Attachment A. Code Beginning Review

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1 Attachment A ICD-10-CM Mental Disorders Diagnosis Codes and s Subject to Certification of Admission/Concurrent/Continued Stay Review Based on the Admitting Diagnosis Code This list contains principal diagnosis codes for psychiatric services Category of Service 21. If a code from this list is used as the principal diagnosis code, general care hospitals that are not enrolled for COS 21 may only bill for a maximum of three days of emergency psychiatric care using COS 20. F /01/2015 Personality change due to known physiological condition F /01/2015 Paranoid schizophrenia F /01/2015 Disorganized schizophrenia F /01/2015 Catatonic schizophrenia F /01/2015 Residual schizophrenia F /01/2015 Schizophreniform disorder F /01/2015 Other schizophrenia F /01/2015 Schizophrenia, unspecified F21 10/01/2015 Schizotypal disorder F22 10/01/2015 Delusional disorders F23 10/01/2015 Brief psychotic disorder F24 10/01/2015 Shared psychotic disorder F /01/2015 Schizoaffective disorder, unspecified F28 10/01/2015 Other psychotic disorder not due to a substance or known physiological condition F29 10/01/2015 Unspecified psychosis not due to a substance or known physiological condition F /01/2015 Manic episode without psychotic symptoms, unspecified F /01/2015 Manic episode without psychotic symptoms, mild F /01/2015 Manic episode without psychotic symptoms, moderate F /01/2015 Manic episode, severe, without psychotic symptoms F /01/2015 Manic episode, severe with psychotic symptoms F /01/2015 Manic episode in partial remission F /01/2015 Manic episode in full remission F /01/2015 Other manic episodes F /01/2015 Manic episode, unspecified F /01/2015 Bipolar disorder, current episode manic without psychotic features, unspecified F /01/2015 Bipolar disorder, current episode manic without psychotic features, mild F /01/2015 Bipolar disorder, current episode manic without psychotic features, moderate 1

2 Attachment A F /01/2015 Bipolar disorder, current episode manic without psychotic features, severe F /01/2015 Bipolar disorder, current episode manic severe with psychotic features F /01/2015 Bipolar disorder, current episode depressed, mild or moderate severity, unspecified F /01/2015 Bipolar disorder, current episode depressed, mild F /01/2015 Bipolar disorder, current episode depressed, moderate F /01/2015 Bipolar disorder, current episode depressed, severe, without psychotic features F /01/2015 Bipolar disorder, current episode depressed, severe, with psychotic features F /01/2015 Bipolar disorder, current episode mixed, unspecified F /01/2015 Bipolar disorder, current episode mixed, mild F /01/2015 Bipolar disorder, current episode mixed, moderate F /01/2015 Bipolar disorder, current episode mixed, severe, without psychotic features F /01/2015 Bipolar disorder, current episode mixed, severe, with psychotic features F /01/2015 Bipolar disorder, in partial remission, most recent episode manic F /01/2015 Bipolar disorder, in full remission, most recent episode manic F /01/2015 Bipolar disorder, in partial remission, most recent episode depressed F /01/2015 Bipolar disorder, in full remission, most recent episode depressed F /01/2015 Bipolar disorder, in partial remission, most recent episode mixed F /01/2015 Bipolar disorder, in full remission, most recent episode mixed F /01/2015 Other bipolar disorder F /01/2015 Bipolar disorder, unspecified F /01/2015 Major depressive disorder, single episode, mild F /01/2015 Major depressive disorder, single episode, moderate F /01/2015 Major depressive disorder, single episode, severe without psychotic features F /01/2015 Major depressive disorder, single episode, severe with psychotic features F /01/2015 Major depressive disorder, single episode, in partial remission F /01/2015 Major depressive disorder, single episode, in full remission F /01/2015 Other depressive episodes F /01/2015 Major depressive disorder, single episode, unspecified 2

3 Attachment A F /01/2015 Major depressive disorder, recurrent, mild F /01/2015 Major depressive disorder, recurrent, moderate F /01/2015 Major depressive disorder, recurrent, severe without psychotic features F /01/2015 Major depressive disorder, recurrent, severe with psychotic symptoms F /01/2015 Major depressive disorder, recurrent, in remission, unspecified F /01/2015 Major depressive disorder, recurrent, in partial remission F /01/2015 Major depressive disorder, recurrent, in full remission F /01/2015 Major depressive disorder, recurrent, unspecified F /01/2015 Cyclothymic disorder F /01/2015 Dysthymic disorder F /01/2015 Other persistent mood [affective] disorders F39 10/01/2015 Unspecified mood [affective] disorder F /01/2015 Agoraphobia, unspecified F /01/2015 Agoraphobia w/ panic disorder F /01/2015 Agoraphobia w/o panic disorder F /01/2015 Social phobia, unspecified F /01/2015 Social phobia, generalized F /01/2015 Arachnophobia F /01/2015 Other animal type phobia F /01/2015 Fear of thunderstorms F /01/2015 Other natural environment type phobia F /01/2015 Fear of blood F /01/2015 Fear of injections and transfusions F /01/2015 Fear of other medical care F /01/2015 Fear of injury F /01/2015 Claustrophobia F /01/2015 Acrophobia F /01/2015 Fear of bridges F /01/2015 Fear of flying F /01/2015 Other situational type phobia F /01/2015 Androphobia F /01/2015 Gynephobia F /01/2015 Other specified phobia F /01/2015 Other phobic anxiety disorders F /01/2015 Phobic anxiety disorder, unspecified F /01/2015 Panic disorder [episodic paroxysmal anxiety] w/o agoraphobia F /01/2015 Generalized anxiety disorder F /01/2015 Other mixed anxiety disorders F /01/2015 Other spcified anxiety disorders 3

