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Dr_Anderson, Doctor
Category: Mental Health
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Experience:  Psychiatrist
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My 48yo son has a reason for MRI : Nonpsychot brain syn [310.9]

Customer Question

My 48yo son has a reason for MRI : Nonpsychot brain syn [310.9] am striking out-- leads where to look for information?
Thanks.
Submitted: 2 years ago.
Category: Mental Health
Expert:  Elliott, LPCC, NCC replied 2 years ago.
Seeking expert counseling is a sign of strength. A personal relationship with a caring professional is proven clinically effective.

Dear XXXXX,

There are no diagnoses called Nonpsychotic brain syndrome, nor are there any DSM-IV-TR (psychiatric diagnostic bible), nor any DSM-IV number 310.09.

However, you have probably misread this or it was given to you wrong. It is, most likely Personality Change Due to General Medical Condition, for which the DSM-IV code is 310.1.

To quote the DSM-IV manual, Personality Change Due to a General Medical Condition is defined as:

"A persistent personality disturbance that represents a change from an individual's previous personality pattern. Lab tests and physical examination reveals that the personality changes are directly caused by and are the consequence of a medical condition."

This, of course would be reason for an MRI: to detect the cause of this behavioral change, which might impair your son's social function, his occupation, or other key areas.

The possible medical conditions are brain tumors, systemic lupus and any other diseases and physiological malfunctions that may affect his brain.

Only further testing, including MRIs, will help discover exactly what is causing his personality change.

I wish you and him the very best success in uncovering the causes, and then finding proper treatment and therapy.


Warm regards,

Elliott Sewell, LPCC, NCC, CCMHC
Customer: replied 2 years ago.
Information previously found on the internet. Sorry, but not what I want/need.
Expert:  Dr_Anderson replied 2 years ago.
Greetings, and thank you for your question. ICD-9 code 310.9 stands for "Unspecified nonpsychotic mental disorder following organic brain damage," which you already knew.

When a medical test, such as an MRI, is ordered, the ordering provider must place a reason and/or suspected diagnosis as the reason to order the test. This serves at least two purposes: to give the radiologist a problem to look for, to rule it out or rule it in as a problem, and secondly to provide a diagnosis code so insurance will pay for the procedure.

When we order MRI's, we do actually try to put something down that is useful, rather than pulling something out of thin air. In your son's case, the ordering provider actually gives a lot of info as to what he/she is thinking:
(1) Organic brain damage means there was injury to the brain, such as from trauma, like an accident, explosion (from an IED in Afghanistan, for instance), or assault; or from a stroke; or from any other event that could cause physical damage to the brain.
(2) Nonpsychotic means that your son is not having psychoses as part of his clinical presentation - no hallucinations, no delusions, for example. This is important because psychoses often are located in specific parts of the brain, so the lack of them helps narrow down where the problem is NOT.
(3) Mental disorder and unspecified simply means your son's mental state has changed - depressed, anxious, moody, irritable, etc, but not in a way that makes us think specifically of a particular mental disorder, such as bipolar or depression.
(4) Following means that the injury to the brain led to the mental disorder.

Given this background, I hope this helps you in narrowing your search! Please let me know if I may be of further assistance, and please do not rate this until you are satisfied!

Regards,

Dr. Anderson
Dr_Anderson, Doctor
Category: Mental Health
Satisfied Customers: 335
Experience: Psychiatrist
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