22 Use of the Manual
individuals with the disorder who share certai n features (e.g., major depressive disorder,
with mixed features) and to conv ey information that is relevant to the management of the
individual’s disorder, such as the “with other medical comorbidity” specifier in sleep-
wake disorders. Although a fifth digit is sometimes assigned to code a subtype or specifier
(e.g., 294.11 [F02.81] major neurocognitive disorder due to Alzheimer’s disease, with be-
havioral disturbance) or severity (296.21 [F32. 0] major depressive disorder, single episode,
mild), the majority of subtypes and specifie rs included in DSM-5 cannot be coded within
the ICD-9-CM and ICD-10-CM systems and are indicated only by including the subtype or
specifier after the name of the disorder (e.g.,  social anxiety disorder [social phobia], per-
formance type). Note that in some cases, a specifier or subtype is codable in ICD-10-CM
but not in ICD-9-CM. Accordingly, in some c ases the 4th or 5th character codes for the sub-
types or specifiers are provided only for the ICD-10-CM coding designations.
A DSM-5 diagnosis is usually applied to the individual’s current presentation; previ-
ous diagnoses from which the individual has recovered shoul d be clearly noted as such.
Specifiers indicating course  (e.g., in partial remission, in full remission) may be listed after
the diagnosis and are indicated in a numb er of criteria sets. Where available, severity spec-
ifiers  are provided to guide clinicians in rating  the intensity, frequency, duration, symptom
count, or other severity indicator of a disorder . Severity specifiers are indicated by the in-