4 Attachment A F /01/2015 Anxiety disorder, unspecified F42 10/01/2015 Obsessive-compulsive disorder F /01/2015 Acute stress reaction F /01/2015 Post-traumatic stress disorder, unspecified F /01/2015 Post-traumatic stress disorder, acute F /01/2015 Post-traumatic stress disorder, chronic F /01/2015 Adjustment disorder, unspecified F /01/2015 Adjustment disorder w/ depressed mood F /01/2015 Adjustment disorder w/ anxiety F /01/2015 Adjustment disorder with mixed anxiety and depressed mood F /01/2015 Adjustment disorder w/ disturbance of conduct F /01/2015 Adjustment disorder w/ mixed disturbance of emotions and conduct F /01/2015 Adjustment disorder w/ other symptoms F /01/2015 Other reactions to severe stress F /01/2015 Reaction to severe stress, unspecified F /01/2015 Dissociative amnesia F /01/2015 Dissociative fugue F /01/2015 Dissociative stupor F /01/2015 Conversion disorder w/ motor symptom or deficit F /01/2015 Conversion disorder w/ seizures or convulsions F /01/2015 Conversion disorder w/ sensory symptom or deficit F /01/2015 Conversion disorder w/ mixed symptom presentation F /01/2015 Dissociative identity disorder F /01/2015 Other dissociative and conversion disorders F /01/2015 Dissociative and conversion disorder, unspecified F /01/2015 Somatization disorder F /01/2015 Undifferentiated somatoform disorder F /01/2015 Hypochondriacal disorder, unspecified F /01/2015 Hypochondriasis F /01/2015 Body dysmorphic disorder F /01/2015 Other hypochondriacal disorders F /01/2015 Pain disorder exlusively relatd to psychological factors F /01/2015 Other somatoform disorders F /01/2015 Somatoform disorder, unspecified F /01/2015 Depersonalization-derealization syndrome F /01/2015 Other specified nonpsychotic mental disorders F /01/2015 Nonpsychotic mental disorder, unspecified F /01/2015 Eating disorder, unspecified F /01/2015 Primary insomnia F /01/2015 Adjustment insomnia 4

5 Attachment A F /01/2015 Paradoxical insomnia F /01/2015 Other insomnia not due to a substance or known physiological condition F /01/2015 Primary hypersomnia F /01/2015 Insufficient sleep syndrome F /01/2015 Other hypersomnia not due to a substance or known physiological condition F /01/2015 Sleepwalking F /01/2015 Sleep terrors F /01/2015 Nightmare disorder F /01/2015 Other sleep disorders not due to a substance or known physiological condition F /01/2015 Sleep disorder not due to a substance or known physiological condition, unspecified F /01/2015 Hypoactive sexual desire disorder F /01/2015 Sexual aversion disorder F /01/2015 Male erectile disorder F /01/2015 Female sexual arousal disorder F /01/2015 Female orgasmic disorder F /01/2015 Male orgasmic disorder F /01/2015 Premature ejaculation F /01/2015 Dyspareunia not due to a substance or known physiological condition F /01/2015 Other sexual dysfunction not due to a substance or known physiological condition F /01/2015 Unspecified sexual dysfunction not due to a substance or know physiological condition F /01/2015 Paranoid personality disorder F /01/2015 Schizoid personality disorder F /01/2015 Antisocial personality disorder F /01/2015 Borderline personality disorder F /01/2015 Histrionic personality disorder F /01/2015 Obsessive-compulsive personality disorder F /01/2015 Avoidant personality disorder F /01/2015 Dependent personality disorder F /01/2015 Narcissistic personality disorder F /01/2015 Other specific personality disorders F /01/2015 Personality disorder, unspecified F /01/2015 Pathological gambling F /01/2015 Pyromania F /01/2015 Kleptomania 5

6 Attachment A F /01/2015 Trichotillomania F /01/2015 Intermittent explosive disorder F /01/2015 Other impulse disorders F /01/2015 Impulse disorder, unspecified F /01/2015 Gender identity disorder in adolescence and adulthood F /01/2015 Gender identity disorder in childhood F /01/2015 Other gender identity disorders F /01/2015 Fetishism F /01/2015 Transvestic fetishism F /01/2015 Exhibitionism F /01/2015 Voyeurism F /01/2015 Pedophilia F /01/2015 Sadomasochism, unspecified F /01/2015 Sexual masochism F /01/2015 Sexual sadism F /01/2015 Frotteurism F /01/2015 Other paraphilias F /01/2015 Parahilia, unspecified F66 10/01/2015 Other sexual disorders F /01/2015 Factitious disorder, unspecified F /01/2015 Factitious disorder w/ predominantly psychological signs and symptoms F /01/2015 Fatitious disorder w/ predominantly physical signs and symptoms F /01/2015 Other specified disorders of adult personality and behavior F69 10/01/2015 Unspecified disorder of adult personality and behavior F70 10/01/2015 Mild intellectual disabilities F71 10/01/2015 Moderate intellectual disabilities F72 10/01/2015 Severe intellectual disabilities F73 10/01/2015 Profound intellectual disabilities F78 10/01/2015 Other intellectual disabilities F79 10/01/2015 Unspecified intellectual disabilities F /01/2015 Phonological disorder F /01/2015 Expressive language disorder F /01/2015 Mixed receptive-expressive language disorder F /01/2015 Speech and language developmental delay due to hearing loss F /01/2015 Other developmental disorders of speech and language F /01/2015 Developmental disorder of speech and language, unspecified F /01/2015 Specific reading disorder F /01/2015 Mathematics disorder F /01/2015 Other developmental disorders of scholastic skills 6

