CCW Task Order 16: Round 3 Clinical Condition Algorithms. Page 1 of 5 ICD-9 CODE DESCRIPTION ICD-9 CODE

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "CCW Task Order 16: Round 3 Clinical Condition Algorithms. Page 1 of 5 ICD-9 CODE DESCRIPTION ICD-9 CODE"

Transcription

1 DESCRIPTION 292 Drug-induced mental disorders 2920 Drug withdrawal Drug-induced psychotic disorder with delusions Drug-induced psychotic disorder with hallucinations 2922 Pathological drug intoxication 2928 Other specified drug-induced mental disorders Drug-induced delirium Drug-induced persisting dementia Drug-induced persisting amnestic disorder Drug-induced mood disorder Drug induced sleep disorders Other specified drug-induced mental disorders 2929 Unspecified drug-induced mental disorder 304 Drug dependence 3040 Opioid type dependence Opioid type dependence, continuous Opioid type dependence, episodic Opioid type dependence, in remission 3041 Sedative, hypnotic or anxiolytic dependence, unspecified Sedative, hypnotic or anxiolytic dependence, continuous Sedative, hypnotic or anxiolytic dependence, episodic Sedative, hypnotic or anxiolytic dependence, in remission 3042 Cocaine dependence Cocaine dependence, unspecified Cocaine dependence, continuous Cocaine dependence, episodic Cocaine dependence, in remission 3043 Cannabis dependence Cannabis dependence, unspecified Page 1 of 5

2 DESCRIPTION Cannabis dependence, continuous Cannabis dependence, episodic Cannabis dependence, in remission 3044 Amphetamine and other psychostimulant dependence Amphetamine and other psychostimulant dependence, unspecified Amphetamine and other psychostimulant dependence, continuous Amphetamine and other psychostimulant dependence, episodic Amphetamine and other psychostimulant dependence, in remission 3045 Hallucinogen dependence Hallucinogen dependence, unspecified Hallucinogen dependence, continuous Hallucinogen dependence, episodic Hallucinogen dependence, in remission 3046 Other specified drug dependence Other specified drug dependence, unspecified Other specified drug dependence, continuous Other specified drug dependence, episodic Other specified drug dependence, in remission 3047 Combinations of opioid type drug with any other drug dependence Combinations of opioid type drug with any other drug dependence, unspecified Combinations of opioid type drug with any other drug dependence, continuous Combinations of opioid type drug with any other drug dependence, episodic Combinations of opioid type drug with any other drug dependence, in remission 3048 Combinations of drug dependence excluding opioid type drug Combinations of drug dependence excluding opioid type drug, unspecified Combinations of drug dependence excluding opioid type drug, continuous Combinations of drug dependence excluding opioid type drug, episodic Combinations of drug dependence excluding opioid type drug, in remission 3049 Unspecified drug dependence Page 2 of 5

3 30490 Unspecified drug dependence, unspecified Unspecified drug dependence, continuous Unspecified drug dependence, episodic Unspecified drug dependence, in remission 305 Nondependent abuse of drugs 3052 Cannabis abuse Cannabis abuse, unspecified Cannabis abuse, continuous Cannabis abuse, episodic Cannabis abuse, in remission 3053 Hallucinogen abuse Hallucinogen abuse, unspecified Hallucinogen abuse, continuous Hallucinogen abuse, episodic Hallucinogen abuse, in remission 3054 Sedative, hypnotic or anxiolytic abuse Sedative, hypnotic or anxiolytic abuse, unspecified Sedative, hypnotic or anxiolytic abuse, continuous Sedative, hypnotic or anxiolytic abuse, episodic Sedative, hypnotic or anxiolytic abuse, in remission 3055 Opioid abuse Opioid abuse, unspecified Opioid abuse, continuous Opioid abuse, episodic Opioid abuse, in remission 3056 Cocaine abuse Cocaine abuse, unspecified Cocaine abuse, continuous Cocaine abuse, episodic DESCRIPTION Page 3 of 5

4 DESCRIPTION Cocaine abuse, in remission 3057 Amphetamine or related acting sympathomimetic abuse Amphetamine or related acting sympathomimetic abuse, unspecified Amphetamine or related acting sympathomimetic abuse, continuous Amphetamine or related acting sympathomimetic abuse, episodic Amphetamine or related acting sympathomimetic abuse, in remission 3058 Antidepressant type abuse Antidepressant type abuse, unspecified Antidepressant type abuse, continuous Antidepressant type abuse, episodic Antidepressant type abuse, in remission 3059 Other, mixed, or unspecified drug abuse Other, mixed, or unspecified drug abuse, unspecified Other, mixed, or unspecified drug abuse, continuous Other, mixed, or unspecified drug abuse, episodic Other, mixed, or unspecified drug abuse, in remission 6483 Drug dependence of mother Drug dependence of mother, unspecified as to episode of care or not applicable Drug dependence of mother, delivered, with or without mention of antepartum condition Drug dependence of mother, delivered, with mention of postpartum complication Drug dependence of mother, antepartum condition or complication Drug dependence of mother, postpartum condition or complication 6555 Suspected damage to the fetus from drugs Suspected damage to the fetus from drugs; unspecified as to the episode of care (N/A) Suspected damage to the fetus from drugs delivered; with or without mention of antepartum condition Suspected damage to the fetus from drugs; antepartum condition or complication Narcotics affecting fetus or newborn via placenta or breast milk Hallucinogenic agents affecting fetus or newborn via placenta or breast milk Cocaine affecting fetus or newborn via placenta or breast milk Page 4 of 5

