Attention-Deficit/Hyperactivity Disorder Terminology

Diagnostic Criteria

• The American Academy of Pediatrics recommends using the term "Attention-Deficit/Hyperactivity Disorder" (ADHD) as the umbrella diagnosis with specific presentations, rather than separate disorders, according to the DSM-5 criteria 1, 2
• The DSM-5 criteria include four presentations: ADHD, predominantly inattentive presentation (314.00 [F90.0]), ADHD, predominantly hyperactive-impulsive presentation (314.01 [F90.1]), ADHD, combined presentation (314.01 [F90.2]), and ADHD, other specified and unspecified (314.01 [F90.8]) 1, 2

Clinical Implications

• The correct terminology ensures accurate diagnosis based on DSM-5 criteria, which is required for appropriate treatment and documentation 1
• The use of "ADHD" followed by the specific presentation type facilitates proper coding for insurance and medical records using the correct ICD-10 codes 1, 2
• The American Academy of Pediatrics suggests that the term "ADD" is outdated and should not be used in clinical practice, medical documentation, or patient education, and instead recommends using "ADHD, predominantly inattentive presentation" for patients who present primarily with inattention without significant hyperactivity 1, 2