Illinois Provider Batch
Registration
File Specifications
Version 5.2
January 2016
Note: Information contained in this document pertaining to DSM-5 and ICD-10
is effective October 1, 2015.
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TABLE OF CONTENTS
VERSION CHANGE LOG ....................................................................................................................................3
INTRODUCTION............................................................................................................................................... 12
PURPOSE ......................................................................................................................................................... 12
TELECOMMUNICATIONS SPECIFICATIONS ................................................................................................ 12
GENERAL COMMENTS ................................................................................................................................... 12
PROVIDER REGISTRATION ELECTRONIC SUBMISSION FILE SPECIFICATIONS ................................... 13
INDICATOR ‘D’ – ADDRESS UPDATE ONLY ................................................................................................. 13
INDICATOR ‘C’ – CLOSE REGISTRATION OR SPECIAL PROGRAM END DATE ....................................... 14
INDICATOR ‘R’ – REGISTRATION OR RE-REGISTRATION ......................................................................... 15
BATCH SUBMISSION FILE LAYOUT .............................................................................................................. 16
ERROR PROCESSING .................................................................................................................................... 80
SUBMITTING A BATCH REGISTRATION FILE............................................................................................... 81
FILE ERRORS .................................................................................................................................................. 88
RESPONSE FILES ........................................................................................................................................... 89
Summary File ................................................................................................................................................ 89
Accepted File ................................................................................................................................................. 90
Error File ........................................................................................................................................................ 93
RETRIEVING RESPONSE FILES .................................................................................................................... 94
APPENDIX A – DSM-5 / ICD-10 MH Diagnostic Categories, Codes, and Descriptions ................................ 100
APPENDIX B – DSM-5 / ICD-10 Medical Diagnostic Categories, Codes, and Descriptions ......................... 159
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VERSION CHANGE LOG
Version 1.0 - Published June 24, 2008
Version 2.0 - Published September 17, 2008 – Added error processing,
response files, telecommunications – email subject line
Version 2.1 – Published October 2, 2008

Updated accepted file – Upload Status field to only be ‘O’

Updated rejected file – Upload Status to only be ‘1’

Clarified Income Level – is consumer’s monthly income

Corrected Trailer record position 26 – 843 to be a length of 818

Corrected MH Cross Disabilities Database-form completion date
to MMDDYYYY

Residential Level of Care – error message corrected
Version 2.2 – Published November 12, 2008

Added error code 157 – error message – ‘Only one of the Social
Security fields can be populated’

Added error code 158 – error message - : ‘Child functioning
levels should not be populated when GAF score is used.’

Added error code 159 – error message - : ‘Adult functioning
levels should not be populated when CGAS score is used.’
Version 3.0 – Published 01/22/09

Removed value of ‘00’ – Not applicable from Type of services
sought 1, 2 and 3
The changes listed here are being implemented 2/27/09. The last run of
the current batch process will be 2/26/09 at 1 PM Central. Any files
received after 1 PM will need to meet the new requirements. All files
received after 1 PM will be held and processed after the changes have been
implemented on 02/27/09 and the reports will be available on Monday,
03/02/09.

Added new indicator (field position 25)

Modified Error Code 154 to allow ICG registration during SASS
period

Added Address Update Only process

Added new closing process

Added additional error codes 160, 161, 168, 173 - 178

Added error codes 164 – 167 and 169 – 172 to require end date
for special programs

Modified Axis 1 diagnosis codes 2 and 3, All axis 2 diagnosis
codes and Axis 3 Diagnosis code 1 to be required
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
Modified All Axis 3 diagnosis codes from ICD-9 codes to Medical
Categories
Version 3.1 – Published 01/30/09
The following changes are being made to the February changes outlined
in Version 3.0

Axis 3 Diagnosis Code 1 will not be required

All Axis 3 Diagnosis Codes will need to be ICD-9
Version 3.2 – Published 2/19/09
The changes listed here are being implemented 3/27/09. The last run of
the current batch process will be 3/26/09 at 1 PM Central. Any files
received after 1 PM will need to meet the new requirements. All files
received after 1 PM will be held and processed after the changes have been
implemented on 03/27/09 and the reports will be available on Monday,
03/30/09.

Length of the file is changing from 844 to 868 to accommodate the
following fields:







Special Program ICG Community
Special Program ICG Community Begin Date
Special Program ICG Community End Date
Adoption Indicator
Columbia Scale
Ohio Scale – Problem Severity
Ohio Scale – Functioning

Guardian 1 is required for ICG and ICG Community

Error codes 134, 168, 174, 175 and 176 have been modified to
include ICG Community

New error codes 179 –185 and 187 - 191 for validation of new
fields

New error codes 182, 183 and 185 include all special programs

Trailer Record filler changed from position 26 – 843 to 26 – 868
Version 3.3 – Published 2/27/09

New value of Self was added to Guardian Type 1 and Guardian
Type 2
Version 3.4 – Published 3/9/09
As of 3/27/09, change in length to the response files to add the new fields
related to ICG.
Guardian Appointment required when Guardian Type is 05.
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Version 3.5 – Published 4/24/09
As of 4/25/09 two new messages have been added to the accepted report
For the ABC fund the following message will appear: If the consumer
requires ACT or CST services an authorization needs to be requested
within 30 days.
For the ICG and ICGC fund the following message will appear: Any
required Authorization/Quarterly Review must be submitted within 30
days.
Version 3.6 – Published 7/27/09
The changes listed here are being implemented 8/28/09. The last run of
the current batch process will be 8/27/09 at 1 PM Central. Any files
received after 1 PM will need to meet the new requirements. All files
received after 1 PM will be held and processed after the changes have been
implemented on 08/28/09 and the reports will be available on Monday,
08/31/09.

Length of the file is changing from 868 to 871 to accommodate a
new fields for income verification, Permanent Supported Housing
and Money follows the Person.

Added income verification field – position 869

Added Permanent Supported Housing – position 870

Added Money follows the Person – position 871

Trailer Record filler changed from position 26 – 868 to 26 – 871

Income verification, Permanent Supported Housing and Money
follows the Person fields added to response files

Diagnosis field errors updated to exclude submission of the
decimal

New error codes 193 – 197

Updated error code 026
Version 3.7- Published 12/28/09
The changes listed here are being implemented 01/30/10. The last run of
the current batch process will be 01/28/10 at 1 PM Central. Any files
received after 1 PM will need to meet the new requirements. All files
received after 1 PM will be held and processed after the changes have
been implemented on 01/30/10 and the reports will be available on
Monday 02/01/10.
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
Length of the file is changing from 871 to 888 to accommodate
new fields for CHP Indicator, CHP Begin Date, CHP End Date.

Added CHP Indicator field- position 872

Added CHP Begin Date field- positions 873-880

Added CHP End Date field – positions 880-888

Trailer Record filler changed from position 26-871 to 26-888

CHP Indicator, CHP Begin Date and CHP End Date added to
response files

New error codes 198-207
Version 3.8 – Published 1/14/10

Update to error code 207

Added new closing disposition value: 09 - CHP – Administrative
Closing
Version 3.9 – Published 2/4/10

Correction to accepted filed positions for the following fields:
o Program Code – position 891 – 894
o Effective date – position 895 – 902
o Expiration date – position 903 – 910
o Comment – position 911 - 1010
Version 4.00 – Published 7/29/10
These enhancements will be implemented 9/17/10. The last run of the
current batch process will be 9/16/10 at 1 PM Central. Any files
received after 1 PM will need to meet the new requirements. All files
received after 1 PM will be held and processed after the changes have
been implemented on 0/17/10 and the reports will be available on
Monday, 9/20/10.

Length of the file is changing from 888 to 909 to accommodate
new fields and changes to existing fields
o Functional Scale Used is moving to position 889
o GAF/CGAS Score is moving to positions 890 – 892 and is
being expended to 3 positions – valid values for CGAS
score – 1 – 100, valid values for GAF – 0 - 100
o Functional Scale Used at closing is moving to position 893
o GAF/CGAS Score is moving to positions 894 – 896 and is
being expended to 3 positions – valid values for CGAS
score – 1 – 100, valid values for GAF – 0 - 100
o New field – Qualifying Exception is being added in
position 897
o New field – First Presentation Diagnosis is being added in
position 898
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New field – First Presentation Other Conditions is being
added in position 899
o New field – First Presentation Medication is being added
in position 900
o New field – Devereaux Protective Factors for
infants/toddlers is being added in positions 901 – 903
o New field – Devereaux Protective Factors for Youths is
being added in position 904 – 906
o New field – Devereaux Behavioral Concerns is being
added in positions 907 – 909
 Trailer Record filler changed from position 26-888 to 26 - 909
 Position 429 will be filler (formerly Functional Scale used)
 Positions 430 – 431 will be filler (formerly GAF/GAS Score)
 Position 573 will be filler (formerly Functional Scale used at
closing)
 Positions 574 – 575 will be filler (formerly GAF/CGAS Score at
closing)
 Position 869 will be filler (formerly Income Verification)
 All Axis 3 diagnosis fields will require a valid Medical Category
when entered
 Axis 3 Diagnosis 1 is required for registrations and closings
 Household Size – valid values changed to 01 – 20
 Household Income – valid values changed to 00000 – 99998
 Columbia Scale Score is required for consumers age 5 through 17
on registrations and closings
 Workers Ohio Problem Severity is required for consumers age 5
through 17 on registrations and closings
 Workers Ohio Functionality Scale is required for consumers age 5
through 17 on registrations and closings
 Output file reports (Summary, Accepted and Error report)
updated to accommodate new fields and moving of fields
 New Eligibility Status (Target – Adult, Target – Child, Eligible
and Ineligible) added to the output files
 New First Presentation Indicator added to the output files
 Ineligible consumers reporting on accepted file
 Registration start date will be limited to 90 days
 New error codes 208 - 230
Version 4.01 Published 8/6/10
o

Update to field valid values:
GAF/CGAS (positions 890 – 892) – valid values for CGAS
score: 001 – 100, valid values for GAF: 000 - 100
o GAF/CGAS (positions 894 – 896) – valid values for CGAS
score: 001 – 100, valid values for GAF: 000 - 100
o Devereaux Protective Factors for infants/toddlers
(positions 901 – 903) – valid values: 000 - 100
o New field – Devereaux Protective Factors for Youths
(positions 904 – 906) – valid values: 000 - 100
o Devereaux Behavioral Concerns (positions 907 – 909) –
valid values: 000 – 100
Trailer record length updated to reflect filler length of 884 and
ending position of 909
o

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
Error file position of Upload status corrected to be 1 position in
position 910.
Version 4.02 Published 12/13/10

Update error processing for Columbia Scale, Ohio Scale Problem
Severity and Ohio Scale Functioning.
Version 4.03 Published 01/04/11

Update error processing for PATH and CHIPS
Version 4.04 Published 05/30/11

Update error code for CHP Indicator (field byte 872)
Version 4.05 Published 12/9/11
The changes listed here are being implemented 01/27/12. The last run of
the current batch process will be 01/26/12 at 1 PM Central. Any files
received after 1 PM will need to meet the new requirements. All files
received after 1 PM will be held and processed after the changes have been
implemented on 01/27/12 and the reports will be available on Monday,
01/30/12.

Length of the file is changing from 909 to 917 to accommodate
new fields for registration of Williams Class Consumers.
Add field for Williams Class Consumer Indicator (WCCIND) 1
byte field in position 910
IMD Home Code (IMDCDE) 7 byte field beginning with position
911 and ending with 917

New Error codes- 232-238

Add new value to Residential Arrangement (Bytes 300-301)

Add new value to Qualifying Exceptions (Byte 897)

Add new value to MH Closing Disposition (Bytes 571-572)

Add new fields to 3 outgoing files: Accepted, Rejected and
Summary files.

Add new value to marital status (byte 277) to accommodate civil
union.
Version 4.06 Published 09/28/2012
The changes listed here are being implemented 09/28/2012.
•
New Error codes- 239-242
•
IND550 will be used to register consumer for Regional Crisis Care
System
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•
Add new value to MH Closing Disposition (Bytes 571-572)
Version 4.07 Published 12/7/12
The changes listed here are being implemented 12/7/12.
•
New Error codes- 243-245
•
Add new value “5” to register for Northwest Crisis Care System,
byte 364 under Consumer in Residential or Northwest Crisis Care (NCCS)
program funded by DMH’.
Version 4.08 Published 7/29/14
The changes listed here are being implemented 7/29/14.
Field Name change in Bytes 304-305
 FROM Disaster Gust Type
 TO
DMH Special Projects
Valid Values changed
 FROM HK - Hurricane Katrina

HR - Hurricane Rita

NI – NIU Incident
 TO
SM – SMHRF

CD - Colbert
Error Code ‘054’ will be assigned : If field is not spaces or is not valid
value – assign error code 054 with message ‘ DMH Special Projects is
invalid’. This is a change from the previous message : ‘Disaster Guest Type
is invalid’.
Version 4.09 Published 8/5/15
Note: Any information pertaining to DSM-5 / ICD-10 is effective
10/1/2015.

Modified batch file layout for DSM-5 / ICD-10.

Added verbiage pertaining to DSM-5 / ICD-10 diagnosis data on
authorizations pre-filling from the registration.

Added Appendix A – DSM-5 / ICD-10 MH Diagnostic Categories,
Codes, and Descriptions

Added Appendix B – DSM-5 / ICD-10 Medical Diagnostic
Categories, Codes, and Descriptions

Please note that although the new DSM-5 / ICD-10 fields added to
the Batch Submission File Layout include Medical ICD Codes and
Descriptions, only the first Medical Diagnosis Category is
required. Submission of Medical ICD Codes and Descriptions is
optional.
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Version 5.0 Published 8/25/15
Note: Any information pertaining to DSM-5 / ICD-10 is effective
10/1/2015.

Corrections to MH Diagnosis Descriptions in Appendix A - DSM5 / ICD-10 MH Diagnostic Categories, Codes, and Descriptions :
o
MH ICD Code F18.280 – Corrected Description for MH
ICD Code from:
 IIAADUDMS – to –
 IIADUDMS
o
MH ICD Code F15.14, Description for MH ICD Code
ASIBPUDM – Long Description corrected from:
o
o
o

Amphetamine (or other stimulant) Intoxication
Delirium, With mild use disorder – to –

Amphetamine (or other stimulant)-induced
bipolar and related disorder, With mild use
disorder
MH ICD Code F15.14, Description for MH ICD Code
ASIDDUDM – Long Description corrected from:

Amphetamine (or other stimulant) Intoxication
Delirium, With mild use disorder – to –

Amphetamine (or other stimulant)-induced
depressive disorder, With mild use disorder
MH ICD Code F15.159, Description for MH ICD Code
ASIPDUDM – Long Description corrected from:

Amphetamine (or other stimulant) Intoxication
Delirium, With mild use disorder – to –

Amphetamine (or other stimulant)-induced
psychotic disorder, With mild use disorder
MH ICD Code F15.180, Description for MH ICD Code
ASIADUDM – Long Description corrected from:

Amphetamine (or other stimulant) Intoxication
Delirium, With mild use disorder – to –

Amphetamine (or other stimulant)-induced
anxiety disorder, With mild use disorder
Version 5.1 Published 9/11/15
Note: Any information pertaining to DSM-5 / ICD-10 is effective
10/1/2015.
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
Corrections to Description for MH ICD Code in Appendix A:
o MJNCDFLD
corrected to MJFLDNCD
o NAMTBIF
corrected to BDINTFNC
o CTAOTH
corrected to CTAOTUNS
o STIWPUDM
corrected to ASTWPUDM
o STIUDM
corrected to ASTUDM
o STWPUDMS corrected to ASWPUDMS
o STIUDMS
corrected to ASTUDMS
o STIPWOULD corrected to ASTPWOUD
o STIWOPUD
corrected to ASTWOPUD
o ALITXUDM
corrected to ALITXMUD
o ALITUDMS
corrected to ALITMSUD
o CIPUDMS
corrected to CIPMSUD
o CIUDMS
corrected to CIMSUD
o OUSIUDM
corrected to OUSIMUD
o OUSIUDMS
corrected to OUSIMSUD

Corrections to MH ICD Code in Appendix A:
o Description for MH ICD Code BP1REHPR:
 Code F31.73 corrected to F31.71
o
Description for MH ICD Code BP1REHFR:
 Code F31.74 corrected to F31.72
o
Description for MH ICD Code INSMDO:
 Code G47.00 corrected to F51.01
o
Description for MH ICD Code HYPSMLDO:
 Code G47.10 corrected to F51.11
o
Description for MH ICD Code LANGDO:
 Code F80.9 corrected to F80.2
Version 5.2 Published 1/22/16
Note: Any information pertaining to DSM-5 / ICD-10 is effective
10/1/2015.

Added 132 MH Diagnoses to Appendix A under Category
CFCCLA (Other Conditions That May Be a Focus of Clinical
Attention).
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INTRODUCTION
The Illinois Provider Batch Registration File Specifications document provides the data requirements to be
implemented for all electronic registration submissions to the Illinois Mental Health Collaborative for
DHS/DMH covered consumers.
PURPOSE
The purpose of this document is to provide the information necessary to submit registration data electronically
to the Illinois Mental Health Collaborative. The information herein describes specific requirements for
processing data within the payer’s system.
TELECOMMUNICATIONS SPECIFICATIONS
Providers wishing to submit electronic registration data to the Illinois Mental Health Collaborative must obtain
a Submitter ID/Password. If you do not have a Submitter ID you may obtain one by completing the Account
Request form available on The Illinois Mental Health Collaborative website at
http://www.illinoismentalhealthcollaborative.com/. If you already have a ProviderConnect user ID and
password, you will be able to access the registration batch submission process.
The Illinois Mental Health Collaborative can accommodate multiple submission methods for the electronic
registration data. Please refer to the ETS (Electronic Transport System) Electronic Data Exchange Overview
document on the Illinois Mental Health Collaborative website at
http://www.illinoismentalhealthcollaborative.com for further details.
If you have any questions please contact The Illinois Mental Health Collaborative EDI help desk.
E-mail: e-supportservices@valueoptions.com
E-Mail subject line should begin with “Batch Registration’ – This will direct the email to the correct
internal resource for resolution
Telephone: 888-247-9311 (8am – 6pm Eastern, Monday – Friday)
FAX: 866-698-6032
GENERAL COMMENTS


The submitted file will be a flat, fixed length file.
The last record of the file will be a trailer record. The first 10 characters should be “TRAILER” with
three spaces for a total of 10 bytes in that field. Starting in position 11, put the total number of records
that are included in the file. If the total number of records as counted during the batch registration
upload file does not match the value in the Trailer record, the file will be rejected.
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PROVIDER REGISTRATION ELECTRONIC
SUBMISSION FILE SPECIFICATIONS
There are three types of registration transactions. The INDICATOR field (position 25) indicates the type of
transaction. One of these three values is required on each transaction. The valid types are:
D – Address Update Only
C – Close registration or Special Program End Date
R – Registration or Re-Registration
If this indicator is not one of the above the following critical error will occur.
Error
Code
160
Message
Description
Indicator is Invalid
This error will occur when the Indicator field is not ‘C’,
‘D’ or ‘R’
This is a critical error
This indicator will be used to determine how the record is processed.
INDICATOR ‘D’ – ADDRESS UPDATE ONLY
A record with the indicator of ‘D’ will update the address only on a current registration. When processing this record
if no current registration record is found for this consumer then the record will be returned on the error file with the
error code 161 and error message ‘No Prior Registration on File for Address Change’. If a current registration record
is found then a new iteration of that registration record will be created with the address from the incoming record
and all other information from the current registration on file. This will not change the consumer’s eligibility and the
re-registration is still required at 6 months from the current registration.
A subset of fields are required for an Address Update as defined in the file layout.
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INDICATOR ‘C’ – CLOSE REGISTRATION OR SPECIAL
PROGRAM END DATE
The indicator of ‘C’ will close the registration or Special Program(s) as indicated on the record.
A special program end date or the MH Closure Date is required. Depending on which field(s) have a date the
following will occur:
MH Closure
Date
Valid Date
Special Program End Date
batch process
Spaces
Spaces
Valid Date
Valid Date
Valid Date (less than the MH
Closure Date)
Valid Date
Valid Date (greater than the
MH Closure Date)
All programs (special and core) will be closed on the MH
Closure Date
The special program(s) that had an end Date will be
closed as of the Special Program End date – No other
programs will be updated and the registration is still
active for 6 months from the previous registration
transaction.
The special program(s) that had an end Date will be
closed as of the Special Program End date and all other
programs (special and core) will be closed on the MH
Closure Date
Error Code – 174 – Special Program End Date is greater
than MH Closure Date
The following error codes have been created for this process
Error
Code
168
174
175
176
177
178
Message
Description
Special Program End Date or MH
Closure Date is greater than 6
months from registration start date
Special Program End Date is
greater than MH Closure Date
Indicator contains ‘C’ but there are
no Special Program End Dates or
MH Closure Date
MH Closure Date/Special Program
End Date cannot be a Future Date
This error will occur when the MH Closure Date or any
special program end date is greater than 6 months from
the Registration Start Date.
This error will occur when the MH Closure date is less
than a Special Program End Date
This error will occur when the indicator is ‘C’ and there
is no Special Program End Date or MH Closure Date.
Indicator of ‘C’ with Special
Program selected when Special
Program was not selected on Prior
Registration
Indicator of ‘C’ when no prior
open registration on file
This error will occur when the MH Closure Date or any
Special Program End Date is greater than the date the file
was processed.
This error will occur when the Indicator is ‘C’ and there
is an end date of a special program and that special
program was not selected on the prior registration.
This error will occur when the Indicator is ‘C’ and there
is no prior open registration on file
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INDICATOR ‘R’ – REGISTRATION OR REREGISTRATION
A record with an indicator of ‘R’ will be used for the following situations:




Registration
Re-registration
Registration with an MH Closure Date under the circumstances that the consumer is being closed at the same time that
they are being registered. (Example: A consumer who had an assessment and did not continue services)
Registration with a Special Program End Date when the Special Program should be closed and the other funds should
be registered or re-registered.
The following error codes have been created for this process
Error
Code
168
173
174
175
176
Message
Description
Special Program End Date or MH
Closure Date is greater than 6 months
from registration start date
Registration Start Date cannot be a
Future Date
Special Program End Date is greater
than MH Closure Date
Indicator contains ‘C’ but there are no
Special Program End Dates or MH
Closure Date
MH Closure Date/Special Program
End Date cannot be a Future Date
This error will occur when the MH Closure Date or any special
program end date is greater than 6 months from the Registration
Start Date.
This error will occur when the Registration Start Date is greater
than the date the file was processed.
This error will occur when the MH Closure date is less than a
Special Program End Date
This error will occur when the indicator is ‘C’ and there is no
Special Program End Date or MH Closure Date.
This error will occur when the MH Closure Date or any Special
Program End Date is greater than the date the file was
processed.
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BATCH SUBMISSION FILE LAYOUT
Key for usage:
R – Field is required
N – Field is not required
C – Field is conditionally required (condition under which the field is required is documented in the error processing
column)
Any field that is not required and is not being reported needs to be spaces.
As of 10/1/2015, positions 382-428 are required to be left blank. New fields starting at position 918 are required as
of 10/1/2015.
All alpha characters need to be upper case.
Position
From
1
To
10
Lengt
h
Usage
10
R
Field name
Error Processing
Submitter ID
VOMIS ProviderConnect Submitter ID
If submitter ID not found – assign error code 001 with error
message ‘Submitting Provider ID not found’
11
24
14
R
Registering Provider ID
This is a critical error
Must be valid provider ID in VOMIS.
If registering provider ID is not found – assign error code 002
with error message ‘Registering Provider ID not found’
25
25
1
R
This is a critical error
This will indicate the type of transaction
Indicator
Valid Values:
D – Address change
R – Registration or re-registration
C – Close registration or End Date Special Program
If the indicator is not ‘D’, ‘R’ or ‘C’ – assign error code 160 with
message ‘Indicator is Invalid’.
If Indicator is ‘D’ and there is no registration on file with the
Collaborative – assign error code 161 with error message – ‘No
Prior Registration on file for Address Change’
If this field is ‘C’ and MH Closure Date and all Special Program
End Dates are spaces – assign error code 175 with message
‘Indicator contains ‘C’ but there are no Special Program End
Dates or MH Closure Date’.
If this field is ‘C’ and there is not a prior open registration on file
– assign error code 178 with message ‘Indicator of ‘C’ when no
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
prior open registration on file’.
26
29
4
R
Parent Code
Must be equal to ILL
If field is spaces or not equal to ILL – assign error code 003 with
error message ‘Parent Code is missing/invalid’
30
37
8
C
Registration Start Date
This is a critical error
Start Date of this registration period for the Consumer
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Format: MMDDYYYY
If field is spaces - assign error code 004 with message
‘Registration Start Date missing’
If date is not in MMDDYYYY format –assign error code 005
with message ‘Registration Start Date must be in format
MMDDYYYY’
Effective files processed after 9/16/10 If registration start date is prior to 90 days, assign error code 006
with message “Consumer Registration Begin Date Exceeds Back
Dating Limit. Please Use More Current Date”
If the consumer is not on file with Social Services Package B for
the registration start date – assign error code 152 with message
‘Consumer does not have Social Services Package B for
Registration Start Date’.
If the consumer is not on file with ECHP (Received on
Community Health and Prevention Eligibility file) for the
registration start date – assign error code 207 with message
‘Consumer does not have ECHP for Registration Start Date’.
If the consumer is not on file with EWCC (Received on
Williams Class Consumer Eligibility file) for the registration
start date – assign error code 236 with message ‘Consumer does
not have Williams Class Consumer Eligibility for Registration
Start Date’.
If this field is a future date – assign error code 173 with message
‘Registration Start Date cannot be a future date’.
38
52
15
R
Error codes 004, 005, 006 and 152 are critical errors
The consumer’s recipient identification number (RIN).
Consumer ID
If field is spaces – assign error code 007 with message
‘Consumer ID is missing’
If the Consumer ID is not found in the VOMIS database – assign
error code 008 with message ‘Consumer not on file’
17
Beacon Health Options
02/12/16
Position
From
Lengt
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Usage
Field name
Error Processing
To
Data for consumer (name, date of birth and name) must match
what is one file in the VOMIS database.
If the consumer ID is found but the last name on file does not
match incoming last name – assign error code 009 with message
‘The Last Name on file for this consumer RIN does not match’
If the Consumer ID is found but the first name does not match
incoming first name – assign error code 010 with message ‘The
First Name on file for this consumer RIN does not match’ (The
first name match will find a match on common nicknames)
If the consumer ID is found but the year of birth on file does not
match incoming year of birth – assign error code 011 with
message ‘The year of Birth on file for this consumer RIN does
not match’
53
61
9
R
Error codes 007, 008, 009, 010 and 011 are critical errors
The agency’s nine digit Federal Employer Identification Number
(FEIN).
Agency FEIN
If field is spaces – assign error code 012 with message ‘Agency
FEIN is missing’
62
76
15
N
Client ID
77
78
2
N
Satellite Code
If field is not numeric – assign error code 013 with message
‘Agency FEIN must be numeric’
A unique ID number assigned by the agency to the consumer.
Spaces if not reported
This code is assigned by DHS for the agency. If no satellite code
is assigned, 00 is used for this field.
Valid values – 00 – 99
79
81
3
C
If not 00 – 99 – assign error code 014 with message ‘Satellite
Code is invalid’
HFS assigned Medicaid site ID number where the consumer is
registered. Non-Medicaid enrolled agencies report 000 for this
field.
Medicaid Site ID
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
If field is spaces - assign error code 015 with message ‘Medicaid
Site ID is missing’
82
107
106
121
25
15
R
R
Last Name
If field is not numeric – assign error code 016 with message
‘Medicaid Site ID must be numeric’
The consumer’s legal last name
First Name
If field is spaces – assign error code 017 with message ‘Last
Name is missing’
The consumer’s legal first name
If field is spaces – assign error code 018 with message ‘First
Name is missing’
18
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Position
Lengt
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Usage
Field name
Error Processing
From
122
To
122
1
N
Middle Initial
Middle initial of the consumer. Spaces if not reported
123
125
3
N
Name Suffix
126
133
8
R
Birth Date
The name suffix if the consumer has one (Jr, Sr, III, etc) Spaces
if not reported
The date on which the consumer was born.
If field is spaces – assign error code 019 with message ‘Date of
Birth is missing’
If field is a future date – assign error code 020 with message
‘Date of Birth cannot be a future date’
134
142
9
C
Social Security Number
If field is not in format MMDDYYYY – assign error code 021
with message ‘Date of Birth must be in the format
MMDDYYYY’
The consumer’s SSN
One of the three SSN fields is required for indicator of ‘C’ and
‘R’. Can be sent on ‘D’ but will be not be used in processing.
If Social Security Number is spaces and Social Security Number
Unknown Indicator is spaces and No Social Security Number
indicators is spaces – assign error code 022 with message ‘SSN,
SSN Unknown or No SSN must be populated’
If field is equal to any of the following values: 000000000,
111111111, 222222222, 333333333, 444444444, 555555555,
666666666, 777777777, 888888888, 999999999, 123456789 or
987654321 – assign error code 023 with message ‘SSN is
invalid’
143
143
1
C
Social Security Number
Unknown Indicator
If two of the social security fields (Social Security Number,
Social Security Number Unknown Indicator or No social
Security Number) is not blank then assign error code 157 with
message ‘Only one of the Social security fields can be
populated’.
If Social Security Number is not known then indicate with ‘Y’,
otherwise leave spaces
One of the three SSN fields is required for indicator of ‘C’ and
‘R’. Can be sent on ‘D’ but will be not be used in processing.
144
144
1
C
If Social Security Number is spaces and Social Security Number
Unknown Indicator is spaces and No Social Security Number
indicators is spaces – assign error code 022 with message ‘SSN,
SSN Unknown or No SSN must be populated’
If the consumer has no SSN then indicate with ‘Y’, otherwise
leave spaces
No Social Security
Number
One of the three SSN fields is required for indicator of ‘C’ and
‘R’. Can be sent on ‘D’ but will be not be used in processing.
If Social Security Number is spaces and Social Security Number
Unknown Indicator is spaces and No Social Security Number
indicators is spaces – assign error code 022 with message ‘SSN,
19
Beacon Health Options
02/12/16
Position
From
Lengt
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Usage
Field name
Error Processing
To
SSN Unknown or No SSN must be populated’
145
174
30
C
Mother’s Maiden Name
Provider may submit UNKNOWN in this field.
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
175
176
201
226
175
200
225
241
1
25
25
16
R
R
N
R
If field is spaces – assign error code 024 with message ‘Mother’s
Maiden Name is missing’
Gender of the consumer.
F - Female M – Male
Gender
Street Address Line 1
If field is spaces of not ‘F’ or ‘M’ – assign error code 025 with
message ‘Gender is missing/invalid’
Provider may submit UNKNOWN in this field.
Street Address Line 2
If field is spaces or contains special characters (Examples: *, #,
&, %) – assign error code 026 with message ‘Street Address
Line 1 is missing/invalid’
Spaces if not reported.
City
If reported and contains special characters (Examples: *, #, &,
%) – assign error code 195 with message ‘Street Address line 2
is invalid’
The current City of the consumer.
Provider may submit UNKNOWN in this field.
242
243
2
R
If field is spaces – assign error code 027 with message ‘City is
missing’
The current State of the consumer.
State
If State is unknown, provider may submit ZZ in this field
244
248
5
R
If field is spaces or not valid State abbreviation or is not ZZ –
assign error code 028 with message ‘State is missing/invalid’
The current Postal zip code of the consumer.
Zip Code
If Zip Code is unknown, provider may submit 99999 in this field
249
252
4
N
Zip Code Suffix
253
255
3
R
Area of Residence County
If field is spaces or not valid postal zip code – assign error code
029 with message ‘Zip code is missing/invalid’
The current last four positions of the zip code of the consumer.
Spaces if not reported
The Illinois county code where the consumer currently lives (or
out-of-state/unknown code).
Area of Residence Township/Community
Area
If field is spaces or not valid county code – assign error code 030
with message ‘Area of Residence – county is missing/invalid’
The Community Area if the consumer resides in Chicago or
Township if the consumer resides outside the Chicago city limits
as applicable, where the consumer currently lives.
256
257
2
R
If field is spaces or not valid township/community code – assign
error code 031 with message ‘Area of Residence –
20
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
Township/Community is missing/invalid’
258
263
6
C
Household Income
The total monthly income of all family members in the
consumer’s household.
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
Range: 00000 – 99998 (99998 does not indicate unknown
income but an income of $99,998)
264
269
6
C
When field is required and is spaces or is not numeric – assign
error code 032 with message ‘Household Income is
missing/invalid’
The total monthly income of consumer.
Income Level
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
Range: 000000 – 999998 or 999999 if Unknown.
When field is required and is spaces or is not numeric – assign
error code 033 with message ‘Income Level is missing/invalid’
270
271
2
C
If the Level Income is greater than the Household Income –
assign error code 194 with message ‘Client Income cannot be
greater than Household Income’.
The total number of persons in consumer’s household, including
the consumer.
Household Size
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
Range: 01 – 20
272
273
2
C
Household Composition
When field is required and is spaces or is < 1 or > 20– assign
error code 034 with message ‘Household size is missing/invalid’
The consumer’s household composition.
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 -Lives alone
20 -Lives with one or more relatives
30 -Lives with non-related persons
99 -Unknown
274
275
2
C
When field is required and is spaces or is not valid value– assign
error code 035 with message ‘Household Composition is
missing/invalid’
The highest grade level completed by the consumer.
Education Level
21
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
00 - Never attended school
01 - 11 - Last primary/secondary grade completed
20 - Preschool/kindergarten
30 - High School diploma
31 - General Equivalency Diploma (GED)
32 - Special Education Certificate of Completion
40 - Post-secondary training
41 – One year college
42 - Two years college
43 - Three years college
50 - College Bachelor’s degree
60 - Post Graduate college degree
99 - Unknown
276
276
1
C
When field is required and is spaces or is not valid value – assign
error code 036 with message ‘Education Level missing/invalid’
The military status of the consumer.
Military Status
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
0 -Not a Veteran
1 -Veteran
2 -Currently on active duty
9 -Unknown
277
277
1
C
When field is required and is spaces or is not valid value – assign
error code 037 with message ‘Military Status is missing/invalid’
Marital status of the consumer.
Marital Status
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
1 -Never Married
2 -Married
3 -Widowed
4 –Divorced
5 –Separated
9 -Unknown, declines to specify
C- Civil Union
278
279
2
C
When field is required and is spaces or is not valid value – assign
error code 038 with message ‘Marital Status is missing/invalid’
The current employment status of the consumer.
Employment Status
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
22
Beacon Health Options
02/12/16
Position
From
Lengt
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Usage
Field name
Error Processing
To
10 -Employed
11 -Employed full time (unsubsidized)
12 -Employed part time (unsubsidized)
13 -Employed, subsidized/supported
14 -Attending vocational/day program
20 -Unemployed/layoff from job
30 -Not in the Labor Force
90 –Other
99 -Unknown
280
280
1
C
When field is required and is spaces or is not a valid value –
assign error code 039 with message ‘Employment Status is
missing/invalid’
The Supplemental Security Income (SSI) and Social Security
Disability Insurance (SSDI) eligibility status for the consumer.
SSI-SSDI Eligibility
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
0 -Not Applicable
1 -Eligible, receiving payments
2 -Eligible, not receiving payments
3 -Eligibility determination pending
4 -Potentially eligible but has not applied or status unknown
5 -Determined to be ineligible
9 -Eligibility status unknown
281
281
1
C
When field is required and is spaces or is not a valid value –
assign error code 040 with message ‘SSI-SSDI Eligibility is
missing/invalid’
The consumer’s Donated Funds Initiative (DFI) or Contracted
Funds Initiative (CFI) enrollment status.
DFI-CFI Enrollment
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
N -Not Applicable
Y -Enrolled in DFI/CFI
282
283
2
C
When field is required and is spaces or is not a valid value –
assign error code 041 with message ‘DFI-CFI Enrollment is
missing/invalid’
Status of forensic/court-ordered treatment plans at the time of
registration.
Court / Forensic
Treatment
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
00 –Not applicable
01 –Department of Corrections consumer
02 –Unable to Stand Trial
03 –Unable to Stand Trial-ET (Extended Term)
23
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
04 –Unable to Stand Trial-G2
05 –Not Guilty by Reason of Insanity
06 –Civil court-ordered treatment
07 –Criminal court-ordered treatment
08 –Court-ordered evaluation/assessment only
99 –Forensic status unknown
284
285
2
C
When field is required and is spaces or is not a valid value –
assign error code 042 with message ‘Court/Forensic Treatment is
missing/invalid’
Race of consumer.
Race # 1
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 – White
20 – Black/African American
30 – Asian
40 – American Indian/Alaskan Native
50 – Native Hawaiian or other Pacific Islander
99 – Unknown
286
287
2
C
When field is required and is spaces or is not a valid value –
assign error code 043 with message ‘Race # 1 is missing/invalid’
Race of consumer.
Race #2
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 – White
20 – Black/African American
30 – Asian
40 – American Indian/Alaskan Native
50 – Native Hawaiian or other Pacific Islander
98 – Nothing to report
288
289
2
C
When field is required and is spaces or is not a valid value –
assign error code 044 with message ‘Race # 2 is missing/invalid’
Race of consumer.
Race #3
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 – White
20 – Black/African American
30 – Asian
40 – American Indian/Alaskan Native
50 – Native Hawaiian or other Pacific Islander
98 – Nothing to report
When field is required and is spaces or is not a valid value –
assign error code 045 with message ‘Race # 3 is missing/invalid’
24
Beacon Health Options
02/12/16
Position
From
290
To
291
Lengt
h
Usage
2
C
Field name
Error Processing
Race #4
Race of consumer.
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 – White
20 – Black/African American
30 – Asian
40 – American Indian/Alaskan Native
50 – Native Hawaiian or other Pacific Islander
98 – Nothing to report
292
293
2
C
When field is required and is spaces or is not a valid value –
assign error code 046 with message ‘Race # 4 is missing/invalid’
Race of consumer.
Race #5
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 – White
20 – Black/African American
30 – Asian
40 – American Indian/Alaskan Native
50 – Native Hawaiian or other Pacific Islander
98 – Nothing to report
294
295
2
C
When field is required and is spaces or is not a valid value –
assign error code 047 with message ‘Race # 5 is missing/invalid’
Hispanic origin of a person of Spanish culture or origin,
regardless of race.
Hispanic Origin
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
00 - Not of Hispanic origin
11 - Mexican/Mexican American
12 - Puerto Rican
13 – Cuban
14 – Central American
18 – Other Hispanic
99 – Unknown, not classified
296
297
2
C
When field is required and is spaces or is not a valid value –
assign error code 048 with message ‘Hispanic Origin is
missing/invalid’
Primary language of the consumer.
Language
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 - English
25
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
20 – Spanish
30 - Other Western European
40 - Eastern European
41 - Bosnian
42 - Polish
43 - Russian
50 - Asian
51 - Arabic
52 - Chinese
53 - Indian
54 - Korean
55 – Vietnamese
60 - African
70 - American Sign Language
90 - Other
99 – Unknown
298
298
1
C
When field is required and is spaces or is not a valid value –
assign error code 049 with message ‘Language is
missing/invalid’
The citizenship status of the consumer.
Citizenship
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
Y -U.S. Citizen
N -Non-U.S. Citizen
U -Unknown
299
299
1
C
When field is required and is spaces or is not a valid value –
assign error code 050 with message ‘Citizenship is
missing/invalid’
The type of interpreter services required by the consumer.
Interpreter Services
Needed
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
0 - Services Not Needed
1 - American Sign Language
2 - Foreign Language
9 - Unknown
300
301
2
C
When field is required and is spaces or is not a valid value –
assign error code 051 with message ‘Interpreter Service Needed
is missing/invalid’
The consumer’s primary residential situation while services are
being provided.
MH Residential
Arrangement
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
10 -Homeless
26
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
21 -Private residence - supervised
22 -Private residence - unsupervised
31 -Other residential setting - supervised
32 -Other residential setting - unsupervised
40 -State-Operated Facility
50 -Jail or correctional facility/institution
60 -Other institutional setting
70 -skilled/intermediate care nursing facility
80- IMD
90 -Other
99 -Unknown
When field is required and is spaces or is not a valid value –
assign error code 052 with message ‘MH Residential
Arrangement is missing/invalid’
302
303
2
C
The consumer’s criminal justice system involvement at the time
of case registration
Justice System
Involvement
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
00 - Not Applicable
01 - Arrested
02 - Charged with a Crime
03 - Incarcerated (jail)
04 - Incarcerated (prison)
05 - Juvenile Detention Center
06 – Detained(Jail)
07 – Mental Health Court
10 Adult Probation
11 Adult Parole
08 – Other
09 – Unknown
304
305
2
N
When field is required and is spaces or is not a valid value –
assign error code 053 with message ‘Justice system Involvement
is missing/invalid’
Indicates the Disaster that brought the consumer to Illinois
(Spaces if not applicable)
Disaster Guest Type
Valid Values:
HK- Hurricane Katrina
HR - Hurricane Rita
NI - NIU Incident
306
307
2
N
If field is not spaces or is not valid value – assign error code 054
with message ‘Disaster Guest Type is invalid’
The Post Office abbreviation for the consumer’s home state if
he/she is an Illinois guest due to a disaster. (Spaces if not
applicable)
Disaster Guest State
If field is not spaces or is not a valid state abbreviation – assign
error code 055 with message ‘Disaster Guest State is invalid’
27
Beacon Health Options
02/12/16
Position
From
308
311
To
310
311
Lengt
h
Usage
3
N
1
C
Field name
Error Processing
Disaster County
The FIPS county Code where the consumer lived in their state.
(Spaces if not applicable)
If field is not spaces or is not a valid state abbreviation – assign
error code 056 with message ‘Disaster County is invalid’
Indicates if the consumer has other insurance, commercial or
Medicare
Consumer third party
payor?
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
1 - Yes
0 - No
312
312
1
C
When field is required and is spaces or is not a valid value –
assign error code 057 with message ‘Consumer Third Party
Payor is missing/invalid’
Designates whether the consumer is enrolled in the DHS funded
MH Residential program.
MH Residential
Indicator
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
N -Not applicable
Y -Enrolled in MH Residential
313
313
1
C
When field is required and is spaces or is not a valid value –
assign error code 058 with message ‘MH Residential Indicator is
missing/invalid’
Indicates the consumer is being registered for the Juvenile
Justice Program
Special Program
Enrollment Juvenile
Justice Program
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
1 = Yes
0 = No
If field is spaces or not a valid value – assign error code 059 with
message ‘Special Program Enrollment Juvenile Justice Program
Indicator is missing/invalid’
314
321
8
C
Special Program
Enrollment Juvenile
Justice Program Begin
Effective Date
If this field is ‘0’ and this field was ‘1’ and the Special Program
Enrollment Juvenile Justice Program End Date was spaces on the
previous registration - assign error code 164 with message
‘Registration without Juvenile Justice when prior registration did
not contain an End Date’.
Required for indicator ‘C’ or ‘R’ if Special Program Enrollment
Juvenile Justice Program is 1 (Yes), this is the original date the
consumer is registered for this program. This should not change
when re-registering the consumer for the program. Spaces if not
reported
28
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
Format: MMDDYYYY
If Special Program Enrollment Juvenile Justice Program is 1
(yes) and this field is spaces –assign error code 060 with
message ‘Special Program Enrollment Juvenile Justice Program
Begin Effective Date is missing’
If format is not MMDDYYYY – assign error code 061 with
message ‘Juvenile Justice Program Begin Date must be in the
format MMDDYYYY’
If Special Program Enrollment Juvenile Justice Indicator is 0
(no) and this field is not spaces –assign error code 182 with
message ‘Special Program Begin Date cannot be entered when
Special Program is not selected’
322
329
8
C
If this field is greater than today – assign error code 183 with
message ‘ ‘Special Program Begin Date cannot be a future date’
The date the consumer is no longer receiving services under the
Juvenile Justice Program. Spaces if not reported
Special Program
Enrollment Juvenile
Justice Program End
Date
FORMAT: MMDDYYYY
If format is not MMDDYYYY – assign error code 062 with
message ‘Juvenile Justice Program End Date must be in the
format MMDDYYYY’
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If the Special Program Enrollment Juvenile Justice Indicator is
‘0’ (No) and the previous registration’s Special Program
Enrollment Juvenile Justice Indicator is ‘1’ (Yes) and the
previous registrations Special Program Enrollment Juvenile
Justice Program End date was spaces – assign error code 164
with message ‘Registration Without Juvenile Justice when prior
Registration did not contain an End Date’
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If this field is a future date – assign error code 176 with message
‘MH Closure Date/Special Program End Date cannot be a future
date’.
If the Indicator is ‘C’ and this field is not spaces and Special
Program Enrollment Juvenile Justice Indicator was ‘0’ on the
prior registration - assign error code 177 with message
‘Indicator of ‘C’ with Special Program selected when Special
Program was not selected on Prior Registration’.
29
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
If Special Program Enrollment Juvenile Justice Indicator is ‘0’
and this field is not spaces – assign error code 185 with message
‘Special Program End Date cannot be entered when Special
Program is not selected’.
330
330
1
R
This will be used for the termination date of the Juvenile Justice
benefits for the consumer
Indicates the consumer is being registered for the Regional Crisis
Care System Program
Special Program
Enrollment
Regional Crisis Care
System (RCCS)
Valid Values:
1 = Yes
0 = No
When field is required and is spaces or is not a valid value assign
error code 242 with message “Special Program Enrollment
RCCS Indicator is missing/invalid
If this field is ‘0’ and this field was ‘1’ and the Special Program
Enrollment Regional Crisis Care System (RCCS) End Date was
spaces on the previous registration- assign error code 165 with
message Registration without Regional Crisis Care System
(RCCS) when prior registration did not contain an End Date
If this field is ‘1’ and provider/consumer has open registration,
assign error code 239 with error message “Prior registration
needs to be closed before consumer can be registered for 550
(Regional Crisis Care System - RCCS) fund
If this field is ‘1’ and IND121 and/or IND550 and/or IND575
and/or CCGIND are not = to ‘0’, assign error code 240 with
message “When 550 (Regional Crisis Care System (RCCS)fund
is selected Provider cannot register for any other special
programs’
If this field is ‘0’ and this field was ‘1’ and the Special Program
Enrollment Residential Program End Date was spaces on the
previous registration - assign error code 241 with message Prior
550 (Regional Crisis Care System-(RCCS) registration needs to
be closed before consumer can be registered.
331
338
8
C
Special Program
Enrollment
Regional Crisis Care
System (RCCS) Begin
Effective Date
Required if Special Program Enrollment Regional Crisis Care
System (RCCS) Program is 1 (Yes), this is the original date the
consumer is registered for this program. This should not change
when re-registering the consumer for the program. Spaces if not
reported
Format: MMDDYYYY
If Special Program Enrollment Regional Crisis Care System
(RCCS) Program is 1 (yes) and this field is spaces –assign error
code 064 with message ‘Special Program Enrollment Regional
Crisis Care System (RCCS) Program Begin Effective Date is
30
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
missing’
If format is not MMDDYYYY – assign error code 065 with
message ‘Regional Crisis Care System (RCCS) Program Begin
Date must be in the format MMDDYYYY’
