DIAGNOSTIC RELATED GROUP (DRG) DESCRIPTIONS

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1 Attachment B DIAGNOSTIC RELATED GROUP (DRG) DESCRIPTIONS 424 O.R. Procedure with of Mental Illness Any Operating Room Procedure 425 Acute Adjustment Reaction & Psychosocial Dysfunction Acute delirium Factitious illness NEC/NOS Subacute delirium Neurotic disorder NOS Transient organic mental disorder NOS Stress reaction, emotional Anxiety state NOS Stress reaction, fugue Panic disorder Stress reaction, psychomotor Generalized anxiety disorder Acute stress reaction NEC Anxiety state NEC Stress reaction, mixed disorder Hysteria NOS Acute stress reaction NOS Conversion disorder Hallucinations Psychogenic amnesia Nervousness Psychogenic fugue V710.1 Obsv-adult antisoc behav Dissociative reaction NOS V710.2 Obsv-adolesc antisoc beh Factitious illness w symptom 426 Depressive Neuroses Neurotic depression Prolong depressive reaction Chronic depressive personality disorder 311. Depressive disorder NEC Brief depressive reaction 427 Neuroses Except Depressive Phobia NOS Psychogenic pain NEC Agoraphobia with panic Separation anxiety Agoraphobia w/o panic Emancipation disorder Social phobia Academic/work inhibition Isolated phobias NEC Adjustment reaction - anxious mood Page 9 of 18 July 1, 2004

2 300.3 Obsessive-Compulsive disorder Adjustment reaction - mixed emotion Neurasthenia Adjustment reaction - emotion NEC Depersonalization syndrome Adjustment reaction - conduct disorder Hypochondriasis Adjustment reaction - emotion/conduct Somatization Disorder Prolong posttraum stress Undiff somatoform disorder Adjustment reaction - physical symptom Neurotic disorders NEC Adjust reaction - withdrawal Psychogenic sensory disorder Adjustment reaction NEC Psychogenic disorder NOS Adjustment reaction NOS Psychogenic rumination Overanxious disorder Psychogenic vomiting Misery & unhappiness disorder Psychogenic pain NOS 428 Disorders of Personality & Impulse Control Multiple personality Antisocial personality Paranoid personality Narcissistic personality Affective personality NOS Avoidant personality Chronic hypomanic person Borderline personality Cyclothymic disorder Passive-aggressive person Schizoid personality NOS Personality disorder NEC Introverted personality Personality disorder NOS Schizotypal personality Anorexia nervosa Explosive personality Pathological gambling Compulsive personality Kleptomania Histrionic person NOS Intermitt explosive disorder Chronic factitious iilness Isolated explosive disorder Histrionic person NEC Impulse control disorder NEC Dependent personality 429 Organic Disturbances & Mental Retardation Senile dementia uncomplicated Organic brain syndrome NEC Presenile dementia, uncomplicated Organic brain syndrome NOS Presenile dementia, delirium Infantile autism-active Presenile dementia, delusion Infantile autism-residual Presenile dementia, depression Disintegrative psychosis-active Senile dementia, delusion Disintegrative psychosis-residual Senile dementia, depressive Special symptom NEC/NOS Senile dementia, delirium Frontal lobe syndrome Page 10 of 18 July 1, 2004