5 DESCRIPTION 7795 Drug withdrawal syndrome in a newborn 9650 Poisonings by opiates and related narcotics Poisonings by opium, unspecified Poisonings by heroin Poisonings by methadone Poisoning by other opiate and related narcotic V6542 Counseling on substance use and abuse Screening code, therefore this code requires a second ing claim that is not V6542 (a screening code) 946 Alcohol and drug rehabilitation and detoxification This procedure code requires only one claim to 9464 Procedure code - Drug rehabilitation This procedure code requires only one claim to 9465 Procedure code - Drug detoxification This procedure code requires only one claim to 9466 Procedure code - Drug rehabilitation and detoxification This procedure code requires only one claim to 9467 Procedure code - Combined alcohol and drug rehabilitation This procedure code requires only one claim to 9468 Procedure code - Combined alcohol and drug detoxification This procedure code requires only one claim to 9469 Procedure code - Combined alcohol and drug rehabilitation and detoxification This procedure code requires only one claim to E850.0 Accidental poisoning by heroin E850.1 Accidental poisoning by methadone E850.2 Accidental Opiate Poisoning (Excludes heroin and methadone) E854.1 Accidental poisoning by hallucinogens E935.0 Adverse effects of heroin E935.1 Adverse effects of methadone Page 5 of 5

ICD 9 to ICD 10 Code Conversions Based on 2014 GEMs Alcohol and Drug Abuse Programs Approved ICD 10 Codes 3/21/2014

ICD 9 to ICD 10 Code Conversions Based on 2014 GEMs Alcohol and Drug Abuse Programs Approved ICD 10 Codes 3/21/2014 291 Alcohol induced mental disorders 291.0 Alcohol withdrawal delirium F10.231 Alcohol dependence with withdrawal delirium F10.121 Alcohol abuse with intoxication delirium F10.221 Alcohol dependence with

More information

-- No equivalent DSM-IV code disorders 303 Alcohol dependence syndrome -- No equivalent DSM-IV code 303.9 [0-3]*

-- No equivalent DSM-IV code disorders 303 Alcohol dependence syndrome -- No equivalent DSM-IV code 303.9 [0-3]* Substance Use Disorder Covered Diagnoses ICD-9 DSM-IV Alcohol Use Disorders 291 Alcohol-induced mental -- No equivalent DSM-IV code s 303 Alcohol syndrome -- No equivalent DSM-IV code 303.9 [0-3]* Other

More information

Column1 Substance Abuse Diagnosis Exclusion Codes ICD-9: Description 291.0 Alcohol withdrawal delirium 291.1 Alcohol-induced persisting amnestic

Column1 Substance Abuse Diagnosis Exclusion Codes ICD-9: Description 291.0 Alcohol withdrawal delirium 291.1 Alcohol-induced persisting amnestic Column1 Substance Abuse Diagnosis Exclusion Codes ICD-9: Code Description 291.0 Alcohol withdrawal delirium 291.1 Alcohol-induced persisting amnestic disorder 291.2 Alcohol-induced persisting dementia

More information

Substance Abuse Diagnosis DUG 8.0

Substance Abuse Diagnosis DUG 8.0 Substance Abuse Diagnosis DUG 8.0 ICD-10 Code ICD-10 Description F10. Alcohol Related Disorders F10.1 Alcohol Abuse F10.10 Alcohol Abuse, Uncomplicated F10.12 Alcohol Abuse With Intoxication F10.120 Alcohol

More information

TRANSITIONING FROM ICD-9 to ICD-10 CODES. Presented by: Michael Langer, Office Chief, Behavioral Health and Prevention

TRANSITIONING FROM ICD-9 to ICD-10 CODES. Presented by: Michael Langer, Office Chief, Behavioral Health and Prevention TRANSITIONING FROM ICD-9 to ICD-10 CODES Presented by: Michael Langer, Office Chief, Behavioral Health and Prevention September 25, 2015 2 TOPICS Coding and System Changes Understanding the ICD-10 Format

More information

Substance Use Disorder Services to be a Benefit of Texas Medicaid

Substance Use Disorder Services to be a Benefit of Texas Medicaid Substance Use Disorder Services to be a Benefit of Texas Medicaid Information Posted on August 13, 2010 Effective for dates of service on or after September 1, 2010, the following substance use disorder

More information

ICD- 9 Source Description ICD- 10 Source Description

ICD- 9 Source Description ICD- 10 Source Description 291.0 Alcohol withdrawal delirium F10.121 Alcohol abuse with intoxication delirium 291.0 Alcohol withdrawal delirium F10.221 Alcohol dependence with intoxication delirium 291.0 Alcohol withdrawal delirium

More information

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES

EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES EXHIBIT D, COVERED BEHAVIORAL HEALTH DIAGNOSES Part I- Mental Health Covered Diagnoses 295-298.9 295 Schizophrenic s (the following fifth-digit sub-classification is for use with category 295) 0 unspecified