If Special Program Enrollment Regional Crisis Care System
(RCCS) Indicator is 0 (no) and this field is not spaces –assign
error code 182 with message ‘Special Program Begin Date
cannot be entered when Special Program is not selected’
339
346
8
C
If this field is greater than today – assign error code 183 with
message ‘ ‘Special Program Begin Date cannot be a future date’
The date the consumer is no longer receiving services under the
Regional Crisis Care System (RCCS) Program. Spaces if not
reported
Special Program
Enrollment
Regional Crisis Care
System (RCCS) End
Date
Format: MMDDYYYY
If format is not MMDDYYYY – assign error code 066 with
message ‘Special Program enrollment Regional Crisis Care
System (RCCS) Program End Date must be in the format
MMDDYYYY’
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If this field is a future date – assign error code 176 with message
‘MH Closure Date/Special Program End Date cannot be a future
date’.
If the Indicator is ‘C’ and this field is not spaces and Special
Program Enrollment Regional Crisis Care System (RCCS)
Indicator was ‘0’ on the prior registration - assign error code 177
with message ‘Indicator of ‘C’ with Special Program selected
when Special Program was not selected on Prior Registration’.
If Special Program Enrollment Regional Crisis Care System
(RCCS) Indicator is ‘0’ and this field is not spaces – assign error
code 185 with message ‘Special Program End Date cannot be
entered when Special Program is not selected’.
347
347
1
R
This will be used for the termination date of the Regional Crisis
Care System (RCCS) benefits for the consumer
Indicates the consumer is being registered for the PATH Grants
Program
Special Program
Enrollment PATH
Grants
Valid Values:
31
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02/12/16
Position
From
Lengt
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Usage
Field name
Error Processing
To
1 = Yes
0 = No
When field is required and is spaces or is not a valid value –
assign error code 067 with message ‘Special Program
Enrollment Path Grant Program Indicator is missing/invalid’
348
355
8
C
If this field is ‘0’ and this field was ‘1’ and the Special Program
Enrollment PATH Grant Program End Date was spaces on the
previous registration - assign error code 166 with message
‘Registration without PATH Grant when prior registration did
not contain an End Date’.
Required if Special Program Enrollment PATH Grant Program
is 1 (Yes), this is the original date the consumer is registered for
this program. This should not change when re-registering the
consumer for the program. Spaces if not reported
Special Program
Enrollment
PATH Grants Begin
Effective Date
Format: MMDDYYYY
If Special Program Enrollment PATH Grant Program is 1 (yes)
and field is spaces –assign error code 068 with message ‘this
Special Program Enrollment PATH Grant Program Begin
Effective Date is missing’
If format is not MMDDYYYY – assign error code 069 with
message ‘PATH Grant Program Begin Date must be in the
format MMDDYYYY’
If Special Program Enrollment PATH Grant Indicator is 0 (no)
and this field is not spaces –assign error code 182 with message
‘Special Program Begin Date cannot be entered when Special
Program is not selected’
356
363
8
C
Special Program
Enrollment
PATH Grants End Date
If this field is greater than today – assign error code 183 with
message ‘ ‘Special Program Begin Date cannot be a future date’
The date the consumer is no longer receiving services under the
PATH Grant Program. Spaces if not reported
Format: MMDDYYYY
If format is not MMDDYYYY – assign error code 070 with
message ‘Special Program Enrollment PATH Grant Program
End Date must be in the format MMDDYYYY’
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If this field is a future date – assign error code 176 with message
‘MH Closure Date/Special Program End Date cannot be a future
32
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02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
date’.
If the Indicator is ‘C’ and this field is not spaces and Special
Program Enrollment PATH Grants Indicator was ‘0’ on the prior
registration - assign error code 177 with message ‘Indicator of
‘C’ with Special Program selected when Special Program was
not selected on Prior Registration’.
If Special Program Enrollment PATH Grant Indicator is ‘0’ and
this field is not spaces – assign error code 185 with message
‘Special Program End Date cannot be entered when Special
Program is not selected’.
364
364
1
R
Consumer in
Residential or
Northwest Crisis Care
(NCCS) program
funded by DMH’.
This will be used for the termination date of the PATH Grant
benefits for the consumer
Indicates the consumer is being registered for the residential
program funded by DMH or Northwest Crisis Care (NCCS) and
operated by the registering provider
Valid Values:
0 = Not in Residential Program
1 = ICG
2 = Program 620 (Residential)
3 = Program 820 (Supported Residential)
4 = Program 830 (Supervised Residential)
5= Program 551 (Northwest Crisis Care System)
When field is required and is spaces or is not a valid value –
assign error code 071 with message ‘Consumer in res. Program
funded by DMH and operated by registering provider is
missing/invalid’
If this field is ‘0’ and this field was ‘1’ and there the Special
Program Enrollment Residential Program End Date was spaces
on the previous registration - assign error code 167 with message
‘Registration without ICG when prior registration did not
contain an End Date’.
If this field is ‘0’ and this field was ‘2’ and there the Special
Program Enrollment Residential Program End Date was spaces
on the previous registration - assign error code 169 with message
‘Registration without CILA (620) when prior registration did not
contain an End Date’.
If this field is ‘0’ and this field was ‘3’ and there the Special
Program Enrollment Residential Program End Date was spaces
on the previous registration - assign error code 170 with message
‘Registration without Supported Residential (820) when prior
registration did not contain an End Date’.
If this field is ‘0’ and this field was ‘4’ and the Special Program
Enrollment Residential Program End Date was spaces on the
previous registration - assign error code 171 with message
‘Registration without Supervised Residential (830) when prior
33
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
registration did not contain an End Date’.
If this field is ‘0’ and this field was ‘5’ and the Special Program
Enrollment Residential Program End Date was spaces on the
previous registration - assign error code 244 with message Prior
551 (Northwest Crisis Care System- NCCS) registration needs to
be closed before consumer can be registered.
If this field indicates a residential program (is not ‘0’) and this
field indicated a different residential program and the Special
Program Enrollment Residential Program End Date was spaces
on the previous registration - assign error code 172 with
message ‘Prior Registration for a different Residential Program
did not contain an End Date’
If this field is ‘5’ and IND121 and/or IND550 and/or IND575
and/or CCGIND are not = to ‘0’, assign error code 243 with
message “When 551 (Northwest Crisis Care System- NCCS)
fund is selected Provider cannot register for any other special
programs’
If this field is ‘5’ and provider/consumer has open registration,
assign error code 245 with error message “Prior registration
needs to be closed before consumer can be registered for 551
(Northwest Crisis Care System- NCCS) fund
365
372
8
C
Consumer in residential
program
Begin effective date
Required if Consumer in residential program funded by DMH
and operated by registering provider is 1 (Yes), this is the
original date the consumer is registered for this program. This
should not change when re-registering the consumer for the
program. Spaces if not reported
Format: MMDDYYYY
If Consumer in residential program funded by DMH and
operated by registering provider is 1, 2, 3, or 4 and this field is
spaces –assign error code 072 with message ‘Consumer in
residential program Begin Effective Date is missing’
If format is not MMDDYYYY – assign error code 073 with
message ‘Consumer in residential program Begin Date must be
in the format MMDDYYYY’
If Special Program Enrollment Consumer in Residential Program
Indicator is 0 (no) and this field is not spaces –assign error code
182 with message ‘Special Program Begin Date cannot be
entered when Special Program is not selected’
373
380
8
C
Consumer in residential
program
End date
If this field is greater than today – assign error code 183 with
message ‘ ‘Special Program Begin Date cannot be a future date’
The date the consumer is no longer receiving services under the
residential Program. Spaces if not reported
Format: MMDDYYYY
34
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
If format is not MMDDYYYY – assign error code 074 with
message ‘Consumer in residential program End Date must be in
the format MMDDYYYY’
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If this field is a future date – assign error code 176 with message
‘MH Closure Date/Special Program End Date cannot be a future
date’.
If the Indicator is ‘C’ and this field is not spaces and Special
Program Enrollment Residential Indicator was ‘0’ on the prior
registration - assign error code 177 with message ‘Indicator of
‘C’ with Special Program selected when Special Program was
not selected on Prior Registration’.
If Special Program Enrollment Consumer in Residential Program
Indicator is ‘0’ and this field is not spaces – assign error code
185 with message ‘Special Program End Date cannot be entered
when Special Program is not selected’.
381
381
1
C
Residential level of care
This will be used for the termination date of the residential
program benefits for the consumer
Indicates the level of care in the residential program.
Required if Consumer in Residential program is 1 – 4. Spaces if
not reported
Valid Values:
1 = Low intensity
2 = Medium intensity
3 = High intensity
382
382
1
R
If Consumer in residential program funded by DMH and
operated by registering provider is 1, 2, 3, or 4 and this field is
spaces – assign error code 075 with message ‘Residential level
of care is missing/invalid’
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
The manual used for reporting diagnosis codes for Axis I and II.
MH Diagnosis Code
Type
Valid Values:
D –DSM-IV
I –ICD-9-CM
When field is required and is spaces or is not a valid value –
assign error code 076 with message ‘MH Diagnosis Code Type
is missing/invalid’
35
Beacon Health Options
02/12/16
Position
From
383
Lengt
h
Usage
Field name
Error Processing
To
387
5
R
MH Axis 1 Diagnosis 1
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Valid Axis 1diagnosis code – Do not submit the decimal
Example: - 300.9 would be submitted as 3009
When field is required and is spaces or is not a valid value –
assign error code 077 with message ‘MH Axis 1 Diagnosis 1 is
missing/invalid’
388
392
5
R
MH Axis 1 Diagnosis 2
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Valid Axis 1 diagnosis code – Do not submit the decimal
Example: - 300.9 would be submitted as 3009
If this field is spaces or not a valid value – assign error code 078
with message ‘MH Axis 1 Diagnosis 2 is missing/invalid’
393
397
5
R
MH Axis 1 Diagnosis 3
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Valid Axis 1 diagnosis code – Do not submit the decimal
Example: - 300.9 would be submitted as 3009
If this field is spaces or not a valid value – assign error code 079
with message ‘MH Axis 1 Diagnosis 3 is missing/invalid’
398
402
5
R
MH Axis 2 Diagnosis 1
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Valid Axis 2 diagnosis code – Do not submit the decimal
Example: - 301.4 would be submitted as 3014
36
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
If this field is spaces or not a valid value – assign error code 080
with message ‘MH Axis 2 Diagnosis 1 is missing/invalid’
403
407
5
R
MH Axis 2 Diagnosis 2
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Valid Axis 2 diagnosis code – Do not submit the decimal
Example: - 301.4 would be submitted as 3014
If this field is spaces or not a valid value – assign error code 081
with message ‘MH Axis 2 Diagnosis 2 is missing/invalid’
408
412
5
R
MH Axis 2 Diagnosis 3
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Valid Axis 2 diagnosis code – Do not submit the decimal
Example: - 301.4 would be submitted as 3014
If this field is spaces or not a valid value – assign error code 082
with message ‘MH Axis 2 Diagnosis 3 is missing/invalid’
413
417
5
C
MH Axis 3 Diagnosis 1
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Must be Valid Medical Category
Required when indicator is R or C. Ignored when submitted for
indicator D
Left justified, blank filled
Valid Values: See conversion chart below file layout
When field is required and is spaces or is not a valid value –
assign error code 083 with message ‘MH Axis 3 Diagnosis 1 is
invalid’
When the fifth position is not blank - assign error code 083 with
message ‘MH Axis 3 Diagnosis 1 is invalid’
When Registration Start Date is 10/1/2015 or greater and field is
37
Beacon Health Options
02/12/16
Position
From
418
Lengt
h
Usage
Field name
Error Processing
MH Axis 3 Diagnosis 2
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Must be Valid Medical Category
To
422
5
N
Valid Values: See conversion chart below file layout
Spaces if not reported
Left justified, blank filled
If field is not spaces or not a valid value – assign error code 084
with message ‘MH Axis 3 Diagnosis 1is invalid’
assign error code 084 with message ‘MH Axis 3 Diagnosis 2 is
invalid’
423
427
5
N
MH Axis 3 Diagnosis 3
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
Must be Valid Medical Category
Valid Values: See conversion chart below file layout
Spaces if not reported
Left justified, blank filled
If field is not spaces or not a valid value – assign error code 085
with message ‘MH Axis 3 Diagnosis 1is invalid’
assign error code 085 with message ‘MH Axis 3 Diagnosis 3 is
invalid’
428
428
1
R
MH Principal Diagnosis
Indicator
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
**Valid Field When Registration Start Date is Prior to
10/1/2015. Field should not be used for Registration Start Dates
10/1/2015 and beyond.
The consumer’s principal diagnosis for the focus of treatment.
Valid Values:
A -Axis I, Diagnosis 1
B -Axis I, Diagnosis 2
C -Axis I, Diagnosis 3
D -Axis II, Diagnosis 1
38
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
E -Axis II, Diagnosis 2
F -Axis II, Diagnosis 3
When field is required and is spaces or is not a valid value –
assign error code 086 with message ‘MH Principal Diagnosis
Indicator is missing/invalid’
429
429
1
R
When Registration Start Date is 10/1/2015 or greater and field is
not equal to spaces, assign error code 256 ‘For Registration Start
Dates 10/1/2015 and greater, all DSM4/ICD9 fields should be
blank”
Required – blank/spaces
Filler
(formerly Functional Scale Used)
430
431
2
R
If this field is not blank – assign error code 223 with error
message ‘Position 429 needs to be spaces’
Required – blank/spaces
Filler
(Formerly GAF/CGAS Score)
432
433
2
C
Functioning -Children
& Adolescents
Self Care
If this field is not blank – assign error code 224 with error
message ‘Positions 430 - 431 needs to be spaces’
Children and Adolescent Functioning assessment – Self Care.
Spaces if not reported
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is CGAS then this field is required.
If functional scale used = ‘C’ and this field is spaces or not a
valid value – assign error code 089 with message ‘CGAS Self
Care field is missing/invalid’
434
435
2
C
Functioning -Children
& Adolescents
Community
If functional scale used is = ‘G’ and this field is not spaces –
assign error code 158 with message ‘Child functioning levels
should not be populated when GAF score is used’.
Children and Adolescent Functioning assessment – Community.
Spaces if not reported
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is CGAS then this field is required.
If functional scale used = ‘C’ and this field is spaces or not a
valid value – assign error code 090 with message ‘CGAS
Community field is missing/invalid’
If functional scale used is = ‘G’ and this field is not spaces –
assign error code 158 with message ‘Child functioning levels
should not be populated when GAF score is used’.
39
Beacon Health Options
02/12/16
Position
From
436
To
437
Lengt
h
Usage
2
C
Field name
Error Processing
Functioning -Children
& Adolescents
Children and Adolescent Functioning assessment – Social
Relations. Spaces if not reported
Social Relations
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is CGAS then this field is required.
If functional scale used = ‘C’ and this field is spaces or not a
valid value – assign error code 091 with message ‘CGAS Social
Relations field is missing/invalid’
438
439
2
C
Functioning -Children
& Adolescents
Family Relations
If functional scale used is = ‘G’ and this field is not spaces –
assign error code 158 with message ‘Child functioning levels
should not be populated when GAF score is used’.
Children and Adolescent Functioning assessment – Family
Relations. Spaces if not reported
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is CGAS then this field is required.
If functional scale used = ‘C’ and this field is spaces or not a
valid value – assign error code 092 with message ‘CGAS Family
Relations field is missing/invalid’
440
441
2
C
Functioning -Children
& Adolescents
School
If functional scale used is = ‘G’ and this field is not spaces –
assign error code 158 with message ‘Child functioning levels
should not be populated when GAF score is used’.
Children and Adolescent Functioning assessment – School.
Spaces if not reported
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is CGAS then this field is required.
If functional scale used = ‘C’ and this field is spaces or not a
valid value – assign error code 093 with message ‘CGAS School
field is missing/invalid’
442
443
2
C
If functional scale used is = ‘G’ and this field is not spaces –
assign error code 158 with message ‘Child functioning levels
should not be populated when GAF score is used’.
Adult Functioning assessment – Social Group/ School Spaces if
not reported.
Functioning -Adults
Social Group/School
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
40
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 094 with message ‘GAF Social
Group/ School field is missing/invalid’
444
445
2
C
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
Adult Functioning assessment – Employment. Spaces if not
reported
Functioning -Adults
Employment
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 095 with message ‘GAF
Employment field is missing/invalid’
446
447
2
C
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
Adult Functioning assessment – Financial. Spaces if not reported
Functioning -Adults
Financial
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 096 with message ‘GAF
Financial field is missing/invalid’
448
449
2
C
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
Adult Functioning assessment – Community Living Spaces if
not reported.
Functioning -Adults
Community Living
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 097 with message ‘GAF
Community Living field is missing/invalid’
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
41
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
should not be populated when CGAS score is used’.
450
451
2
C
Adult Functioning assessment – Supportive Social. Spaces if not
reported
Functioning -Adults
Supportive Social
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 098 with message ‘GAF
Supportive Social field is missing/invalid’
452
453
2
C
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
Adult Functioning assessment – Daily Living Activity. Spaces if
not reported
Functioning -Adults
Daily Living Activity
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 099 with message ‘GAF Daily
Living Activity field is missing/invalid’
454
455
2
C
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
Adult Functioning assessment – Inappropriate or Dangerous
Behavior. Spaces if not reported
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
Functioning -Adults
Inappropriate or
Dangerous Behavior
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 100 with message ‘GAF
Inappropriate or Dangerous Behavior field is missing/invalid’
456
457
2
C
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
Adult Functioning assessment – Previous Functional
Impairment. Spaces if not reported
Functioning -Adults
Previous Functional
Impairment
Valid Values:
00 -consumer does not meet serious impairment criteria
01 -consumer meets serious impairment criteria
42
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Position
From
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h
Usage
Field name
Error Processing
To
If Functional Scale used is GAF then this field is required.
If functional scale used = ‘G’ and this field is spaces or not a
valid value – assign error code 101 with message ‘GAF Previous
Functional Impairment field is missing/invalid’
458
458
1
C
LOCUS - Risk of Harm
If functional scale used is = ‘C’ and this field is not spaces –
assign error code 159 with message ‘Adult functioning levels
should not be populated when CGAS score is used’.
LOCUS Score – Risk of Harm. Spaces if not reported
Locus fields are not required, however if one is filled in than all
must be filled in.
Valid values:
Range 1-5
459
459
1
C
If all LOCUS fields are not spaces and this field is spaces or not
a valid value – assign error code 102 with message ‘LOCUS –
Risk of Harm is missing/invalid’
LOCUS Score – Recovery-Environment-Stressor. Spaces if not
LCOUS - RecoveryEnvironment-Stressor
reported
Locus fields are not required, however if one is filled in than all
must be filled in.
Valid values:
Range 1-5
460
460
1
C
LOCUS - Recovery
Environment-Supports
If all LOCUS fields are not spaces and this field is spaces or not
a valid value – assign error code 103 with message ‘LOCUS –
Recovery-Environment-Stressor is missing/invalid’
LOCUS Score – Recovery Environment-Supports. Spaces if
not reported
Locus fields are not required, however if one is filled in than all
must be filled in.
Valid values:
Range 1-5
461
461
1
C
If all LOCUS fields are not spaces and this field is spaces or not
a valid value – assign error code 104 with message ‘LOCUS –
Recovery Environment-Supports is missing/invalid’
LOCUS Score – Functional Status. Spaces if not reported
LOCUS - Functional
Status
Locus fields are not required, however if one is filled in than all
must be filled in.
Valid values:
Range 1-5
If all LOCUS fields are not spaces and this field is spaces or not
a valid value – assign error code 105 with message ‘LOCUS –
43
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
Functional Status is missing/invalid’
462
462
1
C
LOCUS - Co-Morbidity
LOCUS Score – Co-Morbidity. Spaces if not reported
Locus fields are not required, however if one is filled in than all
must be filled in.
Valid values:
Range 1-5
If all LOCUS fields are not spaces and this field is spaces or not
a valid value – assign error code 106 with message ‘LOCUS –
Co-Morbidity is missing/invalid’
463
463
1
C
LOCUS - Recovery and
Treatment History
LOCUS Score – Recovery and Treatment History. Spaces
if not reported
Locus fields are not required, however if one is filled in
than all must be filled in.
Valid values:
Range 1-5
464
464
1
C
If all LOCUS fields are not spaces and this field is spaces
or not a valid value – assign error code 107 with message
‘LOCUS – Recovery and Treatment History is
missing/invalid’
LOCUS Score – Acceptance and Engagement. Spaces if
not reported
LOCUS - Acceptance
and Engagement
Locus fields are not required, however if one is filled in
than all must be filled in.
Valid values:
Range 1-5
465
466
2
C
If all LOCUS fields are not spaces and this field is spaces
or not a valid value – assign error code 108 with message
‘LOCUS – Acceptance and Engagement is
missing/invalid’
The assessors recommended level of care for the
consumer. Required if Locus fields are entered. Spaces if
not reported
Level of Care
Recommended Assessors
Valid Values:
01 -Level I (Recovery Maintenance and Health Management
score 7 – 13)
02 - Level II (Low Intensity Community Based Services score 14
– 16)
03 - Level III (High Intensity Community Based Services score
17 – 19)
04 - Level IV (Medically Monitored Non-Residential Services
score 20 – 22)
44
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Position
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h
Usage
Field name
Error Processing
To
05 - Level V (Medically Monitored Residential Services score
23 – 27)
06 - Level VI (Medically Managed Residential Services score 28
or more)
467
468
2
R
History of Illness Continuous Treatment
If LOCUS fields are not spaces and this field is spaces or not a
valid value – assign error code 109 with message ‘LOCUS –
Level of Care Recommended - Assessors is missing/invalid’
Consumers History of Illness – Continuous Treatment
Valid Values:
00 -consumer does not meet treatment history criteria
01 -consumer meets treatment history criteria
469
470
2
R
History of Illness Continuous Residential
When field is required and is spaces or is not a valid value –
assign error code 110 with message ‘History of Illness Continuous Treatment is missing/invalid’
Consumers History of Illness – Continuous Residential
Valid Values:
00 -consumer does not meet treatment history criteria
01 -consumer meets treatment history criteria
471
472
2
R
When field is required and is spaces or is not a valid value –
assign error code 111 with message ‘History of Illness Continuous Residential is missing/invalid’
Consumers History of Illness – Multiple Residential
History of Illness Multiple Residential
Valid Values:
00 -consumer does not meet treatment history criteria
01 -consumer meets treatment history criteria
473
474
2
R
When field is required and is spaces or is not a valid value –
assign error code 112 with message ‘History of Illness –
Multiple Residential is missing/invalid’
Consumers History of Illness – Outpatient
History of Illness Outpatient
Valid Values:
00 -consumer does not meet treatment history criteria
01 -consumer meets treatment history criteria
475
476
2
R
When field is required and is spaces or is not a valid value –
assign error code 113 with message ‘History of Illness –
Outpatient is missing/invalid’
Consumers History of Illness – Previous Treatment
History of Illness Previous Treatment
Valid Values:
00 -consumer does not meet treatment history criteria
01 -consumer meets treatment history criteria
When field is required and is spaces or is not a valid value –
assign error code 114 with message ‘History of Illness –
Previous Treatment is missing/invalid’
477
477
1
N
Evidence Based
Practice – Supported
Indicates if Evidence Based Practice – Supported
Employment was used. Spaces if not reported
45
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
Employment
Valid Values:
1 = Yes
0 = No
478
478
1
N
If field is not spaces or not a valid value – assign error
code 115 with message ‘Evidence Based Practice –
Supported Employment is invalid’
Indicates if Evidence Based Practice – IDDT was used.
Spaces if not reported
Evidence Based
Practice - IDDT
Valid Values:
1 = Yes
0 = No
479
479
1
N
If field is not spaces or not a valid value – assign error
code 116 with message ‘Evidence Based Practice – IDDT
is invalid’
Indicates if Evidence Based Practice – Medication
Algorithm was used. Spaces if not reported
Evidence Based
Practice – Medication
Algorithm
Valid Values:
1 = Yes
0 = No
480
480
1
R
Co-Occurring Disorders
If field is not spaces or not a valid value – assign error code 117
with message ‘Evidence Based Practice – Medication Algorithm
is invalid’
Indicates whether or not the consumer has been screened for cooccurring mental illness/substance abuse disorders.
Valid Values:
Y -Yes
N -No
481
488
8
When field is required and is spaces or is not a valid value –
assign error code 118 with message ‘Co-Occurring Disorders is
missing/invalid’
The date on which the MH cross disabilities database form was
completed.
R
Format: MMDDYYYY
MH Cross Disabilities
Database –Form
Completion Date
489
490
2
R
MH Cross Disabilities
Database – Primary
Care Giver Age
When field is required and is spaces or is not a valid value –
assign error code 119 with message ‘MH Cross Disabilities
Database –Form Completion Date is missing/invalid’
If format is not MMDDYYYY – assign error code 120 with
message ‘MH Cross Disabilities Database –Form Completion
Date must be in the format MMDDYYYY’
The age of the primary care giver.
Valid Value:
46
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
Age range: 18-98
00 – Not Applicable
99 – Unknown
491
492
2
R
MH Cross Disabilities
Database –Type of
Services Needed 1
When field is required and is spaces or is not a valid value –
assign error code 121 with message ‘MH Cross Disabilities
Database – Primary Care Giver Age is missing/invalid’
The type of services needed by the consumer as determined by
the assessment staff.
Valid Values:
01 – Residential/Living Arrangements
02 – Vocational Rehabilitation
03 – Transportation
04 – Medical
05 – Substance Abuse Treatment
06 – MH Case Management
07 – Hospitalization
90 – Other
99 – Unknown
When field is required and is spaces or is not a valid value –
assign error code 122 with message ‘MH Cross Disabilities
Database – Type of Services Needed 1is missing/invalid’
493
494
2
N
MH Cross Disabilities
Database -Type of
services Needed 2
The type of services needed by the consumer as
