ICD-10-CM Crosswalk Table 2014_06_05.xlsx

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PerformCare PA Behavioral Health HealthChoices Program Proprietary and Confidential For PerformCare Network Provider Use only 2014 ICD10CM Code 2014 ICD10CM Description DSM5 Description ICD9CM Code PH, MH, or SA Notes F01.50 Vascular dementia without behavioral disturbance Major vascular neurocognitive disorder, Possible (or Probable), Without behavioral disturbance 290.40 MH Code other disease first as primary (G Code) F01.51 Vascular dementia with behavioral disturbance Major vascular neurocognitive disorder, Possible (or Probable), With behavioral disturbance 290.40 MH Code other disease first as primary (G Code) F02.80 Dementia in other diseases classified elsewhere without behavioral disturbance Major Frontotemporal Neurocognitive Disorder, Possible (or Probable), Without behavioral disturbance 294.10 MH Code other disease first as primary (G Code) F02.81 Dementia in other diseases classified elsewhere with behavioral disturbance Major Frontotemporal Neurocognitive Disorder, Possible (or Probable), With behavioral disturbance 294.11 MH Code other disease first as primary (G Code) F03.90 Unspecified dementia without behavioral disturbance MH F03.91 Unspecified dementia with behavioral disturbance MH F04 Amnestic disorder due to known physiological condition MH Delirium due to another medical condition 293.0 MH Delirium due to multiple etiologies 293.0 MH F06.0 Psychotic disorder with hallucinations due to known physiological condition Psychotic Disorder Due to Another Medical Condition, With hallucinations 293.82 MH Catatonia Associated With Another Mental Disorder (Catatonia Specifier) 293.89 MH Catatonic Disorder Due to Another Medical Condition 293.89 MH Unspecified Catatonia 293.89 MH F06.2 Psychotic disorder with delusions due to known physiological condition Psychotic Disorder Due to Another Medical Condition, With delusions 293.81 MH F06.30 Mood disorder due to known physiological condition, unspecified MH F06.31 Mood disorder due to known physiological condition with depressive features Depressive Disorder Due to Another Medical Condition, With depressive features 293.83 MH F06.32 Mood disorder due to known physiological condition with major depressivelike episode Depressive Disorder Due to Another Medical Condition, With major depressivelike episode 293.83 MH Bipolar and related disorder due to another medical condition, With manic features 293.83 MH Bipolar and related disorder due to another medical condition, With manicor hypomaniclike episodes 293.83 MH Bipolar and related disorder due to another medical condition, With mixed features 293.83 MH Depressive Disorder Due to Another Medical Condition, With mixed features 293.83 MH Delirium due to known physiological condition F05 Catatonic disorder due to known physiological condition F06.1 Mood disorder due to known physiological condition with mixed features F06.34 Mood disorder due to known physiological condition with manic features F06.33 1

Transcript of ICD-10-CM Crosswalk Table 2014_06_05.xlsx

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F01.50 Vascular dementia without behavioral disturbance Major vascular neurocognitive disorder, Possible (or Probable), Without behavioral disturbance 290.40 MH

Code other disease first as primary (G Code)

F01.51 Vascular dementia with behavioral disturbance Major vascular neurocognitive disorder, Possible (or Probable), With behavioral disturbance 290.40 MH

Code other disease first as primary (G Code)

F02.80 Dementia in other diseases classified elsewhere without behavioral disturbance

Major Frontotemporal Neurocognitive Disorder, Possible (or Probable), Without behavioral disturbance 294.10 MH

Code other disease first as primary (G Code)

F02.81 Dementia in other diseases classified elsewhere with behavioral disturbance

Major Frontotemporal Neurocognitive Disorder, Possible (or Probable), With behavioral disturbance

294.11 MHCode other disease first as primary (G Code)

F03.90 Unspecified dementia without behavioral disturbanceMH

F03.91 Unspecified dementia with behavioral disturbance MHF04 Amnestic disorder due to known physiological 

condition MHDelirium due to another medical condition 293.0 MHDelirium due to multiple etiologies 293.0 MH

F06.0 Psychotic disorder with hallucinations due to known physiological condition

Psychotic Disorder Due to Another Medical Condition, With hallucinations 293.82 MHCatatonia Associated With Another Mental Disorder (Catatonia Specifier) 293.89 MHCatatonic Disorder Due to Another Medical Condition

293.89 MHUnspecified Catatonia 293.89 MH

F06.2 Psychotic disorder with delusions due to known physiological condition

Psychotic Disorder Due to Another Medical Condition, With delusions 293.81 MH

F06.30 Mood disorder due to known physiological condition, unspecified MH

F06.31 Mood disorder due to known physiological condition with depressive features

Depressive Disorder Due to Another Medical Condition, With depressive features 293.83 MH

F06.32 Mood disorder due to known physiological condition with major depressive‐like episode

Depressive Disorder Due to Another Medical Condition, With major depressive‐like episode 293.83 MHBipolar and related disorder due to another medical condition, With manic features 293.83 MHBipolar and related disorder due to another medical condition, With manic‐ or hypomanic‐like episodes

293.83 MHBipolar and related disorder due to another medical condition, With mixed features 293.83 MHDepressive Disorder Due to Another Medical Condition, With mixed features 293.83 MH

Delirium due to known physiological conditionF05

Catatonic disorder due to known physiological condition

F06.1

Mood disorder due to known physiological condition with mixed features

F06.34

Mood disorder due to known physiological condition with manic features

F06.33

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F06.4 Anxiety disorder due to known physiological condition Anxiety Disorder Due to Another Medical Condition293.84 MH

Obsessive‐Compulsive and Related Disorder Due to Another Medical Condition 294.8 MHOther Specified Mental Disorder Due to Another Medical Condition 294.8 MH

F07.0 Personality change due to known physiological condition

Personality Change Due to Another Medical Condition310.1 MH

F07.81 Postconcussional syndrome MHF07.89 Other personality and behavioral disorders due to 

known physiological condition MHF07.9 Unspecified personality and behavioral disorder due 

to known physiological condition MHF09 Unspecified mental disorder due to known 

physiological conditionUnspecified Mental Disorder Due to Another Medical Condition 294.9 MH

F10.10 Alcohol abuse, uncomplicated Alcohol Use Disorder, Mild 305.00 SAF10.120 Alcohol abuse with intoxication, uncomplicated SAF10.121 Alcohol abuse with intoxication delirium Alcohol intoxication delirium, With mild use disorder

291.0 SAF10.129 Alcohol abuse with intoxication, unspecified Alcohol intoxication, With mild use disorder 303.00 SA

Alcohol‐induced bipolar and related disorder, With mild use disorder 291.89 SAAlcohol‐induced depressive disorder, With mild use disorder 291.89 SA

F10.150 Alcohol abuse with alcohol‐induced psychotic disorder with delusions SA

F10.151 Alcohol abuse with alcohol‐induced psychotic disorder with hallucinations SA

F10.159 Alcohol abuse with alcohol‐induced psychotic disorder, unspecified

Alcohol‐induced psychotic disorder, With mild use disorder 291.9 SA

F10.180 Alcohol abuse with alcohol‐induced anxiety disorder Alcohol‐induced anxiety disorder, With mild use disorder 291.89 SA

F10.181 Alcohol abuse with alcohol‐induced sexual dysfunction

Alcohol‐induced sexual dysfunction, With mild use disorder 291.89 SA

F10.182 Alcohol abuse with alcohol‐induced sleep disorder Alcohol‐induced sleep disorder, With mild use disorder 291.82 SA

F10.188 Alcohol abuse with other alcohol‐induced disorderSA

F10.19 Alcohol abuse with unspecified alcohol‐induced disorder SA

Alcohol Use Disorder, Moderate 303.90 SA

Alcohol abuse with alcohol‐induced mood disorderF10.14

Alcohol dependence, uncomplicatedF10.20

Other specified mental disorders due to known physiological condition

F06.8

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Alcohol Use Disorder, Severe 303.90F10.21 Alcohol dependence, in remission SAF10.220 Alcohol dependence with intoxication, uncomplicated

SAF10.221 Alcohol dependence with intoxication delirium Alcohol intoxication delirium, With moderate or 

severe use disorder 291.0 SAF10.229 Alcohol dependence with intoxication, unspecified Alcohol intoxication, With moderate or severe use 

disorder 303.00 SAF10.230 Alcohol dependence with withdrawal, uncomplicated

SAF10.231 Alcohol dependence with withdrawal delirium Alcohol withdrawal delirium SAF10.232 Alcohol dependence with withdrawal with perceptual 

disturbanceAlcohol withdrawal, With perceptual disturbances

291.81 SAF10.239 Alcohol dependence with withdrawal, unspecified Alcohol withdrawal, Without perceptual disturbances

291.81 SAAlcohol‐induced bipolar and related disorder, With moderate or severe use disorder 291.89 SAAlcohol‐induced depressive disorder, With moderate or severe use disorder 291.89 SA

F10.250 Alcohol dependence with alcohol‐induced psychotic disorder with delusions SA

F10.251 Alcohol dependence with alcohol‐induced psychotic disorder with hallucinations SA

F10.259 Alcohol dependence with alcohol‐induced psychotic disorder, unspecified

Alcohol‐induced psychotic disorder, With moderate or severe use disorder 291.9 SA

F10.26 Alcohol dependence with alcohol‐induced persisting amnestic disorder

Alcohol‐induced major neurocognitive disorder, Amnestic confabulatory type, With moderate or severe use disorder 291.1 SA

F10.27 Alcohol dependence with alcohol‐induced persisting dementia

Alcohol‐induced major neurocognitive disorder, Nonamnestic confabulatory type, With moderate or severe use disorder 291.2 SA

F10.280 Alcohol dependence with alcohol‐induced anxiety disorder

Alcohol‐induced anxiety disorder, With moderate or severe use disorder 291.89 SA

F10.281 Alcohol dependence with alcohol‐induced sexual dysfunction

Alcohol‐induced sexual dysfunction, With moderate or severe use disorder 291.89 SA

F10.282 Alcohol dependence with alcohol‐induced sleep disorder

Alcohol‐induced sleep disorder, With moderate or severe use disorder 291.82 SA

F10.288 Alcohol dependence with other alcohol‐induced disorder

Alcohol‐induced mild neurocognitive disorder, With moderate or severe use disorder 291.89 SA

F10.29 Alcohol dependence with unspecified alcohol‐induced disorder SA

Alcohol dependence with alcohol‐induced mood disorder

F10.24

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F10.920 Alcohol use, unspecified with intoxication, uncomplicated SA

F10.921 Alcohol use, unspecified with intoxication delirium Alcohol intoxication delirium, Without use disorder291.0 SA

F10.929 Alcohol use, unspecified with intoxication, unspecified Alcohol intoxication, Without use disorder303.00 SA

Alcohol‐induced bipolar and related disorder, Without use disorder 291.89 SAAlcohol‐induced depressive disorder, Without use disorder 291.89 SA

F10.950 Alcohol use, unspecified with alcohol‐induced psychotic disorder with delusions SA

F10.951 Alcohol use, unspecified with alcohol‐induced psychotic disorder withhallucinations SA

F10.959 Alcohol use, unspecified with alcohol‐induced psychotic disorder, unspecified

Alcohol‐induced psychotic disorder, Without use disorder 291.9 SA

F10.96 Alcohol use, unspecified with alcohol‐induced persisting amnestic disorder

Alcohol‐induced major neurocognitive disorder, Amnestic confabulatory type, Without use disorder

291.1 SAF10.97 Alcohol use, unspecified with alcohol‐induced 

persisting dementiaAlcohol‐induced major neurocognitive disorder, Nonamnestic confabulatory type, Without use disorder 291.2 SA

F10.980 Alcohol use, unspecified with alcohol‐induced anxiety disorder

Alcohol‐induced anxiety disorder, Without use disorder 291.89 SA

F10.981 Alcohol use, unspecified with alcohol‐induced sexual dysfunction

Alcohol‐induced sexual dysfunction, Without use disorder 291.89 SA

F10.982 Alcohol use, unspecified with alcohol‐induced sleep disorder

Alcohol‐induced sleep disorder, Without use disorder291.82 SA

F10.988 Alcohol use, unspecified with other alcohol‐induced disorder

Alcohol‐induced mild neurocognitive disorder, Without use disorder 291.89 SA

F10.99 Alcohol use, unspecified with unspecified alcohol‐induced disorder SA

F11.10 Opioid abuse, uncomplicated Opioid Use Disorder, Mild 305.50 SAF11.120 Opioid abuse with intoxication, uncomplicated SAF11.121 Opioid abuse with intoxication delirium Opioid Intoxication delirium, With mild use disorder

292.81 SAF11.122 Opioid abuse with intoxication with perceptual 

disturbanceOpioid Intoxication, With perceptual disturbances, With mild use disorder 292.89 SA

F11.129 Opioid abuse with intoxication, unspecified Opioid Intoxication, Without perceptual disturbances, With mild use disorder 292.89 SA

Alcohol use, unspecified with alcohol‐induced mood disorder

F10.94

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F11.14 Opioid abuse with opioid‐induced mood disorder Opioid‐induced depressive disorder, With mild use disorder 292.84 SA

F11.150 Opioid abuse with opioid‐induced psychotic disorder with delusions SA

F11.151 Opioid abuse with opioid‐induced psychotic disorder with hallucinations SA

F11.159 Opioid abuse with opioid‐induced psychotic disorder, unspecified SA

F11.181 Opioid abuse with opioid‐induced sexual dysfunction Opioid‐induced sexual dysfunction, With mild use disorder 292.89 SA

F11.182 Opioid abuse with opioid‐induced sleep disorder Opioid‐induced sleep disorder, With mild use disorder292.85 SA

F11.188 Opioid abuse with other opioid‐induced disorder Opioid‐induced anxiety disorder, With mild use disorder 292.89 SA

