DATE OF ISSUE: 7 OCTOBER 1993
Veterans' Children Education Scheme
This Instruction provides information on a change to the Veterans' Children Education Scheme (VCES) announced in the Budget, and the Minister's approval to extend counselling and guidance services provided through the Scheme for children of certain veterans.
Children of EDA veterans to be "eligible children"
2.As announced in the Budget, the range of beneficiaries under the VCES is to be extended. Children of pensioners in receipt of Extreme Disablement Adjustment (EDA) will be eligible for full benefits under the VCES. Eligibility for VCES benefits is currently available only for children of deceased EDA veterans.
3. Enabling legislation for this change will be introduced in the Budget Sittings of Parliament. The effective date of this change will be 1 January 1994.
4.We will be sending to each Branch a list of EDA pensioners who are identified on the system as having dependent children. These lists will be forwarded before the implementation date.
Counselling and guidance services for children of certain veterans
5.As recommended in the recent review of the VCES, the Minister has approved, under section 92 of the Veterans' Entitlements Act, the extension of guidance and counselling services (but not financial assistance) provided through the Veterans' Children Education Scheme (VCES). Where veterans and members are suffering from certain psychiatric conditions, resulting in a diminished ability to provide "normal" levels of parental support, the counselling and guidance services of the Scheme will now be available to the children of these veterans. The eligibility criteria necessary are that the veteran or member:
.be suffering a psychiatric condition in the International Classification of Diseases (ICD) range of 290.0 to 299.9 (an extract from the ICD is attached); and
.has been assessed at 70% of the General Rate or above.
6.Extension of this benefit does not include payment of education allowance.
7.Suitably qualified members of the Veterans' Children Education Boards will provide guidance and counselling on educational matters for children of these veterans where necessary. Alternatively, they may be referred to other appropriate organisations.
8.We have written to the Chairman of the Veterans' Children Education Board in each State. We have also written to the National Secretaries of the R&SL, Legacy, the T&PI Association and the VVAA, advising them of the extension of this benefit.
NATIONAL PROGRAM DIRECTOR
(BENEFITS)
THIS ATTACHMENT HAS BEEN REKEYED TO ENABLE IT TO BE INCLUDED ON THE GENERAL
ATTACHMENT
5. MENTAL DISORDERS (290-319)
In the International classification of Diseases, 9th Revision (ICD-9), the corresponding Chapter V, "Mental Disorders," includes a glossary which defines the contents of each category. The introduction to Chapter V in ICD-9 indicates that the glossary is intended so that psychiatrists can make the diagnosis based on the descriptions provided rather than from the category titles. Lay coders are instructed
to code whatever diagnosis the physician records.
Chapter 5, "Mental Disorders," in ICD-9-CM uses the standard classification format with inclusion and exclusion terms, omitting the glossary as part of the main text.
The mental disorders section of ICD-9-CM has been expanded to in- corporate additional psychiatric disorders not listed in lCD-9. The glossary from ICD-9 does not contain all these terms. It now appears in Appendix B, pages 1077-1125 which also contains descriptions and definitions for the terms added in lCD-9-CM. Some of these were provided by the American Psychiatric Association's Task Force on
Nomenclature and Statistics who are preparing the Diagnostic and Statistical Manual, Third Edition (DSM-III), and others from A Psychiatric Glossary.
The American Psychiatric Association provided invaluable assistance in modifying Chapter 5 of ICD-9-CM to incorporate detail useful to American clinicians and gave permission to use material from the aforementioned sources.
1.Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 9th Revision, World Health Organisation, Geneva, Switzerland, 1975.
2.American Psychiatric Association, Task Force on Nomenclature and Statistics, Robert L. Spitzer, M.D., Chairman.
3.A Psychiatric Glossary, Fourth Edition, American Psychiatric Association, Washington, D.C., 1975.