7 Attachment A F /01/2015 Developmental disorder of scholastic skills, unspecified F82 10/01/2015 Specific developmental disorder of motor function F /01/2015 Autistic disorder F /01/2015 Other childhood disintegrative disorder F /01/2015 Asperger's Syndrome F /01/2015 Other pervasive developmental disorders F /01/2015 Pervasive developmental disorder, unspecified F88 10/01/2015 Other disorders of psychological development F89 10/01/2015 Unspecified disorder of pyschological development F /01/2015 Attention-deficit hyperactivity disorder, predominantly inattentive type F /01/2015 Attention-deficit hyperactivity disorder, predominantly hyperactive type F /01/2015 Attention-deficit hyperactivity disorder, combined type F /01/2015 Attention-deficit hyperactivity disorder, other type F /01/2015 Attention-deficit hyperactivity disorder, unspecified type F /01/2015 Conduct disorder confined to family context F /01/2015 Conduct disorder, childhood-onset type F /01/2015 Conduct disorder, adolescent-onset type F /01/2015 Oppositional defiant disorder F /01/2015 Other conduct disorders F /01/2015 Conduct disorder, unspecified F /01/2015 Separation anxiety disorder of childhood F /01/2015 Other childhood emotional disorders F /01/2015 Childhood emotional disorder, unspecified F /01/2015 Selective mutism F /01/2015 Reactive attachment disorder of childhood F /01/2015 Disinhibited attachment disorder of childhood F /01/2015 Other childhood disorders of social functioning F /01/2015 Childhood disorder of social functioning, unspecified F /01/2015 Transient tic disorder F /01/2015 Chronic motor or vocal tic disorder F /01/2015 Tourette's disorder F /01/2015 Tic disorder, unspecified F /01/2015 Enuresis not due to a substance or known physiological condition F /01/2015 Encopresis not due to a substance or known physiological condition F /01/2015 Stereotyped movement disorder F /01/2015 Adult onset fluency disorder F /01/2015 Other specified behavioral and emotional disorders with onset 7

8 Attachment A usually occurring in childhood and adolescence F /01/2015 Unspecified behavioral and emotional disorders w/ onset usually occurring in childhood and adolescence F99 10/01/2015 Mental disorder, not otherwise specified H /01/2015 Central auditory processing disorder R /01/2015 Restlessness and agitation R /01/2015 Unhappiness R /01/2015 Hostility R /01/2015 Violent behavior R /01/2015 State of emotional shock and stress, unspecified R /01/2015 Low self-esteem R /01/2015 Worries R /01/2015 Dyslexia and alexia Z /01/2015 Personal history of sex reassignment 8

9 Attachment B ICD-10-CM Mental Disorders Diagnosis Codes and s Subject to Certification of Admission/Concurrent/Continued Stay Review Based on the Admitting Diagnosis Code This list contains principal diagnosis codes for medical services Category of Service 20 or psychiatric services Category of Service 21. If a code from this list is used as the principal diagnosis code, general care hospitals that are not enrolled for COS 21 may only bill for a maximum of three days of emergency psychiatric care using COS 20. All codes are subject to 60-day detox readmission review except for those identified with an asterisk. Code Beginning Review F /01/2015 Vascular dementia w/o behavioral disturbance F /01/2015 Vascular dementia w/ behavioral disturbance F /01/2015 Unspecified dementia w/o behavioral disturbance F05 10/01/2015 Delirium due to known physiological condition *F /01/2015 Postconcussional syndrome *F /01/2015 Other personality and behavioral disorders due to known physiological condition *F /01/2015 Unspecified personality and behavioral disorder due to known physiological condition *F09 10/01/2015 Unspecified mental disorder due to known physiological condition *F /01/2015 Alcohol abuse, uncomplicated *F /01/2015 Alcohol abuse with intoxication, uncomplicated F /01/2015 Alcohol abuse with intoxication delirium *F /01/2015 Alcohol abuse with intoxication, unspecified F /01/2015 Alcohol abuse w/ alcohol-induced mood disorder F /01/2015 Alcohol abuse w/ alcohol-induced psychotic disorder w/ delusions F /01/2015 Alcohol abuse w/ alcohol-induced psychotic disorder w/ hallucinations F /01/2015 Alcohol abuse w/ unspecified alcohol-induced disorder F /01/2015 Alcohol abuse w/ alcohol-induced anxiety disorder F /01/2015 Alcohol abuse w/ alcohol-induced sexual dysfunction F /01/2015 Alcohol abuse w/ alcohol-induced sleep disorder F /01/2015 Alcohol abuse w/ other alcohol-induced disorder F /01/2015 Alcohol abuse w/ unspecified alcohol-induced disorder *F /01/2015 Alcohol dependence, uncomplicated *F /01/2015 Alcohol dependence, in remission *F /01/2015 Alcohol dependence with intoxication, uncomplicated 1