F11.19 Opioid abuse with unspecified opioid‐induced disorder SA

Opioid Use Disorder, Moderate 304.00 SAOpioid Use Disorder, Severe 304.00 SA

F11.21 Opioid dependence, in remission SAF11.220 Opioid dependence with intoxication, uncomplicated

SAF11.221 Opioid dependence with intoxication delirium Opioid Intoxication delirium, With moderate or severe 

use disorder 292.81 SAF11.222 Opioid dependence with intoxication with perceptual 

disturbanceOpioid Intoxication, With perceptual disturbances, With moderate or severe use disorder

292.89 SAF11.229 Opioid dependence with intoxication, unspecified Opioid Intoxication, Without perceptual disturbances, 

With moderate or severe use disorder292.89 SA

Opioid Withdrawal 292.0 SAOpioid Withdrawal Delirium 292.0 SA

F11.24 Opioid dependence with opioid‐induced mood disorder

Opioid‐induced depressive disorder, With moderate or severe use disorder 292.84 SA

F11.250 Opioid dependence with opioid‐induced psychotic disorder with delusions SA

F11.251 Opioid dependence with opioid‐induced psychotic disorder with hallucinations SA

F11.259 Opioid dependence with opioid‐induced psychotic disorder, unspecified SA

F11.281 Opioid dependence with opioid‐induced sexual dysfunction

Opioid‐induced sexual dysfunction, With moderate or severe use disorder 292.89 SA

F11.23

Opioid dependence, uncomplicatedF11.20

Opioid dependence with withdrawal

5

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F11.282 Opioid dependence with opioid‐induced sleep disorder

Opioid‐induced sleep disorder, With moderate or severe use disorder 292.85 SA

F11.288 Opioid dependence with other opioid‐induced disorder

Opioid‐induced anxiety disorder, With moderate or severe use disorder 292.89 SA

F11.29 Opioid dependence with unspecified opioid‐induced disorder SA

F11.90 Opioid use, unspecified, uncomplicated SAF11.920 Opioid use, unspecified with intoxication, 

uncomplicated SAOpioid Intoxication delirium, Without use disorder

292.81 SAOpioid‐induced delirium 292.89 SA

F11.922 Opioid use, unspecified with intoxication with perceptual disturbance

Opioid Intoxication, With perceptual disturbances, Without use disorder 292.89 SA

F11.929 Opioid use, unspecified with intoxication, unspecified Opioid Intoxication, Without perceptual disturbances, Without use disorder 292.89 SA

F11.93 Opioid use, unspecified with withdrawal SAF11.94 Opioid use, unspecified with opioid‐induced mood 

disorderOpioid‐induced depressive disorder, Without use disorder 292.84 SA

F11.950 Opioid use, unspecified with opioid‐induced psychotic disorder with delusions SA

F11.951 Opioid use, unspecified with opioid‐induced psychotic disorder with hallucinations SA

F11.959 Opioid use, unspecified with opioid‐induced psychotic disorder, unspecified SA

F11.981 Opioid use, unspecified with opioid‐induced sexual dysfunction

Opioid‐induced sexual dysfunction, Without use disorder 292.89 SA

F11.982 Opioid use, unspecified with opioid‐induced sleep disorder

Opioid‐induced sleep disorder, With mild use disorder292.85 SA

F11.988 Opioid use, unspecified with other opioid‐induced disorder

Opioid‐induced anxiety disorder, Without use disorder292.89 SA

F11.99 Opioid use, unspecified with unspecified opioid‐induced disorder

Unspecified Opioid‐Related Disorder292.9 SA

F12.10 Cannabis abuse, uncomplicated Cannabis use disorder, Mild 305.20 SAF12.120 Cannabis abuse with intoxication, uncomplicated

SAF12.121 Cannabis abuse with intoxication delirium Cannabis intoxication delirium, With mild use disorder

292.81 SAF12.122 Cannabis abuse with intoxication with perceptual 

disturbanceCannabis intoxication, With perceptual disturbances, With mild use disorder 292.89 SA

Opioid use, unspecified with intoxication deliriumF11.921

6

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F12.129 Cannabis abuse with intoxication, unspecified Cannabis intoxication, Without perceptual disturbances, With mild use disorder 292.89 SA

F12.150 Cannabis abuse with psychotic disorder with delusionsSA

F12.151 Cannabis abuse with psychotic disorder with hallucinations SA

F12.159 Cannabis abuse with psychotic disorder, unspecified Cannabis‐induced psychotic disorder, With mild use disorder 292.9 SA

F12.180 Cannabis abuse with cannabis‐induced anxiety disorder

Cannabis‐induced anxiety disorder, With mild use disorder 292.89 SA

F12.188 Cannabis abuse with other cannabis‐induced disorder Cannabis‐induced sleep disorder, With mild use disorder 292.85 SA

F12.19 Cannabis abuse with unspecified cannabis‐induced disorder SA

Cannabis use disorder, Moderate 304.30 SACannabis use disorder, Severe 304.30

F12.21 Cannabis dependence, in remission SAF12.220 Cannabis dependence with intoxication, 

uncomplicated SAF12.221 Cannabis dependence with intoxication delirium Cannabis intoxication delirium, With moderate or 

severe use disorder 292.81 SAF12.222 Cannabis dependence with intoxication with 

perceptual disturbanceCannabis intoxication, With perceptual disturbances, With moderate or severe use disorder

292.89 SAF12.229 Cannabis dependence with intoxication, unspecified Cannabis intoxication, Without perceptual 

disturbances, With moderate or severe use disorder292.89 SA

F12.250 Cannabis dependence with psychotic disorder with delusions SA

F12.251 Cannabis dependence with psychotic disorder with hallucinations SA

F12.259 Cannabis dependence with psychotic disorder, unspecified

Cannabis‐induced psychotic disorder, With moderate or severe use disorder 292.9 SA

F12.280 Cannabis dependence with cannabis‐induced anxiety disorder

Cannabis‐induced anxiety disorder, With moderate or severe use disorder 292.89 SACannabis‐induced sleep disorder, With moderate or severe use disorder 292.85 SACannabis withdrawal 292.0 SA

F12.29 Cannabis dependence with unspecified cannabis‐induced disorder SA

F12.90 Cannabis use, unspecified, uncomplicated SA

Cannabis dependence, uncomplicatedF12.20

Cannabis dependence with other cannabis‐induced disorder

F12.288

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F12.920 Cannabis use, unspecified with intoxication, uncomplicated SA

F12.921 Cannabis use, unspecified with intoxication delirium Cannabis intoxication delirium, Without use disorder292.81 SA

F12.922 Cannabis use, unspecified with intoxication with perceptual disturbance

Cannabis intoxication, With perceptual disturbances, Without use disorder 292.89 SA

F12.929 Cannabis use, unspecified with intoxication, unspecified

Cannabis intoxication, Without perceptual disturbances, Without use disorder 292.89 SA

F12.950 Cannabis use, unspecified with psychotic disorder with delusions SA

F12.951 Cannabis use, unspecified with psychotic disorder with hallucinations SA

F12.959 Cannabis use, unspecified with psychotic disorder, unspecified

Cannabis‐induced psychotic disorder, Without use disorder 292.9 SA

F12.980 Cannabis use, unspecified with anxiety disorder Cannabis‐induced anxiety disorder, Without use disorder 292.89 SA

F12.988 Cannabis use, unspecified with other cannabis‐induced disorder

Cannabis‐induced sleep disorder, Without use disorder 292.85 SA

F12.99 Cannabis use, unspecified with unspecified cannabis‐induced disorder SA

F13.10 Sedative, hypnotic or anxiolytic abuse, uncomplicated Sedative, Hypnotic, or Anxiolytic Use Disorder, Mild305.40 SA

F13.120 Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated SA

F13.121 Sedative, hypnotic or anxiolytic abuse with intoxication delirium

Sedative, Hypnotic, or Anxiolytic Intoxication Delirium, With mild use disorder 292.81 SA

F13.129 Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified

Sedative, Hypnotic, or Anxiolytic Intoxication, With mild use disorder 292.89 SASedative, hypnotic or anxiolytic‐induced bipolar and related disorder, With mild use disorder

292.84 SASedative, hypnotic or anxiolytic‐induced depressive disorder, With mild use disorder 292.84 SA

F13.150 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic‐induced psychotic disorder with delusions SA

F13.151 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic‐induced psychotic disorder with hallucinations SA

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic‐induced mood disorder

F13.14

8

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F13.159 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic‐induced psychotic disorder, unspecified

Sedative, hypnotic or anxiolytic‐induced psychotic disorder, With mild use disorder

292.9 SAF13.180 Sedative, hypnotic or anxiolytic abuse with sedative, 

hypnotic or anxiolytic‐induced anxiety disorderSedative, hypnotic or anxiolytic‐induced anxiety disorder, With mild use disorder

292.89 SAF13.181 Sedative, hypnotic or anxiolytic abuse with sedative, 

hypnotic or anxiolytic‐induced sexual dysfunctionSedative, hypnotic or anxiolytic‐induced sexual dysfunction, With mild use disorder

292.89 SAF13.182 Sedative, hypnotic or anxiolytic abuse with sedative, 

hypnotic or anxiolytic‐induced sleep disorderSedative, hypnotic or anxiolytic‐induced sleep disorder, With mild use disorder

292.85 SAF13.188 Sedative, hypnotic or anxiolytic abuse with other 

sedative, hypnotic or anxiolytic‐induced disorderSA

F13.19 Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic‐induced disorder SA

Sedative, Hypnotic, or Anxiolytic Use Disorder, Moderate 304.10 SASedative, Hypnotic, or Anxiolytic Use Disorder, Severe

304.10 SAF13.21 Sedative, hypnotic or anxiolytic dependence, in 

remission SAF13.220 Sedative, hypnotic or anxiolytic dependence with 

intoxication, uncomplicated SAF13.221 Sedative, hypnotic or anxiolytic dependence with 

intoxication deliriumSedative, Hypnotic, or Anxiolytic Intoxication Delirium, With moderate or severe use disorder 292.81 SA

F13.229 Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified

Sedative, Hypnotic, or Anxiolytic Intoxication, With moderate or severe use disorder 292.89 SA

F13.230 Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated SA

F13.231 Sedative, hypnotic or anxiolytic dependence with withdrawal delirium SA

F13.232 Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance

Sedative, Hypnotic, or Anxiolytic Withdrawal, With perceptual disturbances 292.0 SA

F13.239 Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified

Sedative, Hypnotic, or Anxiolytic Withdrawal, Without perceptual disturbances 292.0 SASedative, hypnotic or anxiolytic‐induced bipolar and related disorder, With moderate or severe use disorder 292.84 SA

Sedative, hypnotic or anxiolytic dependence, uncomplicated

F13.20

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic‐induced mood disorder

F13.24

9

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Sedative, hypnotic or anxiolytic‐induced depressive disorder, With moderate or severe use disorder

292.84 SAF13.250 Sedative, hypnotic or anxiolytic dependence with 

sedative, hypnotic or anxiolytic‐induced psychotic disorder with delusions SA

F13.251 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic‐induced psychotic disorder with hallucinations SA

F13.259 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic‐induced psychotic disorder, unspecified

Sedative, hypnotic or anxiolytic‐induced psychotic disorder, With moderate or severe use disorder

292.9 SAF13.26 Sedative, hypnotic or anxiolytic dependence with 

sedative, hypnotic or anxiolytic‐inducedpersisting amnestic disorder SA

F13.27 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic‐induced persisting dementia

Sedative, hypnotic or anxiolytic‐induced major neurocognitive disorder, With moderate or severe use disorder 292.82 SA

F13.280 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic‐induced anxiety disorder

Sedative, hypnotic or anxiolytic‐induced anxiety disorder, With moderate or severe use disorder

292.89 SAF13.281 Sedative, hypnotic or anxiolytic dependence with 

sedative, hypnotic or anxiolytic‐induced sexual dysfunction

Sedative, hypnotic or anxiolytic‐induced sexual dysfunction, With moderate or severe use disorder

292.89 SAF13.282 Sedative, hypnotic or anxiolytic dependence with 

sedative, hypnotic or anxiolytic‐induced sleep disorderSedative, hypnotic or anxiolytic‐induced sleep disorder, With moderate or severe use disorder

292.85 SAF13.288 Sedative, hypnotic or anxiolytic dependence with 

other sedative, hypnotic oranxiolytic‐induced disorderSedative, hypnotic or anxiolytic‐induced mild neurocognitive disorder, With moderate or severe use disorder 292.89 SA

F13.29 Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic‐induced disorder SA

F13.90 Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated SA

F13.920 Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated SA

Sedative, Hypnotic, or Anxiolytic Intoxication Delirium, Without use disorder 292.81 SASedative‐, Hypnotic‐, or Anxiolytic‐Induced Delirium

292.84 SA

Sedative, hypnotic or anxiolytic use, unspecified with intoxication delirium

F13.921

10

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F13.929 Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified

Sedative, Hypnotic, or Anxiolytic Intoxication, Without use disorder 292.89 SA

F13.930 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, uncomplicated SA

F13.931 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal delirium SA

F13.932 Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptualdisturbances

SAF13.939 Sedative, hypnotic or anxiolytic use, unspecified with 

withdrawal, unspecified SASedative, hypnotic or anxiolytic‐induced bipolar and related disorder, Without use disorder

292.84 SASedative, hypnotic or anxiolytic‐induced depressive disorder, Without use disorder 292.84 SA

F13.950 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic oranxiolytic‐induced psychotic disorder with delusions

SAF13.951 Sedative, hypnotic or anxiolytic use, unspecified with 

sedative, hypnotic oranxiolytic‐induced psychotic disorder with hallucinations

SAF13.959 Sedative, hypnotic or anxiolytic use, unspecified with 

sedative, hypnotic oranxiolytic‐induced psychotic disorder, unspecified

Sedative, hypnotic or anxiolytic‐induced psychotic disorder, Without use disorder

292.9 SAF13.96 Sedative, hypnotic or anxiolytic use, unspecified with 

sedative, hypnotic or anxiolytic‐inducedpersisting amnestic disorder SA

F13.97 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic‐inducedpersisting dementia