PSYCHOSES (290-299)
Excludes mental retardation (317-319)
ORGANIC PSYCHOTIC CONDITIONS (290-294)
Includes: psychotic organic brain syndrome
Excludes: non psychotic syndromes of organic
etiology (310.0-310.9)
psychoses classifiable to 295-298 and without impairment of orientation,
comprehension, calculation, learning capacity, and judgement, but associated with physical disease, injury, or condition affecting the brain [e.g., following childbirth (295.0-298.8)
290 Senile and presenile organic psychotic conditions
Excludes: dementia not classified as senile,
presenile, or arteriosclerotic (294.1)
psychoses classifiable to 295-298
occurring in the senium without dementia or delirium (295.0-298.8)
senility with mental changes of non psychotic severity (310 1)
transient organic psychotic conditions (293.0-293.9)
290.0 Senile dementia uncomplicated
Senile dementia:
NOS
simple type
Excludes. l mild memory disturbances, not amounting
to dementia, associated with senile brain disease (310.1)
senile dementia with. delirium or confusion (290.3)
delusion [paranoid] features (290.20)
depressive features (290.21)
290.1 Presenile dementia
Brain syndrome with presenile brain disease Dementia in:
Alzheimer's disease
Jakob-Creutzfeldt disease
Pick's disease of the brain
Use additional code to identify the associated neurological condition, as:
Alzheimer's disease (331.0)
Jakob-Creutzfeldt disease (046.1)
Pick's disease of the brain (331.1)
Excludes. l arteriosclerotic dementia (290.40-290.43)
dementia associated with other cerebral conditions (294.1)
290.10 Presenile dementia, uncomplicated
Presenile dementia:
NOS
simple type
290.11 Presenile dementia with delirium
Presenile dementia with acute confusional state
290.12 Presenile dementia with delusional features
Presenile dementia, paranoid type
290.13 Presenile dementia with depressive features
Presenile dementia, depressed type
290.2 Senile dementia with delusional or depressive features
Excludes: senile demenlia:
NOS (290.0)
with delirium and/or confusion (290.3)
290.20 Senile dementia with delusional features
Senile dementia, paranoid type
Senile psychosis NOS
290.21 Senile dementia with depressive features
290.3 Senile dementia with delirium
Senile dementia with acute confusional state
Excludes: senile:
dementia NOS (290.0)
psychosis NOS (290.20)
290.4 Arteriosclerotic dementia
Multi-infarct dementia or psychosis
Use additional code to identify cerebral atherosclerosis (437.0)
Excludes: suspected cases with no clear evidence
of arteriosclerosis (290.9)
290.40 Arteriosclerotic dementia, uncomplicated
Arteriosclerotic dementia:
NOS
simple type
290.41 Arteriosclerotic dementia with delirium
Arteriosclerotic dementia with acute confusional state
290.42 Arteriosclerotic dementia with delusional features
Arteriosclerotic dementia, paranoid type
290.43 Arteriosclerotic dementia with depressive features
Arteriosclerotic dementia, depressed type
290.8 Other specified senile psychotic conditions
Presbyophrenic psychosis
290.9 Unspecified senile psychotic condition
291 Alcoholic psychoses
Excludes: alcoholism without psychosis (303.0-303.9)
291.0 Alcohol withdrawal delirium
Alcoholic delirium — Delirium tremens
291.1 Alcohol amnestic syndrome
Alcoholic polyneuritic psychosis
Korsakoff's psychosis, alcoholic
Wernicke-Korsakoff syndrome (alcoholic)
291.2 Other alcoholic dementia
Alcoholic dementia NOS
Alcoholism associated with dementia NOS
Chronic alcoholic brain syndrome
291.3 Alcohol withdrawal hallucinosis
Alcoholic:
hallucinosis (acute)
psychosis with hallucinosis
Excludes: alcohol withdrawal with delirium (291.0)
schizophrenia (295.0-295.9) and
paranoid states (297.0-297.9)
taking the form of chronic
hallucinosis with clear
consciousness in an alcoholic
291.4 Idiosyncratic alcohol intoxication
Pathologic:
alcohol intoxication
drunkenness
Excludes: acute alcohol intoxication (305.0)
in alcoholism (303.0)
simple drunkenness (305.0)
291.5 Alcoholic jealousy
Alcoholic
paranoia
psychosis, paranoid type