determined by the assessment staff. Spaces if not reported
Valid Values:
01 - Residential/Living Arrangements
02 - Vocational Rehabilitation
03 - Transportation
04 – Medical
05 - Substance Abuse Treatment
06 - MH Case Management
07 - Hospitalization
90- Other
99 - Unknown
If field is not spaces or not a valid value – assign error code 123
with message ‘MH Cross Disabilities Database – Type of
Services Needed 2 is invalid’
495
496
2
N
MH Cross Disabilities
Database –Type of
Services Needed 3
The type of services needed by the consumer as
determined by the assessment staff. Spaces if not reported
Valid Values:
01 - Residential/Living Arrangements
02 - Vocational Rehabilitation
03 - Transportation
04 – Medical
05 - Substance Abuse Treatment
06 - MH Case Management
07 - Hospitalization
90- Other
99 - Unknown
47
Beacon Health Options
02/12/16
Position
From
497
527
Lengt
h
Usage
Field name
Error Processing
To
526
528
30
2
C
R
MH Cross Disabilities
Database -Type of
Services Needed Other
Description
MH Cross Disabilities
Database –Type of
Services Sought 1
If field is not spaces or not a valid value – assign error code 124
with message ‘MH Cross Disabilities Database – Type of
Services Needed 3 is invalid’
Describes the type of services when Other (90) is selected for
Type of Services Needed.
Required when Type of Services needed 1, 2 or 3 is (90)
OTHER. Spaces if not reported
If Type of Services needed 1, 2 or 3 is (90) OTHER and this
field is spaces – assign error code 125 with message ‘MH Cross
Disabilities Database -Type of Services Needed Other
Description is missing’
The type of services sought by the consumer as determined by
the consumer.
Valid Values:
01 – Residential/Living Arrangements
02 – Vocational Rehabilitation
03 – Transportation
04 – Medical
05 – Substance Abuse Treatment
06 – MH Case Management
07 – Hospitalization
90 – Other
99 – Unknown
When field is required and is spaces or is not a valid value –
assign error code 126 with message ‘MH Cross Disabilities
Database – Type of Services Sought 1is missing/invalid’
529
530
2
N
MH Cross Disabilities
Database –Type of
Services Sought 2
The type of services sought by the consumer as
determined by the consumer. Spaces if not reported
Valid Values:
01 – Residential/Living Arrangements
02 – Vocational Rehabilitation
03 – Transportation
04 – Medical
05 – Substance Abuse Treatment
06 – MH Case Management
07 – Hospitalization
90 – Other
99 – Unknown
If field is not spaces or not a valid value – assign error code 127
with message ‘MH Cross Disabilities Database – Type of
Services Sought 2 is invalid’
531
532
2
N
MH Cross Disabilities
Database –Type of
Services Sought 3
The type of services sought by the consumer as
determined by the consumer. Spaces if not reported
Valid Values:
01 – Residential/Living Arrangements
02 – Vocational Rehabilitation
48
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
03 – Transportation
04 – Medical
05 – Substance Abuse Treatment
06 – MH Case Management
07 – Hospitalization
90 – Other
99 – Unknown
533
563
562
570
30
8
C
N
MH Cross Disabilities
Database -Type of
Services Sought Other
Description
If field is not spaces or not a valid value – assign error code 128
with message ‘MH Cross Disabilities Database – Type of
Services Sought 3 is invalid’
Describes the type of services when Other (90) is selected for
Type of Services Sought.
Required when Type of Services Sought 1, 2 or 3 is (90)
OTHER. Spaces if not reported
If Type of Services Sought 1, 2 or 3 is (90) OTHER and this
field is spaces – assign error code 129 with message ‘MH Cross
Disabilities Database -Type of Services Sought Other
Description is missing’
The date that the agency terminated its commitment to provide
services to the individual. Spaces if not reported
MH Closing Date
Format: MMDDYYYY
If format is not MMDDYYYY – assign error code 130 with
message ‘MH Closing Date must be in the format
MMDDYYYY’
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If this field is less than a Special Program End Date – assign
error code 174 with message ‘Special Program End Date is
greater than MH Closure Date’.
571
572
2
C
If this field is a future date – assign error code 176 with message
‘MH Closure Date/Special Program End Date cannot be a future
date’.
The disposition of the consumer at the point he/she stops
receiving services. If MH closing date not spaces this is required.
MH Closing
Disposition
Valid Values:
01 Deceased
02 Completed treatment
03 Refused treatment
04 Transfer
05 Moved
49
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
06 Transfer to Long Term Care provider setting
07 Transfer to State-Operated facility
08 Incarcerated
09 CHP – Administrative closing
10 Refused Transition
11- Crisis System- IND is MCD Eligible
90 Other
99 Unknown
573
573
1
C
If MH Closing Date is not spaces and this field is spaces or not a
valid value – assign error code 131 with message ‘MH Closing
Disposition is missing/invalid’
Required – blank/spaces
Filler
(Formerly Functional Scale Used at Closing)
574
575
2
C
If this field is not blank – assign error code 225 with error
message ‘Position 573 needs to be spaces’
Required – blank/spaces
Filler
(formerly GAF/CGAS Score at Closing)
576
577
2
C
If this field is not blank – assign error code 226 with error
message ‘Positions 574 - 575 needs to be spaces’
Describes the relationship of the guardian or responsible person
to the consumer.
Guardian 1 Type
This is required for indicator of ‘C’ and ‘R’ if Consumer in
residential program funded by DMH and operated by registering
provider is ‘1’ or if ICG Community indicator is ‘1’. Can be sent
on ‘D’ but will be not be used in processing.
Note: Guardian fields will be spaces if no information has been
reported
Valid values:
02 - Parent of minor child 0-17
05 - Plenary of Person
07 - Self
If field is not spaces or not a valid value – assign error code 134
with message ‘Guardian Type 1 is missing/invalid’
578
591
14
C
Guardian 1 First Name
If Consumer in residential program funded by DMH and
operated by registering provider is ‘1’ or if ICG Community
indicator is ‘1’ and this field is not a valid value – assign error
code 134 with message ‘Guardian Type 1 is missing/invalid’.
The first name of the guardian or responsible person
If Guardian 1 Type not spaces then required
592
592
1
N
If Guardian Type 1 is not spaces and this field is spaces – assign
error code 135 with message ‘Guardian 1 First Name is missing’
Middle initial of the guardian or responsible person. Spaces if
not reported
Guardian 1 Middle
Initial
50
Beacon Health Options
02/12/16
Position
From
593
To
622
Lengt
h
Usage
30
C
Field name
Error Processing
The last name of the guardian or responsible person
Guardian 1 Last Name
623
662
40
C
If Guardian 1 Type not spaces then required
If Guardian Type 1 is not spaces and this field is spaces – assign
error code 136 with message ‘Guardian 1 Last Name is missing’
Street or box number of the guardian or responsible person
Guardian 1 Address
If Guardian 1 Type not spaces then required
663
682
20
If Guardian Type 1 is not spaces and this field is spaces – assign
error code 137 with message ‘Guardian 1 Address is missing’
City of the guardian or responsible person
C
If Guardian 1 Type not spaces then required
Guardian 1 City
683
684
2
C
If Guardian Type 1 is not spaces and this field is spaces – assign
error code 138 with message ‘Guardian 1 City is missing’
Post Office abbreviation for State of the guardian or responsible
person
Guardian 1 State
If Guardian 1 Type not spaces then required
685
689
5
If Guardian Type 1 is not spaces and this field is spaces – assign
error code 139 with message ‘Guardian 1 State is missing’
Postal zip code of the guardian or responsible person
C
Guardian 1 Zip Code
690
693
4
N
694
701
8
N
If Guardian Type 1 is not spaces and this field is spaces – assign
error code 140 with message ‘Guardian 1 Zip Code is missing’
The last four positions of the zip code of the guardian or
responsible person.
The date of appointment as guardian by the court for guardian
Type 05.
Guardian 1 Zip Code
Suffix
Guardian 1
Appointment Date
Format: MMDDYYYY
702
710
709
711
8
2
N
N
Guardian 1 Termination
Date
If guardian Type 1 is 05 and this field is spaces or if format is
not MMDDYYYY – assign error code 141 with message
‘Guardian 1 Appointment Date missing when required or not in
the format MMDDYYYY’
The date this guardian relationship to the consumer ended.
Format: MMDDYYYY
If format is not MMDDYYYY – assign error code 142 with
message ‘Guardian 1 Termination Date must be in the format
MMDDYYYY’
Describes the relationship of the guardian or responsible person
to the consumer.
Guardian 2 Type
Note: Guardian fields will be spaces if no information has been
reported
Valid values:
02 - Parent of minor child 0-17
05 - Plenary of Person
51
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
07 - Self
712
725
14
C
Guardian 2 First Name
If field is not spaces or not a valid value – assign error code 143
with message ‘Guardian Type 2 is invalid’
The first name of the guardian or responsible person
If Guardian 2 Type not spaces then required
726
726
1
N
727
756
30
C
If Guardian Type 2 is not spaces and this field is spaces – assign
error code 144 with message ‘Guardian 2 First Name is missing’
Middle initial of the guardian or responsible person. Spaces if
not reported
The last name of the guardian or responsible person
Guardian 2 Middle
Initial
Guardian 2 Last Name
757
796
40
C
If Guardian 2 Type not spaces then required
If Guardian Type 2 is not spaces and this field is spaces – assign
error code 145 with message ‘Guardian 2 Last Name is missing’
Street or box number of the guardian or responsible person
Guardian 2 Address
If Guardian 2 Type not spaces then required
797
816
20
If Guardian Type 2 is not spaces and this field is spaces – assign
error code 146 with message ‘Guardian 2 Address is missing’
City of the guardian or responsible person
C
If Guardian 2 Type not spaces then required
Guardian 2 City
817
818
2
C
If Guardian Type 2 is not spaces and this field is spaces – assign
error code 147 with message ‘Guardian 2 City is missing’
Post Office abbreviation for State of the guardian or responsible
person
Guardian 2 State
If Guardian 2 Type not spaces then required
819
823
5
If Guardian Type 2 is not spaces and this field is spaces – assign
error code 148 with message ‘Guardian 2 State is missing’
Postal zip code of the guardian or responsible person
C
Guardian 2 Zip Code
824
827
4
N
828
835
8
N
If Guardian Type 2 is not spaces and this field is spaces – assign
error code 149 with message ‘Guardian 2 Zip Code is missing’
The last four positions of the zip code of the guardian or
responsible person.
The date of appointment as guardian by the court.
Guardian 2 Zip Code
Suffix
Guardian 2
Appointment Date
Format: MMDDYYYY
836
843
8
N
Guardian 2 Termination
Date
If guardian Type 2 is 05 and this field is spaces or if format is
not MMDDYYYY – assign error code 150 with message
‘Guardian 2 Appointment Date missing when required or not in
the format MMDDYYYY’
The date this guardian relationship to the consumer ended.
Format: MMDDYYYY
If format is not MMDDYYYY – assign error code 151 with
52
Beacon Health Options
02/12/16
Position
From
844
Lengt
h
Usage
Field name
Error Processing
To
844
1
C
Special Program – ICG
Community Indicator
message ‘Guardian 2 Termination Date must be in the format
MMDDYYYY’
Indicates the consumer is being registered for the ICG
Community Program
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
1 = Yes
0 = No
When field is required and is spaces or is not a valid value –
assign error code 179 with message “Special Program ICG
Community is missing/invalid”
845
852
8
C
Special Program ICG
Community Begin Date
If this field is ‘0’ and this field was ‘1’ and the Special Program
ICG Community Program End Date was spaces on the previous
registration - assign error code 191 with message ‘Registration
without ICG Community when prior registration did not contain
an End Date’.
Required for indicator ‘C’ or ‘R’ if Special Program ICG
Community Indicator is 1 (Yes), this is the original date the
consumer is registered for this program. This cannot be a future
date. This should not change when re-registering the consumer
for the program. Spaces if consumer not in program
Format: MMDDYYYY
If Special Program ICG community Indicator is 1 (yes) and this
field is spaces –assign error code 180 with message ‘Special
Program ICG Community Begin Date is missing’
If not a valid date or not in the format of MMDDYYYY – assign
error code 181 with message ‘ICG Community Begin Date must
be valid date in the format MMDDYYYY’
If Special Program ICG community Indicator is 0 (no) and this
field is not spaces –assign error code 182 with message ‘Special
Program Begin Date cannot be entered when Special Program is
not selected’
853
860
8
C
If this field is greater than today – assign error code 183 with
message ‘ ‘ICG Community Begin Date cannot be a future date’
The date the consumer is no longer receiving services under the
ICG Community Program. Spaces if not reported
Special Program ICG
Community End Date
FORMAT: MMDDYYYY
If not a valid date or format is not MMDDYYYY – assign error
code 184 with message ‘ICG Community End Date must be
valid date in the format MMDDYYYY’
If this field is a future date – assign error code 176 with message
53
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
‘MH Closure Date/Special Program End Date cannot be a Future
Date.
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If ICG Community Indicator is ‘0’ and this field is not spaces –
assign error code 185 with message ‘Special Program End Date
cannot be entered when Special Program is not selected’.
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If the Indicator is ‘C’ and this field ‘1’ and Special ICG
Community Indicator was ‘0’ on the prior registration - assign
error code 177 with message ‘Indicator of ‘C’ with Special
Program selected when Special Program was not selected on
Prior Registration’.
861
861
1
C
This will be used for the termination date of the ICG Community
benefits for the consumer.
Indicates if the consumer was adopted.
Adoption Indicator
This is required for indicator of ‘C’ and ‘R’ if Consumer in
residential program funded by DMH and operated by registering
provider is ‘1’ or if ICG Community indicator is ‘1’. Can be sent
on ‘D’ but will be not be used in processing.
Valid Values:
Y – Yes
N – No
862
863
2
C
If Consumer in residential program funded by DMH and
operated by registering provider is ‘1’ or if ICG Community
indicator is ‘1’ and this field is not ‘Y’ or ‘N’ – assign error code
187 with message ‘Adoption Indicator is missing/invalid’.
The Columbia Scale score
Columbia Scale
This is required for indicator of ‘C’ and ‘R’ if Consumer in
residential program funded by DMH and operated by registering
provider is ‘1’ or if ICG Community indicator is ‘1’. Can be sent
on ‘D’ but will be not be used in processing
OR
This is required for indicator of ‘C’ and ‘R’ when the consumer
is ≥ 5 and ≤ 17. Can be sent on ‘D’ but will be not be used in
processing.
Calculated age based on age on file as of the registration start
date – when indicator is C the registration start date is based on
the registration on file that is being closed
54
Beacon Health Options
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
Valid range: 00 – 52
If this field is not within the valid range (00 – 52) – assign error
code 188 with message ‘Columbia Scale is missing/invalid’.
For indicator of ‘C’ and ‘R’ if Consumer in residential program
funded by DMH and operated by registering provider is ‘1’ or if
ICG Community indicator is ‘1’ and this field is spaces – assign
error code 188 with message ‘Columbia Scale is
missing/invalid’.
864
866
3
C
For indicator of ‘C’ and ‘R’ and the consumer is < 5 or >17 and
this field is not spaces – assign error code 228 with message
‘Columbia Scale is missing/invalid’.
The Ohio Scale – Problem Severity score
Ohio Scale – Problem
Severity
This is required for indicator of ‘C’ and ‘R’ if Consumer in
residential program funded by DMH and operated by registering
provider is ‘1’ or if ICG Community indicator is ‘1’. Can be sent
on ‘D’ but will be not be used in processing.
OR
This is required for indicator of ‘C’ and ‘R’ when the consumer
is ≥ 5 and ≤ 17. Can be sent on ‘D’ but will be not be used in
processing.
Calculated age based on age on file as of the registration start
date – when indicator is C the registration start date is based on
the registration on file that is being closed
Valid Range: 000 – 100
If this field is not within the valid range (000 – 100) – assign
error code 189 with message ‘Ohio Scale – Problem Severity is
missing/invalid’.
For indicator of ‘C’ and ‘R’ if Consumer in residential program
funded by DMH and operated by registering provider is ‘1’ or if
ICG Community indicator is ‘1’ and this field is spaces – assign
error code 189 with message ‘Ohio Scale – Problem Severity is
missing/invalid’.
867
868
2
C
For indicator of ‘C’ and ‘R’ when the consumer is < 5 or > 17
and this field is not spaces – assign error code 229 with message
‘Ohio Scale – Problem Severity is missing/invalid’.
The Ohio Scale – Functioning score
Ohio Scale Functioning
This is required for indicator of ‘C’ and ‘R’ if Consumer in
residential program funded by DMH and operated by registering
provider is ‘1’ or if ICG Community indicator is ‘1’. Can be sent
on ‘D’ but will be not be used in processing.
OR
This is required for indicator of ‘C’ and ‘R’ when the consumer
is ≥ 5 and ≤ 17. Can be sent on ‘D’ but will be not be used in
processing.
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Calculated age based on age on file as of the registration start
date – when indicator is C the registration start date is based on
the registration on file that is being closed
Valid Range: 00 – 80
If this field is not within the valid range (00 – 80) – assign error
code 190 with message ‘Ohio Scale – Functioning is
missing/invalid’.
For indicator of ‘C’ and ‘R’ if Consumer in residential program
funded by DMH and operated by registering provider is ‘1’ or if
ICG Community indicator is ‘1’ and this field is spaces – assign
error code 190 with message ‘Ohio Scale – Functioning is
missing/invalid’.
869
869
1
C
For indicator of ‘C’ and ‘R’ when the consumer is < 5 or > 17
and this field is not spaces – assign error code 230 with message
‘Ohio Scale – Functioning is missing/invalid’.
Required – blank/spaces
Filler
(Formerly Income Verification)
870
870
1
C
If this field is not blank – assign error code 227 with error
message ‘Position 869 needs to be spaces’
Indicates if the consumer is in Permanent Supported Housing.
Permanent Supported
Housing
Valid Values:
Y – Yes
N – No
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
When field is required and is spaces or is not a valid value –
assign error code 196 with message ‘Permanent Supported
Housing is missing/invalid’
871
871
1
C
When provider enters ‘Y’ and Consumer in residential program
funded by DMH and operated by registering provider indicator is
other than 0 then assign error code 237 with message “PSH
indicator = Y, consumer already in program funded by DMH”
Indicates if the consumer is enrolled in the DMH/HFS "Money
Follows the Person Initiative".
Money follows the
Person
Valid Values:
Y – Yes
N – No
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
When field is required and is spaces or is not a valid value –
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872
1
O
assign error code 197 with message ‘Money follows the Person
is missing/invalid’
Indicates the consumer is being registered for the Community
Health and Prevention Program
CHP Indicator
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
1 = Yes
0 = No
If field is spaces or not a valid value – assign error code 205 with
message ‘Special Program Enrollment Community Health and
Prevention Program Indicator is missing/invalid’
If this field is ‘0’ and this field was ‘1’ and the Special Program
Enrollment Community Health and Prevention End Date was
spaces on the previous registration - assign error code 202 with
message ‘Registration without Community Health and
Prevention when prior registration did not contain an End Date’.
If this field is ‘1’, do not allow any other Special Program
indicator to be equal to ‘1’. Same provider cannot register same
consumer for Special Program Community Health and
Prevention another special program- assign error code 203 with
message “ CHP and another special fund cannot be
registered at the same time “
873
880
8
C
Required for indicator ‘C’ or ‘R’ if Special Program Enrollment
Community Health and Prevention Program is 1 (Yes), this is the
original date the consumer is registered for this program. This
should not change when re-registering the consumer for the
program. Spaces if not reported
CHP Begin Date
Format: MMDDYYYY
Cannot be a date greater than today
If Special Program Enrollment Community Health and
Prevention Program is 1 (yes) and this field is spaces –assign
error code 198 with message ‘Special Program Enrollment
Community Health and Prevention Program Begin Effective
Date is missing’
If format is not MMDDYYYY – assign error code 199 with
message ‘Community Health and Prevention Program Begin
Date must be in the format MMDDYYYY’
Only 1 CHP provider will be allowed to have an active CHP
registration for a consumer at one time. If another provider tries
to register a CHP consumer and there is a CHP registration,
assign error code 200 with message “Multiple CHP Registrations
not permitted. If questions, call your Division of CHP Services
contact.”
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If CHPIND is 1 and consumer is active in SASS, assign error
code 203 with message “Consumer not eligible for CHP
(Community Health and Prevention) when SASS is active
If CHPIND is 1 and same provider has open registration for
other funds for same consumer, assign error code 204 with
message “Prior registration needs to be closed before consumer
can be registered for CHP”
If CHPIND is 1, the earliest date a Consumer can be registered
into the CHP program is with an effective date of 08/01/2009.
Dates prior to 08/01/2009 assign error code 206 with message
“Special Program CHP (Community Health & Prevention )
Begin Date Cannot Be Less Than 08/01/2009”
881
888
8
C
The date the consumer is no longer receiving services under the
Community Health and Prevention Program. Spaces if not
reported
CHP End Date
FORMAT: MMDDYYYY
If format is not MMDDYYYY – assign error code 201 with
message ‘Community Health and Prevention Program End Date
must be in the format MMDDYYYY’
If date is less than registration Start Date – assign error code 156
with message ‘The requested end date is less than the
Registration start date’.
If this field is ‘0’ and this field was ‘1’ and the Special Program
Enrollment Community Health and Prevention End Date was
spaces on the previous registration - assign error code 202 with
message ‘Registration without Community Health and
Prevention when prior registration did not contain an End Date’.
If this field is not spaces and is 6 months or greater from the
Registration Start Date – assign error code 168 with message
‘Special Program End Date or MH Closure Date is greater than 6
months from Registration Start Date’.
If this field is a future date – assign error code 176 with message
‘MH Closure Date/Special Program End Date cannot be a future
date’.
If the Indicator is ‘C’ and this field is not spaces and Special
Program Enrollment Community Health and Prevention
Indicator was ‘0’ on the prior registration - assign error code
177 with message ‘Indicator of ‘C’ with Special Program
selected when Special Program was not selected on Prior
Registration’.
If Special Program Enrollment Community Health and
Prevention Indicator is ‘0’ and this field is not spaces – assign
error code 185 with message ‘Special Program End Date cannot
be entered when Special Program is not selected’.
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889
1
R
Functional Scale Used
This will be used for the termination date of the Community
Health and Prevention benefits for the consumer
The functional scale used.
Required on Indicator of R and C.
Valid Values:
C -CGAS
G –GAF
When field is required and is spaces or is not a valid value –
assign error code 087 with message ‘Functional Scale Used is
missing/invalid’
If C (CGAS) and the consumer is 18 or older on registration start
date – assign error code 208 with message ‘Consumer is 18 or
older need to submit GAF score’
If G (GAF) and the consumer is under 18 on the registration start
date – assign error code 209 – Consumer under 18 need to
submit CGAS score’
890
892
3
R
Note: Scale selection will prescribe which consumer functioning
information has been reported. If Children’s Global Assessment
Scale (CGAS) scale is used, the Child & Adolescent consumer
functioning fields are populated; if Global Assessment of
Functioning (GAF) scale is used, the Adult consumer
functioning fields are populated.
Current functioning scale score as assessed in the registration
process.
GAF/CGAS Score
Valid Values:
For CGAS: 001 – 100
For GAF – 000 – 100
893
893
1
C
Functional Scale Used
at Closing
When field is required and is spaces or is not a valid value –
assign error code 088 with message ‘GAF/CGAS Score is
missing/invalid’
If MH closing date not spaces this is required. Spaces if not
reported
Valid Values:
C –CGAS
G -GAF
If MH Closing Date is not spaces and this field is spaces or not
valid value – assign error code 132 with message ‘Functional
Scale Used at Closing is missing/invalid’
If C (CGAS) and the consumer is 18 or older on registration start
date – assign error code 208 with message ‘Consumer is 18 or
older need to submit GAF score’
If G (GAF) and the consumer is under 18 on the registration start
59
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date – assign error code 209 – Consumer under 18 need to
submit CGAS score’
894
896
3
C
GAF/CGAS Score at
Closing
When the indicator is a C (Close) the registration start date that
is used to calculate the age of the consumer is the registration
start date of the registration you are closing not the registration
start date submitted on the incoming close registration.
Current functioning scale score as assessed at the time of the
case closing process. If MH closing date not spaces this is
required. Spaces if not reported
Valid Values:
For CGAS: 001 – 100
For GAF: 000 – 100
897
897
1
N
Qualifying Exception
If MH Closing Date is not spaces and this field is spaces or not
valid value – assign error code 133 with message ‘GAF/CGAS
Score at Closing is missing/invalid’
Indicates if the consumer has a qualifying exception that would
allow registration without documented income
This field is not required and if not applicable should be left
blank
Valid Values:
1 – Consumer is age 12 up to 18 seeking services without
parental consent or knowledge
2 – Consumer is member of household liable for household debt
for medical expenses > 7.5% of annual household income
3 – Provider is unable to obtain documented/verified income
4- Williams Class Consumer
898
898
1
C
If this field is not blank or not a valid value - assign error code
210 with message ‘Qualifying Exception is invalid’
The First Presentation Diagnosis indicates if the consumer’s
primary diagnosis reported in this registration was obtained by a
psychiatrist.
First Presentation
Diagnosis
Required for indicator of R. Report blank for indicator of C or D
Valid Values:
Y - The consumer’s primary diagnosis reported in this
registration was obtained by a psychiatrist.
N - The consumer’s primary diagnosis reported in this
registration was not obtained by a psychiatrist.
If the indicator is an R and this field is not a valid value - assign
error code 211 with message ‘First Presentation Diagnosis is
missing/invalid’
899
899
1
C
First Presentation Other
Conditions
If the indictor is C or D and this field is not blank - assign error
code 212 with message ‘First Presentation Diagnosis needs to be
blank for address change and registration closing’
The First Presentation Other Conditions indicates if the
consumer has a history of autism, pervasive developmental
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disorder, mental retardation, or organic brain disease or trauma.
Required for indicator of R. Report blank for indicator of C or D
Valid Values:
Y - The consumer does not have a history of autism, pervasive
developmental disorder, mental retardation, or organic brain
disease or trauma.
N - The consumer does have a history of autism, pervasive
developmental disorder, mental retardation, or organic brain
disease or trauma.
If the indicator is an R and this field is not a valid value - assign
error code 213 with message ‘First Presentation Other Condition
is missing/invalid’
900
900
1
C
First Presentation
Medication Treatment
If the indictor is C or D and this field is not blank - assign error
code 214 with message ‘First Presentation Other Condition
needs to be blank for address change and registration closing’
The First Presentation Medication Treatment indicates if the
consumer has had more than 16 weeks of antipsychotic
medication treatment.
Required for indicator of R. Report blank for indicator of C or D
Valid Values:
Y - The consumer has not had more than 16 weeks of
antipsychotic medication treatment.
N - The consumer has had more than 16 weeks of antipsychotic
medication treatment.
If the indicator is an R and this field is not a valid value - assign
error code 215 with message ‘First Presentation Medication is