10 Attachment B Code Beginning Review F /01/2015 Alcohol dependence with intoxication delirium *F /01/2015 Alcohol dependence w/ intoxication, unspecified F /01/2015 Alcohol dependence w/ withdrawal, uncomplicated F /01/2015 Alcohol dependence w/ withdrawal delirium F /01/2015 Alcohol dependence w/ withdrawal w/ perceptual disturbance F /01/2015 Alcohol dependence w/ withdrawal, unspecified F /01/2015 Alcohol dependence w/ alcohol-induced mood disorder F /01/2015 Alcohol dependence w/ alcohol-induced psychotic disorder w/ delusions F /01/2015 Alcohol dependence w/ alcohol-induced psychotic disorder w/ hallucinations F /01/2015 Alcohol dependence w/ alcohol-induced psychotic disorder, unspecified F /01/2015 Alcohol dependence w/ alcohol-induced persisting amnestic disorder F /01/2015 Alcohol dependence w/ alcohol-induced persisting dementia F /01/2015 Alcohol dependence w/ alcohol-induced anxiety disorder F /01/2015 Alcohol dependence w/ alcohol-induced sexual dysfunction F /01/2015 Alcohol dependence w/ alcohol-induced sleep disorder F /01/2015 Alcohol dependence w/ other alcohol-induced disorder F /01/2015 Alcohol dependence w/ unspecified alcohol-induced disorder F /01/2015 Alcohol use, unspecified with intoxication, uncomplicated F /01/2015 Alcohol use, unspecified with intoxication delirium F /01/2015 Alcohol use, unspecified w/ intoxication, unspecified F /01/2015 Alcohol use, unspecified with alcohol-induced mood disorder F /01/2015 Alcohol use, unspecified w/ alcohol-induced psychotic disorder w/ delusions F /01/2015 Alcohol use, unspecified w/ alcohol-induced psychotic disorder w/ hallucinations F /01/2015 Alcohol use, unspecified w/ alcohol-induced psychotic disorder, unspecified F /01/2015 Alcohol use, unspecified w/ alcohol-induced persisting amnestic disorder F /01/2015 Alcohol use, unsp with alcohol-induced persisting dementia (Alcohol use, unspecified with alcohol-induced persisting dementia) F /01/2015 Alcohol use, unspecified w/ alcohol-induced anxiety disorder F /01/2015 Alcohol use, unspecified w/ alcohol-induced sexual dysfunction F /01/2015 Alcohol use, unspecified w/ alcohol-induced sleep disorder 2

11 Attachment B Code Beginning Review F /01/2015 Alcohol use, unspecified w/ other alcohol-induced disorder F /01/2015 Alcohol use, unspecified w/ unspecified alcohol-induced disorder *F /01/2015 Opioid abuse, uncomplicated *F /01/2015 Opioid abuse with intoxication, uncomplicated F /01/2015 Opioid abuse w/ intoxication delirium F /01/2015 Opioid abuse with intoxication with perceptual disturbance *F /01/2015 Opioid abuse with intoxication, unspecified F /01/2015 Opioid abuse w/ opioid-induced mood disorder F /01/2015 Opioid abuse w/ opioid-induced psychotic disorder w/ delusions F /01/2015 Opioid abuse w/ opioid-induced psychotic disorder w/ hallucinations F /01/2015 Opioid abuse w/ opioid-induced psychotic disorder, unspecified F /01/2015 Opioid abuse with opioid-induced sexual dysfunction F /01/2015 Opioid abuse w/ opioid-induced sleep disorder F /01/2015 Opioid abuse with other opioid-induced disorder F /01/2015 Opioid abuse with unspecified opioid-induced disorder F /01/2015 Opioid dependence, uncomplicated *F /01/2015 Opioid dependence, in remission F /01/2015 Opioid dependence with intoxication, uncomplicated F /01/2015 Opioid dependence with intoxication delirium F /01/2015 Opioid dependence with intoxication with perceptual disturbance F /01/2015 Opioid dependence with intoxication, unspecified F /01/2015 Opioid dependence with withdrawal F /01/2015 Opioid dependence with opioid-induced mood disorder F /01/2015 Opioid dependence with opioid-induced psychotic disorder with delusions F /01/2015 Opioid dependence with opioid-induced psychotic disorder with hallucinations F /01/2015 Opioid dependence with opioid-induced psychotic disorder, unspecified F /01/2015 Opioid dependence with opioid-induced sexual dysfunction F /01/2015 Opioid dependence w/ opioid-induced sleep disorder F /01/2015 Opioid dependence with other opioid-induced disorder F /01/2015 Opioid dependence with unspecified opioid-induced disorder *F /01/2015 Opioid use, unspecified, uncomplicated F /01/2015 Opioid use, unspecified w/ intoxication, uncomplicated F /01/2015 Opioid use, unspecified w/ intoxication delirium 3

12 Attachment B Code Beginning Review F /01/2015 Opioid use, unspecified with intoxication with perceptual disturbance F /01/2015 Opioid use, unspecified w/ intoxication, unspecified F /01/2015 Opioid use, unspecified w/ withdrawal F /01/2015 Opioid use, unspecified w/ opioid-induced mood disorder F /01/2015 Opioid use, unsp w opioid-induc psych disorder w delusions (Opioid use, unspecified with opioid-induced psychotic disorder with delusions) F /01/2015 Oth psychoactv sub use, unsp w psych disorder w hallucin (Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations) F /01/2015 Opioid use, unspecified with opioid-induced psychotic disorder, unspecified F /01/2015 Opioid use, unspecified with opioid-induced sexual dysfunction F /01/2015 Opioid use, unspecified w/ opioid-induced sleep disorder F /01/2015 Opioid use, unspecified with other opioid-induced disorder F /01/2015 Opioid use, unsp with unspecified opioid-induced disorder (Opioid use, unspecified with unspecified opioid-induced disorder) *F /01/2015 Cannabis abuse, uncomplicated F /01/2015 Cannabis abuse w/ intoxication, uncomplicated F /01/2015 Cannabis abuse w/ intoxication delirium F /01/2015 Cannabis abuse with intoxication with perceptual disturbance F /01/2015 Cannabis abuse w/ intoxication, unspecified F /01/2015 Cannabis abuse w/ psychotic disorder w/ delusions F /01/2015 Cannabis abuse w/ psychotic disorder w/ hallucinations F /01/2015 Cannabis abuse with psychotic disorder, unspecified F /01/2015 Cannabis abuse with cannabis-induced anxiety disorder F /01/2015 Cannabis abuse with other cannabis-induced disorder F /01/2015 Cannabis abuse with unspecified cannabis-induced disorder *F /01/2015 Cannabis dependence, uncomplicated *F /01/2015 Cannabis dependence, in remission F /01/2015 Cannabis dependence with intoxication, uncomplicated F /01/2015 Cannabis dependence with intoxication delirium F /01/2015 Cannabis dependence with intoxication with perceptual disturbance F /01/2015 Cannabis dependence with intoxication, unspecified F /01/2015 Cannabis dependence with psychotic disorder with delusions F /01/2015 Cannabis dependence with psychotic disorder with 4

