How Do I Add DSM Codes to My Notes?

You can add DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) codes to your clinical notes or reports within PatientNotes to help document diagnoses in a standardized format.

🧠 How to Add DSM Codes:

Option 1: Add Manually in Notes or Prompts

• Include the DSM code and description directly in your clinical note or custom prompt.

• Example:

  Diagnosis: Major Depressive Disorder, Single Episode, Moderate (DSM-5 Code: 296.22)

Option 2: Include in AI-Generated Output

• You can modify your prompt to instruct the AI to include a DSM code.

• Example prompt addition:

  “Include the appropriate DSM-5 diagnosis code with a brief description based on the clinical presentation.”

Option 3: Post-Generation Edit

• After generating a letter or summary, you can manually insert or adjust the DSM code in the final output if needed.

⚠️ Disclaimer on Accuracy:

While PatientNotes can help suggest or insert DSM codes, it is your clinical responsibility to verify their accuracy based on the patient’s presentation, criteria, and your professional judgment.

• DSM codes are complex and may require interpretation within a broader diagnostic framework.

• Always double-check that the code used matches the latest version of the DSM and reflects the clinical assessment.

🧩 Best Practices:

• Include full code + description for clarity.

• Avoid using AI suggestions without clinical validation.

• Keep a reference DSM-5 manual or verified digital resource on hand for coding decisions.

Questions?

If you’d like help structuring your prompt to include DSM codes effectively, email us at support@patientnotes.app.