More information

ICD-9-CM to ICD-10-CM Resource Guide

ICD-9-CM to ICD-10-CM Resource Guide Prescription Drug Monitoring and Toxicology ICD-9-CM to ICD-10-CM Resource Guide Provided as a service of Quest Diagnostics ICD-9-CM to ICD-10-CM Resource Guide 1 Disclaimer This list is intended to assist

More information

Phenotype Processing Algorithm

Phenotype Processing Algorithm Phenotype Processing Algorithm 1. Each individual has three associated variables which will be used for diagnostic classification. The variables are SZ, SA, and BS, which correspond to affection status

More information

Behavioral Health Screening Coding Requirements

Behavioral Health Screening Coding Requirements Behavioral Health Screening Coding Requirements The codes to be used to document the receipt of a Behavioral Health (Mental Health and Substance Abuse) Screening are as follows: Option 1: Evaluation and

More information

PHENOTYPE PROCESSING METHODS.

PHENOTYPE PROCESSING METHODS. PHENOTYPE PROCESSING METHODS. We first applied exclusionary criteria, recoding diagnosed individuals as phenotype unknown in the presence of: all dementias, amnestic and cognitive disorders; unknown/unspecified

More information

TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 October 1, 2004

TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 October 1, 2004 TABLE 6E--REVISED DIAGNOSIS CODE TITLES Page 1 of 9 041.82 Bacteroides fragilis 070.41 Acute hepatitis C with hepatic coma 070.51 Acute hepatitis C without mention of hepatic coma 250.00 Diabetes mellitus

More information

DSM-5 Do Not Use ICD -10 Codes

DSM-5 Do Not Use ICD -10 Codes DSM-5 Do Not Use ICD -10 Codes There are ICD-10 codes that DSM 5 is not compatible with. This spreadsheet details the ICD-10 codes that are NOT compatible with DSM 5. ICD10_DX_CD ICD10_DX_DESC F03.90 Unspecified

More information

hepatolenticular degeneration (E83.0) human immunodeficiency virus [HIV] disease (B20) hypercalcemia (E83.52) hypothyroidism, acquired (E00-E03.

hepatolenticular degeneration (E83.0) human immunodeficiency virus [HIV] disease (B20) hypercalcemia (E83.52) hypothyroidism, acquired (E00-E03. ICD-10-CM Codes for Mental, Behavioral and Neurodevelopmental Disorders Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Includes: disorders of psychological development Excludes2:

More information

Diagnosis Codes Requiring PASRR Level II_011.22.11.xls

Diagnosis Codes Requiring PASRR Level II_011.22.11.xls 291.0 DELIRIUM TREMENS ALCOHOL WITHDRAWAL DELIRIUM Mental Illness 291.1 ALCOHOL AMNESTIC DISORDEALCOHOL INDUCED PERSISTING AMNESTIC DISORDER Mental Illness 291.2 ALCOHOLIC DEMENTIA NEC ALCOHOL INDUCED

More information

Coding and Payment Guide for Behavioral Health Services

Coding and Payment Guide for Behavioral Health Services Coding and Payment Guide for Behavioral Health Services 80100-80101 [80104] 80100 80101 80104 Drug screen, qualitative; multiple drug classes chromatographic method, each procedure single drug class method

More information

Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD) Medications

Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD) Medications Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD) Medications Clinical Edit Information Included

More information

Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD) Medications

Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD) Medications Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Attention Deficit Disorder (ADD) / Attention Deficit Hyperactivity Disorder (ADHD) Medications Clinical Edit Information Included

More information

Drug-related hospital stays in Australia 1993 2009

Drug-related hospital stays in Australia 1993 2009 in Australia 1993 29 Prepared by Funded by Amanda Roxburgh and Lucy Burns, National Drug and Alcohol Research Centre the Australian Government Department of Health and Ageing Recommended Roxburgh, A.,

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR. 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014

COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR. 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014 COUNTY OF LOS ANGELES - DEPARTMENT OF MENTAL HEALTH OFFICE OF THE MEDICAL DIRECTOR 3.4 PARAMETERS FOR THE USE OF ANXIOLYTIC MEDICATIONS October 2014 I. GENERAL CONSIDERATIONS A. Definition: Anxiolytic

More information

STATISTICAL BRIEF #202

STATISTICAL BRIEF #202 HEALTHCARE COST AND National Inpatient Sample UTILIZATION (NIS), 2012 PROJECT March 2016 Mental and Substance Use Disorders Among Hospitalized Teenagers, 2012 Kevin C. Heslin, Ph.D., and Anne Elixhauser,

More information

Behavioral Health. ICD-9-CM to ICD-10-CM Code Mapper Contexo Media 1

Behavioral Health. ICD-9-CM to ICD-10-CM Code Mapper Contexo Media 1 Behavioral Health ICD-9-CM to ICD-10-CM Code Mapper 800-334-5724 www.contexomedia.com 290.0 Senile dementia, 290.10 Presenile dementia, 290.11 Presenile dementia with 290.12 Presenile dementia with delusional

More information

Controlled Substance Monitoring and Drugs of Abuse Testing Determination

Controlled Substance Monitoring and Drugs of Abuse Testing Determination CPT s: G0477 G0478 G0479 G0480 G0481 G0482 G0483 Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical

More information

Detailed Information About Coding for SBI Reimbursement

Detailed Information About Coding for SBI Reimbursement Detailed Information About Coding CPT-4: Background Information 1 Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance

More information

Complete List of DSM-IV Codes

Complete List of DSM-IV Codes Complete List of DSM-IV Codes The following 2 tables give basic codes for all DSM-IV diagnoses. Note that the numbers are the least important part of the diagnoses: Additional verbiage, often not stated

More information

Behavioral Health ICD-9

Behavioral Health ICD-9 Behavioral Health ICD-9 Commonly used billable codes: ICD-9 Code ICD-9 Descriptor 293.83 Mood disorder in conditions classified elsewhere 293.84 Anxiety disorder in conditions classified elsewhere 293.89

More information

DSM IV TR Diagnostic Codes. (In Numeric Order) DSM IV Codes: Through revisions on 10.01.1996 and 10.01.2005. Code Description Code Description

DSM IV TR Diagnostic Codes. (In Numeric Order) DSM IV Codes: Through revisions on 10.01.1996 and 10.01.2005. Code Description Code Description 290.0 Dementia of the Alzheimer's type, with late onset, uncomplicated NO DSM IV TR 290 code / See codes [294.10 294.1x] 290.10A Dementia due to Creutzfeldt Jakob disease NO DSM IV TR 290.10 code / See

More information

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380

opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 Ranked #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 opiates alcohol 27 opiates and alcohol 30 April 2016 drug addiction signs 42 ed #1 123 Drug Rehab Centers in New Jersey 100 Top 10 380 effects of alcohol in the brain 100 Top 30 698 heroin addiction 100

More information

Attachment A. Code Beginning Review

Attachment A. Code Beginning Review 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

More information

ICD-10 Mental Health Billable Diagnosis Codes in Alphabetical Order by Description

ICD-10 Mental Health Billable Diagnosis Codes in Alphabetical Order by Description Mental Health Billable s in Alphabetical Order by Note: SSIS stores code descriptions up to 100 characters. Actual code description can be longer than 100 characters. F40.241 Acrophobia F43.0 Acute stress

More information

MENTAL DISORDERS ORGANIC PSYCHOTIC CONDITIONS (290 294.9)

MENTAL DISORDERS ORGANIC PSYCHOTIC CONDITIONS (290 294.9) MENTAL DISORDERS ORGANIC PSYCHOTIC CONDITIONS (290 294.9) 290 SENILE AND PRESENILE ORGANIC PSYCHOTIC CONDITIONS 290.0 SENILE DEMENTIA, SIMPLE TYPE 290.1 PRESENILE DEMENTIA 290.2 SENILE DEMENTIA, DEPRESSED

More information

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct

309.28 F43.22 Adjustment disorder with mixed anxiety and depressed mood Adjustment disorder with disturbance of conduct Description ICD-9-CM Code ICD-10-CM Code Adjustment reaction with adjustment disorder with depressed mood 309.0 F43.21 Adjustment disorder with depressed mood Adjustment disorder with anxiety 309.24 F43.22

More information

Diagnosis Codes Requiring PASRR Level II Updated 01.25.10.xls

Diagnosis Codes Requiring PASRR Level II Updated 01.25.10.xls V61.20 COUNSELING/CHILD PARENT COUNSELING FOR PARENT CHILD PROBLEM, UNSPECIFIED Mental Retardation V62.89 PSYCHOLOGICAL STRESS NECOTHER PSYCHOLOGICAL OR PHYSICAL STRESS, NOT ELSEWHERE Mental Retardation

More information

DIAGNOSTIC RELATED GROUP (DRG) DESCRIPTIONS

DIAGNOSTIC RELATED GROUP (DRG) DESCRIPTIONS 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 293.0 Acute delirium

More information

a. positive vs. negative reinforcement b. tolerance vs. sensitization c. drug classes einforcement

a. positive vs. negative reinforcement b. tolerance vs. sensitization c. drug classes einforcement Drug Abuse (chapter 18) 1. Definitions iti a. positive vs. negative reinforcement b. tolerance vs. sensitization c. drug classes 2. Neural Mechanisms of Re einforcement a. mesolimbic dopamine system b.

More information

Presented by: Robert L. Smith, Ph.D. Clinical Psychologist / Addiction Specialist

Presented by: Robert L. Smith, Ph.D. Clinical Psychologist / Addiction Specialist Presented by: Robert L. Smith, Ph.D. Clinical Psychologist / Addiction Specialist DRUG ADDICTION IS A COMPLEX ILLNESS Human Brain Functions of the Brain Stimulants Cocaine. Amphetamine. Methamphetamine

More information

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders 1 MH 12 ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders Background This case definition was developed by the Armed Forces Health Surveillance

More information

Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio

Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio Governor s Cabinet Opiate Action Team Promoting Wellness and Recovery John R. Kasich, Governor Tracy J. Plouck, Director Opiate Addiction in Ohio: An Update on Scope of Problem Ashland Ohio November 14,

More information

MEDICAL POLICY Treatment of Opioid Dependence

MEDICAL POLICY Treatment of Opioid Dependence POLICY........ PG-0313 EFFECTIVE......11/11/14 LAST REVIEW... 07/14/15 MEDICAL POLICY Treatment of Opioid Dependence GUIDELINES This policy does not certify benefits or authorization of benefits, which

More information

Dementia in other diseases classified elsewhere with behavioral disturbance

Dementia in other diseases classified elsewhere with behavioral disturbance MDC19 Mental Diseases & Disorders Assignment of Diagnosis Codes F0150 F0151 F0280 F0281 F0390 F0391 F04 F05 F060 F061 F062 F0630 F0631 F0632 F0633 F0634 F064 F068 F070 F079 F09 F200 F201 F202 F203 F205

More information

These changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level.