13 Attachment B Code Beginning Review hallucinations F /01/2015 Cannabis dependence with psychotic disorder, unspecified F /01/2015 Cannabis dependence with cannabis-induced anxiety disorder F /01/2015 Cannabis dependence with other cannabis-induced disorder F /01/2015 Cannabis dependence with unspecified cannabis-induced disorder *F /01/2015 Cannabis use, unspecified, uncomplicated F /01/2015 Cannabis use, unspecified w/ intoxication, uncomplicated F /01/2015 Cannabis use, unspecified w/ intoxication delirium F /01/2015 Cannabis use, unspecified with intoxication with perceptual disturbance F /01/2015 Cannabis use, unspecified w/ intoxication, unspecified F /01/2015 Cannabis use, unspecified w/ psychotic disorder w/ delusions F /01/2015 Cannabis use, unspecified w/ psychotic disorder w/ hallucinations F /01/2015 Cannabis use, unspecified with psychotic disorder, unspecified F /01/2015 Cannabis use, unspecified with anxiety disorder F /01/2015 Cannabis use, unspecified with other cannabis-induced disorder F /01/2015 Cannabis use, unsp with unsp cannabis-induced disorder (Cannabis use, unspecified with unspecified cannabis-induced disorder) *F /01/2015 Sedative, hypnotic or anxiolytic abuse, uncomplicated *F /01/2015 Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated F /01/2015 Sedative, hypnotic or anxiolytic abuse w/ intoxication delirium F /01/2015 Sedative, hypnotic or anxiolytic abuse w intoxication, unsp (Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified F /01/2015 Sedative, hypnotic or anxiolytic abuse w/ sedative, hypnotic or anxiolytic-induced mood disorder F /01/2015 Sedative, hypnotic or anxiolytic abuse w/ sedative, hypnotic or anxiolytic-induced psychotic disorder w/ delusions F /01/2015 Sedative, hypnotic or anxiolytic abuse w/ sedative, hypnotic or anxiolytic-induced psychotic disorder w/ hallucinations F /01/2015 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified F /01/2015 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder 5

14 Attachment B Code Beginning Review F /01/2015 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction F /01/2015 Sedative, hypnotic or anxiolytic abuse w/ sedative, hypnotic or anxiolytic-induced sleep disorder F /01/2015 Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder F /01/2015 Sedative, hypnotic or anxiolytic abuse w unsp disorder (Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder) *F /01/2015 Sedative, hypnotic or anxiolytic dependence, uncomplicated *F /01/2015 Sedative, hypnotic or anxiolytic dependence, in remission F /01/2015 Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated F /01/2015 Sedative, hypnotic or anxiolytic dependence with intoxication delirium F /01/2015 Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified F /01/2015 Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated F /01/2015 Sedative, hypnotic or anxiolytic dependence with withdrawal delirium F /01/2015 Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance F /01/2015 Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder F /01/2015 Sedative, hypnotic or anxiolytic dependence w/ sedative, hypnotic or anxiolytic-induced psychotic disorder w/ delusions F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder 6

15 Attachment B Code Beginning Review F /01/2015 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction F /01/2015 Sedative, hypnotic or anxiolytic dependence w/ sedative, hypnotic or anxiolytic-induced sleep disorder F /01/2015 Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder F /01/2015 Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder *F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified, uncomplicated F /01/2015 Sedatv/hyp/anxiolytc use, unsp w intoxication, uncomplicated (Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated) F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ intoxication delirium F /01/2015 Sedatv/hyp/anxiolytc use, unsp w intoxication, unsp (Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified) F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ withdrawal, uncomplicated F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ withdrawal delirium F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ withdrawal w/ perceptual disturbances F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ withdrawal, unspecified F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ sedative, hypnotic or anxiolytic-induced mood disorder F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ sedative, hypnotic or anxiolytic-induced psychotic disorder w/ delusions F /01/2015 Sedative, hypnotic or anxiolytic use unspecified w/ sedative, hypnotic or anxiolytic-induced psychotic disorder w/ hallucinations F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ sedative, hypnotic or anxiolytic-induced persisting amnestic disorder F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ sedative, hypnotic or anxiolytic-induced persisting dementia 7