missing/invalid’
901
903
3
C
Devereaux – Protective
Factors Infants/
Toddlers
If the indictor is C or D and this field is not blank - assign error
code 216 with message ‘First Presentation Medication needs to
be blank for address change and registration closing’
The Devereaux Scale for Protective Factors for Infants/toddlers.
Required on an indicator of R or C when the consumer’s age is <
3(calculated age based on age on file as of the registration start
date – when indicator is C the registration start date is based on
the registration on file that is being closed)
Valid Values: 000 – 100
If required and is blank or not a valid value – assign error code
217 with error message ‘Protective Factors infants/toddlers
missing/invalid’
If the consumer is ≥ 3 and this field is not blank – assign error
code 218 with error message ‘Protective Factors infants/toddlers
61
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not valid for consumer 3 and over’.
904
906
3
C
Devereaux – Protective
Factors Youths
The Devereaux Scale for Protective Factors for Youths.
Required on an indicator of R or C when the consumer’s age is ≥
3 and < 5(calculated age based on age on file as of the
registration start date – when indicator is C the registration start
date is based on the registration on file that is being closed)
Valid Values: 000 – 100
If required and is blank or not a valid value – assign error code
219 with error message ‘Protective Factors Youths
missing/invalid’
907
909
3
C
Devereaux – Behavioral
Concerns
If the consumer is < 3 or ≥ 5 and this field is not blank – assign
error code 220 with error message ‘Protective Factors Youths
not valid for consumer < 3 or ≥ 5.
The Devereaux Scale for Behavioral Concerns.
Required on an indicator of R or C when the consumer’s age is ≥
3 and < 5(calculated age based on age on file as of the
registration start date – when indicator is C the registration start
date is based on the registration on file that is being closed)
Valid Values: 000 – 100
If required and is blank or not a valid value – assign error code
221 with error message ‘Behavioral Concerns is
missing/invalid’
910
910
1
R
Williams Class
Consumer Indicator
If the consumer is < 3 or ≥ 5 and this field is not blank – assign
error code 222 with error message ‘Behavioral Concerns not
valid for consumer < 3 or ≥ 5.
Indicates the consumer is being registered for the Williams Class
This is required for indicator of ‘C’ and ‘R’. Can be sent on ‘D’
but will be not be used in processing.
Valid Values:
Y = Yes
N = No
If field is not a valid value – assign error code 232 with message
‘Williams Class Indicator is missing/invalid’
If this field is ‘Y’ and provider is not contracted for Williams
Class fund – assign error code = 234’. Registration will error
and no funds will be registered.
911
917
7
O
If this field is ‘N’ and provider is contracted for Williams Class
fund – assign error code = 235. Registration will error and no
funds will be registered.
Field is required if Williams Class Consumer Indicator = Y
IMD Home Code
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If Williams Class Consumer indicator = Y and this field =
spaces, error message “Consumer is Williams Class; IMD Home
code required” Error Code = 233
If value entered is not on IMD Home Code listing below assign
error code 238 (IMD Home Code Missing/Invalid)
918
925
8
R
MH Diagnostic
Category 1
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
See Appendix A for valid MH Diagnosis Categories
If this field is required and is spaces or not a valid value – assign
error code 258 “MH Diagnostic Category 1 is missing/invalid”
If MH ICD Code 1, Description for MH ICD Code 1 and MH
Diagnostic Category 1 are not a valid combination, assign error
code 288 ‘MH ICD Code 1 is invalid for category/description
indicated’
926
933
8
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH ICD Code 1
Valid MH ICD code – Decimal should be submitted. Example:
F25.0 would be submitted as F25.0
See Appendix A for valid DSM-5 / ICD-10 MH ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 259 with message ‘MH ICD Code 1 is
missing/invalid’
If MH ICD Code 1, Description for MH ICD Code 1 and MH
Diagnostic Category 1 are not a valid combination, assign error
code 288 ‘MH ICD Code 1 is invalid for category/description
indicated’
934
941
8
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Description for MH
ICD Code 1
See Appendix A for valid Descriptions for MH ICD Codes
If this field is required and is spaces or is not a valid value –
63
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assign error code 296 ‘Description for MH ICD Code 1 is
missing/invalid’
If MH ICD Code 1, Description for MH ICD Code 1 and MH
Diagnostic Category 1 are not a valid combination, assign error
code 288 ‘MH ICD Code 1 is invalid for category/description
indicated’
942
949
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH Diagnostic
Category 2
See Appendix A for valid MH Diagnosis Categories
Required if MH ICD Code 2 or Description for MH ICD Code 2
is submitted
If this field is required and is blank or is not a valid value –
assign error code 260 “MH Diagnostic Category 2 is
missing/invalid”
If MH ICD Code 2, Description for MH ICD Code 2 and MH
Diagnostic Category 2 are not a valid combination, assign error
code 289 ‘MH ICD Code 2 is invalid for category/description
indicated’
950
957
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH ICD Code 2
Required if MH Diagnostic Category 2 or Description for MH
ICD Code 2 is submitted.
Valid MH ICD code – Decimal should be submitted. Example:
F25.0 would be submitted as F25.0
See Appendix A for valid DSM-5 / ICD-10 MH ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 261 ‘MH ICD Code 2 is missing/invalid’
If MH ICD Code 2, Description for MH ICD Code 2 and MH
Diagnostic Category 2 are not a valid combination, assign error
code 289 ‘MH ICD Code 2 is invalid for category/description
indicated’
When Registration Start Date is prior to 10/1/2015 and field is
64
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965
8
C
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Description for MH
ICD Code 2
See Appendix A for valid Descriptions for MH ICD Codes
Required if MH Diagnostic Category 2 or MH ICD Code 2 is
submitted
If this field is required and is blank or is not a valid value –
assign error code 297 ‘Description for MH ICD Code 2 is
missing/invalid’
If MH ICD Code 2, Description for MH ICD Code 2 and MH
Diagnostic Category 2 are not a valid combination, assign error
code 289 ‘MH ICD Code 2 is invalid for category/description
indicated’
966
973
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH Diagnostic
Category 3
See Appendix A for valid MH Diagnosis Categories
Required if MH ICD Code 3 or Description for MH ICD Code 3
is submitted
If this field is required and blank or not a valid value – assign
error code 262 “MH Diagnostic Category 3 is missing/invalid”
If MH ICD Code 3, Description for MH ICD Code 3 and MH
Diagnostic Category 3 are not a valid combination, assign error
code 290 ‘MH ICD Code 3 is invalid for category/description
indicated’
974
981
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH ICD Code 3
Required if MH Diagnostic Category 3 or Description for MH
ICD Code 3 is submitted.
Valid MH ICD code – Decimal should be submitted. Example:
F25.0 would be submitted as F25.0
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See Appendix A for valid DSM-5 / ICD-10 MH ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 263 “MH ICD Code 3 is missing/invalid”
If MH ICD Code 3, Description for MH ICD Code 3 and MH
Diagnostic Category 3 are not a valid combination, assign error
code 290 ‘MH ICD Code 3 is invalid for category/description
indicated’
982
989
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Description for MH
ICD Code 3
See Appendix A for valid Descriptions for MH ICD Codes
Required if MH Diagnostic Category 3 or MH ICD Code 3 is
submitted
If this field is required and is blank or is not a valid value –
assign error code 298 ‘Description for MH ICD Code 3 is
missing/invalid’
If MH ICD Code 3, Description for MH ICD Code 3 and MH
Diagnostic Category 3 are not a valid combination, assign error
code 290 ‘MH ICD Code 3 is invalid for category/description
indicated’
990
997
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH Diagnostic
Category 4
See Appendix A for valid MH Diagnosis Categories
Required if MH ICD Code 4 or Description for MH ICD Code 4
is submitted
If this field is required and is spaces or not a valid value – assign
error code 264 “MH Diagnostic Category 4 is missing/invalid”
If MH ICD Code 4, Description for MH ICD Code 4 and MH
Diagnostic Category 4 are not a valid combination, assign error
code 291 ‘MH ICD Code 4 is invalid for category/description
indicated’
When Registration Start Date is prior to 10/1/2015 and field is
66
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998
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1005
8
C
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH ICD Code 4
Required if MH Diagnostic Category 4 or Description for MH
ICD Code 4 is submitted.
Valid MH ICD code – Decimal should be submitted. Example:
F25.0 would be submitted as F25.0
See Appendix A for valid DSM-5 / ICD-10 MH ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 265 “MH ICD Code 4 is missing/invalid”
If MH ICD Code 4, Description for MH ICD Code 4 and MH
Diagnostic Category 4 are not a valid combination, assign error
code 291 ‘MH ICD Code 4 is invalid for category/description
indicated’
1006
1013
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Description for MH
ICD Code 4
See Appendix A for valid Descriptions for MH ICD Codes
Required if MH Diagnostic Category 4 or MH ICD Code 4 is
submitted
If this field is required and is blank or is not a valid value –
assign error code 299 ‘Description for MH ICD Code 4 is
missing/invalid’
If MH ICD Code 4, Description for MH ICD Code 4 and MH
Diagnostic Category 4 are not a valid combination, assign error
code 291 ‘MH ICD Code 4 is invalid for category/description
indicated’
1014
1021
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH Diagnostic
Category 5
See Appendix A for valid MH Diagnosis Categories
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Required if MH ICD Code 5 or Description for MH ICD Code 5
is submitted
If this field is required and is spaces or not a valid value – assign
error code 266 “MH Diagnostic Category 5 is missing/invalid”
If MH ICD Code 5, Description for MH ICD Code 5 and MH
Diagnostic Category 5 are not a valid combination, assign error
code 292 ‘MH ICD Code 5 is invalid for category/description
indicated’
1022
1029
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
MH ICD Code 5
Required if MH Diagnostic Category 5 or Description for MH
ICD Code 5 is submitted.
Valid MH ICD code – Decimal should be submitted. Example:
F25.0 would be submitted as F25.0
See Appendix A for valid DSM-5 / ICD-10 MH ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 267 “MH ICD Code 5 is missing/invalid”
If MH ICD Code 5, Description for MH ICD Code 5 and MH
Diagnostic Category 5 are not a valid combination, assign error
code 292 ‘MH ICD Code 5 is invalid for category/description
indicated’
1030
1037
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Description for MH
ICD Code 5
See Appendix A for valid Descriptions for MH ICD Codes
Required if MH Diagnostic Category 5 or MH ICD Code 5 is
submitted
If this field is required and is blank or is not a valid value –
assign error code 300 ‘Description for MH ICD Code 5 is
missing invalid’
If MH ICD Code 5, Description for MH ICD Code 5 and MH
Diagnostic Category 5 are not a valid combination, assign error
code 292 ‘MH ICD Code 5 is invalid for category/description
68
Beacon Health Options
02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
indicated’
1038
1045
8
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Medical Diagnostic
Category 1
See Appendix B for valid Medical Diagnosis Categories
If this field is required and is spaces or not a valid value – assign
error code 268 “Medical Diagnostic Category 1 is
missing/invalid”
If Medical ICD Code 1, Description for Medical ICD Code 1 and
Medical Diagnostic Category 1 are not a valid combination,
assign error code 293 ‘Medical ICD Code 1 is invalid for
category/description indicated’
1046
1053
8
N
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Field is optional. Valid Field When Registration Start Date is
10/1/2015 or greater. Field should not be used for Registration
Start Dates prior to 10/1/2015.
Medical ICD Code 1
Valid Medical ICD Code – Decimal should be submitted.
Example: F25.0 would be submitted as F25.0
See Appendix B for valid DSM-5 / ICD-10 Medical ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 269 “Medical ICD Code 1 is missing/invalid”
If Medical ICD Code 1, Description for Medical ICD Code 1 and
Medical Diagnostic Category 1 are not a valid combination,
assign error code 293 ‘Medical ICD Code 1 is invalid for
category/description indicated’
1054
1061
8
N
Description for Medical
ICD Code 1
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Field is optional. Valid Field When Registration Start Date is
10/1/2015 or greater. Field should not be used for Registration
Start Dates prior to 10/1/2015.
See Appendix B for valid Descriptions for Medical ICD Codes
If this field is required and is blank or is not a valid value –
assign error code 301 ‘Description for Medical ICD Code 1 is
missing invalid’
69
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02/12/16
Position
From
Lengt
h
Usage
Field name
Error Processing
To
If Medical ICD Code 1, Description for Medical ICD Code 1 and
Medical Diagnostic Category 1 are not a valid combination,
assign error code 293 ‘Medical ICD Code 1 is invalid for
category/description indicated’
1062
1069
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Medical Diagnostic
Category 2
See Appendix B for valid Medical Diagnosis Categories
Required if Medical ICD Code 2 or Description for Medical ICD
Code 2 is submitted
If this field is required and is spaces or not a valid value – assign
error code 270 “Medical Diagnostic Category 2 is
missing/invalid”
If Medical ICD Code 2, Description for Medical ICD Code 2 and
Medical Diagnostic Category 2 are not a valid combination,
assign error code 294 ‘Medical ICD Code 2 is invalid for
category/description indicated’
1070
1077
8
N
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Field is optional. Valid Field When Registration Start Date is
10/1/2015 or greater. Field should not be used for Registration
Start Dates prior to 10/1/2015.
Medical ICD Code 2
Valid Medical ICD Code – Decimal should be submitted.
Example: F25.0 would be submitted as F25.0
See Appendix B for valid DSM-5 / ICD-10 Medical ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 271 “Medical ICD Code 2 is missing/invalid”
If Medical ICD Code 2, Description for Medical ICD Code 2 and
Medical Diagnostic Category 2 are not a valid combination,
assign error code 294 ‘Medical ICD Code 2 is invalid for
category/description indicated’
1078
1085
8
N
Description for Medical
ICD Code 2
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Field is optional. Valid Field When Registration Start Date is
10/1/2015 or greater. Field should not be used for Registration
70
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
Start Dates prior to 10/1/2015.
See Appendix B for valid Descriptions for Medical ICD Codes
If this field is required and is blank or is not a valid value –
assign error code 302 ‘Description for Medical ICD Code 2 is
missing invalid’
If Medical ICD Code 2, Description for Medical ICD Code 2 and
Medical Diagnostic Category 2 are not a valid combination,
assign error code 294 ‘Medical ICD Code 2 is invalid for
category/description indicated’
1086
1093
8
C
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Medical Diagnostic
Category 3
See Appendix B for valid Medical Diagnosis Categories
Required if Medical ICD Code 3 or Description for Medical ICD
Code 3 is submitted
If this field is required and is spaces or not a valid value – assign
error code 272 “Medical Diagnostic Category 3 is
missing/invalid”
If Medical ICD Code 3, Description for Medical ICD Code 3 and
Medical Diagnostic Category 3 are not a valid combination,
assign error code 295 ‘Medical ICD Code 3 is invalid for
category/description indicated’
1094
1101
8
N
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Field is optional. Valid Field When Registration Start Date is
10/1/2015 or greater. Field should not be used for Registration
Start Dates prior to 10/1/2015.
Medical ICD Code 3
Valid Medical ICD code – Decimal should be submitted.
Example: F25.0 would be submitted as F25.0
See Appendix B for valid DSM-5 / ICD-10 Medical ICD Codes
If this field is required and is spaces or not a valid value – assign
error code 273 “Medical ICD Code 3 is missing/invalid”
If Medical ICD Code 3, Description for Medical ICD Code 3 and
Medical Diagnostic Category 3 are not a valid combination,
assign error code 295 ‘Medical ICD Code 3 is invalid for
category/description indicated’
71
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02/12/16
Position
From
1102
Lengt
h
Usage
Field name
Error Processing
To
1109
8
N
Description for Medical
ICD Code 3
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
** Field is optional. Valid Field When Registration Start Date is
10/1/2015 or greater. Field should not be used for Registration
Start Dates prior to 10/1/2015.
See Appendix B for valid Descriptions for Medical ICD Codes
If this field is required and is blank or is not a valid value –
assign error code 303 ‘Description of Medical ICD Code 3 is
missing/invalid’
If Medical ICD Code 3, Description for Medical ICD Code 3 and
Medical Diagnostic Category 3 are not a valid combination,
assign error code 295 ‘Medical ICD Code 3 is invalid for
category/description indicated’
1110
1110
1
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM5/ICD10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Social Elements:
Educational Problems
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 274 “Social Elements: Educational Problems is
missing/invalid”
1111
1111
1
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Social Elements:
Financial Problems
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 275 “Social Elements: Financial Problems is
missing/invalid”
1112
1112
1
R
Social Elements:
Problems with Access
to Healthcare Services
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 276 “Social Elements: Problems with Access to
Healthcare Services is missing invalid”
1113
1113
1
R
Social Elements:
Housing Problems (not
Homelessness)
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 277 “Social Elements: Housing Problems (not
Homelessness) is missing/invalid”
1114
1114
1
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Social Elements:
Problems Related to
Interaction w/ Legal
System/Crime
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 278 “Social Elements: Problems Related to
Interaction w/ Legal System/Crime is missing/invalid”
1115
1115
1
R
Social Elements: None
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
For future use. Until further notice, value of Y is required.
If this field is required and is spaces or not a valid value – assign
error code 279 “Social Elements: None is missing/invalid”
1116
1116
1
R
Social Elements:
Occupational Problems
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 280 “Social Elements: Occupational Problems is
missing/invalid”
1117
1117
1
R
Social Elements: Other
Psychosocial and
Environmental
Problems
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 281 “Social Elements: Other Psychosocial and
Environmental Problems is missing/invalid”
1118
1118
1
R
Social Elements:
Problem with Primary
Support Group
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 282, “Social Elements: Problem with Primary Support
Group is missing/invalid”
1119
1119
1
R
Social Elements:
Problems Related to the
Social Environment
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 283, “Social Elements: Problems Related to Social
Environment is missing/invalid”
1120
1120
1
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
Social Elements:
Unknown
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Position
From
Lengt
h
Usage
Field name
Error Processing
To
prior to 10/1/2015.
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 284 “Social Elements: Unknown is missing/invalid”
1121
1370
250
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Valid Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Other Social Element
Impacting Diagnosis
For future use. Until further notice, this field should be left
blank.
If this field does not equal spaces, assign error code 285 “Other
Social Element Impacting Diagnosis must be blank.”
1371
1371
1
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Social Elements:
Homelessness
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 286 “Social Elements: Homelessness is
missing/invalid”
1372
1372
1
R
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
**Required Field When Registration Start Date is 10/1/2015 or
greater. Field should not be used for Registration Start Dates
prior to 10/1/2015.
Social Elements:
Medical Disabilities
Impacting Diagnosis
For future use. Until further notice, value of N is required.
If this field is required and is spaces or not a valid value – assign
error code 287 “Social Elements: Medical Disabilities Impacting
Diagnosis is missing/invalid”
When Registration Start Date is prior to 10/1/2015 and field is
not equal to spaces, assign error code 257 ‘For Registration Start
Dates prior to 10/1/2015, all DSM-5 / ICD-10 fields should be
blank”
75
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IMD Home Code (IMDCDE)
HOMECODE
NF_NAME
NF_ADR
NF_CITY
NF_ZIP
NF_CNTY
EVANSTON
60202
COOK
CHICAGO
60657
COOK
6007959
ALBANY CARE
6000848
BELMONT NURSING HOME
901 MAPLE AVENUE
1936 WEST BELMONT
AVENUE
6002018
BRYN MAWR CARE
5547 NORTH KENMORE
CHICAGO
60640
COOK
6001598
CENTRAL PLAZA RESIDENTIAL H
CHICAGO
60644
COOK
6001846
CHICAGO
60614
COOK
6001994
CLAYTON RESIDENTIAL HOME
COLUMBUS MANOR RES CARE
HOME
321-27 NORTH CENTRAL
2026 NORTH CLARK
STREET
5107-21 WEST JACKSON
BOULEVARD
CHICAGO
60644
COOK
6003776
GRASMERE PLACE
4621 NORTH SHERIDAN
CHICAGO
60640
COOK
6000202
GREENWOOD CARE
1406 CHICAGO AVENUE
EVANSTON
60201
COOK
6005623
LYDIA HEALTHCARE
13901 SOUTH LYDIA
ROBBINS
60472
COOK
6005755
60610
COOK
CHICAGO
60613
COOK
CHICAGO
60607
COOK
6008734
RAINBOW BEACH CARE CENTER
1121 NORTH ORLEANS
940 WEST CULLOM
AVENUE
1400 WEST MONROE
STREET
7325 SOUTH EXCHANGE
STREET
CHICAGO
6006290
MARGARET MANOR
MARGARET MANOR - NORTH
BRANCH
MONROE PAV
HLTH/TREATMENT CTR
CHICAGO
60649
COOK
6008320
1550 SOUTH ALBANY
CHICAGO
60623
COOK
6008643
SACRED HEART HOME
SKOKIE MEADOWS NRSG
CENTER #2
4600 WEST GOLF ROAD
60076
COOK
6009385
THORNTON HEIGHTS TERRACE
60411
COOK
6010045
CHICAGO
60640
COOK
6010060
WILSON CARE
WINCREST NURSING CENTER
CORP
160 WEST 10TH STREET
4544 NORTH HAZEL
STREET
6326 NORTH WINTHROP
AVENUE
SKOKIE
CHICAGO
HEIGHTS
CHICAGO
60660
COOK
6001069
BOURBONNAIS TERRACE
133 MOHAWK DRIVE
BOURBONNAIS
60914
KANKAKEE
6004972
KANKAKEE TERRACE
100 BELLE AIRE
60914
KANKAKEE
6000038
ABBOTT HOUSE
60035
LAKE
6000764
BAYSIDE TERRACE
405 CENTRAL AVENUE
1100 SOUTH LEWIS
AVENUE
BOURBONNAIS
HIGHLAND
PARK
WAUKEGAN
60085
LAKE
6009807
LAKE PARK CENTER
919 WASHINGTON PARK
WAUKEGAN
60085
LAKE
6007363
DECATUR MANOR HEALTHCARE
DECATUR
62526
MACON
6007926
SHARON HEALTH CARE WOODS
1016 W. PERSHING RD.
3223 WEST RICHWOODS
BOULEVARD
PEORIA
61604
PEORIA
6005763
76
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For Registration Start Dates prior to 10/1/2015: The following chart crosswalks the Axis 3 Medicaid ICD-9
code to the Medical Category.
Note: Please see Appendix B – DSM-5 / ICD-10 Medical Diagnostic Categories, Codes, and Descriptions
for Registration Start Dates 10/1/2015 and beyond.
CATEGORY
Description
ICD-9 codes
NONE
No Diagnosis
ALLE
Allergies
ALZH
Alzheimer's Disease
330, 331
ANEM
Anemia
280, 281, 282
ARTH
Arthritis/Rheumatism
714, 715, 711,
ASTH
Asthma
CANC
Cancer or Leukemia
153, 174, 180, 201, 203,
208,
CARD
Cardiovascular Problems
410, 428, 440, 443,
456,424, 402, 745, 746
CHRO
COPD
CIRC
V71.09
995
493
Chronic Pain
338,780,789
Chronic Ob Pul Disease
491
Circulation problems in arms or Legs
454
DIAB
Diabetes
DISA
Disab or Phys Impair (eg Blind)
250
EMPH
Emphysema or Chronic Bronchitis
492
EPIL
Epilepsy/seizures
345
FIBR
Fibromyalgia
729
GLAU
Glaucoma
365
HIGH
High Blood Pressure (Hypertension)
HINJ
Head Injury
HIVA
HIV/AIDAS
366, 369
401
850, 851, 854
042
KIDN
Kidney Disease
586, 593,
LIVD
Liver Disease
571, 070
MIGR
Migraine Headaches
346
MSLE
Multiple Sclerosis
340
OBES
Obesity
278
PARK
Parkinson's Disease
332
PREG
Pregnancy
SKIN
Skin Disorders (severe burns, leg ulcers, etc) 692, 696, 708, 707
SPCH
Speech Impediment or Impairment
STOM
Stomach GI Problems (eg acid reflux, ulcers) 531, 535, 536, 564, 577,
558, 562, 787
STRK
Stroke/Effects of Stroke
642, 643, 646,
784
435, 436, 094
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THYR
Thyroid/ other Gland Dis
242, 244, 240, 252
URIN
Urinary or Prostate Prob
185, 595, 599, 601, 596
OTHE
Med Condition seriously impacting member's
health
354, 322, 357, 333, 455,
011, 274, 617, 218, 620,
722, 455, 724, 805, 728, 733
UNKN
Unknown
799
78
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Trailer Record
Position
From
1
Position
To
10
10
R
Trailer
Constant ‘TRAILER ‘
11
25
15
R
Record Number
Number of records submitted in this batch
excluding the trailer record – this should
be left justified, space filled
26
917
Length
892
Usage
R
Field name
Error Processing
Example: 14 records would be ’14
‘
blank
Filler
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ERROR PROCESSING
If a registration record is not accepted due to missing or invalid information the registration record will be returned
on an error file. The individual error code and description can be found in the error processing column of the file
layout.
Error Codes 001 – 011 and 152 are critical errors. When this error is encountered processing of the registration
record will cease and this error code will be the only error code for that registration record.
If no critical error is encountered during processing but there are non critical errors then all non critical error codes
and descriptions will be reported.
There are two error conditions that could be reported on either the accepted or rejected report depending on the
status of all programs. On the rejected file the error code and description will be reported. On the accepted file only
the description will be reported in the comment field.
Error
Code
153
154
Accepted File
Rejected File
If consumer was
updated with at least
one (core or special)
program but the
provider is not
contracted for a
special program that
was requested
If consumer was
updated with Juvenile
Justice or ICG but the
provider also
requested another
special program
If the consumer was
not updated for any
(core or special)
program
Description
Provider is not
contracted for
requested program
Consumer is SASS
eligible for
registration start date
If the provider did not
request Juvenile
Justice or ICG
If the requested program was not loaded due to the consumer is already in the Collaborative processing system then
the record will appear on the accepted file with the comment ‘Consumer already registered for the requested
program’.
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SUBMITTING A BATCH REGISTRATION FILE
Upload the batch registration file using the ProviderConnect application
A. Log into ProviderConnect and click the ‘EDI Homepage’ option on the left hand side of the page
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B. Click ‘Submit Batch File’
82
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C. Select the ‘BATCHREG’ form type and click ‘Next’
83
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D. Click ‘Next’
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D. Click ‘Browse’ and attach the file. Once attached click ‘Submit’
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E. The below message will display indicating that the file was submitted successfully and that the email
recipient attached to the account will receive an email with the file submission number.
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Two emails will be generated once the file has been submitted. Example emails below. Please note the submission
number that has been assigned to the batch registration as this submission number will be used on the response files.
First email:
-----Original Message----From: ets@valueoptions.com [mailto:ets@valueoptions.com]
Sent: Friday, August 29, 2008 12:35 PM
To: Provider, Illinois
Subject: EDI Submission Number
Your EDI File was successfully received from submitter 123456. The Submission ID is: 0088296061
Second Email:
-----Original Message----From: e-supportservices@valueoptions.com [mailto:e-supportservices@valueoptions.com]
Sent: Friday, August 29, 2008 12:35 PM
To: Provider, Illinois
Subject: EDI File Outcome
Your EDI File 0088296061 was successfully received from submitter 123456 and has passed initial validation.
Once it has passed any additional validation needed, it will be transferred to the backend server for processing.
Thank you for your submission!
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FILE ERRORS
There are several conditions when met will cause the entire file to be rejected.

