6A23

ICD-11 MMS 2026-01

Acute and transient psychotic disorder

Description

Acute and transient psychotic disorder is characterised by acute onset of psychotic symptoms that emerge without a prodrome and reach their maximal severity within two weeks. Symptoms may include delusions, hallucinations, disorganisation of thought processes, perplexity or confusion, and disturbances of affect and mood. Catatonia-like psychomotor disturbances may be present. Symptoms typically change rapidly, both in nature and intensity, from day to day, or even within a single day. The duration of the episode does not exceed 3 months, and most commonly lasts from a few days to 1 month. The symptoms are not a manifestation of another medical condition (e.g. a brain tumour) and are not due to the effect of a substance or medication on the central nervous system (e.g. corticosteroids), including withdrawal (e.g. alcohol withdrawal).

Exclusions from above levels

  • QE62 – Uncomplicated bereavement
  • QE84 – Acute stress reaction

Child codes

  • 6A23.0 – Acute and transient psychotic disorder, first episode
  • 6A23.1 – Acute and transient psychotic disorder, multiple episodes
  • 6A23.Y – Other specified acute and transient psychotic disorder
  • 6A23.Z – Acute and transient psychotic disorder, unspecified

Sibling codes

  • 6A20 – Schizophrenia
  • 6A21 – Schizoaffective disorder
  • 6A22 – Schizotypal disorder
  • 6A24 – Delusional disorder
  • 6A25 – Symptomatic manifestations of primary psychotic disorders
  • 6A2Y – Other specified primary psychotic disorder
  • 6A2Z – Schizophrenia or other primary psychotic disorders, unspecified

Foundation entity

Acute and transient psychotic disorder – http://id.who.int/icd/entity/284410555

Allowed postcoordination axes

Part of: 06: Mental, behavioural or neurodevelopmental disorders