16 Attachment B Code Beginning Review F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified w/ sedative, hypnotic or anxiolytic-induced sleep disorder F /01/2015 Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder F /01/2015 Sedative, hypnotic or anxiolytic use, unsp w unsp disorder (Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorder) *F /01/2015 Cocaine abuse, uncomplicated *F /01/2015 Cocaine abuse with intoxication, uncomplicated F /01/2015 Cocaine abuse w/ intoxication w/ delirium F /01/2015 Cocaine abuse with intoxication with perceptual disturbance F /01/2015 Cocaine abuse with intoxication, unspecified F /01/2015 Cocaine abuse w/ cocaine-induced mood disorder F /01/2015 Cocaine abuse w/ cocaine-induced psychotic disorder w/ delusions F /01/2015 cocaine abuse w/ cocaine-induced psychotic disorder w/ hallucinations F /01/2015 Cocaine abuse with cocaine-induced psychotic disorder, unspecified F /01/2015 Cocaine abuse with cocaine-induced anxiety disorder F /01/2015 Cocaine abuse with cocaine-induced sexual dysfunction F /01/2015 Cocaine abuse w/ cocaine-induced sleep disorder F /01/2015 Cocaine abuse with other cocaine-induced disorder F /01/2015 Cocaine abuse with unspecified cocaine-induced disorder F /01/2015 Cocaine dependence, uncomplicated *F /01/2015 Cocaine dependence, in remission F /01/2015 Cocaine dependence with intoxication, uncomplicated F /01/2015 Cocaine dependence with intoxication delirium F /01/2015 Cocaine dependence with intoxication with perceptual disturbance F /01/2015 Cocaine dependence with intoxication, unspecified F /01/2015 Cocaine dependence with withdrawal F /01/2015 Cocaine dependence with cocaine-induced mood disorder F /01/2015 Cocaine dependence with cocaine-induced psychotic disorder with delusions F /01/2015 Cocaine dependence with cocaine-induced psychotic disorder with hallucinations 8

17 Attachment B Code Beginning Review F /01/2015 Cocaine dependence with cocaine-induced psychotic disorder, unspecified F /01/2015 Cocaine dependence with cocaine-induced anxiety disorder F /01/2015 Cocaine dependence with cocaine-induced sexual dysfunction F /01/2015 Cocaine dependence w/ cocaine-induced sleep disorder F /01/2015 Cocaine dependence with other cocaine-induced disorder F /01/2015 Cocaine dependence with unspecified cocaine-induced disorder *F /01/2015 Cocaine use, unspecified, uncomplicated F /01/2015 Cocaine use, unspecified with intoxication, uncomplicated F /01/2015 Cocaine use, unspecified w/ intoxication delirium F /01/2015 Cocaine use, unspecified with intoxication with perceptual disturbance F /01/2015 Cocaine use, unspecified with intoxication, unspecified F /01/2015 Cocaine use, unspecified w/ cocaine-induced mood disorder F /01/2015 Cocaine use, unspecified w/ cocaine-induced psychotic disorder w/ delusions F /01/2015 Cocaine use, unspecified w/ cocaine-induced psychotic disorder w/ hallucinations F /01/2015 Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified F /01/2015 Cocaine use, unspecified with cocaine-induced anxiety disorder F /01/2015 Cocaine use, unspecified with cocaine-induced sexual dysfunction F /01/2015 Cocaine use, unspecified w/ cocaine-induced sleep disorder F /01/2015 Cocaine use, unspecified with other cocaine-induced disorder F /01/2015 Cocaine use, unsp with unspecified cocaine-induced disorder (Cocaine use, unspecified with unspecified cocaine-induced disorder) *F /01/2015 Other stimulant abuse, uncomplicated F /01/2015 Other stimulant abuse with intoxication, uncomplicated F /01/2015 Other stimulant use, unspecified with intoxication delirium F /01/2015 Other stimulant abuse with intoxication with perceptual disturbance F /01/2015 Other stimulant abuse with intoxication, unspecified F /01/2015 Other stimulant abuse w/ stimulant-induced mood disorder F /01/2015 Other stimulant abuse w/ stimulant-induced psychotic disorder w/ delusions 9

18 Attachment B Code Beginning Review F /01/2015 Oth stimulant abuse w stim-induce psych disorder w hallucin (Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations) F /01/2015 Other stimulant abuse with stimulant-induced psychotic disorder, unspecified F /01/2015 Other stimulant abuse with stimulant-induced anxiety disorder F /01/2015 Other stimulant abuse with stimulant-induced sexual dysfunction F /01/2015 Other stimulant abuse w/ stimulant-induced sleep disorder F /01/2015 Other stimulant abuse with other stimulant-induced disorder F /01/2015 Other stimulant abuse with unsp stimulant-induced disorder (Other stimulant abuse with unspecified stimulant-induced disorder) *F /01/2015 Other stimulant dependence, uncomplicated *F /01/2015 Other stimulant dependence, in remission F /01/2015 Other stimulant dependence with intoxication with perceptual disturbance F /01/2015 Other stimulant dependence with stimulant-induced psychotic disorder, unspecified F /01/2015 Other stimulant dependence with stimulant-induced anxiety disorder F /01/2015 Other stimulant dependence with stimulant-induced sexual dysfunction F /01/2015 Other stimulant dependence w/ stimulant-induced sleep disorder F /01/2015 Other stimulant dependence with other stimulant-induced disorder *F /01/2015 Other stimulant use, unspecified, uncomplicated F /01/2015 Other stimulant use, unsp with intoxication, uncomplicated (Other stimulant use, unspecified with intoxication, uncomplicated) F /01/2015 Other stimulant use, unspecified w/ intoxication delirium F /01/2015 Other stimulant use, unspecified with intoxication with perceptual disturbance F /01/2015 Other stimulant use, unsp with intoxication, unspecified (Other stimulant use, unspecified with intoxication, unspecified) F /01/2015 Other stimulant use, unspecified w/ withdrawal F /01/2015 Other stimulant use, unspecified w/ stimulant-induced mood disorder F /01/2015 Other stimulant use, unspecified w/ stimulant-induced psychotic disorder w/ delusions 10

