ICD-9 Code 306.4
Gastrointestinal malfunction arising from mental factors
Not Valid for Submission
306.4 is a legacy non-billable code used to specify a medical diagnosis of gastrointestinal malfunction arising from mental factors. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
ICD-9: | 306.4 |
Short Description: | Psychogenic GI disease |
Long Description: | Gastrointestinal malfunction arising from mental factors |
Convert 306.4 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
- F45.8 - Other somatoform disorders
Code Classification
-
Mental disorders (290–319)
-
Neurotic disorders, personality disorders, and other nonpsychotic mental disorders (300-316)
- 306 Physiological malfunction arising from mental factors
-
Neurotic disorders, personality disorders, and other nonpsychotic mental disorders (300-316)
Information for Medical Professionals
Synonyms
- Aerophagy
- Cyclical vomiting - psychogenic
- Disorder of function of stomach
- Globus abdominalis
- Globus sensation
- Nervous diarrhea
- Psychogenic constipation
- Psychogenic diarrhea
- Psychogenic dyspepsia
- Psychogenic pylorospasm
- Somatoform autonomic dysfunction - gastrointestinal tract
Index to Diseases and Injuries
References found for the code 306.4 in the Index of Diseases and Injuries:
- Abdomen abdominal SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. condition- accordion 306.4
- Achalasia 530.0
- psychogenic 306.4
- Achlorhydria achlorhydric 536.0
- psychogenic 306.4
- Achylia
- gastrica 536.8
- psychogenic 306.4
- gastrica 536.8
- Acid
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- Acidity gastric high low 536.8
- psychogenic 306.4
- Aerophagy aerophagia 306.4
- psychogenic 306.4
- Anacidity gastric 536.0
- psychogenic 306.4
- Apepsia 536.8
- psychogenic 306.4
- Atonia atony atonic
- cecum 564.89
- psychogenic 306.4
- colon 564.89
- psychogenic 306.4
- dyspepsia 536.3
- psychogenic 306.4
- intestine 564.89
- psychogenic 306.4
- stomach 536.3
- neurotic or psychogenic 306.4
- psychogenic 306.4
- cecum 564.89
- Colic recurrent 789.7
- psychogenic 306.4
- Complaint SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- bowel functional 564.9
- psychogenic 306.4
- intestine functional 564.9
- psychogenic 306.4
- bowel functional 564.9
- Constipation 564.00
- psychogenic 306.4
- Contraction contracture contracted
- hourglass
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- rectum rectal sphincter 564.89
- psychogenic 306.4
- stomach 536.8
- hourglass 536.8
- psychogenic 306.4
- psychogenic 306.4
- hourglass 536.8
- hourglass
- Cramp s 729.82
- colic 789.7
- psychogenic 306.4
- intestinal 789.0
- psychogenic 306.4
- colic 789.7
- Cyclical vomiting 536.2
- psychogenic 306.4
- Diarrhea diarrheal acute autumn bilious bloody catarrhal choleraic chronic gravis green infantile lienteric noninfectious presumed noninfectious putrefactive secondary sporadic summer symptomatic thermic 787.91
- functional 564.5
- psychogenic 306.4
- hyperperistalsis nervous 306.4
- nervous 306.4
- psychogenic 306.4
- functional 564.5
- Dilatation
- cecum 564.89
- psychogenic 306.4
- colon 564.7
- psychogenic 306.4
- gastric 536.8
- psychogenic 306.4
- ileum 564.89
- psychogenic 306.4
- jejunum 564.89
- psychogenic 306.4
- stomach 536.8
- psychogenic 306.4
- cecum 564.89
- Disease diseased SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Syndrome- bowel 569.9
- functional 564.9
- psychogenic 306.4
- functional 564.9
- epigastric functional 536.9
- psychogenic 306.4
- esophagus 530.9
- psychogenic 306.4
- gastrointestinal tract 569.9
- functional 536.9
- psychogenic 306.4
- functional 536.9
- intestine 569.9
- functional 564.9
- psychogenic 306.4
- functional 564.9
- Rossbach s hyperchlorhydria 536.8
- psychogenic 306.4
- stomach NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. organic 537.9- functional 536.9
- psychogenic 306.4
- functional 536.9
- bowel 569.9
- Disorder SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- digestive 536.9
- psychogenic 306.4
- esophagus 530.9
- psychogenic 306.4
- gastric functional 536.9
- psychogenic 306.4
- gastrointestinal functional NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 536.9- psychogenic 306.4
- intestinal 569.9
- psychogenic 306.4
- psychogenic NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. condition 300.9- digestive system 306.4