These changes are prominent in individuals with severe disorders, but also occur at the mild or moderate level. Substance-Related Disorders DSM-V Many people use words like alcoholism, drug dependence and addiction as general descriptive terms without a clear understanding of their meaning. What does it really mean

More information

UnitedHealth Premium Physician Designation Program Codes and Medications Demonstrating Compliance with Nationally Endorsed Quality Measures

UnitedHealth Premium Physician Designation Program Codes and Medications Demonstrating Compliance with Nationally Endorsed Quality Measures UnitedHealth Premium Physician Designation Program s and Medications Demonstrating Compliance with Nationally Endorsed Quality Measures Introduction This document is a reference for use during the online

More information

The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines

The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines World Health Organization F10 - F19 Mental and behavioural disorders due to psychoactive substance

More information

Drug and Alcohol Assessment

Drug and Alcohol Assessment Drug and Alcohol Assessment Engagement the first step What is engagement? building a working relationship Showing that you care (do you?) Working towards mutually acceptable goals building rapport building

More information

LIMPOPO REPUBLIC OF SOUTH AFRICA SUBSTANCE ABUSE POLICY

LIMPOPO REPUBLIC OF SOUTH AFRICA SUBSTANCE ABUSE POLICY LIMPOPO PROVINCIAL GOVERNMENT REPUBLIC OF SOUTH AFRICA SUBSTANCE ABUSE POLICY TABLE OF CONTENTS PAGES Glossary 3 1. Preamble 4 2. Purpose 4 3. Legal Framework 4 4. Scope of application 5 5. Policy principles

More information

OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE

OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE Brief Coverage Statement Outpatient Substance Use Disorder (SUD) Fee-For-Service (FFS) Treatment Services are available for the treatment of substance

More information

Assessment and Diagnosis of DSM-5 Substance-Related Disorders

Assessment and Diagnosis of DSM-5 Substance-Related Disorders Assessment and Diagnosis of DSM-5 Substance-Related Disorders Jason H. King, PhD (listed on p. 914 of DSM-5 as a Collaborative Investigator) j.king@lecutah.com or 801-404-8733 www.lecutah.com D I S C L

More information

Current Procedural Terminology (CPT ) Codes Physician Evaluation & Management (E/M) Services Outpatient

Current Procedural Terminology (CPT ) Codes Physician Evaluation & Management (E/M) Services Outpatient 09/01/2015 Tobacco Coding Fact Sheet for Primary Care Pediatrics Current Procedural Terminology (CPT ) Codes Physician Evaluation & Management (E/M) Services Outpatient 99201 Office or other outpatient

More information

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc. CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014 2014 MVP Health Care, Inc. CHAPTER 5 CHAPTER SPECIFIC CATEGORY CODE BLOCKS F01-F09 Mental disorders due to known physiological

More information

John R. Kasich, Governor Orman Hall, Director

John R. Kasich, Governor Orman Hall, Director John R. Kasich, Governor Orman Hall, Director 2 3 Epidemics of unintentional drug overdoses in Ohio, 1979-2011 1,2,3 1800 1600 1400 1200 1000 800 Prescription drugs are causing a larger overdose epidemic

More information

Alcohol and Drug. A Cochrane Handbook. losief Abraha MD. Cristina Cusi MD. Regional Health Perugia

Alcohol and Drug. A Cochrane Handbook. losief Abraha MD. Cristina Cusi MD. Regional Health Perugia Alcohol and Drug A Cochrane Handbook losief Abraha MD Regional Health Perugia of Cristina Cusi MD Outpatient Services - Neurology Clinical Institutes of Specialisation Milan Italy A John Sons, Ltd., THE

More information

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders

ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders 1 MH 12 ALCOHOL RELATED DISORDERS Includes Alcohol Abuse and Alcohol Dependence; Does Not Include Alcohol Use Disorders Background This case definition was developed by the Armed Forces Health Surveillance

More information

UB-92 Billing Instructions for Inpatient Chemical Dependency Services

UB-92 Billing Instructions for Inpatient Chemical Dependency Services UB-92 Billing Instructions for Inpatient Chemical Dependency Services General Instructions The placing authority (county or tribe) authorizes Chemical Dependency services for eligible recipients. Bill

More information

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery

New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery New York State Office of Alcoholism & Substance Abuse Services Addiction Services for Prevention, Treatment, Recovery USING THE 48 HOUR OBSERVATION BED USING THE 48 HOUR OBSERVATION BED Detoxification