Sedative, hypnotic or anxiolytic‐induced major neurocognitive disorder, Without use disorder

292.82 SAF13.980 Sedative, hypnotic or anxiolytic use, unspecified with 

sedative, hypnotic oranxiolytic‐induced anxiety disorder

Sedative, hypnotic or anxiolytic‐induced anxiety disorder, Without use disorder

292.89 SAF13.981 Sedative, hypnotic or anxiolytic use, unspecified with 

sedative, hypnotic or anxiolytic‐induced sexual dysfunction

Sedative, hypnotic or anxiolytic‐induced sexual dysfunction, Without use disorder

292.89 SA

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic‐induced mood disorder

F13.94

11

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F13.982 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic oranxiolytic‐induced sleep disorder

Sedative, hypnotic or anxiolytic‐induced sleep disorder, Without use disorder

292.85 SAF13.988 Sedative, hypnotic or anxiolytic use, unspecified with 

other sedative, hypnotic oranxiolytic‐induced disorderSedative, hypnotic or anxiolytic‐induced mild neurocognitive disorder, Without use disorder

292.89 SAF13.99 Sedative, hypnotic or anxiolytic use, unspecified with 

unspecified sedative, hypnotic oranxiolytic‐induced disorder

Unspecified Sedative‐, Hypnotic‐, or Anxiolytic‐Related Disorder

292.9 SAF14.10 Cocaine abuse, uncomplicated Cocaine use disorder, Mild 305.60 SAF14.120 Cocaine abuse with intoxication, uncomplicated SAF14.121 Cocaine abuse with intoxication delirium Cocaine intoxication delirium, With mild use disorder

292.81 SAF14.122 Cocaine abuse with intoxication with perceptual 

disturbanceCocaine intoxication, With perceptual disturbances, With mild use disorder 292.89 SA

F14.129 Cocaine abuse with intoxication, unspecified Cocaine intoxication, Without perceptual disturbances, With mild use disorder 292.89 SACocaine‐induced bipolar and related disorder, With mild use disorder 292.84 SACocaine‐induced depressive disorder, With mild use disorder 292.84 SA

F14.150 Cocaine abuse with cocaine‐induced psychotic disorder with delusions SA

F14.151 Cocaine abuse with cocaine‐induced psychotic disorder with hallucinations SA

F14.159 Cocaine abuse with cocaine‐induced psychotic disorder, unspecified

Cocaine‐induced psychotic disorder, With mild use disorder 292.9 SA

F14.180 Cocaine abuse with cocaine‐induced anxiety disorder Cocaine‐induced anxiety disorder, With mild use disorder 292.89 SA

F14.181 Cocaine abuse with cocaine‐induced sexual dysfunction

Cocaine‐induced sexual dysfunction, With mild use disorder 292.89 SA

F14.182 Cocaine abuse with cocaine‐induced sleep disorder Cocaine‐induced sleep disorder, With mild use disorder 292.85 SA

F14.188 Cocaine abuse with other cocaine‐induced disorder Cocaine‐induced obsessive‐compulsive and related disorder, With mild use disorder 292.89 SA

F14.19 Cocaine abuse with unspecified cocaine‐induced disorder SA

Cocaine use disorder, Moderate 304.20 SACocaine use disorder, Severe 304.20 SA

F14.21 Cocaine dependence, in remission SA

Cocaine dependence, uncomplicatedF14.20

Cocaine abuse with cocaine‐induced mood disorderF14.14

12

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F14.220 Cocaine dependence with intoxication, uncomplicatedSA

F14.221 Cocaine dependence with intoxication delirium Cocaine intoxication delirium, With moderate or severe use disorder 292.81 SA

F14.222 Cocaine dependence with intoxication with perceptual disturbance

Cocaine intoxication, With perceptual disturbances, With moderate or severe use disorder

292.89 SAF14.229 Cocaine dependence with intoxication, unspecified Cocaine intoxication, Without perceptual 

disturbances, With moderate or severe use disorder292.89 SA

F14.23 Cocaine dependence with withdrawal SACocaine‐induced bipolar and related disorder, With moderate or severe use disorder 292.84 SACocaine‐induced depressive disorder, With moderate or severe use disorder 292.84 SA

F14.250 Cocaine dependence with cocaine‐induced psychotic disorder with delusions SA

F14.251 Cocaine dependence with cocaine‐induced psychotic disorder with hallucinations SA

F14.259 Cocaine dependence with cocaine‐induced psychotic disorder, unspecified

Cocaine‐induced psychotic disorder, With moderate or severe use disorder 292.9 SA

F14.280 Cocaine dependence with cocaine‐induced anxiety disorder

Cocaine‐induced anxiety disorder, With moderate or severe use disorder 292.89 SA

F14.281 Cocaine dependence with cocaine‐induced sexual dysfunction

Cocaine‐induced sexual dysfunction, With moderate or severe use disorder 292.89 SA

F14.282 Cocaine dependence with cocaine‐induced sleep disorder

Cocaine‐induced sleep disorder, With moderate or severe use disorder 292.85 SA

F14.288 Cocaine dependence with other cocaine‐induced disorder

Cocaine‐induced obsessive‐compulsive and related disorder, With moderate or severe use disorder

292.89 SAF14.29 Cocaine dependence with unspecified cocaine‐

induced disorder SAF14.90 Cocaine use, unspecified, uncomplicated SAF14.920 Cocaine use, unspecified with intoxication, 

uncomplicated SAF14.921 Cocaine use, unspecified with intoxication delirium Cocaine intoxication delirium, Without use disorder

292.81 SAF14.922 Cocaine use, unspecified with intoxication with 

perceptual disturbanceCocaine intoxication, With perceptual disturbances, Without use disorder 292.89 SA

F14.929 Cocaine use, unspecified with intoxication, unspecified

Cocaine intoxication, Without perceptual disturbances, Without use disorder 292.89 SA

Cocaine dependence with cocaine‐induced mood disorder

F14.24

13

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Cocaine‐induced bipolar and related disorder, Without use disorder 292.84 SACocaine‐induced depressive disorder, Without use disorder 292.84 SA

F14.950 Cocaine use, unspecified with cocaine‐induced psychotic disorder with delusions SA

F14.951 Cocaine use, unspecified with cocaine‐induced psychotic disorder with hallucinations SA

F14.959 Cocaine use, unspecified with cocaine‐induced psychotic disorder, unspecified

Cocaine‐induced psychotic disorder, Without use disorder 292.9 SA

F14.980 Cocaine use, unspecified with cocaine‐induced anxiety disorder

Cocaine‐induced anxiety disorder, Without use disorder 292.89 SA

F14.981 Cocaine use, unspecified with cocaine‐induced sexual dysfunction

Cocaine‐induced sexual dysfunction, Without use disorder 292.89 SA

F14.982 Cocaine use, unspecified with cocaine‐induced sleep disorder

Cocaine‐induced sleep disorder, Without use disorder292.85 SA

F14.988 Cocaine use, unspecified with other cocaine‐induced disorder

Cocaine‐induced obsessive‐compulsive and related disorder, Without use disorder 292.89 SA

F14.99 Cocaine use, unspecified with unspecified cocaine‐induced disorder

Unspecified cocaine‐related disorderSA

F15.10 Other stimulant abuse, uncomplicated Amphetamine‐type substance use disorder, Mild305.70 SA

F15.120 Other stimulant abuse with intoxication, uncomplicated SA

F15.121 Other stimulant abuse with intoxication delirium Amphetamine (or other stimulant) intoxication delirium, With mild use disorder 292.81 SAAmphetamine or other stimulant intoxication, With perceptual disturbances, With mild use disorder

292.89 SAAmphetamine or other stimulant intoxication, With perceptual disturbances, With moderate or severe use disorder 292.89 SAAmphetamine or other stimulant intoxication, With perceptual disturbances, Without use disorder

292.89 SAAmphetamine or other stimulant intoxication, Without perceptual disturbances, With mild use disorder 292.89 SAAmphetamine or other stimulant intoxication, Without perceptual disturbances, With moderate or severe use disorder 292.89 SA

Other stimulant abuse with intoxication with perceptual disturbance

F15.122

Other stimulant abuse with intoxication, unspecifiedF15.129

Cocaine use, unspecified with cocaine‐induced mood disorder

F14.94

14

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Amphetamine or other stimulant intoxication, Without perceptual disturbances, Without use disorder 292.89 SAAmphetamine (or other stimulant)‐induced bipolar and related disorder, With mild use disorder

292.84 SAAmphetamine (or other stimulant)‐induced depressive disorder, With mild use disorder 292.84 SA

F15.150 Other stimulant abuse with stimulant‐induced psychotic disorder with delusions SA

F15.151 Other stimulant abuse with stimulant‐induced psychotic disorder withhallucinations SA

F15.159 Other stimulant abuse with stimulant‐induced psychotic disorder, unspecified

Amphetamine (or other stimulant)‐induced psychotic disorder, With mild use disorder 292.9 SAAmphetamine (or other stimulant)‐induced anxiety disorder, With mild use disorder 292.89 SACaffeine‐induced anxiety disorder, With mild use disorder 292.89 SA

F15.181 Other stimulant abuse with stimulant‐induced sexual dysfunction

Amphetamine (or other stimulant)‐induced sexual dysfunction, With mild use disorder 292.89 SAAmphetamine (or other stimulant)‐induced sleep disorder, With mild use disorder 292.85 SACaffeine‐induced sleep disorder, With mild use disorder 292.85 SA

F15.188 Other stimulant abuse with other stimulant‐induced disorder

Amphetamine (or other stimulant)‐induced obsessive‐compulsive and related disorder, With mild use disorder 292.89 SA

F15.19 Other stimulant abuse with unspecified stimulant‐induced disorder SA

Amphetamine‐type substance use disorder, Moderate304.40 SA

Amphetamine‐type substance use disorder, Severe304.40 SA

F15.21 Other stimulant dependence, in remission SAF15.220 Other stimulant dependence with intoxication, 

uncomplicated SAF15.221 Other stimulant dependence with intoxication 

deliriumAmphetamine (or other stimulant) intoxication delirium, With moderate or severe use disorder 292.81 SA

F15.222 Other stimulant dependence with intoxication with perceptual disturbance SA

Other stimulant dependence, uncomplicatedF15.20

F15.14 Other stimulant abuse with stimulant‐induced mood disorder

Other stimulant abuse with stimulant‐induced anxiety disorder

F15.180

Other stimulant abuse with stimulant‐induced sleep disorder

F15.182

15

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F15.229 Other stimulant dependence with intoxication, unspecified SA

F15.23 Other stimulant dependence with withdrawal Amphetamine or other stimulant withdrawal 292.0 SAAmphetamine (or other stimulant)‐induced bipolar and related disorder, With moderate or severe use disorder 292.84 SAAmphetamine (or other stimulant)‐induced depressive disorder, With moderate or severe use disorder

292.84 SAF15.250 Other stimulant dependence with stimulant‐induced 

psychotic disorder withdelusions SAF15.251 Other stimulant dependence with stimulant‐induced 

psychotic disorder withhallucinations SAF15.259 Other stimulant dependence with stimulant‐induced 

psychotic disorder,unspecifiedAmphetamine (or other stimulant)‐induced psychotic disorder, With moderate or severe use disorder

292.9 SAAmphetamine (or other stimulant)‐induced anxiety disorder, With moderate or severe use disorder

292.89 SACaffeine‐induced anxiety disorder, With moderate or severe use disorder 292.89 SA

F15.281 Other stimulant dependence with stimulant‐induced sexual dysfunction

Amphetamine (or other stimulant)‐induced sexual dysfunction, With moderate or severe use disorder

292.89 SAAmphetamine (or other stimulant)‐induced sleep disorder, With moderate or severe use disorder

292.89 SACaffeine‐induced sleep disorder, With moderate or severe use disorder 292.89 SA

F15.288 Other stimulant dependence with other stimulant‐induced disorder

Amphetamine (or other stimulant)‐induced obsessive‐compulsive and related disorder, With moderate or severe use disorder 292.89 SA

F15.29 Other stimulant dependence with unspecified stimulant‐induced disorder SA

F15.90 Other stimulant use, unspecified, uncomplicatedSA

F15.920 Other stimulant use, unspecified with intoxication, uncomplicated SA

Amphetamine (or other stimulant)‐induced delirium292.84 SA

Other stimulant use, unspecified with intoxication delirium

F15.921

F15.24 Other stimulant dependence with stimulant‐induced mood disorder

Other stimulant dependence with stimulant‐induced anxiety disorder

F15.280

Other stimulant dependence with stimulant‐induced sleep disorder

F15.282

16

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Amphetamine (or other stimulant) intoxication delirium, Without use disorder 292.81 SA

F15.922 Other stimulant use, unspecified with intoxication with perceptual disturbance SA

F15.929 Other stimulant use, unspecified with intoxication, unspecified

Caffeine intoxication305.90 SA

F15.93 Other stimulant use, unspecified with withdrawal Caffeine withdrawal292.0 SA

Amphetamine (or other stimulant)‐induced bipolar and related disorder, Without use disorder

292.84 SAAmphetamine (or other stimulant)‐induced depressive disorder, Without use disorder 292.84 SA

F15.950 Other stimulant use, unspecified with stimulant‐induced psychotic disorder withdelusions SA

F15.951 Other stimulant use, unspecified with stimulant‐induced psychotic disorder withhallucinations SA

F15.959 Other stimulant use, unspecified with stimulant‐induced psychotic disorder,unspecified

Amphetamine (or other stimulant)‐induced psychotic disorder, Without use disorder 292.9 SAAmphetamine (or other stimulant)‐induced anxiety disorder, With use disorder 292.89 SACaffeine‐induced anxiety disorder, With use disorder

