A physician or psychologist does not actually get paid for a diagnosis (DSM5 or ICD10 code).
ICD is the International Classification of Diseases, the current version is 10.
Instead one gets paid for the CPT code (current procedural terminology), what one does.
A bill to an insurance company pairs a ICD10 code with a CPT code. Does not matter if you are counseling a schizophrenic, a depressive or a gender dysphoria, the payment for a given amount of time spent in psychotherapy is the same. So there is little advantage to the provider of having tons of diagnosis codes to choose from. The proliferation of diagnosis codes has more to do with research, treatment evaluation and tracking the incidence of a given diagnosis in the population. True some CPT and ICD10 pairings will be rejected as the treatment does not fit the disease.
Mental health providers do not create diagnoses to lure new patients into their offices.
Generally speaking they are plenty busy without resorting to such tactics. In general most mental health patients are voluntarily seeking counseling or treatment (except for court ordered or other emergency interventions). It is society's approach to sexual behavior that generates plenty of stress, anxiety and depression that keeps mental health providers busy. Granted historically the mental health community regarded homosexuality as a condition in need of treatment or correction but I would say the mental health community is way ahead of society in general at this point and is leading rather than retarding progress.
In all classifications systems there are splitters and lumpers but the ICD10 and the DSM5 represent a group effort, a hierarchical structure and an effort to aid research and epidemiology.
The most common ICD10 codes submitted to insurance for payment
ICD 10 Codes For Depression
DSM 5 Code ICD-10 Description
309.0 F43.21 Adjustment Disorder, With depressed mood
ICD 10 Codes For Anxiety
DSM 5 Code ICD-10 Description
300.02 F41.1 Generalized Anxiety Disorder
ICD 10 Codes For Adjustment Disorder
DSM 5 Code ICD-10 Description
309.28 F43.23 Adjustment Disorder, With mixed anxiety and depressed mood
ICD 10 Codes For Post Traumatic Stress Disorder (PTSD)
DSM 5 Code ICD-10 Description
309.81 F43.10 Post Traumatic Stress Disorder
CPT Code Footnote(s) Description
90791 1 Psychiatric diagnostic evaluation
90792 1,3 Psychiatric diagnostic evaluation with medical services
90832 2 Psychotherapy, 30 minutes with patient and/or family member
90833 2,3 Psychotherapy, 30 minutes with patient and/or family member when performed with an evaluation and management service
90834 4 Psychotherapy, 45 minutes with patient and/or family member
90836 3,4 Psychotherapy, 45 minutes with patient and/or family member when performed with an evaluation and management service
90837 6 Psychotherapy, 60 minutes with patient and/or family member
90838 3,6 Psychotherapy, 60 minutes with patient and/or family member when performed with an evaluation and management service
90839 6 Psychotherapy for crisis; first 60 minutes
90840 2 each additional 30 minutes
90846 4 Family psychotherapy (without the patient present)
90847 4 Family psychotherapy (conjoint psychotherapy) (with patient present)
90849 4 Multiple-family group psychotherapy
90853 4 Group psychotherapy (other than of a multiple-family group)
ICD10 codes having to do with sexual behaviors
F64 Gender identity disorders
F64.0 Transsexualism
F64.1 Dual role transvestism
F64.2 Gender identity disorder of childhood
F64.8 Other gender identity disorders
F64.9 Gender identity disorder, unspecified
• Deviation (in)
sexual F65.9
fetishism, fetishistic F65.0
• Fetishism F65.0
sexual F65.9
bestiality F65.89
erotomania F52.8
exhibitionism F65.2
fetishism, fetishistic F65.0
transvestism F65.1
frotteurism F65.81
masochism F65.51
multiple F65.89
necrophilia F65.89
nymphomania F52.8
pederosis F65.4
pedophilia F65.4
sadism, sadomasochism F65.52
satyriasis F52.8
specified type NEC F65.89
transvestism F64.1
voyeurism F65.3
Psychological and behavioural disorders associated with sexual development and orientation
Note: Sexual orientation by itself is not to be regarded as a disorder.
F66.0 Sexual maturation disorder
The patient suffers from uncertainty about his or her gender identity or sexual orientation, which causes anxiety or depression. Most commonly this occurs in adolescents who are not certain whether they are homosexual, heterosexual or bisexual in orientation, or in individuals who, after a period of apparently stable sexual orientation (often within a longstanding relationship), find that their sexual orientation is changing.
F66.1 Egodystonic sexual orientation
The gender identity or sexual preference (heterosexual, homosexual, bisexual, or prepubertal) is not in doubt, but the individual wishes it were different because of associated psychological and behavioural disorders, and may seek treatment in order to change it.
F66.2 Sexual relationship disorder
The gender identity or sexual orientation (heterosexual, homosexual, or bisexual) is responsible for difficulties in forming or maintaining a relationship with a sexual partner.
F66.8 Other psychosexual development disorders
F66.9 Psychosexual development disorder, unspecified