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314 Hyperkinetic syndrome of childhoodDisorders in which the essential features are short attention-span and
distractibility. In early childhood the most striking symptom is disinhibited,
poorly organized and poorly regulated extreme overactivity but in adolescence
this may be replaced by underactivity. Impulsiveness, marked mood fluctua-
tions and aggression are also common symptoms. Delays in the development of
specific skills are often present and disturbed, poor relationships are
common. If the hyperkinesis is symptomatic of an underlying disorder, code
the underlying disorder instead.
314.0 Simple disturbance of activity and attentionCases in which short attention span, distractibility, and overactivity are the
main manifestations without significant disturbance of conduct or delay in
314.1 Hyperkinesis with developmental delayCases in which the hyperkinetic syndrome is associated with speech delay,
clumsiness, reading difficulties or other delays in specific skills.
Developmental disorder of hyperkinesis
Use additional code to identify any associated neurological disorder
314.2 Hyperkinetic conduct disorderCases in which the hyperkinetic syndrome is associated with marked conduct
disturbance but not developmental delay.
Hyperkinetic conduct disorder
Excludes: hyperkinesis with significant delays in specific skills (314.1)
314.9 UnspecifiedHyperkinetic reaction of childhood or adolescence NOS
Hyperkinetic syndrome NOS
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