292.89 SAF15.981 Other stimulant use, unspecified with stimulant‐

induced sexual dysfunctionAmphetamine (or other stimulant)‐induced sexual dysfunction, Without use disorder 292.89 SAAmphetamine (or other stimulant)‐induced sleep disorder, Without use disorder 292.85 SACaffeine‐induced sleep disorder, Without use disorder

292.85 SAF15.988 Other stimulant use, unspecified with other stimulant‐

induced disorderAmphetamine (or other stimulant)‐induced obsessive‐compulsive and related disorder, Without use disorder 292.89 SA

F15.99 Other stimulant use, unspecified with unspecified stimulant‐induced disorder

Unspecified amphetamine or other stimulant‐related disorder 292.9 SAPhencyclidine Use Disorder, Mild 305.90 SAOther Hallucinogen Use Disorder, Mild 305.30 SA

F16.120 Hallucinogen abuse with intoxication, uncomplicatedSA

Phencyclidine intoxication delirium, With mild use disorder 292.81 SA

Hallucinogen abuse with intoxication with deliriumF16.121

Other stimulant use, unspecified with stimulant‐induced mood disorder

F15.94

Other stimulant use, unspecified with stimulant‐induced anxiety disorder

F15.980

Hallucinogen abuse, uncomplicatedF16.10

Other stimulant use, unspecified with stimulant‐induced sleep disorder

F15.982

17

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Other hallucinogen intoxication delirium, With mild use disorder 292.81 SA

F16.122 Hallucinogen abuse with intoxication with perceptual disturbance SA

Phencyclidine intoxication, With mild use disorder292.89 SA

Other hallucinogen intoxication, With mild use disorder 292.89 SAPhencyclidine‐induced bipolar and related disorder, With mild use disorder 292.84 SAPhencyclidine‐induced depressive disorder, With mild use disorder 292.84 SAOther hallucinogen‐induced bipolar and related disorder, With mild use disorder 292.84 SAOther hallucinogen‐induced depressive disorder, With mild use disorder 292.84 SA

F16.150 Hallucinogen abuse with hallucinogen‐induced psychotic disorder with delusions SA

F16.151 Hallucinogen abuse with hallucinogen‐induced psychotic disorder withhallucinations SA

Phencyclidine‐induced psychotic disorder, With mild use disorder 292.9 SAOther hallucinogen‐induced psychotic disorder, With mild use disorder 292.9 SAPhencyclidine‐induced anxiety disorder, With mild use disorder 292.89 SAOther hallucinogen‐induced anxiety disorder, With mild use disorder 292.89 SA

F16.183 Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks) SA

F16.188 Hallucinogen abuse with other hallucinogen‐induced disorder SA

F16.19 Hallucinogen abuse with unspecified hallucinogen‐induced disorder SA

Phencyclidine Use Disorder, Moderate 304.60 SAPhencyclidine Use Disorder, Severe 304.60 SAOther Hallucinogen Use Disorder, Moderate 304.50 SAOther Hallucinogen Use Disorder, Severe 304.50 SA

F16.21 Hallucinogen dependence, in remission SAF16.220 Hallucinogen dependence with intoxication, 

uncomplicated SA

Hallucinogen dependence, uncomplicatedF16.20

F16.180

Hallucinogen abuse with hallucinogen‐induced psychotic disorder, unspecified

F16.159

Hallucinogen abuse with intoxication, unspecifiedF16.129

Hallucinogen abuse with hallucinogen‐induced mood disorder

F16.14

Hallucinogen abuse with hallucinogen‐induced anxiety disorder

18

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Phencyclidine intoxication delirium, With moderate or severe use disorder 292.81 SAOther hallucinogen intoxication delirium, With moderate or severe use disorder 292.81 SAPhencyclidine intoxication, With moderate or severe use disorder 292.89 SAOther hallucinogen intoxication, With moderate or severe use disorder 292.89 SAPhencyclidine‐induced bipolar and related disorder, With moderate or severe use disorder 292.84 SAPhencyclidine‐induced depressive disorder, With moderate or severe use disorder 292.84 SAOther hallucinogen‐induced bipolar and related disorder, With moderate or severe use disorder 292.84 SAOther hallucinogen‐induced depressive disorder, With moderate or severe use disorder 292.84 SA

F16.250 Hallucinogen dependence with hallucinogen‐induced psychotic disorder withdelusions SA

F16.251 Hallucinogen dependence with hallucinogen‐induced psychotic disorder withhallucinations SA

Phencyclidine‐induced psychotic disorder, With moderate or severe use disorder 292.9 SAOther hallucinogen‐induced psychotic disorder, With moderate or severe use disorder 292.9 SAPhencyclidine‐induced anxiety disorder, With moderate or severe use disorder 292.89 SAOther hallucinogen‐induced anxiety disorder, With moderate or severe use disorder 292.89 SA

F16.283 Hallucinogen dependence with hallucinogen persisting perception disorder(flashbacks) SA

F16.288 Hallucinogen dependence with other hallucinogen‐induced disorder SA

F16.29 Hallucinogen dependence with unspecified hallucinogen‐induced disorder SA

F16.90 Hallucinogen use, unspecified, uncomplicated SAF16.920 Hallucinogen use, unspecified with intoxication, 

uncomplicated SAPhencyclidine intoxication delirium, Without use disorder 292.81 SAOther hallucinogen intoxication delirium, Without use disorder 292.81 SA

Hallucinogen dependence with intoxication with delirium

F16.221

Hallucinogen use, unspecified with intoxication with delirium

F16.921

Hallucinogen dependence with hallucinogen‐induced anxiety disorder

F16.280

Hallucinogen dependence with intoxication, unspecified

Hallucinogen dependence with hallucinogen‐induced psychotic disorder,unspecified

F16.259

F16.229

Hallucinogen dependence with hallucinogen‐induced mood disorder

F16.24

19

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Phencyclidine intoxication, Without use disorder292.89 SA

Phencyclidine intoxication, Without use disorder292.89 SA

Phencyclidine‐induced bipolar and related disorder, Without use disorder 292.84 SAPhencyclidine‐induced depressive disorder, Without use disorder 292.84 SAOther hallucinogen‐induced bipolar and related disorder, Without use disorder 292.84 SAOther hallucinogen‐induced depressive disorder, Without use disorder 292.84 SA

F16.950 Hallucinogen use, unspecified with hallucinogen‐induced psychotic disorder with delusions

SAF16.951 Hallucinogen use, unspecified with hallucinogen‐

induced psychotic disorder with hallucinationsSA

Phencyclidine‐induced psychotic disorder, Without use disorder

292.9 SAOther hallucinogen‐induced psychotic disorder, Without use disorder 292.9 SAPhencyclidine‐induced anxiety disorder, Without use disorder 292.89 SAOther hallucinogen‐induced anxiety disorder, Without use disorder 292.89 SA

F16.983 Hallucinogen use, unspecified with hallucinogen persisting perception disorder(flashbacks)

Hallucinogen Persisting Perception Disorder

292.89 SAF16.988 Hallucinogen use, unspecified with other hallucinogen‐

induced disorder SAUnspecified Phencyclidine‐Related Disorder 292.9 SAUnspecified Hallucinogen‐Related Disorder 292.9 SATobacco Use Disorder, Moderate 305.1 SATobacco Use Disorder, Severe 305.1 SA

F17.201 Nicotine dependence, unspecified, in remissionSA

F17.203 Nicotine dependence unspecified, with withdrawal Tobacco Withdrawal292.0 SA

Hallucinogen use, unspecified with intoxication, unspecified

F16.929

Hallucinogen use, unspecified with hallucinogen‐induced anxiety disorder

F16.980

Hallucinogen use, unspecified with hallucinogen‐induced psychotic disorder,unspecified

F16.959

Hallucinogen use, unspecified with unspecified hallucinogen‐induced disorder

F16.99

Hallucinogen use, unspecified with hallucinogen‐induced mood disorder

F16.94

Nicotine dependence, unspecified, uncomplicatedF17.200

20

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F17.208 Nicotine dependence, unspecified, with other nicotine‐induced disorders

Tobacco‐induced sleep disorder, With moderate or severe use disorder 292.85 SA

F17.209 Nicotine dependence, unspecified, with unspecified nicotine‐induced disorders

Unspecified tobacco‐related disorder292.9 SA

F17.210 Nicotine dependence, cigarettes, uncomplicatedSA

F17.211 Nicotine dependence, cigarettes, in remission SAF17.213 Nicotine dependence, cigarettes, with withdrawal

SAF17.218 Nicotine dependence, cigarettes, with other nicotine‐

induced disorders SAF17.219 Nicotine dependence, cigarettes, with unspecified 

nicotine‐induced disorders SAF17.220 Nicotine dependence, chewing tobacco, 

uncomplicated SAF17.221 Nicotine dependence, chewing tobacco, in remission

SAF17.223 Nicotine dependence, chewing tobacco, with 

withdrawal SAF17.228 Nicotine dependence, chewing tobacco, with other 

nicotine‐induced disorders SAF17.229 Nicotine dependence, chewing tobacco, with 

unspecified nicotine‐induceddisorders SAF17.290 Nicotine dependence, other tobacco product, 

uncomplicated SAF17.291 Nicotine dependence, other tobacco product, in 

remission SAF17.293 Nicotine dependence, other tobacco product, with 

withdrawal SAF17.298 Nicotine dependence, other tobacco product, with 

other nicotine‐induced disorders SAF17.299 Nicotine dependence, other tobacco product, with 

unspecified nicotine‐induceddisorders SAF18.10 Inhalant abuse, uncomplicated Inhalant Use Disorder, Mild 305.90 SAF18.120 Inhalant abuse with intoxication, uncomplicated

SAF18.121 Inhalant abuse with intoxication delirium Inhalant Intoxication Delirium, With mild use disorder

292.81 SAF18.129 Inhalant abuse with intoxication, unspecified Inhalant Intoxication, With mild use disorder 292.89 SAF18.14 Inhalant abuse with inhalant‐induced mood disorder Inhalant‐induced depressive disorder, With mild use 

disorder 292.84 SA

21

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F18.150 Inhalant abuse with inhalant‐induced psychotic disorder with delusions SA

F18.151 Inhalant abuse with inhalant‐induced psychotic disorder with hallucinations SA

F18.159 Inhalant abuse with inhalant‐induced psychotic disorder, unspecified

Inhalant‐induced psychotic disorder, With mild use disorder 292.9 SA

F18.17 Inhalant abuse with inhalant‐induced dementia Inhalant‐induced major neurocognitive disorder, With mild use disorder 292.82 SA

F18.180 Inhalant abuse with inhalant‐induced anxiety disorder Inhalant‐induced anxiety disorder, With mild use disorder 292.89 SA

F18.188 Inhalant abuse with other inhalant‐induced disorder Inhalant‐induced minor neurocognitive disorder, With mild use disorder 292.89 SA

F18.19 Inhalant abuse with unspecified inhalant‐induced disorder SA

Inhalant Use Disorder, Moderate 304.60 SAInhalant Use Disorder, Severe 304.60 SA

F18.21 Inhalant dependence, in remission SAF18.220 Inhalant dependence with intoxication, uncomplicated

SAF18.221 Inhalant dependence with intoxication delirium Inhalant Intoxication Delirium, With moderate or 

severe use disorder 292.81 SAF18.229 Inhalant dependence with intoxication, unspecified Inhalant Intoxication, With moderate or severe use 

disorder 292.89 SAF18.24 Inhalant dependence with inhalant‐induced mood 

disorderInhalant‐induced depressive disorder, With moderate or severe use disorder 292.84 SA

F18.250 Inhalant dependence with inhalant‐induced psychotic disorder with delusions SA

F18.251 Inhalant dependence with inhalant‐induced psychotic disorder with hallucinations SA

F18.259 Inhalant dependence with inhalant‐induced psychotic disorder, unspecified

Inhalant‐induced psychotic disorder, With moderate or severe use disorder 292.9 SA

F18.27 Inhalant dependence with inhalant‐induced dementia Inhalant‐induced major neurocognitive disorder, With moderate or severe use disorder 292.82 SA

F18.280 Inhalant dependence with inhalant‐induced anxiety disorder

Inhalant‐induced anxiety disorder, With moderate or severe use disorder 292.89 SA

F18.288 Inhalant dependence with other inhalant‐induced disorder

Inhalant‐induced minor neurocognitive disorder, With moderate or severe use disorder 292.89 SA

F18.29 Inhalant dependence with unspecified inhalant‐induced disorder SA

F18.90 Inhalant use, unspecified, uncomplicated SA

Inhalant dependence, uncomplicatedF18.20

22

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F18.920 Inhalant use, unspecified with intoxication, uncomplicated SA

F18.921 Inhalant use, unspecified with intoxication with delirium

Inhalant Intoxication delirium, Without use disorder292.81 SA

F18.929 Inhalant use, unspecified with intoxication, unspecified

Inhalant Intoxication, Without use disorder292.89 SA

F18.94 Inhalant use, unspecified with inhalant‐induced mood disorder

Inhalant‐induced depressive disorder, Without use disorder 292.84 SA

F18.950 Inhalant use, unspecified with inhalant‐induced psychotic disorder with delusions SA

F18.951 Inhalant use, unspecified with inhalant‐induced psychotic disorder withhallucinations SA

F18.959 Inhalant use, unspecified with inhalant‐induced psychotic disorder, unspecified

Inhalant‐induced psychotic disorder, Without use disorder 292.9 SA

F18.97 Inhalant use, unspecified with inhalant‐induced persisting dementia

Inhalant‐induced major neurocognitive disorder, Without use disorder 292.82 SA

F18.980 Inhalant use, unspecified with inhalant‐induced anxiety disorder

Inhalant‐induced anxiety disorder, Without use disorder 292.89 SA

F18.988 Inhalant use, unspecified with other inhalant‐induced disorder

Inhalant‐induced minor neurocognitive disorder, Without use disorder 292.89 SA

F18.99 Inhalant use, unspecified with unspecified inhalant‐induced disorder

Unspecified Inhalant‐Related Disorder292.9 SA

F19.10 Other psychoactive substance abuse, uncomplicated Other (or unknown) substance use disorder, Mild305.80 SA