More information

Exploring and Understanding DSM-5. Neal Adams, MD, MPH, Deputy Director, CiMH Victor Kogler, Executive Director, ADPI

Exploring and Understanding DSM-5. Neal Adams, MD, MPH, Deputy Director, CiMH Victor Kogler, Executive Director, ADPI Exploring and Understanding DSM-5 Neal Adams, MD, MPH, Deputy Director, CiMH Victor Kogler, Executive Director, ADPI 1 Disclosure Information Exploring and Understanding: DSM-5 Neal Adams, MD, MPH Victor

More information

SCID-I/P (for DSM-IV_TR) Psychotic Mood (JAN 2010) Psychotic Diff C. 1

SCID-I/P (for DSM-IV_TR) Psychotic Mood (JAN 2010) Psychotic Diff C. 1 SCID-I/P (for DSM-IV_TR) Psychotic Mood (JAN 2010) Psychotic Diff C. 1 C. DIFFERENTIAL DIAGNOSIS OF S NOTE: BOTH PRIMARY SYMPTOMS AND SYMPTOMS THAT ARE SUBSTANCE-INDUCED OR DUE TO A GENERAL MEDICAL CONDITION

More information

ICD-9 Crosswalk (updated October 2007)

ICD-9 Crosswalk (updated October 2007) ICD-9 Crosswalk (updated October 2007) PS Descriptor 290.00 290.0 No X Senile dementia, uncomplicated 290.10 290.10 No X Presenile dementia, uncomplicated 290.11 290.11 No X Presenile dementia with delirium

More information

Alcoholism, Drug Addiction, and the Road to Recovery

Alcoholism, Drug Addiction, and the Road to Recovery Alcoholism, Drug Addiction, and the Road to Recovery Life on the Edge Barry Stimmel, MD The Haworth Medical Press An Imprint of The Haworth Press, Inc. New York London Oxford CONTENTS Preface Acknowledgments

More information

Identifying and Managing Substance Use During Pregnancy

Identifying and Managing Substance Use During Pregnancy Identifying and Managing Substance Use During Pregnancy Joseph B. Landwehr, Jr., MD Director, Perinatal Center IU Health Ball Memorial Hospital OBJECTIVES Overview of illicit drug use in pregnant women

More information

Opioid/Opiate Dependent Pregnant Women

Opioid/Opiate Dependent Pregnant Women Opioid/Opiate Dependent Pregnant Women The epidemic, safety, stigma, and how to help. Presented by Lisa Ramirez MA,LCDC & Kerby Stewart MD The prescription painkiller epidemic is killing more women than

More information

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12

CO-OCCURRING DISORDERS. Michaelene Spence MA LADC 8/8/12 CO-OCCURRING DISORDERS Michaelene Spence MA LADC 8/8/12 Activity Chemical Health? Mental Health? Video- What is Addiction HBO Terminology MI/CD: Mental Illness/Chemical Dependency IDDT: Integrated Dual

More information

STATISTICAL BRIEF #39

STATISTICAL BRIEF #39 HEALTHCARE COST AND UTILIZATION PROJECT STATISTICAL BRIEF #39 Agency for Healthcare Research and Quality October 2007 Hospitalizations Related to Drug Abuse, 2005 Cheryl A. Kassed, Ph.D., Katharine R.

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call

More information

BEHAVIORAL HEALTH SERVICES

BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH SERVICES ADMINISTRATIVE POLICY Policy Number: BEHAVIORAL 021.11 T0 Effective Date: May 1, 2015 Table of Contents BENEFIT CONSIDERATIONS APPLICABLE LINES OF BUSINESS/PRODUCTS. PURPOSE..

More information

NEONATAL ABSTINENCE SYNDROME. Osama Naga, M.D. PGY2

NEONATAL ABSTINENCE SYNDROME. Osama Naga, M.D. PGY2 NEONATAL ABSTINENCE SYNDROME Osama Naga, M.D. PGY2 Objective: Describe the common causes of NAS Clinical Presentation Diagnosis Identify the different scoring system for pharmacologic therapy Minimize

More information

Information for Lesson 10

Information for Lesson 10 Information for Lesson 10 Information regarding completion of the PASRR screen also known as (ODJFS 3622) or RR/ID To wrap up the course, we will discuss information related to the PASRR screen 3622. We

More information

Behavioral Health Policy: Methadone Treatment and Intensive Detoxification or Ultra-Rapid Detoxification for Opiate Addiction

Behavioral Health Policy: Methadone Treatment and Intensive Detoxification or Ultra-Rapid Detoxification for Opiate Addiction Behavioral Health Policy: Methadone Treatment and Intensive Detoxification or Ultra-Rapid Detoxification for Opiate Addiction Table of Contents Policy: Commercial Coding Information Information Pertaining

More information

RESIDENTIAL TREATMENT FOR MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS

RESIDENTIAL TREATMENT FOR MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS CLINICAL POLICY RESIDENTIAL TREATMENT FOR MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS Policy Number: BEHAVIORAL 020.9 T2 Effective Date: March 1, 2013 Table of Contents CONDITIONS OF COVERAGE... COVERAGE