If the file format is incorrect – error message will be ‘INVALID FILE FORMAT’

If there is no trailer record – error message will be ‘NO TRAILER RECORD’

If the trailer record position 11 is not numeric – error message will be ‘TOTAL NUMBER OF RECORDS
NOT NUMERIC’

If the number in the trailer record does not equal the number of registration records - error message will be
‘TOTAL NUMBER OF RECORDS NOT EQUAL TO TRAILER RECORD’
If any of the above conditions are met then a response file will be generated which will contain one record with the
applicable error message indicated above.
The file name will be the submission number with the first zero replaced with ‘#’ and an ‘R’ suffix.
Example:
Submission Number – 0088252927
Response file - #088252927R
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RESPONSE FILES
There could be up to three response files sent for each batch registration file if the registration file was not rejected.
The file name will be the submission number with the first zero replaced with ‘#’ and a one character suffix added.



Summary File – ‘R’ suffix (If the file was rejected this is the only response file that will be
sent for that submission)
Accepted File - ‘A’ suffix
Error File - ‘E’ suffix
Example: Submission Number – 0088252928
Summary file - #088252928R
Accepted file - #088252928A
Error file - #088252928E
The summary (‘R’) file will always be sent. The accepted and error file will be generated if there are registration
records that are being reported on those files. For example if all the records were successfully loaded and there were
no rejected records than the summary (R’) file and the accepted (’A’) file will be generated. The error (‘E’) file will
not be generated.
Summary File
The summary file will indicate if the registration record was accepted or rejected (error). The file layout will be the
input file with the following fields added to the end of each registration record.
Position
From
Position
To
Length
Field name
915
915
1
Williams Class Consumer
Indicator
916
922
7
IMD Home Code
1378
1378
1
Upload Status
1379
1379
1
Registration Status
Description
Required: Field = Y or N
Required if Williams Class Consumer
Indicator = Y
This indicates the status of this
registration record
Valid values:
0 = accepted
1 = rejected
Will only be present for records that have
an upload status of ‘0’
Valid values:
A = Approved
The Trailer record submitted will be included and 2 additional records will be added to the end of the file. One
record will report the number of accepted registrations and one record will report the number of rejected
registrations.
Position
Position
Length
Field name
Description
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From
To
1
10
10
Accepted
Will always be ‘Accepted’
11
25
15
Total
Total number of registration records
accepted in this batch submission
Position
From
1
Position
To
10
Length
Field name
Description
10
Rejected
Will always be ‘Rejected’
11
25
15
Total
Total number of registration records in
error in this batch submission
Accepted File
The accepted file will contain all registration records that were accepted.
On a transaction of an ‘R’ it will report all programs the consumer was enrolled in for that registration with the
effective and expiration date for the fund and the status of all special programs requested.
On a transaction of a ‘C’ it will report all programs the consumer registration closed with the effective and
expiration date for the fund and the status of all special programs requested.
On a transaction of a ‘D’ it will report one record with fund and the effective and expiration dates blank and the
comment – ‘Address Only Update Record submitted – Address has been updated’.
The file format will be the input file with the fields added to the end of the record to indicate the fund, effective date,
expiration date and a comment, where applicable.
The registration record will be repeated for each fund the consumer was enrolled in or closed. For example if the
consumer was enrolled in 3 funds then the registration record will be repeated 3 times.
As of 4/25/09 two new messages have been added to the accepted reports. The messages are a reminder that if an
authorization is required for the services being rendered to the consumer the authorization must be requested within
30 days of the registration. The authorization will be pre-populated with the following information from the
registration.
For Registration Start Dates prior to 10/1/2015. Note: The following fields will pre-populate on the authorization as
long as both the registration and authorization utilize DSM-IV / ICD-9.
 AXIS I Diagnosis Code 1
 AXIS I, Diagnosis Code 2
 AXIS I, Diagnosis Code 3
 AXIS II, Diagnosis Code 1
 AXIS II, Diagnosis Code 2
 AXIS II, Diagnosis Code 3
For Registration Start Dates 10/1/2015 and beyond. The following fields will pre-populate on the authorization as
long as both the registration and authorization utilize DSM-5 / ICD-10.
 MH Diagnostic Category 1
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













MH ICD Code 1
Description for MH ICD Code 1
MH Diagnostic Category 2
MH ICD Code 2
Description for MH ICD Code 2
MH Diagnostic Category 3
MH ICD Code 3
Description for MH ICD Code 3
MH Diagnostic Category 4
MH ICD Code 4
Description for MH ICD Code 4
MH Diagnostic Category 5
MH ICD Code 5
Description for MH ICD Code 5
The following fields will also pre-populate on the authorization.
 GAF Score or CGAS Score

LOCUS Results
o Risk of Harm
o Recovery Environmental – Environmental Stressors
o Recovery Environmental – Environmental Support
o Functional Status
o Co-morbidity
o Recovery And Treatment History
o Acceptance and Engagement
o LOCUS Recommended Level of Care
o Assessor Recommended Level of Care
o Composite Score


Worker Ohio Problem Severity Scale Score
Worker Ohio Functionality Scale
If any of the above information entered on the registration has changed then the consumer needs to be re-registered
so the authorization will pre-populate with the current information for the consumer.
If the consumer is being registered in the ABC fund then the following message will appear on the accepted report
in the comment field on the ABC fund record: If the consumer requires ACT or CST services an authorization needs
to be requested within 30 days.
If the consumer is being registered in the ICG or ICGC fund then the following message will appear on the accepted
report in the comment field on the ICG or ICGC fund record: Any required Authorization/Quarterly Review must be
submitted within 30 days.
Reporting of Ineligible Consumers:

When a consumer is determined to be ineligible and this is the initial registration the consumer
will be reported with no funds listed. The consumer’s eligibility status will be INEL.
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
Position
From
When a consumer is determined to be ineligible and this is a re-registration all funds from the
prior registration will be terminated one day before the re-registration start date. The consumer’s
eligibility status will be INEL.
Position
To
Length
Field name
915
915
1
Williams Class Consumer
Indicator
916
922
7
IMD Home Code
1378
1378
1
1379
1379
1
1380
1383
4
1384
1391
8
1392
1399
8
1400
1499
100
Description
Required: Field = Y or N
Required if Williams Class Consumer
Indicator = Y
This indicates the status of this
registration record
Valid values are:
0 = accepted
All records will have ‘A’.
Valid values are:
A = Approved
Upload Status
Registration Status
Core or Special Program Code
Program Code
Date on which the consumer became
eligible for the program
Date by which the consumer will need to
be re-registered if the consumer is still
receiving services
This field will indicate why a specific
program requested was not accepted.
This field will also contain a reminder
message concerning authorizations for
specific programs.
Effective Date
Expiration Date
Comment
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Error File
The error file will contain all registration records that were rejected. If there is a critical error encountered only the
critical error will be reported. If the record contains a non critical error then the all non critical errors will be
reported by repeating the registration record for each error. For example, if the record contains 3 non critical errors
then the registration record will be repeated 3 times.
The file format will be the input file with the fields added to the end of the record to indicate the error code and error
description.
Position
From
Position
To
Length
Field name
910
910
1
Williams Class Consumer
Indicator
911
917
7
IMD Home Code
Description
Required: Field = Y or N
Required if Williams Class Consumer
Indicator = Y
1378
1378
1
Upload Status
This indicates the status of this
registration record
Valid values are:
1 = rejected
1379
1379
1
Registration Status
All records will be blank.
1380
1382
3
Error Code
1383
1482
100
Error Description
A code assigned that indicates why the
record was rejected
Description of why the record was
rejected
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RETRIEVING RESPONSE FILES
The response file(s) will be sent to ProviderConnect. This will result in the email recipient receiving email
notification(s) that there are files available and ready for download.
If there was a file level error than one email will be sent. If the file was successfully loaded than up to three emails
will be sent, one for each response file for that submission.
-----Original Message----From: e-supportservices@valueoptions.com [mailto:e-supportservices@valueoptions.com]
Sent: Friday, August 08, 2008 10:55 AM
To: Provider, Illinois
Subject: File Awaiting Download
You are receiving this e-mail because a file is now ready for submitter 123456 to download from Valueoptions
#088296061R.txt. Providers may login and pick up their file from the following website:
http://www.valueoptions.com/eprovider
Clients may login and pick up their file from the following website:
http://www.valueoptions.com/eclient
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To retrieve the response files:
A. Log into the ProviderConnect application and click the ‘EDI Homepage’ option on the left hand side of
the page
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B. The response files will appear under the heading of ‘Incoming Files’. Click the hyperlink on the files
for that submission. If there is only one response file for that submission number then the entire file
was rejected. If the entire file was not rejected then there will be up to 3 response files.
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C. Click the hyperlink on the file that to download it.
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D. The below screen will appear asking if the file was downloaded successfully.
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E. If the file was downloaded successfully then click Yes then the ‘View Incoming Files’ screen will
appear. If the file did not download successfully then select no and the below screen will appear and
the download can be tried again or downloaded directly.
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APPENDIX A – DSM-5 / ICD-10 MH Diagnostic Categories, Codes, and Descriptions
* These are the values that will be entered on the Batch Registration Submission File.
MH
Diagnostic
Category *
AXDO
Long Description for MH
Diagnostic Category
Anxiety Disorders
MH ICD
Code *
F06.4
Description for
MH ICD Code
*
AXDOAMC
Long Description for MH ICD Code
Anxiety Disorder Due to Another Medical Condition
AXDO
Anxiety Disorders
F11.188
OPIADWDM
Opioid - Induced Anxiety Disorder, With mild use disorder
AXDO
Anxiety Disorders
F11.288
OPIADWMS
Opioid - Induced Anxiety Disorder, With moderate or severe use disorder
AXDO
Anxiety Disorders
F11.988
OPIADWOD
Opioid - Induced Anxiety Disorder, Without use disorder
AXDO
Anxiety Disorders
F12.180
CAIADWUM
Cannabis - Induced Anxiety Disorder, With mild use disorder
AXDO
Anxiety Disorders
F12.280
CAIADWMS
Cannabis - Induced Anxiety Disorder, With moderate or severe use disorder
AXDO
Anxiety Disorders
F12.980
CAIADWOU
Cannabis - Induced Anxiety Disorder, Without use disorder
AXDO
Anxiety Disorders
F13.180
SHAIADWM
Sedative, hypnotic, or anxiolytic - Induced Anxiety Disorder, With mild use
disorder
AXDO
Anxiety Disorders
F13.280
SHAIADMS
Sedative, hypnotic, or anxiolytic - Induced Anxiety Disorder, With moderate or
severe use disorder
AXDO
Anxiety Disorders
F13.980
SHAADWOD
Sedative, hypnotic, or anxiolytic - Induced Anxiety Disorder, Without use
disorder
AXDO
Anxiety Disorders
F16.180
OHIADWUD
Other hallucinogen - Induced Anxiety Disorder, With mild use disorder
AXDO
Anxiety Disorders
F16.180
PIADWUDM
Phencyclidine - Induced Anxiety Disorder, With mild use disorder
AXDO
Anxiety Disorders
F16.280
OHIADWMS
Other hallucinogen - Induced Anxiety Disorder, With moderate or severe use
disorder
AXDO
Anxiety Disorders
F16.280
PIADWDMS
Phencyclidine - Induced Anxiety Disorder, With moderate or severe use
disorder
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MH
Diagnostic
Category *
AXDO
Long Description for MH
Diagnostic Category
Anxiety Disorders
MH ICD
Code *
F19.180
Description for
MH ICD Code
*
OUIADUDM
AXDO
Anxiety Disorders
F19.280
OUIADWMS
Other (or unknown) substance - Induced Anxiety Disorder, With moderate or
severe use disorder
AXDO
Anxiety Disorders
F19.980
OUIADWOD
Other (or unknown) substance - Induced Anxiety Disorder, Without use
disorder
AXDO
Anxiety Disorders
F40.00
AGRPHBA
Agoraphobia
AXDO
Anxiety Disorders
F40.10
SAPDO
Social Anxiety Disorder (Social Phobia)
AXDO
Anxiety Disorders
F40.218
SPHBAM
Specific Phobia - Animal
AXDO
Anxiety Disorders
F40.228
SPHBANE
Specific Phobia - Natural Environment
AXDO
Anxiety Disorders
F40.230
SPHBAFB
Specific Phobia - Fear of Blood
AXDO
Anxiety Disorders
F40.231
SPHBAFIT
Specific Phobia - Fear of Injections and Transfusions
AXDO
Anxiety Disorders
F40.232
SPHBAFMC
Specific Phobia - Fear of Other Medical Care
AXDO
Anxiety Disorders
F40.233
SPHBAFI
Specific Phobia - Fear of Injury
AXDO
Anxiety Disorders
F40.248
SPHBAST
Specific Phobia - Situational
AXDO
Anxiety Disorders
F40.298
SPHBAOTH
Specific Phobia - Other
AXDO
Anxiety Disorders
F41.0
PNCDO
Panic Disorder
AXDO
Anxiety Disorders
F41.1
GENAXDO
Generalized Anxiety Disorder
AXDO
Anxiety Disorders
F41.8
OTSPAXDO
Other Specified Anxiety Disorder
AXDO
Anxiety Disorders
F41.9
UNSAXDO
Unspecified Anxiety Disorder
AXDO
Anxiety Disorders
F93.0
SEPAXDO
Separation Anxiety Disorder
AXDO
Anxiety Disorders
F94.0
SELMUT
Selective Mutism
BPRDO
Bipolar and Related
Disorders
F06.33
BPRDAMCM
Bipolar and Related Disorder Due to Another Medical Condition with manic
features
BPRDO
Bipolar and Related
Disorders
F06.33
BPDMCMOT
Bipolar and Related Disorder Due to Another Medical Condition with manic
features - other
Long Description for MH ICD Code
Other (or unknown) substance - Induced Anxiety Disorder, With mild use
disorder
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MH
Diagnostic
Category *
BPRDO
Long Description for MH
Diagnostic Category
Bipolar and Related
Disorders
MH ICD
Code *
F06.33
Description for
MH ICD Code
*
BPDAMCMH
BPRDO
Bipolar and Related
Disorders
F06.34
BPDAMCMX
Bipolar and Related Disorder Due to Another Medical Condition with mixed
features
BPRDO
Bipolar and Related
Disorders
F13.14
SHAIBRWD
Sedative, Hypnotic, or Anxiolytic - Induced Bipolar and Related Disorder,
With mild use disorder
BPRDO
Bipolar and Related
Disorders
F13.24
SHAIBRMS
Sedative, Hypnotic, or Anxiolytic - Induced Bipolar and Related Disorder,
With moderate or severe use disorder
BPRDO
Bipolar and Related
Disorders
F13.94
SHAIBWOD
Sedative, Hypnotic, or Anxiolytic - Induced Bipolar and Related Disorder,
Without use disorder
BPRDO
Bipolar and Related
Disorders
F16.14
OHIBRWUD
Other Hallucinogen - Induced Bipolar and Related Disorder, With mild use
disorder
BPRDO
Bipolar and Related
Disorders
F16.14
PIBRWUDM
Phencyclidine - Induced Bipolar and Related Disorder, With mild use disorder
BPRDO
Bipolar and Related
Disorders
F16.24
OHIBRDMS
Other Hallucinogen - Induced Bipolar and Related Disorder, With moderate or
severe use disorder
BPRDO
Bipolar and Related
Disorders
F16.24
PIBRWDMS
Phencyclidine - Induced Bipolar and Related Disorder, With moderate or
severe use disorder
BPRDO
Bipolar and Related
Disorders
F16.94
OHIBRWOD
Other Hallucinogen - Induced Bipolar and Related Disorder, Without use
disorder
BPRDO
Bipolar and Related
Disorders
F16.94
PIBRWOUD
Phencyclidine - Induced Bipolar and Related Disorder, Without use disorder
BPRDO
Bipolar and Related
Disorders
F19.14
OUIBRWUD
Other (or unknown) substance - Induced Bipolar and Related Disorder, With
mild use disorder
BPRDO
Bipolar and Related
Disorders
F19.24
OUIBRDMS
Other (or unknown) substance - Induced Bipolar and Related Disorder, With
moderate or severe use disorder
Long Description for MH ICD Code
Bipolar and Related Disorder Due to Another Medical Condition with manic or
hypomanic-like episode
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MH
Diagnostic
Category *
BPRDO
Long Description for MH
Diagnostic Category
Bipolar and Related
Disorders
MH ICD
Code *
F19.94
Description for
MH ICD Code
*
OUIBRWOD
BPRDO
Bipolar and Related
Disorders
F31.0
BP1CREH
Bipolar I Disorder Current or most recent episode hypomanic
BPRDO
Bipolar and Related
Disorders
F31.11
BP1CREMM
Bipolar I Disorder Current or most recent episode manic - Mild
BPRDO
Bipolar and Related
Disorders
F31.12
BP1CREMD
Bipolar I Disorder Current or most recent episode manic - Moderate
BPRDO
Bipolar and Related
Disorders
F31.13
BP1CREMS
Bipolar I Disorder Current or most recent episode manic - Severe
BPRDO
Bipolar and Related
Disorders
F31.2
BP1REMPF
Bipolar I Disorder Current or most recent episode manic - with Psychotic
Features
BPRDO
Bipolar and Related
Disorders
F31.31
BP1CREDM
Bipolar I Disorder Current or most recent episode depressed - Mild
BPRDO
Bipolar and Related
Disorders
F31.32
BP1REDMD
Bipolar I Disorder Current or most recent episode depressed - Moderate
BPRDO
Bipolar and Related
Disorders
F31.4
BP1CREDS
Bipolar I Disorder Current or most recent episode depressed - Severe
BPRDO
Bipolar and Related
Disorders
F31.5
BP1REDPF
Bipolar I Disorder Current or most recent episode depressed - with Psychotic
Features
BPRDO
Bipolar and Related
Disorders
F31.71
BP1REHPR
Bipolar I Disorder Current or most recent episode hypomanic - in partial
remission
BPRDO
Bipolar and Related
Disorders
F31.73
BP1REMPR
Bipolar I Disorder Current or most recent episode manic - In Partial Remission
BPRDO
Bipolar and Related
Disorders
F31.72
BP1REHFR
Bipolar I Disorder Current or most recent episode hypomanic - in full remission
Long Description for MH ICD Code
Other (or unknown) substance - Induced Bipolar and Related Disorder, Without
use disorder
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MH
Diagnostic
Category *
BPRDO
Long Description for MH
Diagnostic Category
Bipolar and Related
Disorders
MH ICD
Code *
F31.74
Description for
MH ICD Code
*
BP1REMFR
BPRDO
Bipolar and Related
Disorders
F31.75
BP1REDPR
Bipolar I Disorder Current or most recent episode depressed - In Partial
Remission
BPRDO
Bipolar and Related
Disorders
F31.76
BP1REDFR
Bipolar I Disorder Current or most recent episode depressed - In Full
Remission
BPRDO
Bipolar and Related
Disorders
F31.81
BP2DO
Bipolar II Disorder
BPRDO
Bipolar and Related
Disorders
F31.89
OTSBPRDO
Other Specified Bipolar and Related Disorder
BPRDO
Bipolar and Related
Disorders
F31.9
BP1CREDU
Bipolar I Disorder Current or most recent episode depressed - Unspecified
BPRDO
Bipolar and Related
Disorders
F31.9
BP1CREHU
Bipolar I Disorder Current or most recent episode hypomanic - unspecified
BPRDO
Bipolar and Related
Disorders
F31.9
BP1CREMU
Bipolar I Disorder Current or most recent episode manic - Unspecified
BPRDO
Bipolar and Related
Disorders
F31.9
BP1CREUS
Bipolar I Disorder Current or most recent episode unspecified
BPRDO
Bipolar and Related
Disorders
F31.9
UNSBPRDO
Unspecified Bipolar and Related Disorder
BPRDO
Bipolar and Related
Disorders
F34.0
CYCTDO
Cyclothymic Disorder
DPDO
Depressive Disorders
F06.31
DPDAMCDF
Depressive Disorder Due to Another Medical Condition with Depressive
Features
DPDO
Depressive Disorders
F06.32
DPDAMCMD
Depressive Disorder Due to Another Medical Condition with Major
Depressive-like episode
Long Description for MH ICD Code
Bipolar I Disorder Current or most recent episode-manic - In Full Remission
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MH
Diagnostic
Category *
DPDO
Long Description for MH
Diagnostic Category
Depressive Disorders
MH ICD
Code *
F06.34
Description for
MH ICD Code
*
DPDAMCMF
Long Description for MH ICD Code
Depressive Disorder Due to Another Medical Condition with Mixed Features
DPDO
Depressive Disorders
F10.14
AIDDWUDM
Alcohol - Induced Depressive Disorder, With mild use disorder
DPDO
Depressive Disorders
F10.24
AIDDWDMS
Alcohol - Induced Depressive Disorder, With moderate or severe use disorder
DPDO
Depressive Disorders
F10.94
AIDDWOUD
Alcohol - Induced Depressive Disorder, Without use disorder
DPDO
Depressive Disorders
F11.14
OIDDWUDM
Opioid - Induced Depressive Disorder, With mild use disorder
DPDO
Depressive Disorders
F11.24
OIDDWDMS
Opioid - Induced Depressive Disorder, With moderate or severe use disorder
DPDO
Depressive Disorders
F11.94
OIDDWOUD
Opioid - Induced Depressive Disorder, Without use disorder
DPDO
Depressive Disorders
F13.14
SHAIDDWD
Sedative, hypnotic, or anxiolytic - Induced Depressive Disorder, With mild use
disorder
DPDO
Depressive Disorders
F13.24
SHAIDDMS
Sedative, hypnotic, or anxiolytic - Induced Depressive Disorder, With moderate
or severe use disorder
DPDO
Depressive Disorders
F13.94
SHADDWOD
Sedative, hypnotic, or anxiolytic - Induced Depressive Disorder, Without use
disorder
DPDO
Depressive Disorders
F16.14
OHIDDWUD
Other hallucinogen - Induced Depressive Disorder, With mild use disorder
DPDO
Depressive Disorders
F16.14
PIDDWUDM
Phencyclidine - Induced Depressive Disorder, With mild use disorder
DPDO
Depressive Disorders
F16.24
OHDDWDMS
Other hallucinogen - Induced Depressive Disorder, With moderate or severe
use disorder
DPDO
Depressive Disorders
F16.24
PIDDWDMS
Phencyclidine - Induced Depressive Disorder, With moderate or severe use
disorder
DPDO
Depressive Disorders
F16.94
OHIDDWOD
Other hallucinogen - Induced Depressive Disorder, Without use disorder
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MH
Diagnostic
Category *
DPDO
Long Description for MH
Diagnostic Category
Depressive Disorders
MH ICD
Code *
F19.14
Description for
MH ICD Code
*
OUIDDWUD
DPDO
Depressive Disorders
F19.24
OUDDWDMS
Other (or unknown) substance - Induced Depressive Disorder, With moderate
or severe use disorder
DPDO
Depressive Disorders
F19.94
OUIDDWOD
Other (or unknown) substance - Induced Depressive Disorder, Without use
disorder
DPDO
Depressive Disorders
F32.0
MDDSEM
Major Depressive Disorder, Single Episode -Mild
DPDO
Depressive Disorders
F32.1
MDDSEMOD
Major Depressive Disorder, Single Episode -Moderate
DPDO
Depressive Disorders
F32.2
MDDSES
Major Depressive Disorder, Single Episode -Severe
DPDO
Depressive Disorders
F32.3
MDDSEPF
Major Depressive Disorder, Single Episode -with Psychotic Features
DPDO
Depressive Disorders
F32.4
MDDSEPR
Major Depressive Disorder, Single Episode -in Partial Remission
DPDO
Depressive Disorders
F32.5
MDDSEFR
Major Depressive Disorder, Single Episode -in Full Remission
DPDO
Depressive Disorders
F32.8
OTSDPDO
Other Specified Depressive Disorder
DPDO
Depressive Disorders
F32.9
MDDSEUNS
Major Depressive Disorder, Single Episode -Unspecified
DPDO
Depressive Disorders
F32.9
UNSDPDO
Unspecified Depressive Disorder
DPDO
Depressive Disorders
F33.0
MDDREM
Major Depressive Disorder, Recurrent Episode -Mild
DPDO
Depressive Disorders
F33.1
MDDREMOD
Major Depressive Disorder, Recurrent Episode -Moderate
DPDO
Depressive Disorders
F33.2
MDDRES
Major Depressive Disorder, Recurrent Episode -Severe
DPDO
Depressive Disorders
F33.3
MDDREPF
Major Depressive Disorder, Recurrent Episode -with Psychotic Features
DPDO
Depressive Disorders
F33.41
MDDREPR
Major Depressive Disorder, Recurrent Episode -in Partial Remission
DPDO
Depressive Disorders
F33.42
MDDREFR
Major Depressive Disorder, Recurrent Episode -in Full Remission
DPDO
Depressive Disorders
F33.9
MDDREUNS
Major Depressive Disorder, Recurrent Episode -Unspecified
DPDO
Depressive Disorders
F34.1
PRSDPDO
Persistent Depressive Disorder (Dysthymia)
DPDO
Depressive Disorders
F34.8
DMDRGDO
Disruptive Mood Dysregulation Disorder
DPDO
Depressive Disorders
N94.3
PMSDPDO
Premenstrual Dysphoric Disorder
Long Description for MH ICD Code
Other (or unknown) substance - Induced Depressive Disorder, With mild use
disorder
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MH
Diagnostic
Category *
DICCDO
Long Description for MH
Diagnostic Category
Disruptive, Impulse-Control,
and Conduct Disorders
MH ICD
Code *
F60.2
Description for
MH ICD Code
*
ASPRSDO
Long Description for MH ICD Code
Antisocial Personality Disorder
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F63.1
PYRMNA
Pyromania
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F63.2
KLPMNA
Kleptomania
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F63.81
INTEXPDO
Intermittent Explosive Disorder
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F91.1
CDOCHLTP
Conduct Disorder - Childhood-onset Type
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F91.2
CDOADLTP
Conduct Disorder - Adolescent-onset Type
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F91.3
OPDFDO
Oppositional Defiant Disorder
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F91.8
OTSDICCD
Other Specified Disruptive, Impulse-Control, and Conduct Disorder
107
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MH
Diagnostic
Category *
DICCDO
Long Description for MH
Diagnostic Category
Disruptive, Impulse-Control,
and Conduct Disorders
MH ICD
Code *
F91.9
Description for
MH ICD Code
*
DICCDOTH
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F91.9
CDOUNSO
Conduct Disorder - Unspecified Onset
DICCDO
Disruptive, Impulse-Control,
and Conduct Disorders
F91.9
UNSDICCD
Unspecified Disruptive, Impulse-Control, and Conduct Disorder
DISDO
Dissociative Disorders
F44.0
DISAMN
Dissociative Amnesia
DISDO
Dissociative Disorders
F44.1
DISAMNDF
Dissociative Amnesia WITH Dissociative Fugue
DISDO
Dissociative Disorders
F44.81
DISIDO
Dissociative Identity Disorder
DISDO
Dissociative Disorders
F44.89
OTSDSDO
Other Specified Dissociative Disorder
DISDO
Dissociative Disorders
F44.9
UNSDSDO
Unspecified Dissociative Disorder
DISDO
Dissociative Disorders
F48.1
DPRSDO
Depersonalization/Derealization Disorder
ELMDO
Elimination Disorders
F98.0
ENRSIS
Enuresis
ELMDO
Elimination Disorders
F98.1
ENCOPRS
Encopresis
ELMDO
Elimination Disorders
N39.498
OTSEDOUS
Other Specified Elimination Disorder with Urinary Symptoms
ELMDO
Elimination Disorders
R15.9
OTSEDOFS
Other Specified Elimination Disorder with Fecal Symptoms
ELMDO
Elimination Disorders
R15.9
UNSEDOFS
Unspecified Elimination Disorder with Fecal Symptoms
ELMDO