3 Arterioscler dementia NOS Organic personality syndrome Arterioscler dementia, delirium Nonpsychotic brain syndrome NEC Arterioscler dementia, delusion Nonpsychotic brain syndrome NOS Arterioscler dementia, depressive 316 Psychic factor w other disorder Senile psychosis NEC 317 Mild mental retardation Senile psychotic condition NOS Moderate mental retardation Organic delusional syndrome Severe mental retardation Organic hallucinosis syndrome Profound mental retardation Organic affective syndrome 319 Mental retardation NOS Organic anxiety syndrome Down's syndrome Transient organic mental disorder NEC Patau's syndrome Amnestic syndrome Edward's syndrome Dementia w/o behavioral dist Autosomal deletion syndrome Dementia with behavioral dist 797 Senility w/o psychosis 430 Psychoses Simple schizophrenic - unspecified Manic disorder - full remission Simple schizophrenic - subchronic Recurrent manic disorder - unspecified Simple schizophrenic - chronic Recurrent manic disorder - mild Simple schizophrenic - subchronic/exacer Recurrent manic disorder - moderate Simple schizophrenic - chronic/exacerb Recurrent manic disorder - severe Simple schizophrenic - remission Recurrent manic disorder - sev w psycho Hebephrenia - unspecified Recurrent manic disorder - part remission Hebephrenia - subchronic Recurrent manic disorder - full remission Hebephrenia - chronic Depressive psychosis - unspecified Hebephrenia - subchronic/exacerbation Depressive psychosis - mild Hebephrenia - chronic/exacerbation Depressive psychosis - moderate Hebephrenia - remission Depressive psychosis - severe Catatonia - unspecified Depressive psychosis - severe w psych Catatonia - subchronic Depressive psychosis - partial remission Catatonia - chronic Depressive psychosis - full remission Catatonia - subchronic/exacerbation Recurrent depressive psych - unspecified Catatonia - chronic/exacerbation Recurrent depressive psych - mild Catatonia - remission Recurrent depressive psych - moderate Paranoid schizoprhenic - unspecified Recurrent depressive psych - severe Paranoid schizophrenic - subchronic Recurrent depressive psych - severe Paranoid schizophrenic - chronic Recurrent depressive psych - part remiss Paranoid schizophrenic - subchronic/exac Recurrent depressive psych - full remiss Paranoid schizophrenic - chronic/exacerb Bipolar affective manic - unspecified Paranoid schizophrenic - remission Bipolar affective manic - mild Acute schizophrenic - unspecified Bipolar affective manic - moderate Acute schizophrenic - subchronic Bipolar affective manic - severe Page 11 of 18 July 1, 2004

4 Acute schizophrenic - chronic Bipolar affective manic - severe w psych Acute schizophrenic - subchronic/exacer Bipolar affective manic - part remission Acute schizophrenic - chronic/exacerb Bipolar affective manic - full remission Acute schizophrenic - remission Bipolar affective depressed - unspecified Latent schizophrenia - unspecified Bipolar affective depressed - mild Latent schizophrenia - subchronic Bipolar affective depressed - moderate Latent schizophrenia - chronic Bipolar affective depressed - severe Latent schizophrenia - subchronic/exacer Bipolar affective depressed - sev w psych Latent schizophrenia - chronic/exacer Bipolar affective depressed - part remiss Latent schizophrenia - remission Bipolar affective depressed - full remiss Residual schizophrenia - unspecified Bipolar affective mixed - unspecified Residual schizophrenia - subchronic Bipolar affective mixed - mild Residual schizophrenia - chronic Bipolar affective mixed - moderate Residual schizophrenia - subchronic/exac Bipolar affective mixed - severe Residual schizophrenia - chronic/exacerb Bipolar affective mixed - severe w psych Residual schizophrenia - remission Bipolar affective mixed - partial remission Schizo-affective - unspecified Bipolar affective mixed - full remission Schizo-affective - subchronic Bipolar affective NOS Schizo-affective - chronic Manic-depressive NOS Schizo-affective - subchronic/exacer Atypical manic disorder Schizo-affective - chronic/exacerbation Atypical depressive disorder Schizo-affective - remission Manic-depressive NEC Schizophrenia NEC - unspecified Affective psychosis NOS Schizophrenia NEC - subchronic Affective psychoses NEC Schizophrenia NEC - chronic Paranoid state, simple Schizophrenia NEC - subchronic/exacer Paranoia Schizophrenia NEC - chronic/exacerb Paraphrenia Schizophrenia NEC - remission Shared paranoid disorder Schizophrenia NOS - unspecified Paranoid state NEC Schizophrenia NOS - subchronic Paranoid state NOS Schizophrenia NOS - chronic React depressive psychosis Schizophrenia NOS - subchronic/exacer Excitative type psychosis Schizophrenia NOS - chronic/exacerb Acute paranoid reaction Schizophrenia NOS - remission Psychogenic paranoid psychosis Manic disorder - unspecified Reactive psychosis NEC/NOS Manic disorder - mild Psychosis NOS Manic disorder - moderate Child psychoses NEC - active Manic disorder - severe Child psychoses NEC - residual Manic disorder - severe w psych Child psychoses NOS - active Manic disorder - partial remission Child psychoses NOS - residual 431 Childhood Mental Disorders Page 12 of 18 July 1, 2004