More information

ADHD Coding Fact Sheet for Primary Care Pediatricians

ADHD Coding Fact Sheet for Primary Care Pediatricians CARING FOR CHILDREN WITH ADHD: A RESOURCE TOOLKIT FOR CLINICIANS, 2ND EDITION ADHD Coding Fact Sheet for Primary Care Pediatricians CPT (Procedure) Codes Initial assessment usually involves a lot of time

More information

Behavioral Health ICD 10 Documentation Tips

Behavioral Health ICD 10 Documentation Tips Behavioral Health ICD 10 Documentation Tips 2015 Presenters Ghazala Q. Sharieff MD, MBA Corporate Director, Physician Outreach and Medical Management, Scripps Health Allison Hager-Faster ICD-10 Project

More information

HOSPITAL-BASED INPATIENT DETOXIFICATION

HOSPITAL-BASED INPATIENT DETOXIFICATION MEDICAL ASSISTANCE ADMINISTRATION Division of Provider Services HOSPITAL-BASED INPATIENT DETOXIFICATION Billing Instructions August 1994 TABLE OF CONTENTS Hospital Based Inpatient Detoxification DESCRIPTION

More information

information for service providers Schizophrenia & Substance Use

information for service providers Schizophrenia & Substance Use information for service providers Schizophrenia & Substance Use Schizophrenia and Substance Use Index 2 2 3 5 6 7 8 9 How prevalent are substance use disorders among people with schizophrenia? How prevalent

More information

ICD-10-CM Coding for Mental and Behavioral Disorders

ICD-10-CM Coding for Mental and Behavioral Disorders ICD-10-CM Coding for Mental and Behavioral Disorders Shelly Cronin, Director ICD-10 Training No part of this presentation may be reproduced or transmitted in any form or by any means (graphically, electronically,

More information

Treatment Approaches for Drug Addiction

Treatment Approaches for Drug Addiction Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)

More information

Overview of Colorado Medicaid Behavioral Health Organizations. Alexis A. Giese, MD SVP Behavioral Health, Colorado Access

Overview of Colorado Medicaid Behavioral Health Organizations. Alexis A. Giese, MD SVP Behavioral Health, Colorado Access Overview of Colorado Medicaid Behavioral Health Organizations Alexis A. Giese, MD SVP Behavioral Health, Colorado Access Objectives Understand: What are Colorado Medicaid s behavioral health system regions

More information

ICD-10 Update* Mental and Behavioral Health ICD-10-CM Codes Blue Cross Blue Shield of Michigan 2014

ICD-10 Update* Mental and Behavioral Health ICD-10-CM Codes Blue Cross Blue Shield of Michigan 2014 ICD-10 Update* Mental and Behavioral Health ICD-10-CM Codes Blue Cross Blue Shield of Michigan 2014 *NOTE: The information in this document is not intended to impart legal advice. This overview is intended

More information

Intoxicated. Caring for a person who is. Case study. What is substance misuse and intoxication?

Intoxicated. Caring for a person who is. Case study. What is substance misuse and intoxication? Caring for a person who is Intoxicated For more information also see the following MIND Essentials resource Drug and alcohol screening assessment. and substance use are not unique to mental illness, nor

More information

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state.

About drugs. Psychoactive drugs. Drugs are substances that change a person s physical or mental state. 1 About drugs Drugs are substances that change a person s physical or mental state. The vast majority of drugs are used to treat medical conditions, both physical and mental. Some, however, are used outside

More information

Addictions. Assessment

Addictions. Assessment Addictions Assessment What is Addiction?..a degree of involvement in a behaviour that can function both to produce pleasure and to provide relief from discomfort, to the point where the costs appear to

More information

Introduction to Neonatal Abstinence Syndrome

Introduction to Neonatal Abstinence Syndrome Introduction to Neonatal Abstinence Syndrome Cara Christ, MD Director, Arizona Department of Health Services Learning Objectives 1.Define Neonatal Abstinence Syndrome 2.Describe Neonatal Abstinence Syndrome

More information

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances

Scientific Facts on. Psychoactive Drugs. Tobacco, Alcohol, and Illicit Substances page 1/5 Scientific Facts on Psychoactive Drugs Tobacco, Alcohol, and Illicit Substances Source document: WHO (2004) Summary & Details: GreenFacts Context - Psychoactive drugs such as tobacco, alcohol,

More information

DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS

DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS DEPRESSION CODING FACT SHEET FOR PRIMARY CARE CLINICIANS Current Procedural Terminology (CPT ) (Procedure) Codes Initial assessment usually involves a lot of time determining the differential diagnosis,

More information

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY Original Issue Date (Created): 6/1/2014 Most Recent Review Date (Revised): 3/24/2015 Effective Date: 6/1/2015 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER

More information

The CCB Science 2 Service Distance Learning Program

The CCB Science 2 Service Distance Learning Program S2S 2055 DETOXIFICATION Module 1 Post-Test 1. A common use of a biochemical marker is. a. to support or refute other information that leads to proper diagnosis b. for forensic purposes c. in detecting

More information

PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE

PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE 1 PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE 2 MENTAL HEALTH IN ALBANY-RENSSELAER 3 Mental Health Summary Albany-Rensselaer has an estimated: 70,000 adults (18+yrs.) with Any Mental Illness ; 28,400