19 Attachment B Code Beginning Review F /01/2015 Oth stim use, unsp w stim-induce psych disorder w hallucin (Other stimulant use, unspecified with stimulant-induced psychotic disorder with hallucinations) F /01/2015 Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified F /01/2015 Other stimulant use, unspecified with stimulant-induced anxiety disorder F /01/2015 Other stimulant use, unspecified with stimulant-induced sexual dysfunction F /01/2015 Other stimulant use, unspecified w/ stimulant-induced sleep disorder F /01/2015 Other stimulant use, unspecified with other stimulant-induced disorder F /01/2015 Oth stimulant use, unsp with unsp stimulant-induced disorder (Other stimulant use, unspecified with unspecified stimulantinduced disorder) *F /01/2015 Hallucinogen abuse, uncomplicated F /01/2015 Hallucinogen abuse with intoxication, uncomplicated F /01/2015 Hallucinogen abuse w/ intoxication w/ delirium F /01/2015 Hallucinogen abuse with intoxication with perceptual disturbance F /01/2015 Hallucinogen abuse with intoxication, unspecified F /01/2015 Hallucinogen abuse w/ hallucinogen-induced mood disorder F /01/2015 Hallucinogen abuse w/ hallucinogen-induced psychotic disorder w/ delusions F /01/2015 Hallucinogen abuse w/ hallucinogen-induced psychotic disorder w/ hallucinations F /01/2015 Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified F /01/2015 Hallucinogen abuse with hallucinogen-induced anxiety disorder F /01/2015 Hallucinogen abuse with hallucinogen persisting perception disorder F /01/2015 Hallucinogen abuse with other hallucinogen-induced disorder F /01/2015 Hallucinogen abuse with unsp hallucinogen-induced disorder (Hallucinogen abuse with unspecified hallucinogen-induced disorder) F /01/2015 Hallucinogen dependence, uncomplicated *F /01/2015 Hallucinogen dependence, in remission F /01/2015 Hallucinogen dependence with intoxication, uncomplicated F /01/2015 Hallucinogen dependence w/ intoxication w/ delirium 11

20 Attachment B Code Beginning Review F /01/2015 Hallucinogen dependence with intoxication, unspecified F /01/2015 Hallucinogen dependence w/ hallucinogen-induced mood disorder F /01/2015 Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions F /01/2015 Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations F /01/2015 Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified F /01/2015 Hallucinogen dependence with hallucinogen-induced anxiety disorder F /01/2015 Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks) F /01/2015 Hallucinogen dependence with other hallucinogen-induced disorder F /01/2015 Hallucinogen dependence with unspecified hallucinogeninduced disorder *F /01/2015 Hallucinogen use, unspecified, uncomplicated F /01/2015 Hallucinogen use, unsp with intoxication, uncomplicated (Hallucinogen use, unspecified with intoxication, uncomplicated) F /01/2015 Hallucinogen use, unspecified w/ intoxication w/ delirium F /01/2015 Hallucinogen use, unspecified with intoxication, unspecified F /01/2015 Hallucinogen use, unspecified w/ hallucinogen-induced mood disorder F /01/2015 Hallucinogen use, unspecified w/ hallucinogen-induced psychotic disorder w/ delusions F /01/2015 Hallucinogen use, unspecified w/ hallucinogen-induced psychotic disorder w/ hallucinations F /01/2015 Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder F /01/2015 Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder F /01/2015 Hallucinogen use, unspecified with hallucinogen persisting perception disorder F /01/2015 Hallucinogen use, unspecified with other hallucinogeninduced disorder F /01/2015 Hallucinogen use, unsp w unsp hallucinogen-induced disorder (Hallucinogen use, unspecified with unspecified hallucinogeninduced disorder F /01/2015 Nicotine dependence unspecified, w/ withdrawal 12

21 Attachment B Code Beginning Review F /01/2015 Nicotine dependence, unspecified, with other nicotine-induced disorders F /01/2015 Nicotine dependence, unsp, w unsp nicotine-induced disorders (Nicotine dependence, unspecified, with unspecified nicotineinduced disorders F /01/2015 Nicotine dependence, cigarettes, w/ withdrawal F /01/2015 Nicotine dependence, other tobacco product, with other nicotine-induced disorders F /01/2015 Nicotine dependence, cigarettes, w unsp disorders (Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders) F /01/2015 Nicotine dependence, chewing tobacco, w/ withdrawal F /01/2015 Inhalant abuse with inhalant-induced psychotic disorder, unspecified F /01/2015 Nicotine dependence, chewing tobacco, w unsp disorders (Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders) F /01/2015 Nicotine dependence, other tobacco product, w/ withdrawal F /01/2015 Inhalant abuse with inhalant-induced anxiety disorder F /01/2015 Nicotine dependence, oth tobacco product, w unsp disorders (Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders) *F /01/2015 Inhalant abuse, uncomplicated F /01/2015 Inhalant abuse with intoxication, uncomplicated F /01/2015 Inhalant abuse with intoxication delirium F /01/2015 Inhalant abuse with intoxication, unspecified F /01/2015 Inhalant abuse w/ inhalant-induced mood disorder F /01/2015 Inhalant abuse w/ inhalant-induced psychotic disorder w/ delusions F /01/2015 Inhalant abuse w/ inhalant-induced psychotic disorder w/ hallucinations F /01/2015 Inhalant abuse with inhalant-induced psychotic disorder, unspecified F /01/2015 Inhalant abuse with inhalant-induced dementia F /01/2015 Inhalant dependence with inhalant-induced anxiety disorder *F /01/2015 Inhalant abuse with other inhalant-induced disorder F /01/2015 Inhalant abuse with unspecified inhalant-induced disorder *F /01/2015 Inhalant dependence, uncomplicated *F /01/2015 Inhalant dependence, in remission F /01/2015 Inhalant dependence with intoxication, uncomplicated F /01/2015 Inhalant dependence with intoxication delirium 13