Excludes: non-alcoholic paranoid states (297.0-297.9)
schizophrenia, paranoid type (295.3)
291.8 Other specified alcoholic psychosis
Alcohol:
abstinence syndrome or symptoms
withdrawal syndrome or symptoms
Excludes: alcohol withdrawal:
delirium (291.0)
hallucinosis (291.3)
delirium tremens (291.0)
291.9 Unspecified alcoholic psychosis
Alcoholic:
mania NOS
psychosis NOS
Alcoholism (chronic) with psychosis
292 Drug psychoses
Includes:drug-induced mental disorders
organic brain syndrome associated with
consumption of drugs
Use additional code for any associated drug dependence (304.0-304.9)
Use additional E code, if desired, to identify drug
292.0 Drug withdrawal syndrome
Drug:
abstinence syndrome or symptoms
withdrawal syndrome or symptoms
292.1 Paranoid and/or hallucinatory states induced by drugs
292.11 Drug-induced organic delusional syndrome
Paranoid state induced by drugs
292.12 Drug-induced hallucinosis
Hallucinatory state induced by drugs
Excludes: stales following LSD or other
hallucinogens, lasting
only a few days or less
["bad trips"] (305.3)
292.2 Pathological drug intoxication
Drug reaction:
NOS — resulting in brief
idiosyncratic — psychotic states
pathologic
Excludes: expected brief psychotic reactions to
hallucinogens ["bad trips"] (305.3)
physiological side-effects of drugs
(e.g, dystonias)
292.8 Other specified drug-induced mental disorders
292.81 Drug-induced delirium
292.82 Drug-induced dementia
292.83 Drug-induced amnestic syndrome
292.84 Drug-induced organic affective syndrome
Depressive state induced by drugs
292.89 Other
Drug-induced organic personality syndrome
292.9 Unspecified drug-induced mental disorder
Organic psychosis NOS due to or associated with drugs
293 Transient organic psychotic conditions
Includes: transient organic mental disorders not associated with alcohol or drugs
Use additional code to identify the associated physical or neurological condition
Excludes: confusional state or delirium superimposed
on senile dementia (290.3)
dementia due to:
alcohol (291.0-291.9)
arteriosclerosis (290.40-290.43)
drugs (292.82)
senility (290.0)
293.0 Acute delirium
Acute:Acute psychosis
confusional state — associated with
infective psychosis — endocrine, metabolic,
organic reaction — or cerebrovascular
post traumatic organic — disorder
psychosis — Epileptic:
psycho-organic syndrome — confusional state
twilight state
293.1 Subacute delirium
Subacute:Subacute:
confusional state — psycho-organic
infective psychosis — syndrome
organic reaction — psychosis
post traumatic organic — associated with
psychosis — endocrine or
metabolic disorder
293.8 Other specified transient organic mental disorders
293.81 Organic delusional syndrome
Transient organic psychotic condition,
paranoid type
293.82 Organic hallucinosis syndrome
Transient organic psychotic condition,
hallucinatory type
293.83 Organic affective syndrome
Transient organic psychotic condition,
depressive type
293.89 Other
293.9 Unspecified transient organic mental disorder
Organic psychosis:Psycho-organic
infective NOS — syndrome
post traumatic NOS
transient NOS
294 Other organic psychotic conditions (chronic)
Includes: organic psychotic brain syndromes
(chronic), not elsewhere classified
294.0 Amnestic syndrome
Korsakoff's psychosis or syndrome (non-alcoholic)
Excludes: alcoholic:
amnestic syndrome (291.1)
Korsakoffs psychosis (291.1)
294.1 Dementia in conditions classified elsewhere
Use additional code to identify the underlying
physical condition, as:
dementia in:
cerebral lipidoses (330.1)
epilepsy (345.0-345.9)
general paresis [syphilis] (094.1)
hepatolenticular degeneration (275.1)
Huntington's chorea (333.4)
multiple sclerosis (340)
polyarteritis nodosa (446.0)
syphilis (094.1)
Excludes: dementia:
arteriosclerotic (290.40-290.43)
presenile (290.l0-290.l3)
senile (290.0)
epileptic psychosis NOS (294.8)
294.Other specified organic brain syndromes (chronic)
Epileptic psychosis NOS
Mixed paranoid and affective organic psychotic states
Use additional code for associated epilepsy