F19.120 Other psychoactive substance abuse with intoxication, uncomplicated SA

F19.121 Other psychoactive substance abuse with intoxication delirium

Other (or unknown) substance intoxication delirium, With mild use disorder 292.81 SA

F19.122 Other psychoactive substance abuse with intoxication with perceptual disturbances SA

F19.129 Other psychoactive substance abuse with intoxication, unspecified

Other (or unknown) substance intoxication, With mild use disorder 292.2 SAOther (or unknown) substance‐induced bipolar and related disorder, With mild use disorder 292.84 SAOther (or unknown) substance‐induced depressive disorder, With mild use disorder 292.84 SA

F19.150 Other psychoactive substance abuse with psychoactive substance‐induced psychotic disorder with delusions SA

Other psychoactive substance abuse with psychoactive substance‐induced mood disorder

F19.14

23

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F19.151 Other psychoactive substance abuse with psychoactive substance‐induced psychotic disorder with hallucinations SA

F19.159 Other psychoactive substance abuse with psychoactive substance‐induced psychotic disorder, unspecified

Other (or unknown) substance‐induced psychotic disorder, With mild use disorder

292.89 SAF19.16 Other psychoactive substance abuse with 

psychoactive substance‐induced persisting amnestic disorder SA

F19.17 Other psychoactive substance abuse with psychoactive substance‐induced persisting dementia

Other (or unknown) substance‐induced major neurocognitive disorder, With mild use disorder

292.82 SAF19.180 Other psychoactive substance abuse with 

psychoactive substance‐induced anxiety disorderOther (or unknown) substance‐induced anxiety disorder, With mild use disorder

292.89 SAF19.181 Other psychoactive substance abuse with 

psychoactive substance‐induced sexual dysfunctionOther (or unknown) substance‐induced sexual dysfunction, With mild use disorder

292.89 SAF19.182 Other psychoactive substance abuse with 

psychoactive substance‐induced sleep disorderOther (or unknown) substance‐induced sleep disorder, With mild use disorder 292.85 SAOther (or unknown) substance‐induced minor neurocognitive disorder, With mild use disorder

292.89 SAOther (or unknown) substance‐induced obsessive‐compulsive and related disorder, With mild use disorder 292.89 SA

F19.19 Other psychoactive substance abuse with unspecified psychoactive substance‐induced disorder

SAOther (or unknown) substance use disorder, Moderate

304.60 SAOther (or unknown) substance use disorder, Severe

304.60 SAF19.21 Other psychoactive substance dependence, in 

remission SAF19.220 Other psychoactive substance dependence with 

intoxication, uncomplicated SAF19.221 Other psychoactive substance dependence with 

intoxication deliriumOther (or unknown) substance intoxication delirium, With moderate or severe use disorder 292.81 SA

F19.222 Other psychoactive substance dependence with intoxication with perceptual disturbance SA

Other psychoactive substance abuse with other psychoactive substance‐induced disorder

F19.188

Other psychoactive substance dependence, uncomplicated

F19.20

24

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F19.229 Other psychoactive substance dependence with intoxication, unspecified

Other (or unknown) substance intoxication, With moderate or severe use disorder 292.2 SA

F19.230 Other psychoactive substance dependence with withdrawal, uncomplicated SA

F19.231 Other psychoactive substance dependence with withdrawal delirium

Other (or unknown) substance withdrawal delirium292.0 SA

F19.232 Other psychoactive substance dependence with withdrawal with perceptual disturbance SA

F19.239 Other psychoactive substance dependence with withdrawal, unspecified

Other (or unknown) substance withdrawal292.0 SA

Other (or unknown) substance‐induced bipolar and related disorder, With moderate or severe use disorder 292.84 SAOther (or unknown) substance‐induced depressive disorder, With moderate or severe use disorder

292.84F19.250 Other psychoactive substance dependence with 

psychoactive substance‐induced psychotic disorder with delusions SA

F19.251 Other psychoactive substance dependence with psychoactive substance‐induced psychotic disorder with hallucinations SA

F19.259 Other psychoactive substance dependence with psychoactive substance‐induced psychotic disorder, unspecified

Other (or unknown) substance‐induced psychotic disorder, With moderate or severe use disorder

292.89 SAF19.26 Other psychoactive substance dependence with 

psychoactive substance‐induced persisting amnestic disorder SA

F19.27 Other psychoactive substance dependence with psychoactive substance‐induced persisting dementia

Other (or unknown) substance‐induced major neurocognitive disorder, With moderate or severe use disorder 292.82 SA

F19.280 Other psychoactive substance dependence with psychoactive substance‐induced anxiety disorder

Other (or unknown) substance‐induced anxiety disorder, With moderate or severe use disorder

292.89 SAF19.281 Other psychoactive substance dependence with 

psychoactive substance‐induced sexual dysfunctionOther (or unknown) substance‐induced sexual dysfunction, With moderate or severe use disorder

292.89 SAF19.282 Other psychoactive substance dependence with 

psychoactive substance‐induced sleep disorderOther (or unknown) substance‐induced sleep disorder, With moderate or severe use disorder 292.85 SA

Other psychoactive substance dependence with psychoactive substance‐induced mood disorder

F19.24

25

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Other (or unknown) substance‐induced mild neurocognitive disorder, With moderate or severe use disorder 292.89 SAOther (or unknown) substance‐induced obsessive‐compulsive and related disorder, With moderate or severe use disorder 292.89 SA

F19.29 Other psychoactive substance dependence with unspecified psychoactive substance‐induced disorder

SAF19.90 Other psychoactive substance use, unspecified, 

uncomplicated SAF19.920 Other psychoactive substance use, unspecified with 

intoxication, uncomplicated SAOther (or unknown) substance‐induced delirium

292.81 SAOther (or unknown) substance‐induced delirium, Without use disorder 292.81 SA

F19.922 Other psychoactive substance use, unspecified with intoxication with perceptual disturbance SA

F19.929 Other psychoactive substance use, unspecified with intoxication, unspecified

Other (or unknown) substance intoxication, Without use disorder 292.2 SA

F19.930 Other psychoactive substance use, unspecified with withdrawal, uncomplicated SA

F19.931 Other psychoactive substance use, unspecified with withdrawal delirium SA

F19.932 Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance SA

F19.939 Other psychoactive substance use, unspecified with withdrawal, unspecified SA

Other (or unknown) substance‐induced bipolar and related disorder, Without use disorder

292.84 SAOther (or unknown) substance‐induced depressive disorder, Without use disorder 292.84 SA

F19.950 Other psychoactive substance use, unspecified with psychoactive substance‐induced psychotic disorder with delusions SA

F19.951 Other psychoactive substance use, unspecified with psychoactive substance‐induced psychotic disorder with hallucinations SA

Other psychoactive substance dependence with other psychoactive substance‐induced disorder

F19.288

Other psychoactive substance use, unspecified with intoxication with delirium

F19.921

Other psychoactive substance use, unspecified with psychoactive substance‐induced mood disorder

F19.94

26

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F19.959 Other psychoactive substance use, unspecified with psychoactive substance‐induced psychotic disorder, unspecified

Other (or unknown) substance‐induced psychotic disorder, Without use disorder

292.9 SAF19.96 Other psychoactive substance use, unspecified with 

psychoactive substance‐induced persisting amnestic disorder SA

F19.97 Other psychoactive substance use, unspecified with psychoactive substance‐induced persisting dementia

Other (or unknown) substance‐induced major neurocognitive disorder, Without use disorder

292.82 SAF19.980 Other psychoactive substance use, unspecified with 

psychoactive substance‐induced anxiety disorderOther (or unknown) substance‐induced anxiety disorder, Without use disorder

292.89 SAF19.981 Other psychoactive substance use, unspecified with 

psychoactive substance‐induced sexual dysfunctionOther (or unknown) substance‐induced sexual dysfunction, Without use disorder

292.89 SAF19.982 Other psychoactive substance use, unspecified with 

psychoactive substance‐induced sleep disorderOther (or unknown) substance‐induced sleep disorder, Without use disorder

292.85 SAOther (or unknown) substance‐induced mild neurocognitive disorder, Without use disorder

292.89 SAOther (or unknown) substance‐induced obsessive‐compulsive and related disorder, Without use disorder 292.89 SA

F19.99 Other psychoactive substance use, unspecified with unspecified psychoactive substance‐induced disorder

Unspecified other (or unknown) substance‐related disorder

292.9 SAF20.0 Paranoid schizophrenia MHF20.1 Disorganized schizophrenia MHF20.2 Catatonic schizophrenia MHF20.3 Undifferentiated schizophrenia MHF20.5 Residual schizophrenia MHF20.81 Schizophreniform disorder Schizophreniform Disorder 295.40 MHF20.89 Other schizophrenia MHF20.9 Schizophrenia, unspecified Schizophrenia 295.90 MHF21 Schizotypal disorder Schizotypal Personality Disorder 301.22 MHF22 Delusional disorders Delusional Disorder 297.1 MHF23 Brief psychotic disorder Brief Psychotic Disorder 298.8 MHF24 Shared psychotic disorder MHF25.0 Schizoaffective disorder, bipolar type 295.70 MHF25.1 Schizoaffective disorder, depressive type 295.70 MH

Schizoaffective Disorder

Other psychoactive substance use, unspecified with other psychoactive substance‐induced disorder

F19.988

27

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F25.8 Other schizoaffective disorders MHF25.9 Schizoaffective disorder, unspecified MHF28 Other psychotic disorder not due to a substance or 

known physiological conditionOther Specified Schizophrenia Spectrum and Other Psychotic Disorder 298.8 MH

F29 Unspecified psychosis not due to a substance or known physiological condition

Unspecified Schizophrenia Spectrum and Other Psychotic Disorder 298.9 MH

F30.10 Manic episode without psychotic symptoms, unspecified MH

F30.11 Manic episode without psychotic symptoms, mildMH

F30.12 Manic episode without psychotic symptoms, moderate MH

F30.13 Manic episode, severe, without psychotic symptomsMH

F30.2 Manic episode, severe with psychotic symptomsMH

F30.3 Manic episode in partial remission MHF30.4 Manic episode in full remission MHF30.8 Other manic episodes MHF30.9 Manic episode, unspecified MHF31.0 Bipolar disorder, current episode hypomanic Bipolar I Disorder, Current or most recent episode 

hypomanic 296.40 MHF31.10 Bipolar disorder, current episode manic without 

psychotic features, unspecified MHF31.11 Bipolar disorder, current episode manic without 

psychotic features, mildBipolar I Disorder, Current or most recent episode manic, Mild 296.45 MH

F31.12 Bipolar disorder, current episode manic without psychotic features, moderate

Bipolar I Disorder, Current or most recent episode manic, Moderate 296.42 MH

F31.13 Bipolar disorder, current episode manic without psychotic features, severe

Bipolar I Disorder, Current or most recent episode manic, Severe 296.43 MH

F31.2 Bipolar disorder, current episode manic severe with psychotic features

Bipolar I Disorder, Current or most recent episode manic, With psychotic features 296.44 MH

F31.30 Bipolar disorder, current episode depressed, mild or moderate severity, unspecified

Bipolar I Disorder, Current or most recent episode manic, Unspecified 296.40 MH

F31.31 Bipolar disorder, current episode depressed, mild Bipolar I Disorder, Current or most recent episode depressed, Mild 296.51 MH

F31.32 Bipolar disorder, current episode depressed, moderate

Bipolar I Disorder, Current or most recent episode depressed, Moderate 296.52 MH

F31.4 Bipolar disorder, current episode depressed, severe, without psychotic features

Bipolar I Disorder, Current or most recent episode depressed, Severe 296.53 MH

28

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F31.5 Bipolar disorder, current episode depressed, severe, with psychotic features

Bipolar I Disorder, Current or most recent episode depressed, With psychotic features 296.54 MH

F31.60 Bipolar disorder, current episode mixed, unspecifiedMH

F31.61 Bipolar disorder, current episode mixed, mild MHF31.62 Bipolar disorder, current episode mixed, moderate

MHF31.63 Bipolar disorder, current episode mixed, severe, 

without psychotic features MHF31.64 Bipolar disorder, current episode mixed, severe, with 

psychotic features MHF31.70 Bipolar disorder, currently in remission, most recent 

episode unspecified MHF31.71 Bipolar disorder, in partial remission, most recent 

episode hypomanic MHF31.72 Bipolar disorder, in full remission, most recent 

episode hypomanic MHBipolar I Disorder, Current or most recent episode hypomanic, In partial remission 296.45 MHBipolar I Disorder, Current or most recent episode manic, In partial remission 296.45 MHBipolar I Disorder, Current or most recent episode hypomanic, In full remission 296.60 MHBipolar I Disorder, Current or most recent episode manic, In full remission 296.46 MH

F31.75 Bipolar disorder, in partial remission, most recent episode depressed

Bipolar I Disorder, Current or most recent episode depressed, In partial remission 296.55 MH

F31.76 Bipolar disorder, in full remission, most recent episode depressed

Bipolar I Disorder, Current or most recent episode depressed, In full remission 295.56 MH

F31.77 Bipolar disorder, in partial remission, most recent episode mixed MH

F31.78 Bipolar disorder, in full remission, most recent episode mixed MH

F31.81 Bipolar II disorder Bipolar II Disorder 296.89 MHF31.89 Other bipolar disorder Other Specified Bipolar and Related Disorder 296.89 MH

Bipolar I Disorder, Current or most recent episode depressed, Unspecified 296.50 MHBipolar I Disorder, Current or most recent episode hypomanic, Unspecified 296.40 MHBipolar I Disorder, Current or most recent episode manic, Unspecified 296.7 MH

Bipolar disorder, in full remission, most recent episode manic

F31.74

Bipolar disorder, in partial remission, most recent episode manic

F31.73

Bipolar disorder, unspecifiedF31.9

29

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Unspecified Bipolar and Related Disorder 296.80 MHF32.0 Major depressive disorder, single episode, mild Major Depressive Disorder, Single Episode, Mild 296.21 MHF32.1 Major depressive disorder, single episode, moderate Major Depressive Disorder, Single Episode, Moderate