5 Pica Oppositional disorder Enuresis Identity disorder Encopresis Academic underachievement Unsocial aggressive - unspecified Emotional disorder child NEC Unsocial aggressive - mild Emotional disorder child NOS Unsocial aggressive - moderate Attention deficit nonhyperactivity Unsocial aggressive - severe Attention deficit w hyperactivity Unsocial unaggressive - unspecified Hyperkinet w developmental delay Unsocial unaggressive - mild Hyperkinetic conduct disorder Unsocial unaggressive - moderate Other hyperkinetic syndrome Unsocial unaggressive - severe Hyperkinetic syndrome NOS Social conduct disorder - unspecified Reading disorder NOS Social conduct disorder - mild Alexia Social conduct disorder - moderate Developmental dyslexia Social conduct disorder - severe Reading disorder NEC Impulse control disorder NOS Arithmetical disorder Pyromania Other learning difficulty Mixed disturbance of conduct/emotion Development language disorder Conduct disorder childhood onset Receptive language disorder Conduct disorder adolescent onset Speech/language disorder NEC Other conduct disorder Coordination disorder Conduct disturbance NOS Mixed development disorder Shyness disorder - child Development delays NEC Introverted disorder - child Development delays NOS Elective mutism Alexia and dyslexia Relationship problems Symbolic dysfunction NEC 432 Other Mental Disorders Diagnoses Reactive confusion Psychosexual disorder NOS Ego-dystonic homosexuality Psychogenic disorder NEC Zoophilia Stammering & stuttering Pedophilia Stereotyped movements Transvestism Nonorganic sleep disorder NOS Exhibitionism Transient insomnia Trans-sexualism NOS Persistent insomnia Trans-sexualism, asexual Transient hypersomnia Trans-sexualism, homosexual Persistent hypersomnia Trans-sexualism, heterosexual Disrupt sleep-wake cycle Psychosex identity disorder Somnambulism or night terror Psychosexual dysfunction NOS Sleep stage dysfunction NEC Inhibited sexual desire Repetitive sleep intrusion Inhibited sex excitement Nonorganic sleep disorder NEC Page 13 of 18 July 1, 2004

6 Inhibited female orgasm Eating disorder NOS Inhibited male orgasm Bulimia Premature ejaculation Eating disorder NEC Functional dyspareunia Sleep disturbance NOS Psychosexual dysfunc NEC Insomnia NEC Fetishism Hypersomnia NEC Voyeurism Irregular sleep-wake rhythm NOS Sexual masochism Sleep stage dysfunctions Sexual sadism Sleep disturbances NEC Gender identity disorder, adolescent/adult Symbolic dysfunction NOS Psychosexual disorder NEC V710.9 Observ-mental cond NEC 433 Alcohol/Drug Abuse or Dependence, Left AMA 521 Alcohol/Drug Abuse or Dependence w/ cc Delirium tremens Drug dependence NEC - continuous Alcohol amnestic syndrome Drug dependence NEC - episodic Alcoholic dementia NEC Drug dependence NEC - remission Alcohol hallucinosis Opioid/other dependence - unspecified Pathologic alcohol intox Opioid/other dependence - continuous Alcoholic jealousy Opioid/other dependence - episodic Alcohol withdrawal Opioid/other dependence - remission Alcoholic psychosis NEC Comb drug dependence NEC - unspecified Alcoholic psychosis NOS Comb drug dependence NEC - contin Drug withdrawal syndrome Comb drug dependence NEC - episodic Drug paranoid state Comb drug dependence NEC - remission Drug hallucinosis Drug dependence NOS - unspecified Pathologic drug intox Drug dependence NOS - continuous Drug-induced delirium Drug dependence NOS - episodic Drug-induced dementia Drug dependence NOS - remission Drug amnestic syndrome Alcohol abuse - unspecified Drug depressive syndrome Alcohol abuse - continuous Drug mental disorder NEC Alcohol abuse - episodic Drug mental disorder NOS Alcohol abuse - remission Acute alcoholic intox - unspecified Cannabis abuse - unspecified Acute alcoholic intox - continuous Cannabis abuse - continuous Acute alcoholic intox - episodic Cannabis abuse - episodic Acute alcoholic intox - remission Cannabis abuse - remission Alcohol dependence NEC/NOS - unspec Hallucinogen abuse - unspecified Alcohol dependence NEC/NOS - contin Hallucinogen abuse - continuous Alcohol dependence NEC/NOS - episodic Hallucinogen abuse - episodic Page 14 of 18 July 1, 2004

