic radiation

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/atomic-radiation

Cessation or reduction of antipsychotic drug therapy

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/cessation-or-reduction-antipsychotic-drug-therapy

Drug dependence or drug abuse for the onset of schizophrenia

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/drug-dependence-or-drug-abuse-onset-schizophrenia

Drug dependence or drug abuse for the worsening of schizophrenia

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/drug-dependence-or-drug-abuse-worsening-schizophrenia

Drug treatment associated with psychotic symptoms

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/drug-treatment-associated-psychotic-symptoms

Inability to obtain appropriate clinical management for schizophrenia

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/inability-obtain-appropriate-clinical-management-schizophrenia

Infection with Toxoplasma gondii

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/infection-toxoplasma-gondii

Severe childhood abuse

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/severe-childhood-abuse

The death of a related child

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/death-related-child

The early-death of a parent

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/early-death-parent

Using cannabis

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/using-cannabis

Viral meningitis or encephalitis or meningoencephalitis

Current RMA Instruments
Reasonable Hypothesis SOP
83 of 2016
Balance of Probabilities SOP
84 of 2016
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 295.1-295.3, 295.6, 295.9
  • ICD-10-AM Codes: F20.0-F20.3, F20.5, F20.9
Brief description

Schizophrenia is a disorder of mental health involving chronic or recurrent psychosis.  Psychosis means a loss of contact with reality in the form of hallucinations and delusions, as well as disorganised thoughts and behaviour.

Confirming the diagnosis

A report from a specialist psychiatrist that conforms with the Repatriation Commission Guidelines for Psychiatric Compensation Claims is required for diagnosis.

Additional diagnoses covered by SOP
  • catatonic schizophrenia
  • hebephrenic schizophrenia
  • paranoid schizophrenia
  • residual schizophrenia
Conditions not covered by SOP
  • acute schizophrenic (like) episode, ICD code 295.4
  • latent schizophrenia, ICD code 295.5
  • mood disorders with psychotic features, ICD code 296.99
  • psychosis due to the direct physiological effects of a substance, ICD code 292.89
  • schizoaffective disorder, ICD code 295.7
  • schizoid personality disorder, ICD code 301.2
  • simple schizophrenia, ICD code 295.0

(all non-SOP conditions)

Clinical onset

Symptoms meeting the diagnostic criteria need to be present for 6 months before the diagnosis can be confirmed, but clinical onset can then be backdated to when those relevant symptoms began.

Clinical worsening

The course of schizophrenia is variable.  There may be periods of remission and long term recovery to a good level of functioning or symptoms may be continuous and impairment may be severe.   

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/q-z/schizophrenia-e006-f200-f203f205f209/rulebase-schizophrenia/viral-meningitis-or-encephalitis-or-meningoencephalitis