296.22 MHF32.2 Major depressive disorder, single episode, severe 

without psychotic featuresMajor Depressive Disorder, Single Episode, Severe

296.23 MHF32.3 Major depressive disorder, single episode, severe with 

psychotic featuresMajor Depressive Disorder, Single Episode, With psychotic features 296.24 MH

F32.4 Major depressive disorder, single episode, in partial remission

Major Depressive Disorder, Single Episode, In partial remission 296.25 MH

F32.5 Major depressive disorder, single episode, in full remission

Major Depressive Disorder, Single Episode, In full remission 296.26 MH

F32.8 Other depressive episodes Other Specified Depressive Disorder 311 MHMajor Depressive Disorder, Single Episode, Unspecified 296.20 MHUnspecified Depressive Disorder 311 MH

F33.0 Major depressive disorder, recurrent, mild Major Depressive Disorder, Recurrent Episode, Mild296.31 MH

F33.1 Major depressive disorder, recurrent, moderate Major Depressive Disorder, Recurrent Episode, Moderate 296.32 MH

F33.2 Major depressive disorder, recurrent severe without psychotic features

Major Depressive Disorder, Recurrent Episode, Severe296.33 MH

F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms

Major Depressive Disorder, Recurrent Episode, With psychotic features 296.34 MH

F33.40 Major depressive disorder, recurrent, in remission, unspecified MH

F33.41 Major depressive disorder, recurrent, in partial remission

Major Depressive Disorder, Recurrent Episode, In partial remission 296.35 MH

F33.42 Major depressive disorder, recurrent, in full remission Major Depressive Disorder, Recurrent Episode, In full remission 296.36 MH

F33.8 Other recurrent depressive disorders MHF33.9 Major depressive disorder, recurrent, unspecified Major Depressive Disorder, Recurrent Episode, 

Unspecified 296.30 MHF34.0 Cyclothymic disorder Cyclothymic Disorder 301.13 MHF34.1 Dysthymic disorder Persistent Depressive Disorder (Dysthymia) 300.4 MHF34.8 Other persistent mood [affective] disorders Disruptive Mood Dysregulation Disorder 296.99 MHF34.9 Persistent mood [affective] disorder, unspecified MHF39 Unspecified mood [affective] disorder MHF40.00 Agoraphobia, unspecified Agoraphobia 300.22 MHF40.01 Agoraphobia with panic disorder MHF40.02 Agoraphobia without panic disorder MH

Major depressive disorder, single episode, unspecifiedF32.9

30

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F40.10 Social phobia, unspecified Social Anxiety Disorder (Social Phobia) 300.23 MHF40.11 Social phobia, generalized MHF40.210 Arachnophobia MHF40.218 Other animal type phobia MHF40.220 Fear of thunderstorms MHF40.228 Other natural environment type phobia MHF40.230 Fear of blood MHF40.231 Fear of injections and transfusions MHF40.232 Fear of other medical care MHF40.233 Fear of injury MHF40.240 Claustrophobia MHF40.241 Acrophobia MHF40.242 Fear of bridges MHF40.243 Fear of flying MHF40.248 Other situational type phobia MHF40.290 Androphobia MHF40.291 Gynephobia MHF40.298 Other specified phobia MHF40.8 Other phobic anxiety disorders MHF40.9 Phobic anxiety disorder, unspecified MHF41.0 Panic disorder [episodic paroxysmal anxiety] without 

agoraphobiaPanic Disorder

300.01 MHF41.1 Generalized anxiety disorder Generalized Anxiety Disorder 300.02 MHF41.3 Other mixed anxiety disorders MHF41.8 Other specified anxiety disorders Other Specified Anxiety Disorder 300.09 MHF41.9 Anxiety disorder, unspecified Unspecified Anxiety Disorder 300.00 MH

Obsessive‐Compulsive Disorder 300.3 MHHoarding Disorder 300.3 MHOther Specified Obsessive‐Compulsive and Related Disorder 300.3 MHUnspecified Obsessive‐Compulsive and Related Disorder 300.3 MH

F43.0 Acute stress reaction Acute Stress Disorder 308.3 MHF43.10 Post‐traumatic stress disorder, unspecified Posttraumatic Stress Disorder 309.81 MHF43.11 Post‐traumatic stress disorder, acute MHF43.12 Post‐traumatic stress disorder, chronic MHF43.20 Adjustment disorder, unspecified Adjustment Disorder, Unspecified 309.9 MHF43.21 Adjustment disorder with depressed mood Adjustment Disorder, With depressed mood 309.0 MHF43.22 Adjustment disorder with anxiety Adjustment Disorder, With anxiety 309.24 MHF43.23 Adjustment disorder with mixed anxiety and 

depressed moodAdjustment Disorder, With mixed anxiety and depressed mood 309.28 MH

Obsessive‐compulsive disorderF42

31

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F43.24 Adjustment disorder with disturbance of conduct Adjustment Disorder, With disturbance of conduct309.3 MH

F43.25 Adjustment disorder with mixed disturbance of emotions and conduct

Adjustment Disorder, With mixed disturbance of emotions and conduct 309.4 MH

F43.29 Adjustment disorder with other symptoms MHF43.8 Other reactions to severe stress Other Specified Trauma‐ and Stressor‐Related 

Disorder 309.89 MHF43.9 Reaction to severe stress, unspecified Unspecified Trauma‐ and Stressor‐Related Disorder

309.9 MHF44.0 Dissociative amnesia Dissociative Amnesia 300.12 MHF44.1 Dissociative fugue Dissociative Amnesia, With dissociative fugue 300.13 MHF44.2 Dissociative stupor MH

Conversion Disorder (Functional Neurological Symptom Disorder), With abnormal movement 300.11 MHConversion Disorder (Functional Neurological Symptom Disorder), With speech symptoms 300.11 MHConversion Disorder (Functional Neurological Symptom Disorder), With swallowing symptoms

300.11 MHConversion Disorder (Functional Neurological Symptom Disorder), With weakness / paralysis 300.11 MH

F44.5 Conversion disorder with seizures or convulsions Conversion Disorder (Functional Neurological Symptom Disorder), With attacks or seizures 300.11 MH

F44.6 Conversion disorder with sensory symptom or deficit Conversion Disorder (Functional Neurological Symptom Disorder), With special sensory symptoms

300.11 MHF44.7 Conversion disorder with mixed symptom 

presentationConversion Disorder (Functional Neurological Symptom Disorder), With mixed symptoms 300.11 MH

F44.81 Dissociative identity disorder Dissociative Identity Disorder 300.14 MHF44.89 Other dissociative and conversion disorders Other Specified Dissociative Disorder 300.15 MHF44.9 Dissociative and conversion disorder, unspecified Unspecified Dissociative Disorder

300.15 MHF45.0 Somatization disorder MHF45.1 Undifferentiated somatoform disorder Somatic Symptom Disorder 300.82 MHF45.20 Hypochondriacal disorder, unspecified MHF45.21 Hypochondriasis Illness Anxiety Disorder 300.7 MHF45.22 Body dysmorphic disorder Body Dysmorphic Disorder 300.7 MHF45.29 Other hypochondriacal disorders MHF45.41 Pain disorder exclusively related to psychological 

factors MHF45.42 Pain disorder with related psychological factors MH

Conversion disorder with motor symptom or deficitF44.4

32

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F45.8 Other somatoform disorders Other Specified Somatic Symptom and Related Disorder 300.89 MH

F45.9 Somatoform disorder, unspecified Unspecified Somatic Symptom and Related Disorder300.82 MH

F48.1 Depersonalization‐derealization syndrome Depersonalization/Derealization Disorder 300.6 MHF48.2 Pseudobulbar affect MHF48.8 Other specified nonpsychotic mental disorders MHF48.9 Nonpsychotic mental disorder, unspecified MHF50.00 Anorexia nervosa, unspecified MHF50.01 Anorexia nervosa, restricting type Anorexia Nervosa, Restricting type 307.1 MHF50.02 Anorexia nervosa, binge eating/purging type Anorexia Nervosa, Binge‐eating / purging type 307.1 MHF50.2 Bulimia nervosa Bulimia Nervosa 307.51 MH

Pica, In adults 307.52 MHAvoidant/Restrictive Food Intake Disorder 307.59 MHBinge‐Eating Disorder 307.51 MHOther Specified Feeding or Eating Disorder 307.59 MH

F50.9 Eating disorder, unspecified Unspecified Feeding or Eating Disorder 307.50 MHF51.01 Primary insomnia MHF51.02 Adjustment insomnia MHF51.03 Paradoxical insomnia MHF51.04 Psychophysiologic insomnia MHF51.05 Insomnia due to other mental disorder MHF51.09 Other insomnia not due to a substance or known 

physiological condition MHF51.11 Primary hypersomnia MHF51.12 Insufficient sleep syndrome MHF51.13 Hypersomnia due to other mental disorder MHF51.19 Other hypersomnia not due to a substance or known 

physiological condition MHF51.3 Sleepwalking [somnambulism] Non–Rapid Eye Movement Sleep Arousal Disorders, 

sleepwalking type 307.46 MHF51.4 Sleep terrors [night terrors] Non–Rapid Eye Movement Sleep Arousal Disorders, 

Sleep terror type 307.46 MHF51.5 Nightmare disorder Nightmare Disorder 307.47 MHF51.8 Other sleep disorders not due to a substance or 

known physiological condition MHF51.9 Sleep disorder not due to a substance or known 

physiological condition, unspecified MHF52.0 Hypoactive sexual desire disorder Male Hypoactive Sexual Desire Disorder 302.71 MHF52.1 Sexual aversion disorder MHF52.21 Male erectile disorder Erectile Disorder 302.72 MH

Other eating disordersF50.8

33

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2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F52.22 Female sexual arousal disorder Female Sexual Interest/Arousal Disorder 302.72 MHF52.31 Female orgasmic disorder Female Orgasmic Disorder 302.73 MHF52.32 Male orgasmic disorder Delayed Ejaculation 302.74 MHF52.4 Premature ejaculation Premature (Early) Ejaculation 302.75 MHF52.5 Vaginismus not due to a substance or known 

physiological condition MHF52.6 Dyspareunia not due to a substance or known 

physiological conditionGenito‐Pelvic Pain/Penetration Disorder

302.76 MHF52.8 Other sexual dysfunction not due to a substance or 

known physiological conditionOther Specified Sexual Dysfunction

302.79 MHF52.9 Unspecified sexual dysfunction not due to a substance 

or known physiological conditionUnspecified Sexual Dysfunction

302.70 MHF53 Puerperal psychosis MHF54 Psychological and behavioral factors associated with 

disorders or diseases classified elsewherePsychological Factors Affecting Other Medical Conditions 316 MH

F55.0 Abuse of antacids MHF55.1 Abuse of herbal or folk remedies MHF55.2 Abuse of laxatives MHF55.3 Abuse of steroids or hormones MHF55.4 Abuse of vitamins MHF55.8 Abuse of other non‐psychoactive substances MHF59 Unspecified behavioral syndromes associated with 

physiological disturbances and physical factorsMH

F60.0 Paranoid personality disorder Paranoid Personality Disorder 301.0 MHF60.1 Schizoid personality disorder Schizoid Personality Disorder 301.20 MHF60.2 Antisocial personality disorder Antisocial Personality Disorder 301.7 MHF60.3 Borderline personality disorder Borderline Personality Disorder 301.83 MHF60.4 Histrionic personality disorder Histrionic Personality Disorder 301.50 MHF60.5 Obsessive‐compulsive personality disorder Obsessive‐Compulsive Personality Disorder 301.4 MHF60.6 Avoidant personality disorder Avoidant Personality Disorder 301.82 MHF60.7 Dependent personality disorder Dependent Personality Disorder 301.6 MHF60.81 Narcissistic personality disorder Narcissistic Personality Disorder 301.81 MHF60.89 Other specific personality disorder Other Specified Personality Disorder 301.89 MHF60.9 Personality disorder, unspecified Unspecified Personality Disorder 301.9 MHF63.0 Pathological gambling Gambling Disorder 312.31 MHF63.1 Pyromania Pyromania 312.33 MHF63.2 Kleptomania Kleptomania 312.32 MHF63.3 Trichotillomania Trichotillomania (Hair‐Pulling Disorder) 312.39 MHF63.81 Intermittent explosive disorder Intermittent Explosive Disorder 312.34 MHF63.89 Other impulse disorders MH

34

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F63.9 Impulse disorder, unspecified MHF64.1 Gender identity disorder in adolescence and 

adulthoodGender Dysphoria in adolescents and adults

302.85 MHF64.2 Gender identity disorder of childhood Gender Dysphoria in children 302.6 MHF64.8 Other gender identity disorders Other Specified Gender Dysphoria 302.6 MHF64.9 Gender identity disorder, unspecified Unspecified Gender Dysphoria 302.6 MHF65.0 Fetishism Fetishistic Disorder 302.81 MHF65.1 Transvestic fetishism Transvestic Disorder 302.3 MHF65.2 Exhibitionism Exhibitionistic Disorder 302.4 MHF65.3 Voyeurism Voyeuristic Disorder 302.82 MHF65.4 Pedophilia Pedophilic Disorder 302.2 MHF65.50 Sadomasochism, unspecified MHF65.51 Sexual masochism Sexual Masochism Disorder 302.83 MHF65.52 Sexual sadism Sexual Sadism Disorder 302.84 MHF65.81 Frotteurism Frotteuristic Disorder 302.89 MHF65.89 Other paraphilias Other Specified Paraphilic Disorder 302.89 MHF65.9 Paraphilia, unspecified Unspecified Paraphilic Disorder 302.9 MHF66 Other sexual disorders MHF68.10 Factitious disorder, unspecified Factitious Disorder 300.19 MHF68.11 Factitious disorder with predominantly psychological 

signs and symptoms MHF68.12 Factitious disorder with predominantly physical signs 

and symptoms MHF68.13 Factitious disorder with combined psychological and 

physical signs and symptoms MHF68.8 Other specified disorders of adult personality and 

behavior MHF69 Unspecified disorder of adult personality and behavior

MHF70 Mild intellectual disabilities Intellectual Disability (Intellectual Developmental 

