I think it is because of a change in Medicaid rules for our state rather than the DSM change. I know it has generated some controversy, but I think I like the new DSM Autism Spectrum diagnosis because it does away with a perceived (and incorrect) hierarchy of severity.

Anyway, our current online medical record system has this stupid thing where the dx for PDD-NOS shows up as the entire category, so that printed reports state that the child has PDD-NOS, Rhetts Syndrome, and Aspergers.

Owlie- Coding, billing and reimbursement almost never fails to give me a sick feeling. Fortunately I don't have much to do with it at work.