Obsessive-Compulsive and Related Disorder Due to Another Medical Condition 261
D. The disturbance does not occur exclusively during the course of a delirium. 
E. The disturbance causes clinically significant distress or impairment in social, occupa-
tional, or other important areas of functioning.
Specify if:
With obsessive-compulsive disorder–like symptoms:  If obsessive-compulsive dis-
order–like symptoms predominate in the clinical presentation.
With appearance preoccupations:  If preoccupation with perceived appearance de-
fects or flaws predominates in the clinical presentation.
With hoarding symptoms: If hoarding predominates in the clinical presentation.
With hair-pulling symptoms:  If hair pulling predominates in the clinical presentation.
With skin-picking symptoms:  If skin picking predominates in the clinical presenta-
tion.
Coding note: Include the name of the other medical condition in the name of the mental
disorder (e.g., 294.8 [F06.8] obsessive-compulsive and related disorder due to cerebral
infarction). The other medical condition should be coded and listed separately immediately
before the obsessive-compulsive and related disorder due to the medical condition (e.g.,
438.89 [I69.398] cerebral infarction; 294.8 [F06.8] obsessive-compulsive and related dis-
order due to cerebral infarction).
Diagnostic Features
The essential feature of obsessive-compulsive an d related disorder due to another medical
condition is clinically significant obsessiv e-compulsive and related symptoms that are
judged to be best explained as the direct pathophysiological consequence of another med-
ical condition. Symptoms can include pr ominent obsessions, compulsions, preoccu-
pations with appearance, hoarding, hair pull ing, skin picking, or other body-focused