Disorder), Mild 319 MHF71 Moderate intellectual disabilities Intellectual Disability (Intellectual Developmental 

Disorder), Moderate 319 MHF72 Severe intellectual disabilities Intellectual Disability (Intellectual Developmental 

Disorder), Severe 319 MHF73 Profound intellectual disabilities Intellectual Disability (Intellectual Developmental 

Disorder), Profound 319 MHF78 Other intellectual disabilities MHF79 Unspecified intellectual disabilities Unspecified Intellectual Disability (Intellectual 

Developmental Disorder) 319 MH

35

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F80.0 Phonological disorder Speech Sound Disorder (previously Phonological Disorder) 315.39 MH

F80.1 Expressive language disorder MHF80.2 Mixed receptive‐expressive language disorder MHF80.4 Speech and language development delay due to 

hearing loss MHF80.81 Childhood onset fluency disorder Childhood‐Onset Fluency Disorder (Stuttering) 315.35 MHF80.89 Other developmental disorders of speech and 

languageSocial (Pragmatic) Communication Disorder

315.39 MHLanguage Disorder

315.39 MHUnspecified Communication Disorder 307.9 MH

F81.0 Specific reading disorder Specific Learning Disorder, With impairment in reading 315.00 MH

F81.2 Mathematics disorder Specific Learning Disorder, With impairment in mathematics 315.1 MH

F81.81 Disorder of written expression Specific Learning Disorder, With impairement in written expression 315.2 MH

F81.89 Other developmental disorders of scholastic skillsMH

F81.9 Developmental disorder of scholastic skills, unspecified MH

F82 Specific developmental disorder of motor function Developmental Coordination Disorder315.4 MH

F84.0 Autistic disorder Autism Spectrum Disorder 299.00 MHF84.2 Rett's syndrome MHF84.3 Other childhood disintegrative disorder MHF84.5 Asperger's syndrome MHF84.8 Other pervasive developmental disorders MHF84.9 Pervasive developmental disorder, unspecified MHF88 Other disorders of psychological development Other Specified Neurodevelopmental Disorder 315.8 MH

Global Developmental Delay 315.8 MHUnspecified Neurodevelopmental Disorder 315.9 MH

F90.0 Attention‐deficit hyperactivity disorder, predominantly inattentive type

Attention‐Deficit/Hyperactivity Disorder, Predominantly inattentive presentation 314.00 MH

F90.1 Attention‐deficit hyperactivity disorder, predominantly hyperactive type

Attention‐Deficit/Hyperactivity Disorder, Predominantly hyperactive / impulsive presentation

314.01 MHF90.2 Attention‐deficit hyperactivity disorder, combined 

typeAttention‐Deficit/Hyperactivity Disorder, Combined presentation 314.01 MH

F89 Unspecified disorder of psychological development

F80.9 Developmental disorder of speech and language, unspecified

36

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

F90.8 Attention‐deficit hyperactivity disorder, other type Other Specified Attention‐Deficit/Hyperactivity Disorder 314.01 MH

F90.9 Attention‐deficit hyperactivity disorder, unspecified type

Unspecified Attention‐Deficit/Hyperactivity Disorder314.01 MH

F91.0 Conduct disorder confined to family context MHF91.1 Conduct disorder, childhood‐onset type Conduct Disorder, Childhood‐onset type 312.81 MHF91.2 Conduct disorder, adolescent‐onset type Conduct Disorder, Adolescent‐onset type 312.32 MHF91.3 Oppositional defiant disorder Oppositional Defiant Disorder 313.81 MHF91.8 Other conduct disorders Other Specified Disruptive, Impulse‐Control, and 

Conduct Disorder 312.89 MHF91.9 Conduct disorder, unspecified Conduct Disorder, Unspecified onset 312.89 MHF93.0 Separation anxiety disorder of childhood Separation Anxiety Disorder 309.21 MHF93.8 Other childhood emotional disorders MHF93.9 Childhood emotional disorder, unspecified MHF94.0 Selective mutism Selective Mutism 312.23 MHF94.1 Reactive attachment disorder of childhood Reactive Attachment Disorder 313.89 MHF94.2 Disinhibited attachment disorder of childhood Disinhibited Social Engagement Disorder 313.89 MHF94.8 Other childhood disorders of social functioning MHF94.9 Childhood disorder of social functioning, unspecified

MHF95.0 Transient tic disorder Provisional Tic Disorder 307.21 MHF95.1 Chronic motor or vocal tic disorder Persistent (Chronic) Motor or Vocal Tic Disorder 307.22 MHF95.2 Tourette's disorder Tourette’s Disorder 307.23 MHF95.8 Other tic disorders Other Specified Tic Disorder 307.20 MHF95.9 Tic disorder, unspecified Unspecified Tic Disorder 307.20 MHF98.0 Enuresis not due to a substance or known 

physiological conditionEnuresis

307.6 MHF98.1 Encopresis not due to a substance or known 

physiological conditionEncopresis

307.7 MHF98.21 Rumination disorder of infancy Rumination Disorder 307.53 MHF98.29 Other feeding disorders of infancy and early childhood

MHF98.3 Pica of infancy and childhood Pica, In children 307.52 MHF98.4 Stereotyped movement disorders Stereotypic Movement Disorder 307.3 MHF98.5 Adult onset fluency disorder MHF98.8 Other specified behavioral and emotional disorders 

with onset usually occurring in childhood andadolescence MH

F98.9 Unspecified behavioral and emotional disorders with onset usually occurring in childhood andadolescence

MH

37

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Other Specified Mental Disorder 300.9 MHUnspecified Mental Disorder 300.9 MH

A81.9 Atypical virus infection of central nervous system, unspecified

Major Neurocognitive Disorder due to prion disease*046.79 PH Code as Primary

B20 Human immunodeficiency virus [HIV] disease Major Neurocognitive Disorder due to HIV infection*042 PH Code as Primary

E66.9 Overweight or obesity Overweight or obesity 278.00 PHG10 Huntington's disease Major Neurocognitive Disorder due to Huntington's 

disease* 333.4 PH Code as PrimaryG21.0 Malignant neuroleptic syndrome Neuroleptic malignant syndrome 333.92 PHG21.11 Neuroleptic induced parkinsonism Neuroleptic‐induced parkinsonism 332.1 PHG21.19 Other drug induced secondary parkinsonism Other medication‐induced parkinsonism 332.1 PHG24.01 Drug induced subacute dyskinesia Tardive dyskinesia 333.85 PHG24.02 Drug induced acute dystonia Medication‐induced acute dystonia 333.72 PHG24.09 Other drug induced dystonia Tardive dystonia 333.72 PHG25.1 Drug‐induced tremor Medication‐induced postural tremor 333.1 PH

Medication‐induced acute akathisia 333.99 PHTardive akathisia 333.99 PH

G25.79 Other drug induced movement disorders Other medication‐induced movement disorder 333.99 PHG25.81 Restless legs syndrome Restless Legs Syndrome 333.94 PHG30.9 Alzheimer's disease, unspecified Major Neurocognitive Disorder due to Alzheimer's 

disease, Possible (or Probable)* 331.9 PH Code as PrimaryMild Frontotemporal Neurocognitive Disorder 331.83 PHMild Neurocognitive Disorder due to Alzheimer's disease 331.83 PHMild Neurocognitive Disorder due to another medical condition 331.83 PHMild Neurocognitive Disorder due to HIV infection

331.83 PHMild Neurocognitive Disorder due to Huntington's disease 331.83 PHMild Neurocognitive Disorder due to multiple etiologies 331.83 PH

Mild cognitive impairment, so statedG31.84

Mental disorder, not otherwise specifiedF99

Drug induced akathisiaG25.71

F99 will also be used as the replacement for 799.9, Diagnosis Deferred , which is allowed by PerformCare for first‐time evaluations.  When appropriate, DSM‐5 also allows for Provisional Diagnosis, and that diagnosis should be submitted on the claim.  R69, Illness Unspecified, will be allowed only if approved by OMHSAS Behavioral Health Reporting Classification.

Physical Health (PH) category diagnoses (Not reimbursable under PerformCare PA HealthChoices Behavioral Health program)*These diagnoses are accepted as Primary when combined with an appropriate BH diagnosis

38

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Mild Neurocognitive Disorder due to Parkinson's disease 331.83 PHMild Neurocognitive Disorder due to prion disease

331.83 PHMild Neurocognitive Disorder due to traumatic brain injury 331.83 PHMild Neurocognitive Disorder due to  331.83 PHMild Neurocognitive Disorder due to Lewy bodies

331.83 PHMild Vascular Neurocognitive Disorder 331.83 PHMajor Frontotemporal Neurocognitive Disorder, Possible (or Probable)* 331.9 PH Code as PrimaryMajor Neurocognitive Disorder due to Lewy bodies, Possible (or Probable)* 331.9 PH Code as PrimaryMajor Neurocognitive Disorder due to Parkinson's disease, Possible (or Probable)* 331.9 PH Code as PrimaryMajor Vascular Neurocognitive Disorder, Possible (or Probable)* 331.9 PH Code as PrimaryInsomnia Disorder 780.52 PHUnspecified Insomnia Disorder 780.52 PH

G47.09 Organic insomnia NEC Other Specified Insomnia Disorder 780.52 PHHypersomnolence Disorder 780.54 PHUnspecified Hypersomnolence Disorder 780.54 PH

G47.19 Organic hypersomnia NEC Other Specified Hypersomnolence Disorder 780.54 PHG47.411 Narcolepsy with cataplexy Narcolepsy with cataplexy but without hypocretin 

deficiency 347.01 PHNarcolepsy, Autosomal dominant cerebellar ataxia, deafness, and narcolepsy 347.00 PHNarcolepsy, Autosomal dominant narcolepsy, obesity, and type 2 diabetes 347.00 PHNarcolepsy without cataplexy but with hypocretin deficiency 347.00 PH

G47.20 Circadian rhym sleep NOS Circadian Rhythm Sleep‐Wake Disorders, Unspecified type 307.45 PH

G47.21 Circadian rhy‐delay slp Circadian Rhythm Sleep‐Wake Disorders, Delayed sleep phase type 307.45 PH

G47.22 Circadian rhy‐advc sleep Circadian Rhythm Sleep‐Wake Disorders, Advanced sleep phase type 307.45 PH

G47.23 Circadian rhym‐irreg slp Circadian Rhythm Sleep‐Wake Disorders, Irregular sleep phase type 307.45 PH

Degenerative disease of nervous system, unspecifiedG31.9

G47.00 Insomnia, unspecified

Narcolepsy without cataplexyG47.419

Hypersomnia, unspecifiedG47.10

39

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

G47.24 Circadian rhym‐free run Circadian Rhythm Sleep‐Wake Disorders, Non‐24‐hour sleep‐wake type 307.45 PH

G47.26 Circadian rhy‐shift work Circadian Rhythm Sleep‐Wake Disorders, Shift work type 307.45 PH

G47.429 Narcolepsy in conditions classified elsewhere without cataplexy

Narcolepsy secondary to another medical condition347.10 PH

G47.31 Primary central sleep apnea Idiopathic central sleep apnea 327.21 PHG47.33 Obstructive sleep apnea Obstructive Sleep Apnea Hypopnea 327.23 PHG47.34 Idiopathic sleep related hypoventilation Idiopathic hypoventilation 327.24 PHG47.35 Congenital hypoventilation syndrome Congenital central aveolar hypoventilation 327.25 PHG47.36 Sleep related hypoventilation in conditions classified 

elsewhereComorbid sleep‐related hypoventilation

327.26 PHG47.37 Sleep apnea, unspecified Central Sleep Apnea comorbid with opioid abuse

780.57 PHG47.52 REM sleep behavior disorder Rapid Eye Movement Sleep Behavior Disorder 327.42 PHG47.8 Sleep organic disord NEC Other Specified Sleep‐Wake Disorder 780.59 PHG47.9 Sleep disturbance NOS Unspecified Sleep‐Wake Disorder 780.59 PHR06.3 Cheyne‐stokes respiration Cheyne‐Stokes breathing 786.04 PHL98.1 Factitial dermatitis Excoriation (Skin‐Picking) Disorder 698.4 PHN94.3 Premenstrual tension syndrome Premenstrual Dysphoric Disorder 625.4 PH

Other Specified Elimination Disorder, With fecal symptoms 787.60 PHUnspecified Elimination Disorder, With fecal symptoms 787.60 PH

N39.498 Other specified urinary incontinence Other Specified Elimination Disorder, With urinary symptoms 788.39 PH

R32 Unspecified urinary incontinence Unspecified Elimination Disorder, With urinary symptoms 788.30 PHOther Specified Delirium 780.09 PHUnspecified Delirium 780.09 PH

R41.9 Unspecified symptoms and signs involving cognitive functions and awareness

Unspecified Neurocognitive Disorder799.59 PH

S06.2X9S Diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequela

Major Neurocognitive Disorder due to traumatic brain injury* 907.0 PH Code as Primary

T43.205A Adverse effect of unspecified antidepressants, initial encounter

Antidepressant discontinuation syndrome, Initial encounter 995.29 PH

T43.205D Adverse effect of unspecified antidepressants, subsequent encounter

Antidepressant discontinuation syndrome, Subsequent encounter 995.29 PH

T43.205S Adverse effect of unspecified antidepressants, sequela Antidepressant discontinuation syndrome, Sequelae995.29 PH

Disorientation, unspecifiedR41.0

Full incontinence of fecesR15.9

40

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

T50.905A Adverse effect of unspecified drugs, medicaments and biological substances, initial encounter