More information

DSM 5 Opioid Related Disorders. Dr. Phil O Dwyer Oakland University Brookfield Clinics

DSM 5 Opioid Related Disorders. Dr. Phil O Dwyer Oakland University Brookfield Clinics DSM 5 Opioid Related Disorders Dr. Phil O Dwyer Oakland University Brookfield Clinics Cead Mile Failte Opioids A classification of drugs derived from the opium plant. Common opioids: Morphine Heroin Codeine

More information

mental health-substance use

mental health-substance use mental health-substance use recognition and effective responses from General Practice Gary Croton Eastern Hume Dual Diagnosis Service www.dualdiagnosis.org.au This talk: 25 minutes The territory 5 minutes

More information

BEHAVIORAL HEALTH AND DETOXIFICATION - MEETING DEMAND FOR SERVICES UNIVERSITY OF PITTSBURGH MEDICAL CENTER MERCY HOSPITAL Publication Year: 2013

BEHAVIORAL HEALTH AND DETOXIFICATION - MEETING DEMAND FOR SERVICES UNIVERSITY OF PITTSBURGH MEDICAL CENTER MERCY HOSPITAL Publication Year: 2013 BEHAVIORAL HEALTH AND DETOXIFICATION - MEETING DEMAND FOR SERVICES UNIVERSITY OF PITTSBURGH MEDICAL CENTER MERCY HOSPITAL Publication Year: 2013 Summary: The development of separate intake area for behavioral

More information

V11.2 NPIC/QAS. Special Quarterly Report: Linked Analysis Neonatal Abstinence Syndrome

V11.2 NPIC/QAS. Special Quarterly Report: Linked Analysis Neonatal Abstinence Syndrome V11.2 NPIC/QAS Special Quarterly Report: Linked Analysis Neonatal Abstinence Syndrome I. Background The use of drugs and alcohol during pregnancy has been shown in several studies to affect the health

More information

ICD-10-CM An overview of changes relevant to behavioral health

ICD-10-CM An overview of changes relevant to behavioral health www. TheNationalCouncil. org ICD-10-CM An overview of changes relevant to behavioral health Presented by: Donna Pickett - CDC/OPHS/NCHS Joe Nichols - MD Date: January 24, 2014 Agenda www. TheNationalCouncil.

More information

All DSM 5 Diagnosis with ICD9 and ICD 10 Codes

All DSM 5 Diagnosis with ICD9 and ICD 10 Codes All DSM 5 Diagnosis with ICD9 and ICD 10 Codes ICD-9-CM ICD-10-CM Disorder, condition, or problem V62.3 Z55.9 Academic or educational problem V62.4 Z60.3 Acculturation difficulty 308.3 F43.0 Acute stress

More information

Substance Abuse Prevention and Treatment Agency March, 2012

Substance Abuse Prevention and Treatment Agency March, 2012 Substance Abuse Prevention and Treatment Agency March, 2012 1 The mission of the Substance Abuse Prevention and Treatment Agency (SAPTA) is to reduce the impact of substance abuse in Nevada. SAPTA funds

More information

ADDICTION SEVERITY INDEX NARRATIVE REPORT

ADDICTION SEVERITY INDEX NARRATIVE REPORT ADDICTION SEVERITY INDEX NARRATIVE REPORT JOHN B. SMITH 444 MAIN STREET PHILADELPHIA, PA. 19444 Date of Birth: 07/30/1959 ID# 101 Social Security Number: 444 33 2211 Site ID#: 101001 Date of Interview:

More information

Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay.

Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay. Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay. Patients are not denied treatment if they do not have the ability to pay for services Schedule

More information

CHARGES FOR DRUG-RELATED INPATIENT HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS IN KENTUCKY, 2009-2013

CHARGES FOR DRUG-RELATED INPATIENT HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS IN KENTUCKY, 2009-2013 CHARGES FOR DRUG-RELATED INPATIENT HOSPITALIZATIONS AND EMERGENCY DEPARTMENT VISITS IN KENTUCKY, 2009-2013 Prepared for the Kentucky Injury Prevention & Research Center by: Huong Luu, MD, MPH W. Jay Christian,

More information

Impact of Systematic Review on Health Services: The US Experience

Impact of Systematic Review on Health Services: The US Experience Impact of Systematic Review on Health Services: The US Experience Walter Ling MD Integrated Substance Abuse Programs (ISAP) UCLA The effectiveness of interventions for addictions: The Drug and Alcohol

More information

Medication Assisted Therapy and Pregnancy: An Introduction

Medication Assisted Therapy and Pregnancy: An Introduction Medication Assisted Therapy and Pregnancy: An Introduction Deborah A. Orr, Ph.D. The Center For Drug Free Living Adapted from the NIDA Blending Initiative Curriculum Presentation Objectives Define opioids

More information

ICD-9-CM MENTAL DISORDERS DIAGNOSIS CODES AND DESCRIPTIONS

ICD-9-CM MENTAL DISORDERS DIAGNOSIS CODES AND DESCRIPTIONS ATTACHMENT A ICD-9-CM MENTAL DISORDERS DIAGNOSIS CODES AND DESCRIPTIONS Subject to Certification of Admission/Concurrent/Continued Stay Review Based on the Admitting Diagnosis Code This list contains principal

More information