What is Chapter 06 of ICD-11?
The Chapter 06 of the ICD-11 groups the mental, behavioral and neurodevelopmental disorders. It is the most extensive and clinically relevant chapter of the classification for professionals in mental health, psychiatry, psychology, pediatric neurology and primary care.
In ICD-10, this chapter was equivalent to Chapter F (F00–F99). ICD-11 completely restructures it: it expands the number of diagnostic blocks, updates the terminology, eliminates the artificial distinction between "organic" and "non-organic" disorders, and harmonizes with the DSM-5.
The hierarchy of Chapter 06 has 3 levels:
- 1st level: Large categories by type of disorder (ex: Mood disorders)
- 2nd level: Specific illness or disorder (e.g., episodic depressive disorder)
- 3rd level: Greater clinical specificity (e.g., episodic depression, current moderate episode)
Chapter 06 Blocks
Below are the 13 major blocks of Chapter 06, with their code ranges and main diagnoses. Click on each block to see the most relevant codes.
Conditions that originate during development and are characterized by developmental deficits that produce limitations in personal, social, academic, or occupational functioning. Includes ADHD, autism and learning disorders.
| Code | Diagnosis |
|---|---|
| 6A00 | Disorders of intellectual development |
| 6A01 | Developmental speech or language disorders |
| 6A02 | Autism spectrum disorder |
| 6A03 | Developmental learning disorder |
| 6A04 | Developmental motor coordination disorder |
| 6A05 | Attention deficit hyperactivity disorder |
| 6A06 | Stereotyped movement disorder |
| 6A0Z | Neurodevelopmental disorders, unspecified |
Disorders characterized by distortions in thinking, perception, emotions, language, sense of self, and behavior. It includes schizophrenia, schizoaffective disorder, and delusional disorders.
| Code | Diagnosis |
|---|---|
| 6A20 | Schizophrenia |
| 6A21 | Schizoaffective disorder |
| 6A22 | Schizotypal disorder |
| 6A24.Z | Delusional disorder, unspecified |
| 6A23.Z | Acute and transient psychotic disorder, unspecified |
| 6A25 | Symptomatic manifestations of primary psychotic disorders |
| 6A2Y | Other specified primary psychotic disorder |
Includes depressive disorders and bipolar disorders. It is one of the most consulted blocks due to its high clinical prevalence. Episodic depressive disorder (6A00) is the most common mental health diagnosis worldwide.
| Code | Diagnosis |
|---|---|
| 6A70 | Single episode depressive disorder |
| 6A72 | Dysthymic disorder |
| 6A73 | Mixed depressive and anxiety disorder |
| GA34.41 | Premenstrual dysphoric disorder |
| 6A60 | Bipolar type I disorder |
| 6A61 | Bipolar type II disorder |
| 6A62 | Cyclothymic disorder |
It groups disorders characterized by excessive anxiety, fear or worry. Separated from ICD-10 neurotic disorders, they now have their own block that better reflects current clinical evidence.
| Code | Diagnosis |
|---|---|
| 6B00 | Generalised anxiety disorder |
| 6B01 | Panic disorder |
| 6B02 | Agoraphobia |
| 6B03 | Specific phobia |
| 6B04 | Social anxiety disorder |
| 6B05 | Separation anxiety disorder |
| 6B06 | Selective mutism |
It includes OCD and related disorders characterized by obsessive thoughts and compulsive or repetitive behaviors. New independent block in the ICD-11.
| Code | Diagnosis |
|---|---|
| 6B20 | Obsessive-compulsive disorder |
| 6B21 | Body dysmorphic disorder |
| 6B22 | Olfactory reference disorder |
| 6B23 | Hypochondriasis |
| 6B24 | Hoarding disorder |
| 6B25 | Body-focused repetitive behaviour disorders |
| 6B25.0 | Trichotillomania |
Disorders whose onset is directly related to a stressful or traumatic event. It includes PTSD, which in the ICD-11 has a more restrictive and more trauma-focused definition.
| Code | Diagnosis |
|---|---|
| 6B40 | Post traumatic stress disorder |
| 6B41 | Complex post traumatic stress disorder |
| 6B42 | Prolonged grief disorder |
| 6B43 | Adjustment disorder |
| 6B44 | Reactive attachment disorder |
| 6B45 | Disinhibited social engagement disorder |
Disorders characterized by an interruption or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, behavior, and sense of identity.
| Code | Diagnosis |
|---|---|
| 6B64 | Dissociative identity disorder |
| 6B65 | Partial dissociative identity disorder |
| 6B62 | Trance disorder |
| 6B63 | Possession trance disorder |
| 6B60 | Dissociative neurological symptom disorder |
| 6B61 | Dissociative amnesia |
| 6B66 | Depersonalization-derealization disorder |
It includes anorexia, bulimia, and binge eating disorder, as well as other eating disorders not exclusively related to body image.