22 Attachment B Code Beginning Review F /01/2015 Other psychoactive substance dependence with intoxication, unspecified F /01/2015 Inhalant dependence with inhalant-induced mood disorder F /01/2015 Inhalant dependence with inhalant-induced psychotic disorder with delusions F /01/2015 Inhalant dependence with inhalant-induced psychotic disorder with hallucinations F /01/2015 Inhalant dependence with inhalant-induced psychotic disorder, unspecified F /01/2015 Inhalant dependence with inhalant-induced dementia F /01/2015 Inhalant dependence with inhalant-induced anxiety disorder F /01/2015 Inhalant dependence with other inhalant-induced disorder F /01/2015 Inhalant dependence with unspecified inhalant-induced disorder F /01/2015 Inhalant use, unspecified, uncomplicated F /01/2015 Inhalant use, unspecified with intoxication, uncomplicated F /01/2015 Inhalant use, unspecified w/ intoxication w/ delirium F /01/2015 Inhalant use, unspecified with intoxication, unspecified F /01/2015 Inhalant use, unspecified w/ inhalant-induced mood disorder F /01/2015 Inhalant use, unspecified w/ inhalant-induced psychotic disorder w/ delusions F /01/2015 Inhalant use, unspecified w/ inhalant-induced psychotic disorder w/ hallucinations F /01/2015 Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified F /01/2015 Inhalant use, unsp with inhalant-induced persisting dementia (Inhalant use, unspecified with inhalant-induced persisting dementia) F /01/2015 Inhalant use, unspecified with inhalant-induced anxiety disorder F /01/2015 Inhalant use, unspecified with other inhalant-induced disorder F /01/2015 Inhalant use, unsp with unsp inhalant-induced disorder (Inhalant use, unspecified with unspecified inhalant-induced disorder) *F /01/2015 Other psychoactive substance abuse, uncomplicated F /01/2015 Other psychoactive substance abuse with intoxication, uncomplicated F /01/2015 Other psychoactive substance abuse w/ intoxication delirium F /01/2015 Other psychoactive substance abuse with intoxication with perceptual disturbances F /01/2015 Other psychoactive substance abuse with intoxication, 14

23 Attachment B Code Beginning Review unspecified F /01/2015 Other psychoactive substance abuse w/ psychoactive substance-induced mood disorder F /01/2015 Oth psychoactv substance abuse w psych disorder w delusions (Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions) F /01/2015 Other psychoactive substance abuse w/ psychoactive substance-induced psychotic disorder w/ hallucinations F /01/2015 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified F /01/2015 Other psychoactive substance abuse w/ psychoactive substance-induced persisting amnestic disorder F /01/2015 Other psychoactive substance abuse w/ psychoactive substance-induced persisting dementia F /01/2015 Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder F /01/2015 Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction F /01/2015 Other psychoactive substance abuse w/ psychoactive substance-induced sleep disorder F /01/2015 Other psychoactive substance abuse with other psychoactive substance F /01/2015 Oth psychoactive substance abuse w unsp disorder (Other psychoactive substance abuse with unspecified psychoactive substance-induced disorder) *F /01/2015 Other psychoactive substance dependence, uncomplicated *F /01/2015 Other psychoactive substance dependence, in remission F /01/2015 Other psychoactive substance dependence with intoxication, uncomplicated *F /01/2015 (Other psychoactive substance dependence with intoxication delirium F /01/2015 Other psychoactive substance dependence with intoxication with perceptual disturbance F /01/2015 Other psychoactive substance dependence with intoxication, unspecified F /01/2015 Other psychoactive substance dependence with withdrawal, uncomplicated F /01/2015 Other psychoactive substance dependence with withdrawal delirium F /01/2015 Other psychoactive substance dependence with withdrawal with perceptual disturbance 15

24 Attachment B Code Beginning Review F /01/2015 Other psychoactive substance dependence with withdrawal, unspecified F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced mood disorder F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced persisting dementia F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder F /01/2015 Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction F /01/2015 Other psychoactive substance dependence w/ psychoactive substance-induced sleep disorder F /01/2015 Other psychoactive substance dependence with other psychoactive substance-induced disorder *F /01/2015 Other psychoactive substance use, unspecified, uncomplicated F /01/2015 Other psychoactive substance use, unspecified with intoxication, uncomplicated F /01/2015 Oth psychoactive substance use, unsp w intox w delirium (Other psychoactive substance use, unspecified with intoxication with delirium) F /01/2015 Other psychoactive substance use, unspecified with intoxication with perceptual disturbance F /01/2015 Oth psychoactive substance use, unsp with intoxication, unsp (Other psychoactive substance use, unspecified with intoxication, unspecified) F /01/2015 Other psychoactive substance use, unspecified w/ withdrawal, uncomplicated F /01/2015 Other psychoactive substance use, unspecified w/ withdrawal delirium F /01/2015 Other psychoactive substance use, unspecified w/ withdrawal perceptual disturbance F /01/2015 Other psychoactive substance use, unspecified w/ withdrawal, unspecified 16

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