- gastric 306.4
- gastrointestinal system 306.4
- intestinal 306.4
- rectal 306.4
- stomach 306.4
- psychosomatic NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 306.9- digestive system 306.4
- gastric 306.4
- gastrointestinal system 306.4
- intestinal 306.4
- rectal 306.4
- stomach 306.4
- stomach functional SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disorder gastric 536.9- psychogenic 306.4
- digestive 536.9
- Distention
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- Distress
- gastrointestinal functional 536.9
- psychogenic 306.4
- intestinal functional NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 564.9- psychogenic 306.4
- stomach 536.9
- psychogenic 306.4
- gastrointestinal functional 536.9
- Disturbance SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- digestive 536.9
- psychogenic 306.4
- gastric functional 536.9
- psychogenic 306.4
- gastrointestinal functional 536.9
- psychogenic 306.4
- digestive 536.9
- Dysfunction
- colon 564.9
- psychogenic 306.4
- rectum 564.9
- psychogenic 306.4
- stomach 536.9
- psychogenic 306.4
- colon 564.9
- Dyspepsia allergic congenital fermentative flatulent functional gastric gastrointestinal neurogenic occupational reflex 536.8
- atonic 536.3
- psychogenic 306.4
- diarrhea 787.91
- psychogenic 306.4
- intestinal 564.89
- psychogenic 306.4
- nervous 306.4
- neurotic 306.4
- psychogenic 306.4
- atonic 536.3
- Dysphagia 787.20
- psychogenic 306.4
- Enterospasm 564.9
- psychogenic 306.4
- Eructation 787.3
- nervous 306.4
- psychogenic 306.4
- Fermentation gastric gastrointestinal stomach 536.8
- intestine 564.89
- psychogenic 306.4
- psychogenic 306.4
- intestine 564.89
- Gastrectasis gastrectasia 536.1
- psychogenic 306.4
- Gastritis 535.5
- nervous 306.4
- psychogenic 306.4
- Gastrorrhea 536.8
- psychogenic 306.4
- Gastrospasm neurogenic reflex 536.8
- neurotic 306.4
- psychogenic 306.4
- Gastrosuccorrhea continuous intermittent 536.8
- neurotic 306.4
- psychogenic 306.4
- Globus 306.4
- hystericus 300.11
- Heartburn 787.1
- psychogenic 306.4
- Hourglass contraction contracture
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- Hyperacidity gastric 536.8
- psychogenic 306.4
- Hyperactive hyperactivity 314.01
- gastrointestinal 536.8
- psychogenic 306.4
- gastrointestinal 536.8
- Hyperchlorhydria 536.8
- neurotic 306.4
- psychogenic 306.4
- Hyperchylia gastrica 536.8
- psychogenic 306.4
- Hyperemesis 536.2
- psychogenic 306.4
- Hypermobility
- colon 564.9
- psychogenic 306.4
- stomach 536.8
- psychogenic 306.4
- colon 564.9
- Hypermotility
- intestine 564.9
- psychogenic 306.4
- intestine 564.9
- Hyperperistalsis 787.4
- psychogenic 306.4
- Hypersecretion
- gastric 536.8
- psychogenic 306.4
- gastric 536.8
- Hypersensitive hypersensitiveness hypersensitivity SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Allergy- colon 564.9
- psychogenic 306.4
- stomach allergic nonallergic 536.8
- psychogenic 306.4
- colon 564.9
- Hypertonicity
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- Hypoacidity gastric 536.8
- psychogenic 306.4
- Hypochlorhydria 536.8
- neurotic 306.4
- psychogenic 306.4
- Hypomotility
- gastrointestinal tract 536.8
- psychogenic 306.4
- intestine 564.89
- psychogenic 306.4
- stomach 536.8
- psychogenic 306.4
- gastrointestinal tract 536.8
- Indigestion bilious functional 536.8
- nervous 306.4
- psychogenic 306.4
- Inertia
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- Irritability 799.22
- colon 564.1
- psychogenic 306.4
- stomach 536.9
- psychogenic 306.4
- colon 564.1
- Irritation
- digestive tract 536.9
- psychogenic 306.4
- gastric 536.9
- psychogenic 306.4
- gastrointestinal tract 536.9
- psychogenic 306.4
- stomach 536.9
- psychogenic 306.4
- digestive tract 536.9
- LAV HTLV III disease illness infection see Human immunodeficiency virus disease illness infection
- Magenblase syndrome 306.4
- Megacolon acquired functional not Hirschsprung s disease 564.7
- psychogenic 306.4
- Myasthenia 358.00
- stomach 536.8
- psychogenic 306.4
- stomach 536.8
- Nervous SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. condition 799.21- stomach 306.4
- Neurasthenia 300.5
- gastric 306.4
- Neurosis neurotic 300.9
- colon 306.4
- gastric 306.4
- gastrointestinal 306.4
- intestine 306.4
- rectum 306.4
- rumination 306.4
- stomach 306.4