| Code | Diagnosis |
|---|---|
| 6B80 | Anorexia Nervosa |
| 6B81 | Bulimia Nervosa |
| 6B82 | Binge eating disorder |
| 6B83 | Avoidant-restrictive food intake disorder |
| 6B84 | Pica |
| 6B85 | Rumination-regurgitation disorder |
Disorders characterized by the inappropriate elimination of urine or feces. Common in pediatric age.
| Code | Diagnosis |
|---|---|
| 6C00 | Enuresis |
| 6C01 | Encopresis |
Disorders characterized by persistent disruptive, aggressive, or antisocial behavior. Common in childhood and adolescence.
| Code | Diagnosis |
|---|---|
| 6C20 | Bodily distress disorder |
| 6C21 | Body integrity dysphoria |
| MB23.1 | Antisocial behaviour |
One of the largest blocks. It includes disorders due to the use of alcohol, cannabis, opioids, stimulants, sedatives, tobacco and other substances, as well as behavioral addictive disorders.
| Code | Diagnosis |
|---|---|
| 6C40 | Disorders due to use of alcohol |
| 6C41 | Disorders due to use of cannabis |
| 6C43 | Disorders due to use of opioids |
| 6C4A | Disorders due to use of nicotine |
| 6C50.Z | Gambling disorder, unspecified |
The ICD-11 introduces a radical change: instead of fixed personality types (as in the ICD-10), it uses a dimensional model with a severity specifier and prominent trait descriptors.
| Code | Diagnosis |
|---|---|
| 6D10.0 | Mild personality disorder |
| 6D10.1 | Moderate personality disorder |
| 6D10.2 | Severe personality disorder |
| 6D11.0 | Negative affectivity in personality disorder or personality difficulty |
| 6D11.1 | Detachment in personality disorder or personality difficulty |
| 6D11.2 | Dissociality in personality disorder or personality difficulty |
| 6D11.3 | Disinhibition in personality disorder or personality difficulty |
| 6D11.4 | Anankastia in personality disorder or personality difficulty |
Includes delirium and dementia. In ICD-11 the distinction between "organic" and "non-organic" dementias was eliminated. Alzheimer's disease and other dementias now have their own space without the "organic mental disorder" label.
| Code | Diagnosis |
|---|---|
| 6D70 | Delirium |
| 6D71 | Mild neurocognitive disorder |
| 6D80 | Dementia due to Alzheimer disease |
| 6D81 | Dementia due to cerebrovascular disease |
| 6D82 | Dementia due to Lewy body disease |
| 6D82 | Dementia due to Lewy body disease |
| 6D84 | Dementia due to psychoactive substances including medications |
| 6D8Z | Dementia, unknown or unspecified cause |
Comparison ICD-10 vs ICD-11 — Chapter 06
ICD-11 completely restructures chapter F of ICD-10. The main changes according to the official WHO Reference Guide are:
| ICD-10 block | ICD-11 Equivalent |
|---|---|
| F00–F09 Organic mental disorders | 6D70–6E0Z Neurocognitive disorders (not labeled "organic") |
| F10–F19 Disorders due to psychoactive substances | 6C40–6C4Z Disorders due to addictive substances or behaviors |
| F20–F29 Schizophrenia and delusional disorders | 6A20–6A2Z Schizophrenia or other primary psychotic disorders |
| F30–F39 Mood disorders (affective) | 6A60–6A8Z Mood disorders |
| F40–F48 Neurotic, stress-related and somatoform disorders | 6B00 Anxiety/fear · 6B20 OCD · 6B40 Stress · 6B60 Dissociative (separate blocks) |
| F50–F59 Behavioral syndromes associated with physical factors | 6B80 Food · Chapter 07 Sleep · Chapter 17 Sexual health |
| F60–F69 Personality disorders | 6D10–6D1Z Dimensional model (severity + traits) |
| F70–F79 Mental retardation | 6A00 Disorders of intellectual development |
| F80–F89 Disorders of psychological development | 6A00–6A0Z Neurodevelopmental disorders |
| F90–F98 Disorders of childhood and adolescence | Distributed in neurodevelopment, behavior and other blocks |
Coding Guidance
Basic cause of death
According to the WHO Reference Guide, Chapter 06 disorders have specific instructions for mortality coding:
- The neurodevelopmental disorders (6A00–6A0Z) should not be used as the underlying cause of death if the underlying physical condition is known. The underlying condition is coded.
- The neurocognitive disorders (6D70–6E0Z) should also not be used as a basic cause if the causative physical condition is known.
- The nicotine use disorders (6C4A) should not be used as the underlying cause if the resulting physical condition is known (e.g. lung cancer).
Post-coordination and extension codes
The diagnostics in Chapter 06 can be combined with extension codes of Chapter X to specify:
- Severity: mild, moderate, severe
- Features of the current episode: with psychotic symptoms, in partial remission, in complete remission
- Time of diagnosis: present upon entry vs. established after entry