(345.0-345-9)
Excludes:l mild memory disturbances, not amounting
to dementia (310.1)
294.9 Unspecified organic brain syndrome (chronic)
Organic psychosis (chronic)
OTHER PSYCHOSES (295-299)
Use additional code to identify any associated physical disease, injury, or condition
affecting the brain with psychoses classifiable to 295-298
295 Schizophrenic disorders
Includes: schizophrenia of the types described in
295.0-295.9 occurring in children
Excludes: childhood type schizophrenia (299.9)
infantile autism (299.0)
The following fifth-digit sub classification is for use with category 295:
0 unspecified
1 subchronic
2 chronic
3 subchronic with acute exacerbation
4 chronic with acute exacerbation
5 in remission
295.0 Simple type
Schizophrenia simplex
Excludes: latent schizophrenia (295.5)
295.1 Disorganised type
Hebephrenia
Hebephrenic type schizophrenia
295.2 Catatonic type
Catatonic (schizophrenia): Schizophrenic:
agitation — catalepsy
excitation — catatonia
excited type — flexibilitas cerea
stupor
withdrawn type
295.3 Paranoid type
Paraphrenic schizophrenia
Excludes: involutional paranoid state (297.2)
paranoia (297.1)
paraphrenia (297.2)
295.4 Acute schizophrenic episode
Oneirophrenia
Schizophreniform:
attack
disorder
psychosis, confusional type
Excludes: acute forms of schizophrenia of:
catatonic type (295.2)
hebephrenic type (295.1)
paranoid type (295.3)
simple type (295.0)
undifferentiated type (295.8)
295.5 Latent schizophrenia
Latent schizophrenic — Schizophrenia:
reaction — prepsychotic
Schizophrenia:prodromal
borderline — pseudoneurotic
incipient — pseudopsychopathic
Excludes: schizoid personality (301.20-301.22)
295.6 Residuai schizophrenia
Chronic undifferentiated schizophrenic
Restzllstand (schizophrenic)
Schizophrenic residual state
295.7 Schizo-affective type
Cyclic schizophrenia
Mixed schizophrenic and affective psychosis
Schizo-affective psychosis
Schizophreniform psychosis, affective type
295.8 Other specified types of schizophrenia
Acute (undifferentiated) schizophrenia
Atypical schizophrenia
Cenesthopathic schizophrenia
Excludes: infantile atltism (299.0)
295.9 Unspecified schizophrenia
Schizophrenia:Schizophrenic reaction
NOS — NOS
mixed NOS — Schizophreniform
undifferentiated NOS — psychosis NOS
296 Affective psychoses
Includes: episodic affective disorders
Excludes: neurotic depression (300 4)
reactive depressive psychosis (298.0)
reactive excitation (298.1)
The following fifth-digit sub classification is for use with
categories 296.0-296.6:
0 unspecified
1 mild
2 moderate
3 severe, without mention of psychotic behaviour
4 severe, specified as with psychotic behaviour
5 in partial or unspecified remission
6 in full remission
296.0 Manic disorder, single episode
Hypomania (mild) NOS
Hypomanic psychosis
Mania (monopolar) NOS
Manic-depressive psychosis — single episode
or reaction — unspecified
hypomanic
manic
Excludes: circular type, if there was a previous
attack of depression (296.4)
296.1 Manic disorder, recurrent episode
Any condition classifiable to 296.0, stated to be recurrent
Excludes: circular type, if there was a previous
attack of depression (296.4)
296.2 Major depressive disorder, single episode
Depressive psychosis
Endogenous depression
Involutional melancholia
Manic-depressive psychosis or — single episode or
reaction, depressed type — unspecified
Monopolar depression
Psychotic depression
Excludes: circular type, if previous attack was of manic type (296.5)
depression NOS (311)
reactive depression (neurotic) (300.4)
psychotic (298.0)
296.3 Major depressive disorder, recurrent episode
Any condition classifiable to 296.2, stated to be recurrent
Excludes: circular type, if previous attack was
of manic type (296.5)
depression NOS (311)
reactive depression (neurotic) (300.4)
psychotic (298.0)
296.4 Bipolar affective disorder, manic
Bipolar disorder, now manic
Manic-depressive psychosis, circular type but
currently manic
Excludes: brief compensatory or rebound mood
swings (296.99)
296.5 Bipolar affective disorder, depressed