- visceral 306.4
- Obstipation SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Constipation 564.00- psychogenic 306.4
- Pneumophagia psychogenic 306.4
- Proctospasm 564.6
- psychogenic 306.4
- Ptyalism 527.7
- psychogenic 306.4
- Pylorospasm reflex 537.81
- neurotic 306.4
- psychogenic 306.4
- Reaction
- psychophysiologic NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disorder psychosomatic 306.9- digestive 306.4
- gastrointestinal 306.4
- intestinal large small 306.4
- psychophysiologic NEC NEC "Not elsewhere classifiable"
- Rossbach s disease hyperchlorhydria 536.8
- psychogenic 306.4
- Spasm spastic spasticity SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. condition 781.0- anus ani sphincter reflex 564.6
- psychogenic 306.4
- bowel 564.9
- psychogenic 306.4
- cecum 564.9
- psychogenic 306.4
- colon 564.1
- psychogenic 306.4
- esophagus diffuse 530.5
- psychogenic 306.4
- gastrointestinal tract 536.8
- psychogenic 306.4
- intestinal 564.9
- psychogenic 306.4
- pylorus 537.81
- psychogenic 306.4
- rectum sphincter 564.6
- psychogenic 306.4
- sigmoid 564.9
- psychogenic 306.4
- stomach 536.8
- neurotic 306.4
- anus ani sphincter reflex 564.6
- Subacidity gastric 536.8
- psychogenic 306.4
- Syndrome SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- Magenblase 306.4
- magnesium deficiency 781.7
- Upset
- gastric 536.8
- psychogenic 306.4
- gastrointestinal 536.8
- psychogenic 306.4
- intestinal large small 564.9
- psychogenic 306.4
- stomach 536.8
- psychogenic 306.4
- gastric 536.8
- Vomiting 787.03
- cyclical 536.2
- psychogenic 306.4
- functional 536.8
- psychogenic 306.4
- nervous 306.4
- neurotic 306.4
- pernicious or persistent 536.2
- psychogenic 306.4
- psychic 306.4
- uncontrollable 536.2
- psychogenic 306.4
- cyclical 536.2
Information for Patients
Mental Disorders
What are mental disorders?
Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may be occasional or long-lasting (chronic). They can affect your ability to relate to others and function each day.
What are some types of mental disorders?
There are many different types of mental disorders. Some common ones include:
- Anxiety disorders, including panic disorder, obsessive-compulsive disorder, and phobias
- Depression, bipolar disorder, and other mood disorders
- Eating disorders
- Personality disorders
- Post-traumatic stress disorder
- Psychotic disorders, including schizophrenia
What causes mental disorders?
There is no single cause for mental illness. A number of factors can contribute to risk for mental illness, such as:
- Your genes and family history
- Your life experiences, such as stress or a history of abuse, especially if they happen in childhood
- Biological factors such as chemical imbalances in the brain
- A traumatic brain injury
- A mother's exposure to viruses or toxic chemicals while pregnant
- Use of alcohol or recreational drugs
- Having a serious medical condition like cancer
- Having few friends, and feeling lonely or isolated
Mental disorders are not caused by character flaws. They have nothing to do with being lazy or weak.
Who is at risk for mental disorders?
Mental disorders are common. More than half of all Americans will be diagnosed with a mental disorder at some time in their life.
How are mental disorders diagnosed?
The steps to getting a diagnosis include:
- A medical history
- A physical exam and possibly lab tests, if your provider thinks that other medical conditions could be causing your symptoms
- A psychological evaluation. You will answer questions about your thinking, feelings, and behaviors.
What are the treatments for mental disorders?
Treatment depends on which mental disorder you have and how serious it is. You and your provider will work on a treatment plan just for you. It usually involves some type of therapy. You may also take medicines. Some people also need social support and education on managing their condition.
In some cases, you may need more intensive treatment. You may need to go to a psychiatric hospital. This could be because your mental illness is severe. Or it could be because you are at risk of hurting yourself or someone else. In the hospital, you will get counseling, group discussions, and activities with mental health professionals and other patients.
[Read More]
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.