Other adverse effect of medication, Initial encounter995.20 PH

T50.905D Adverse effect of unspecified drugs, medicaments and biological substances, subsequent encounter

Other adverse effect of medication, Subsequent encounter 995.20 PH

T50.905S Adverse effect of unspecified drugs, medicaments and biological substances, sequela

Other adverse effect of medication, Sequelae995.20 PH

Z72.0 Tobacco use Tobacco Use Disorder, Mild 305.1 PH

Z62.820 Parent‐biological child conflict Parent‐Child Relational Problem V61.20Z62.891 Sibling rivalry Sibling Relational Problem V61.8Z62.29 Other upbringing away from parents Upbringing Away from Parents V61.8Z62.898 Other specified problems related to upbringing Child Affected by Parental Relationship Distress V61.29Z63.0 Problems in relationship with spouse or partner Relationship Distress With Spouse or Intimate Partner

V61.10Z63.5 Disruption of family by separation and divorce Disruption of Family by Separation or Divorce V61.03Z63.8 Other specified problems related to primary support 

groupHigh Expressed Emotion Level Within Family

V61.8Z63.4 Disappearance and death of family member Uncomplicated Bereavement V62.82T74.12XA Child physical abuse, confirmed, initial encounter Child Physical Abuse, Confirmed, Initial encounter

995.54T74.12XD Child physical abuse, confirmed, subsequent 

encounterChild Physical Abuse, Confirmed, Subsequent encounter 995.54

T76.12XA Child physical abuse, suspected, initial encounter Child Physical Abuse, Suspected, Initial encounter995.54

T76.12XD Child physical abuse, suspected, subsequent encounter

Child Physical Abuse, Suspected, Subsequent encounter 995.54Encounter for mental health services for victim of child abuse by parent V61.21Encounter for mental health services for victim of child sexual abuse by parent V61.21Encounter for mental health services for victim of child neglect by parent V61.21Encounter for mental health services for victim of child psychological abuse by parent V61.21Encounter for mental health services for victim of non‐parental child abuse V61.21Encounter for mental health services for victim of non‐parental child sexual abuse V61.21

Encounter for mental health services for victim of parental child abuse

Z69.010

Encounter for mental health services for victim of non‐parental child abuse

Z69.020

Other Conditions that May Be a Focus of Clinical Attention(not reimbursable under PerformCare PA HealthChoices Behavioral Health program)

41

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Encounter for mental health services for victim of non‐parental child neglect V61.21Encounter for mental health services for victim of non‐parental child psychological abuse V61.21

Personal history of physical and sexual abuse in childhood

Personal history (past history) of physical abuse in childhood V15.41Personal history (past history) of sexual abuse in childhood V15.41

Z62.811 Personal history of psychological abuse in childhood Personal history (past history) of psychological abuse in childhood V15.42

Z62.812 Personal history of neglect in childhood Personal history (past history) of neglect in childhoodV15.42

Encounter for mental health services for perpetrator of parental child abuse V61.22Encounter for mental health services for perpetrator of parental child sexual abuse V61.22Encounter for mental health services for perpetrator of parental child neglect V61.22Encounter for mental health services for perpetrator of parental child psychological abuse V61.22Encounter for mental health services for perpetrator of non‐parental child abuse V62.83Encounter for mental health services for perpetrator of non‐parental child sexual abuse V62.83Encounter for mental health services for perpetrator of non‐parental child neglect V62.83Encounter for mental health services for perpetrator of non‐parental child psychological abuse

V62.83T74.22XA Child sexual abuse, confirmed, initial encounter Child sexual abuse, confirmed, initial encounter 995.53T76.22XA Child sexual abuse, suspected, initial encounter Child sexual abuse, suspected, initial encounter 995.53T74.22XD Child sexual abuse, confirmed, subsequent encounter Child sexual abuse, confirmed, subsequent encounter

995.53T76.22XD Child sexual abuse, suspected, subsequent encounter Child sexual abuse, suspected, subsequent encounter

995.53T74.02XA Child neglect or abandonment, confirmed, initial  Child neglect, confirmed, initial encounter 995.52T76.02XA Child neglect or abandonment, suspected, initial 

encounterChild neglect, suspected, initial encounter

995.52T74.02XD Child neglect or abandonment, confirmed, subsequent 

encounterChild neglect, confirmed, subsequent encounter

995.52

Encounter for mental health services for perpetrator of parental child abuse

Z69.011

Encounter for mental health services for perpetrator of non‐parental child abuse

Z69.021

Z62.810

42

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

T76.02XD Child neglect or abandonment, suspected, subsequent encounter

Child neglect, suspected, subsequent encounter995.52

T74.32XA Child psychological abuse, confirmed, initial encounter Child psychological abuse, confirmed, initial encounter995.51

T76.32XA Child psychological abuse, suspected, initial encounter Child psychological abuse, suspected, initial encounter995.51

T74.32XD Child psychological abuse, confirmed, subsequent encounter

Child psychological abuse, confirmed, subsequent encounter 995.51

T76.32XD Child psychological abuse, suspected, subsequent encounter

Child psychological abuse, suspected, subsequent encounter 995.51Spouse or partner violence, physical, confirmed, initial encounter 995.81Adult physical abuse by nonspouse or nonpartner, confirmed, initial encounter 995.81Spouse or partner violence, physical, suspected, initial encounter 995.81Adult physical abuse by nonspouse or nonpartner, suspected, initial encounter 995.81Spouse or partner violence, physical, confirmed, subsequent encounter 995.81Adult physical abuse by nonspouse or nonpartner, confirmed, subsequent encounter 995.81Spouse or partner violence, physical, suspected, subsequent encounter 995.81Adult physical abuse by nonspouse or nonpartner, suspected, subsequent encounter 995.81Encounter for mental health services for victim of spouse or partner violence, physical V61.11Encounter for mental health services for victim of spouse or partner neglect V61.11Encounter for mental health services for victim of spouse or partner abuse, psychological V61.11Personal history (past history) of spouse or partner violence, physical V15.41Personal history (past history) of spouse or partner violence, sexual V15.41Encounter for mental health services for perpetrator of spouse or partner violence, physical

V61.12Encounter for mental health services for perpetrator of spouse or partner violence, sexual V61.12

Adult physical abuse, confirmed, subsequent encounter

T74.11XD

Adult physical abuse, confirmed, initial encounterT74.11XA

Adult physical abuse, suspected, initial encounterT76.11XA

T76.11XD

Personal history of adult physical and sexual abuseZ91.410

Encounter for mental health services for victim of spousal or partner abuse

Z69.11

Encounter for mental health services for perpetrator of spousal or partner abuse

Z69.12

Adult physical abuse, suspected, subsequent encounter

43

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Encounter for mental health services for perpetrator of spouse or partner neglect V61.12Encounter for mental health services for perpetrator of spouse or partner psychological abuse

V61.12Spouse or partner violence, sexual, confirmed, initial encounter 995.83Adult sexual abuse by nonspouse or nonpartner, confirmed, initial encounter 995.83Spouse or partner violence, sexual, suspected, initial encounter 995.83Adult sexual abuse by nonspouse or nonpartner, suspected, initial encounter 995.83Spouse or partner violence, sexual, confirmed, subsequent encounter 995.83Adult sexual abuse by nonspouse or nonpartner, confirmed, subsequent encounter 995.83Spouse or partner violence, sexual, suspected, subsequent encounter 995.83Adult sexual abuse by nonspouse or nonpartner, suspected, subsequent encounter 995.83Encounter for mental health services for victim of spouse or partner violence, sexual V61.11Encounter for mental health services for victim of nonspousal or nonpartner adult abuse V65.49

Z69.82 Encounter for mental health services for perpetrator of other abuse

Encounter for mental health services for perpetrator of nonspousal or nonpartner adult abuse

V62.83T74.01XA Adult neglect or abandonment, confirmed, initial 

encounterSpouse or partner neglect, confirmed, initial encounter 995.85

T76.01XA Adult neglect or abandonment, suspected, initial encounter

Spouse or partner neglect, suspected, initial encounter 995.85

T74.01XD Adult neglect or abandonment, confirmed, subsequent encounter

Spouse or partner neglect, confirmed, subsequent encounter 995.85

T76.01XD Adult neglect or abandonment, suspected, subsequent encounter

Spouse or partner neglect, suspected, subsequent encounter 995.85

Z91.412 Personal history of adult neglect Personal history (past history) of spouse or partner neglect V15.42Spouse or partner abuse, psychological, confirmed, initial encounter 995.82

Adult sexual abuse, confirmed, initial encounterT74.21XA

Adult sexual abuse, suspected, initial encounterT76.21XA

Adult sexual abuse, confirmed, subsequent encounterT74.21XD

Adult psychological abuse, confirmed, initial encounter

T74.31XA

Encounter for mental health services for victim of other abuse

Z69.81

Adult sexual abuse, suspected, subsequent encounterT76.21XD

44

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Adult psychological abuse by nonspouse or nonpartner, confirmed, initial encounter 995.82Spouse or partner abuse, psychological, suspected, initial encounter 995.82Adult psychological abuse by nonspouse or nonpartner, suspected, initial encounter 995.82Spouse or partner abuse, psychological, confirmed, subsequent encounter 995.82Adult psychological abuse by nonspouse or nonpartner, confirmed, subsequent encounter 995.82Spouse or partner abuse, psychological, suspected, subsequent encounter 995.82Adult psychological abuse, suspected, subsequent encounter 995.82

Z91.411 Personal history of adult psychological abuse Personal history (past history) of spouse or partner psychological abuse V15.42

Z55.9 Problems related to education and literacy, unspecified

Academic or educational problemV62.3

Z56.82 Military deployment status Problem related to current military deployment statusV62.21

Z56.9 Unspecified problems related to employment Other problem related to employment V62.29Z59.0 Homelessness Homelessness V60.0Z59.1 Inadequate housing Inadequate housing V60.1Z59.2 Discord with neighbors, lodgers and landlord Discord with neighbor, lodger, or landlord V60.89Z59.3 Problems related to living in residential institution Problems related to living in a residential institution

V60.6Z59.4 Lack of adequate food and safe drinking water Lack of adequate food or safe drinking water V60.2Z59.5 Extreme poverty Extreme poverty V60.2Z59.6 Low income Low income V60.2Z59.7 Insufficient social insurance and welfare support Insufficient social insurance or welfare support V60.2Z59.9 Problem related to housing and economic 

circumstances, unspecifiedUnspecified housing or economic problem

V60.9Z60.0 Problems of adjustment to life‐cycle transitions Phase of life problem V62.89Z60.2 Problems related to living alone Problems related to living alone V60.3Z60.3 Acculturation difficulty Acculturation difficulty V62.4Z60.4 Social exclusion and rejection Social exclusion or rejection V62.4Z60.5 Target of (perceived) adverse discrimination and 

persecutionTarget of (perceived) adverse discrimination or persecution V62.4

Z60.9 Problem related to social environment, unspecified Unspecified problem related to social environmentV62.9

Z65.4 Victim of crime and terrorism Victim of crime V62.89

Adult psychological abuse, suspected, initial encounter

T76.31XA

Adult psychological abuse, confirmed, subsequent encounter

T74.31XD

Adult psychological abuse, suspected, subsequent encounter

T76.31XD

45

PerformCarePA Behavioral Health HealthChoices Program

Proprietary and ConfidentialFor PerformCare Network Provider Use only

2014                         ICD‐10‐CM Code 2014 ICD‐10‐CM Description DSM‐5 Description ICD‐9‐CM Code

PH, MH, or SA Notes

Z65.0 Conviction in civil and criminal proceedings without imprisonment

Conviction in civil or criminal proceedings without imprisonment V62.5

Z65.1 Imprisonment and other incarceration Imprisonment or other incarceration V62.5Z65.2 Problems related to release from prison Problems related to release from prison V62.5Z65.3 Problems related to other legal circumstances Problems related to other legal circumstances V62.5Z70.9 Sex counseling, unspecified Sex counseling V65.49Z71.9 Counseling, unspecified Other counseling or consultation V65.40

Religious or spiritual problem V62.89Other problem related to psychosocial circumstances

V62.89Z64.0 Problems related to unwanted pregnancy Problems related to unwanted pregnancy V61.7Z64.1 Problems related to multiparity Problems related to multiparity V61.5Z64.4 Discord with counselors Discord with social service provider, including 

probation officer, case manager, or social services worker V62.89

Z65.4 Victim of crime and terrorism Victim of terrorism or torture V62.89Z65.5 Exposure to disaster, war and other hostilities Exposure to disaster, war or other hostilities V62.22Z65.9 Problem related to unspecified psychosocial 

circumstancesUnspecified problem related to unspecified psychosocial circumstances V62.9

Z91.49 Other personal history of psychological trauma, not elsewhere classified

Other personal history of psychological traumaV15.49

Z91.5 Personal history of self‐harm Personal history of self‐harm V15.59Z91.82 Personal history of military deployment Personal history of military deployment V62.22Z91.89 Other specified personal risk factors, not elsewhere 

classifiedOther specified personal risk factors

V15.89Z72.9 Problem related to lifestyle, unspecified Problem related to lifestyle V69.9Z72.811 Adult antisocial behavior Adult antisocial behavior V71.01Z72.810 Child and adolescent antisocial behavior Child or adolescent antisocial behavior V71.02Z75.3 Unavailability and inaccessibility of health‐care 

facilitiesUnavailability or inaccessibility of health‐care facilities

V63.9Z75.4 Unavailability and inaccessibility of other helping 

agenciesUnavailability and inaccessibility of other helping agencies V63.8

Z91.19 Patient's noncompliance with other medical treatment and regimen

Nonadherence to medical treatmentV15.81

Z76.5 Malingerer [conscious simulation] Malingering V65.2Z91.83 Wandering in diseases classified elsewhere Wandering associated with a mental disorder V40.31R41.83 Borderline intellectual functioning Borderline intellectual functioning V62.89

Other specified problems related to psychosocial circumstances

Z65.8

46