Bipolar disorder, now depressed
Manic-depressive psychosis, circular type but
currently depressed
Excludes: brief compensatory or rebound mood
swings (296.99)
296.6 Bipolar affective disorder, mixed
Manic-depressive psychosis, circular type, mixed
296.7 Bipolar affective disorder, unspecified
Atypical bipolar affective disorder NOS
Manic-depressive psychosis, circular type,
current condition not specified as either
manic or depressive
C1296.8 Manic-depressive psychosis, other and unspecified
296.80 Manic-depressive psychosis, unspecified
Manic-depressive:
reaction NOS
syndrome NOS
296.81 Atypical manic disorder
296.82 Atypical depressive disorder
296.89 Other
Manic-depressive psychosis, mixed type
296.9 Other and unspecified affective psychoses
Excludes: psychogenic affective psychoses (298.0-298.8)
296.90 Unspecified affective psychosis
Affective psychosis NOS
Melancholia NOS
296.99 Other specified affective psychoses
Mood swings:
beef compensatory
rebound
297 Paranoid states
Includes: paranoid disorders
Excludes: acute paranoid reaction (298.3)
alcoholic jealousy or paranoid state (291.5)
paranoid schizophrenia (295.3)
297.0 Paranoid state, simple
297.1 Paranoia
Chronic paranoid psychosis
Sander's disease
Systematized delusions
Exclude: paranoid personality disorder (301.0)
297.2 Paraphrenia
Involutional paranoid state
Late paraphrenia
Paraphrenia (involutional)
297.3 Shared paranoid disorder
Folie a deux
Induced psychosis or paranoid disorder
297.8 Other specified paranoid states
Paranoia querulans
Sensitiver Beziehungswahn
Excludes: acute paranoid reaction or state
(298.3)
senile paranoid state (290.20)
297.9 Unspecified paranoid states
Paranoid — Paranoid:
disorder NOS — reaction NOS
psychosis NOS — state NOS
298 Other nonorganic psychoses
Includes: psychotic conditions due to or provoked by:
emotional stress
environmental factors as major part
of etiology
298.0 Depressive type psychosis
Psychogenic depressive psychosis
Psychotic reactive depression
Reactive depressive psychosis
Excludes: manic-depressive psychosis, depressed
type (296.2-296.3)
neurotic depression (300.4)
reactive depression NOS (300.4)
298.1 Excitative type psychosis
Acute hysterical psychosis Reactive excitation
Psychogenic excitation
Excludes: manic-depressive psychosis, manic type
(296.0-296.1)
298.2 Reactive confusion
Psychogenic confusion
Psychogenic twilight state
Excludes: acute confusional state (293.0)
298.3 Acute paranoid reaction
Acute psychogenic paranoid psychosis
Bouffee delirante
Excludes: paranoid states (297.0-297.9)
298.4 Psychogenic paranoid psychosis
Protracted reactive paranoid psychosis
298.8 Other and unspecified reactive psychosis
Brief reactive psychosis NOS
Hysterieal psyehosis
Psyehogenie psyehosis NOS
Psyehogenie stupor
Excludes: acute hystericalpsychosis (298.1)
298.9 Unspecified psychosis
Atypieal psyehosis — Psychosis NOS
299 Psychoses with origin specific to childhood
Includes: pervasive developmental disorders
Excludes: adult type psychoses occurring in childhood, as:
affective disorders (296.0-296.9)
manic-depressive disorders (296.0-296.9)
schizophrenia (295.0-295.9)
The following fifth-digit sub classification is for use with
category 299:
0 current or active states
1 residual state
299.0 Infantile autism
Childhood autism — Kanner's syndrome
Infantile psyehosis
Excludes: disintegrative psychosis (299.1)
Heller's syndrome (299.1)
schizophrenic syndrome of childhood (299.9)
299.1 Disintegrative psychosis
Heller's syndrome
Use additional code to identify any associated
neurological disorder
Excludes: infantile autism (299.0)
schizophrenic syndrome of childhood (299.9)
299.8 Other specified early childhood psychoses
Atypical childhood psychosis
Borderline psychosis of childhood
Excludes: simple stereotypes without psychotic
disturbance (307.3)
299.9 Unspecified
Child psychosis NOS
Schizophrenia, childhood type NOS
Schizophrenic syndrome of childhood NOS
Excludes: schizophrenia of adult type occurring
in childhood (295.0-295.9)