7 Alcohol dependence NEC/NOS - remiss Hallucinogen abuse - remission Opioid dependence - unspecified Barbiturate abuse - unspecified Opioid dependence - continuous Barbiturate abuse - continuous Opioid dependence - episodic Barbiturate abuse - episodic Opioid dependence - remission Barbiturate abuse - remission Barbiturate dependence - unspecified Opioid abuse - unspecified Barbiturate dependence - continuous Opioid abuse - continuous Barbiturate dependence - episodic Opioid abuse - episodic Barbiturate dependence - remission Opioid abuse - remission Cocaine dependence - unspecified Cocaine abuse - unspecified Cocaine dependence - continuous Cocaine abuse - continuous Cocaine dependence - episodic Cocaine abuse - episodic Cocaine dependence - remission Cocaine abuse - remission Cannabis dependence - unspecified Amphetamine abuse - unspecified Cannabis dependence - continuous Amphetamine abuse - continuous Cannabis dependence - episodic Amphetamine abuse - episodic Cannabis dependence - remission Amphetamine abuse - remission Amphetamine dependence - unspecified Antidepressant abuse - unspecified Amphetamine dependence - continuous Antidepressant abuse - continuous Amphetamine dependence - episodic Antidepressant abuse - episodic Amphetamine dependence - remission Antidepressant abuse - remission Hallucinogen dependence - unspecified Drug abuse NEC - unspecified Hallucinogen dependence - continuous Drug abuse NEC - continuous Hallucinogen dependence - episodic Drug abuse NEC - episodic Hallucinogen dependence - remission Drug abuse NEC - remission Drug dependence NEC - unspecified Excess blood-alcohol level 522 Alcohol/Drug Abuse or Dependence with Rehabilitation Therapy w/o cc Delirium tremens Drug dependence NEC - continuous Alcohol amnestic syndrome Drug dependence NEC - episodic Alcoholic dementia NEC Drug dependence NEC - remission Alcohol hallucinosis Opioid/other dependence - unspecified Pathologic alcohol intox Opioid/other dependence - continuous Alcoholic jealousy Opioid/other dependence - episodic Alcohol withdrawal Opioid/other dependence - remission Alcoholic psychosis NEC Comb drug dependence NEC - unspecified Alcoholic psychosis NOS Comb drug dependence NEC - continuous Drug withdrawal syndrome Comb drug dependence NEC - episodic Drug paranoid state Comb drug dependence NEC - remission Drug hallucinosis Drug dependence NOS - unspecified Pathologic drug intox Drug dependence NOS - continuous Drug-induced delirium Drug dependence NOS - episodic Page 15 of 18 July 1, 2004

8 Drug-induced dementia Drug dependence NOS - remission Drug amnestic syndrome Alcohol abuse - unspecified Drug depressive syndrome Alcohol abuse - continuous Drug mental disorder NEC Alcohol abuse - episodic Drug mental disorder NOS Alcohol abuse - remission Acute alcoholic intox - unspecified Cannabis abuse - unspecified Acute alcoholic intox - continuous Cannabis abuse - continuous Acute alcoholic intox - episodic Cannabis abuse - episodic Acute alcoholic intox - remission Cannabis abuse - remission Alcohol dependence NEC/NOS - unspec Hallucinogen abuse - unspecified Alcohol dependence NEC/NOS - contin Hallucinogen abuse - continuous Alcohol dependence NEC/NOS - episodic Hallucinogen abuse - episodic Alcohol dependence NEC/NOS - remiss Hallucinogen abuse - remission Opioid dependence - unspecified Barbiturate abuse - unspecified Opioid dependence - continuous Barbiturate abuse - continuous Opioid dependence - episodic Barbiturate abuse - episodic Opioid dependence - remission Barbiturate abuse - remission Barbiturate dependence - unspecified Opioid abuse - unspecified Barbiturate dependence - continuous Opioid abuse - continuous Barbiturate dependence - episodic Opioid abuse - episodic Barbituraet dependence - remission Opioid abuse - remission Cocaine dependence - unspecified Cocaine abuse - unspecified Cocaine dependence - continuous Cocaine abuse - continuous Cocaine dependence - episodic Cocaine abuse - episodic Cocaine dependence - remission Cocaine abuse - remission Cannabis dependence - unspecified Amphetamine abuse - unspecified Cannabis dependence - continuous Amphetamine abuse - continuous Cannabis dependence - episodic Amphetamine abuse - episodic Cannabis dependence - remission Amphetamine abuse - remission Amphetamine dependence - unspecified Antidepressant abuse - unspecified Amphetamine dependence -continuous Antidepressant abuse - continuous Amphetamine dependence - episodic Antidepressant abuse - episodic Amphetamine dependence - remission Antidepressant abuse - remission Hallucinogen dependence - unspecified Drug abuse NEC - unspecified Hallucinogen dependence - continuous Drug abuse NEC - continuous Hallucinogen dependence - episodic Drug abuse NEC - episodic Hallucinogen dependence - remission Drug abuse NEC - remission Drug dependence NEC - unspecified Excess blood-alcohol level And Non-Operating Room Procedures Alcohol rehabilitation Drug rehab/detox Alcohol rehab/detox Comb alcohol/drug rehab Drug rehabilitation Comb alcohol/drug rehab/detox Page 16 of 18 July 1, 2004

9 523 Alcohol/Drug Abuse or Dependence w/o Rehabilitation Therapy w/o cc Delirium tremens Drug dependence NEC - continuous Alcohol amnestic syndrome Drug dependence NEC - episodic Alcoholic dementia NEC Drug dependence NEC - remission Alcohol hallucinosis Opioid/other dependence - unspecified Pathologic alcohol intox Opioid/other dependence - continuous Alcoholic jealousy Opioid/other dependence - episodic Alcohol withdrawal Opioid/other dependence - remission Alcoholic psychosis NEC Comb drug dependence NEC - unspecified Alcoholic psychosis NOS Comb drug dependence NEC - continuous Drug withdrawal syndrome Comb drug dependence NEC - episodic Drug paranoid state Comb drug dependence NEC - remission Drug hallucinosis Drug dependence NOS - unspecified Pathologic drug intox Drug dependence NOS - continuous Drug-induced delirium Drug dependence NOS - episodic Drug-induced dementia Drug dependence NOS - remission Drug amnestic syndrome Alcohol abuse - unspecified Drug depressive syndrome Alcohol abuse - continuous Drug mental disorder NEC Alcohol abuse - episodic Drug mental disorder NOS Alcohol abuse - remission Acute alcoholic intox - unspecified Cannabis abuse - unspecified Acute alcoholic intox - continuous Cannabis abuse - continuous Acute alcoholic intox - episodic Cannabis abuse - episodic Acute alcoholic intox - remission Cannabis abuse - remission Alcohol dependence NEC/NOS - unspec Hallucinogen abuse - unspecified Alcohol dependence NEC/NOS - contin Hallucinogen abuse - continuous Alcohol dependence NEC/NOS - episodic Hallucinogen abuse - episodic Alcohol dependence NEC/NOS - remiss Hallucinogen abuse - remission Opioid dependence - unspecified Barbiturate abuse - unspecified Opioid dependence - continuous Barbiturate abuse - continuous Opioid dependence - episodic Barbiturate abuse - episodic Opioid dependence - remission Barbiturate abuse - remission Barbiturate dependence - unspecified Opioid abuse - unspecified Barbiturate dependence - continuous Opioid abuse - continuous Barbiturate dependence - episodic Opioid abuse - episodic Barbituraet dependence - remission Opioid abuse - remission Cocaine dependence - unspecified Cocaine abuse - unspecified Cocaine dependence - continuous Cocaine abuse - continuous Cocaine dependence - episodic Cocaine abuse - episodic Cocaine dependence - remission Cocaine abuse - remission Cannabis dependence - unspecified Amphetamine abuse - unspecified Page 17 of 18 July 1, 2004

10 Cannabis dependence - continuous Amphetamine abuse - continuous Cannabis dependence - episodic Amphetamine abuse - episodic Cannabis dependence - remission Amphetamine abuse - remission Amphetamine dependence - unspecified Antidepressant abuse - unspecified Amphetamine dependence -continuous Antidepressant abuse - continuous Amphetamine dependence - episodic Antidepressant abuse - episodic Amphetamine dependence - remission Antidepressant abuse - remission Hallucinogen dependence - unspecified Drug abuse NEC - unspecified Hallucinogen dependence - continuous Drug abuse NEC - continuous Hallucinogen dependence - episodic Drug abuse NEC - episodic Hallucinogen dependence - remission Drug abuse NEC - remission Drug dependence NEC - unspecified Excess blood-alcohol level Refer to Items 1, 4, and 6 Page 18 of 18 July 1, 2004

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