Elimination Disorders
R32
UNSEDOUS
Unspecified Elimination Disorder with Urinary Symptoms
FDETDO
Feeding and Eating
Disorders
F50.01
ANRNREST
Anorexia Nervosa - Restricting Type
FDETDO
Feeding and Eating
Disorders
F50.02
ANRNBEPT
Anorexia Nervosa - Binge-eating/Purging Type
Long Description for MH ICD Code
Disruptive, Impulse-Control, and Conduct Disorders - other (SAME wording &
code as line 246)
108
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MH
Diagnostic
Category *
FDETDO
Long Description for MH
Diagnostic Category
Feeding and Eating
Disorders
MH ICD
Code *
F50.2
Description for
MH ICD Code
*
BLMNVSA
Bulimia Nervosa
FDETDO
Feeding and Eating
Disorders
F50.8
BNGETDO
Binge-Eating Disorder
FDETDO
Feeding and Eating
Disorders
F50.8
AVRFIDO
Avoidant/Restrictive Food Intake Disorder
FDETDO
Feeding and Eating
Disorders
F50.8
OTSFEDO
Other Specified Feeding or Eating Disorder
FDETDO
Feeding and Eating
Disorders
F50.8
PCADL
Pica in adults
FDETDO
Feeding and Eating
Disorders
F50.9
UNSFEDO
Unspecified Feeding or Eating Disorder
FDETDO
Feeding and Eating
Disorders
F98.21
RUMNDO
Rumination Disorder
FDETDO
Feeding and Eating
Disorders
F98.3
PCACHL
Pica in Children
GDDO
Gender Dysphoria
F64.1
GNDYSPRA
Gender Dysphoria
GDDO
Gender Dysphoria
F64.1
GDYSADL
Gender Dysphoria in Adolescents and Adults
GDDO
Gender Dysphoria
F64.2
GDYSCHL
Gender Dysphoria in Children
GDDO
Gender Dysphoria
F64.8
OTSGDYS
Other Specified Gender Dysphoria
GDDO
Gender Dysphoria
F64.9
UNSGDYS
Unspecified Gender Dysphoria
HRDO
Hallucinogen-Related
Disorders
F16.10
OHUDM
Other Hallucinogen Use Disorder - Mild
HRDO
Hallucinogen-Related
Disorders
F16.10
PCUDM
Phencyclidine Use Disorder - Mild
Long Description for MH ICD Code
109
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MH
Diagnostic
Category *
HRDO
Long Description for MH
Diagnostic Category
Hallucinogen-Related
Disorders
MH ICD
Code *
F16.129
Description for
MH ICD Code
*
OHIUDM
Long Description for MH ICD Code
Other Hallucinogen Intoxication with Use Disorder, Mild
HRDO
Hallucinogen-Related
Disorders
F16.129
PHIUDM
Phencyclidine Intoxication with Use Disorder, Mild
HRDO
Hallucinogen-Related
Disorders
F16.20
OHUDMD
Other Hallucinogen Use Disorder - Moderate
HRDO
Hallucinogen-Related
Disorders
F16.20
OHUDSV
Other Hallucinogen Use Disorder - Severe
HRDO
Hallucinogen-Related
Disorders
F16.20
PCUDMD
Phencyclidine Use Disorder - Moderate
HRDO
Hallucinogen-Related
Disorders
F16.20
PCUDSV
Phencyclidine Use Disorder - Severe
HRDO
Hallucinogen-Related
Disorders
F16.229
OHIUDMS
Other Hallucinogen Intoxication with Use Disorder, Moderate or Severe
HRDO
Hallucinogen-Related
Disorders
F16.229
PHIUDMS
Phencyclidine Intoxication with Use Disorder, Moderate or Severe
HRDO
Hallucinogen-Related
Disorders
F16.929
OHIWOUD
Other Hallucinogen Intoxication without Use Disorder
HRDO
Hallucinogen-Related
Disorders
F16.929
PHIWOUD
Phencyclidine Intoxication without Use Disorder
HRDO
Hallucinogen-Related
Disorders
F16.94
PIDDWOUD
Phencyclidine - Induced Depressive Disorder, Without use disorder
HRDO
Hallucinogen-Related
Disorders
F16.959
OHIPDWOD
Other Hallucinogen-Induced Psychotic Disorder, Without use disorder
HRDO
Hallucinogen-Related
Disorders
F16.959
PIPDWOUD
Phencyclidine-Induced Psychotic Disorder, Without use disorder
110
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MH
Diagnostic
Category *
HRDO
Long Description for MH
Diagnostic Category
Hallucinogen-Related
Disorders
MH ICD
Code *
F16.980
Description for
MH ICD Code
*
OHIADWOD
Long Description for MH ICD Code
Other hallucinogen - Induced Anxiety Disorder, Without use disorder
HRDO
Hallucinogen-Related
Disorders
F16.980
PIADWOUD
Phencyclidine - Induced Anxiety Disorder, Without use disorder
HRDO
Hallucinogen-Related
Disorders
F16.983
HPPDO
Hallucinogen Persisting Perception Disorder
HRDO
Hallucinogen-Related
Disorders
F16.99
UNSHRDO
Unspecified Hallucinogen-Related Disorder
HRDO
Hallucinogen-Related
Disorders
F16.99
UNSPRDO
Unspecified Phencyclidine-Related Disorder
IRDO
Inhalant-Related Disorders
F18.10
INHUDM
Inhalant Use Disorder - Mild
IRDO
Inhalant-Related Disorders
F18.121
IHIDWUDM
Inhalant Intoxication Delirium, With mild use disorder
IRDO
Inhalant-Related Disorders
F18.129
IHIUDM
Inhalant Intoxication with Use Disorder, Mild
IRDO
Inhalant-Related Disorders
F18.14
IIDDWUDM
Inhalant - Induced Depressive Disorder, With mild use disorder
IRDO
Inhalant-Related Disorders
F18.159
IIPDWUDM
Inhalant-Induced Psychotic Disorder, With mild use disorder
IRDO
Inhalant-Related Disorders
F18.17
IMJNDWDM
Inhalant - Induced major neurocognitive disorder, With mild use disorder
IRDO
Inhalant-Related Disorders
F18.180
IIADWUDM
Inhalant - Induced Anxiety Disorder, With mild use disorder
IRDO
Inhalant-Related Disorders
F18.188
IMNDWUDM
Inhalant - Induced mild neurocognitive disorder, With mild use disorder
111
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MH
Diagnostic
Category *
IRDO
Long Description for MH
Diagnostic Category
Inhalant-Related Disorders
MH ICD
Code *
F18.20
Description for
MH ICD Code
*
INHUDMD
Long Description for MH ICD Code
Inhalant Use Disorder - Moderate
IRDO
Inhalant-Related Disorders
F18.20
INHUDSV
Inhalant Use Disorder - Severe
IRDO
Inhalant-Related Disorders
F18.221
IIDWUDMS
Inhalant Intoxication Delirium, With moderate or severe use disorder
IRDO
Inhalant-Related Disorders
F18.229
IHIUDMS
Inhalant Intoxication with Use Disorder, Moderate or Severe
IRDO
Inhalant-Related Disorders
F18.24
IIDDUDMS
Inhalant - Induced Depressive Disorder, With moderate or severe use disorder
IRDO
Inhalant-Related Disorders
F18.259
IIPDIDMS
Inhalant-Induced Psychotic Disorder, With moderate or severe use disorder
IRDO
Inhalant-Related Disorders
F18.27
IMJNUDMS
Inhalant - Induced major neurocognitive disorder, With moderate or severe use
disorder
IRDO
Inhalant-Related Disorders
F18.280
IIADUDMS
Inhalant - Induced Anxiety Disorder, With moderate or severe use disorder
IRDO
Inhalant-Related Disorders
F18.288
IMNDUDMS
Inhalant - Induced mild neurocognitive disorder, With moderate or severe use
disorder
IRDO
Inhalant-Related Disorders
F18.921
IHIDWOUD
Inhalant Intoxication Delirium, Without use disorder
IRDO
Inhalant-Related Disorders
F18.929
IHIWOUD
Inhalant Intoxication without Use Disorder
IRDO
Inhalant-Related Disorders
F18.94
IIDDWOUD
Inhalant - Induced Depressive Disorder, Without use disorder
IRDO
Inhalant-Related Disorders
F18.959
IIPDWOUD
Inhalant-Induced Psychotic Disorder, Without use disorder
112
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MH
Diagnostic
Category *
IRDO
Long Description for MH
Diagnostic Category
Inhalant-Related Disorders
MH ICD
Code *
F18.97
Description for
MH ICD Code
*
IMJNWOUD
Long Description for MH ICD Code
Inhalant -Induced major neurocognitive disorder, Without use disorder
IRDO
Inhalant-Related Disorders
F18.980
IIADWOUD
Inhalant - Induced Anxiety Disorder, Without use disorder
IRDO
Inhalant-Related Disorders
F18.988
IMNDWOUD
Inhalant -Induced mild neurocognitive disorder, Without use disorder
IRDO
Inhalant-Related Disorders
F18.99
UNSIRDO
Unspecified Inhalant-Related Disorder
IDDO
Intellectual Disabilities
F70
INTDISBM
Intellectual Disability (Intellectual Developmental Disorder) - Mild
IDDO
Intellectual Disabilities
F71
INTDISMD
Intellectual Disability (Intellectual Developmental Disorder) - Moderate
IDDO
Intellectual Disabilities
F72
INTDISV
Intellectual Disability (Intellectual Developmental Disorder) - Severe
IDDO
Intellectual Disabilities
F73
INTDISBP
Intellectual Disability (Intellectual Developmental Disorder) - Profound
IDDO
Intellectual Disabilities
F79
UNSINDIS
Unspecified Intellectual Disability (Intellectual Developmental Disorder)
IDDO
Intellectual Disabilities
F88
GDEVDEL
Global Developmental Delay
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
E66.9
NMTOO
Nonadherence to Medical Treatment -Overweight or Obesity
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G21.0
NRMLSYND
Neuroleptic Malignant Syndrome
113
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MH
Diagnostic
Category *
MIMDO
Long Description for MH
Diagnostic Category
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
MH ICD
Code *
G21.11
Description for
MH ICD Code
*
NRIPKSN
Long Description for MH ICD Code
Neuroleptic-Induced Parkinsonism
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G21.19
OMIPKSN
Other Medication-Induced Parkinsonism
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G24.01
TRDYSNIA
Tardive Dyskinesia
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G24.02
MEDIACDS
Medication-Induced Acute Dystonia
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G24.09
TRDYSNA
Tardive Dystonia
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G25.1
MEDIPSTR
Medication-Induced Postural Tremor
114
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MH
Diagnostic
Category *
MIMDO
Long Description for MH
Diagnostic Category
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
MH ICD
Code *
G25.71
Description for
MH ICD Code
*
MDIAKSA
Long Description for MH ICD Code
Medication-Induced Acute Akathisia
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G25.71
MDIAATA
Medication-Induced Acute Akathisia/Tardive Akathisia
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G25.71
TRDAKSA
Tardive Akathisia
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
G25.79
OMDIMVDO
Other Medication-Induced Movement Disorder
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
T43.205A
ADPDSIE
Antidepressant Discontinuation Syndrome - Initial Encounter
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
T43.205D
ADPDSSE
Antidepressant Discontinuation Syndrome - Subsequent Encounter
115
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MH
Diagnostic
Category *
MIMDO
Long Description for MH
Diagnostic Category
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
MH ICD
Code *
T43.205S
Description for
MH ICD Code
*
ADPDSEQ
Long Description for MH ICD Code
Antidepressant Discontinuation Syndrome - Sequelae
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
T50.905A
OAEMIE
Other Adverse Effect of Medication - Initial Encounter
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
T50.905D
OAEMSE
Other Adverse Effect of Medication - Subsequent Encounter
MIMDO
Medication-Induced
Movement Disorders and
Other Adverse Effects of
Medication
T50.905S
OAEMSEQ
Other Adverse Effect of Medication - Sequelae
MDOMC
Mood Disorder due to
Medical Condition
F06.34
MDAMCMF
Mood Disorder Due to Another Medical Condition with mixed features
NCDO
Neurocognitive Disorders
A81.9
PRNDISE
Prion disease
NCDO
Neurocognitive Disorders
F01.50
VNCDO
Probable Major Vascular Neurocognitive Disorder without Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F01.51
NCDWBD
Probable Major Vascular Neurocognitive Disorder with Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.80
MNDOWOBD
Major Neurocognitive Disorder - other, Due to other without behavioral
disturbance
116
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MH
Diagnostic
Category *
NCDO
Long Description for MH
Diagnostic Category
Neurocognitive Disorders
MH ICD
Code *
F02.80
Description for
MH ICD Code
*
NAMCWOBD
NCDO
Neurocognitive Disorders
F02.80
NHIVWOBD
Major Neurocognitive Disorder Due to HIV Infection without Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.80
NDHDWOBD
Major Neurocognitive Disorder Due to Huntington's Disease without
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.80
NDMEWOBD
Major Neurocognitive Disorder Due to Multiple Etiologies without Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.80
NDPDWOBD
Major Neurocognitive Disorder Due to Prion Disease without Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.80
NTBIWOBD
Major Neurocognitive Disorder Due to Traumatic Brain Injury without
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.80
NPKDWOBD
Major Neurocognitive Disorder Probably Due to Parkinson's Disease without
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.80
NDLBWOBD
Probable Major Neurocognitive Disorder With Lewy Bodies without
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.80
NALZWOBD
Probable Major Neurocognitive Disorder Due to Alzheimer's Disease without
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.80
NFLDWOBD
Probable Major Neurocognitive Disorder Due to Frontotemporal Lobar
Degeneration without Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.81
MNCDOWBD
Major Neurocognitive Disorder - other, Due to other, with behavioral
disturbance
NCDO
Neurocognitive Disorders
F02.81
NDAMCWBD
Major Neurocognitive Disorder Due to Another Medical Condition with
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDHIVWBD
Major Neurocognitive Disorder Due to HIV Infection with Behavioral
Disturbance
Long Description for MH ICD Code
Major Neurocognitive Disorder Due to Another Medical Condition without
Behavioral Disturbance
117
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MH
Diagnostic
Category *
NCDO
Long Description for MH
Diagnostic Category
Neurocognitive Disorders
MH ICD
Code *
F02.81
Description for
MH ICD Code
*
NDHDWBD
NCDO
Neurocognitive Disorders
F02.81
NDMEWBD
Major Neurocognitive Disorder Due to Multiple Etiologies with Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDPDWBD
Major Neurocognitive Disorder Due to Prion Disease with Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDTBIWBD
Major Neurocognitive Disorder Due to Traumatic Brain Injury with Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDPKDWBD
Major Neurocognitive Disorder Probably Due to Parkinson's Disease with
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDLBWBD
Probable Major Neurocognitive Disorder With Lewy Bodies with Behavioral
Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDALZWBD
Probable Major Neurocognitive Disorder Due to Alzheimer's Disease with
Behavioral Disturbance
NCDO
Neurocognitive Disorders
F02.81
NDFLDWBD
Probable Major Neurocognitive Disorder Due to Frontotemporal Lobar
Degeneration with Behavioral Disturbance
NCDO
Neurocognitive Disorders
F05
DELAMC
Delirium due to another Medical condition
NCDO
Neurocognitive Disorders
F05
DELAMCOT
Delirium due to another Medical condition - other
NCDO
Neurocognitive Disorders
F05
DELMET
Delirium due to multiple etiologies
NCDO
Neurocognitive Disorders
F10.121
ALIDWUDM
Alcohol Intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F10.221
AIDWUDMS
Alcohol Intoxication Delirium, With moderate or severe use disorder
NCDO
Neurocognitive Disorders
F10.231
ALWDDEL
Alcohol withdrawal delirium
NCDO
Neurocognitive Disorders
F10.26
AMNDACMS
Alcohol induced major neurocognitive disorder, amnestic-confabulatory type,
with moderate or severe use disorder
NCDO
Neurocognitive Disorders
F10.27
AMNNCTUD
Alcohol induced major neurocognitive disorder, Nonamnestic-confabulatory
type, with moderate or severe use disorder
Long Description for MH ICD Code
Major Neurocognitive Disorder Due to Huntington's Disease with Behavioral
Disturbance
118
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MH
Diagnostic
Category *
NCDO
Long Description for MH
Diagnostic Category
Neurocognitive Disorders
MH ICD
Code *
F10.288
Description for
MH ICD Code
*
AMNDUDMS
NCDO
Neurocognitive Disorders
F10.921
ALIDWOUD
Alcohol Induced Delirium, Without use disorder
NCDO
Neurocognitive Disorders
F10.96
AMNACWOD
Alcohol -Induced major neurocognitive disorder, amnestic-confabulatory type,
without use disorder
NCDO
Neurocognitive Disorders
F10.97
AMNNCWOD
Alcohol - Induced major neurocognitive disorder, nonamnestic-confabulatory
type, without use disorder
NCDO
Neurocognitive Disorders
F10.988
OIDEWUDM
Alcohol - Induced mild neurocognitive disorder, Without use disorder
NCDO
Neurocognitive Disorders
F11.121
AIDEWUDM
Opioid intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F11.221
OIDWUDMS
Opioid Intoxicatin Delirium, With moderate or severe use disorder
NCDO
Neurocognitive Disorders
F11.921
OPMIDEL
Opioid -induced delirium
NCDO
Neurocognitive Disorders
F11.921
OIDEWOUD
Opioid Intoxication Delirium, Without use disorder
NCDO
Neurocognitive Disorders
F12.121
CIDEWUDM
Cannabis Intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F12.221
CIDWUDMS
Cannabis Intoxication Delirium, With moderate or severe use disorder
NCDO
Neurocognitive Disorders
F12.921
CIDEWOUD
Cannabis Intoxication Delirium, Without use disorder
NCDO
Neurocognitive Disorders
F13.121
SHAIDWUD
Sedative, hypnotic, or anxiolytic Intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F13.221
SHAIDEMS
Sedative, hypnotic, or anxiolytic Intoxication Delirium, With moderate or
severe use disorder
NCDO
Neurocognitive Disorders
F13.231
SHAWDEL
Sedative, hypnotic, or anxiolytic withdrawal delirium
NCDO
Neurocognitive Disorders
F13.27
SHAMJDMS
Sedative, hypnotic, or anxiolytic -induced major neurocognitive disorder, With
moderate or severe use disorder
NCDO
Neurocognitive Disorders
F13.288
SHAMNDMS
Sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder, With
moderate or severe use disorder
NCDO
Neurocognitive Disorders
F13.921
SHAMIDEL
Sedative, hypnotic, or anxiolytic -induced delirium
Long Description for MH ICD Code
Alcohol - Induced mild neurocognitive disorder, With moderate or severe use
disorder
119
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MH
Diagnostic
Category *
NCDO
Long Description for MH
Diagnostic Category
Neurocognitive Disorders
MH ICD
Code *
F13.921
Description for
MH ICD Code
*
SHAIDWOD
NCDO
Neurocognitive Disorders
F13.97
SHAMJWOD
Sedative, hypnotic, or anxiolytic-induced major neurocognitive disorder,
Without use disorder
NCDO
Neurocognitive Disorders
F13.988
SHAMNWOD
Sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder,
Without use disorder
NCDO
Neurocognitive Disorders
F16.121
OHIDWUDM
Other hallucinogen intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F16.121
PHIDWUDM
Phencyclidine Intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F16.221
OHIDWUMS
Other hallucinogen Intoxicatin Delirium, With moderate or severe use disorder
NCDO
Neurocognitive Disorders
F16.221
PIDWIDMS
Phencyclidine Intoication Delirium, With moderate or severe use disorder
NCDO
Neurocognitive Disorders
F16.921
OHIDWOUD
Other hallucinogen Intoxication Delirium, Without use disorder
NCDO
Neurocognitive Disorders
F16.921
PHIDWOUD
Phencyclidine Intoxication Delirium, Without use disorder
NCDO
Neurocognitive Disorders
F19.121
OUSIDUDM
Other (or unknown) substance Intoxication Delirium, With mild use disorder
NCDO
Neurocognitive Disorders
F19.17
OUSMNUDM
Other (or unknown) substance induced major neurocognitive disorder, With
mild use disorder
NCDO
Neurocognitive Disorders
F19.188
OUSMNDUD
Other (or unknown) substance - induced mild neurocognitive disorder, With
mild use disorder
NCDO
Neurocognitive Disorders
F19.221
OUSIDUMS
Other (or unknown) substance Induced Delirium, With moderate or severe use
disorder
NCDO
Neurocognitive Disorders
F19.231
OUSMWDEL
Other (or unknown) substance withdrawal delirium
NCDO
Neurocognitive Disorders
F19.27
OUSMNWUD
Other (or unknown) substance - induced major neurocognitive disorder) With
moderate or severe use disorder
Long Description for MH ICD Code
Sedative, hypnotic, or anxiolytic Intoxication Delirium, Without use disorder
120
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02/12/16
MH
Diagnostic
Category *
NCDO
Long Description for MH
Diagnostic Category
Neurocognitive Disorders
MH ICD
Code *
F19.288
Description for
MH ICD Code
*
OUSMNDMS
NCDO
Neurocognitive Disorders
F19.921
UNKMIDEL
Other (or unknown) substance intoxication Delirium, Without use disorder
NCDO
Neurocognitive Disorders
F19.97
OUSMJWOD
Other (or unknown) substance-induced major neurocognitive disorder, Without
use disorder
NCDO
Neurocognitive Disorders
F19.988
OUSMNWOD
Other (or unknown) substance (mild neurocognitive disorder) Without use
disorder
NCDO
Neurocognitive Disorders
G31.84
MINCDALZ
Mild Neurocognitive Disorder Due to Alzheimer's Disease
NCDO
Neurocognitive Disorders
G31.84
MINCDAMC
Mild Neurocognitive Disorder Due to Another Medical Condition
NCDO
Neurocognitive Disorders
G31.84
MINCDFLD
Mild Neurocognitive Disorder Due to Frontotemporal Lobar Degeneration
NCDO
Neurocognitive Disorders
G31.84
MINCDHIV
Mild Neurocognitive Disorder Due to HIV Infection
NCDO
Neurocognitive Disorders
G31.84
MINCDHGD
Mild Neurocognitive Disorder Due to Huntington's Disease
NCDO
Neurocognitive Disorders
G31.84
MINCDMEL
Mild Neurocognitive Disorder Due to Multiple Etiologies
NCDO
Neurocognitive Disorders
G31.84
MINCDOTH
Mild Neurocognitive Disorder Due to other
NCDO
Neurocognitive Disorders
G31.84
MINCDPKD
Mild Neurocognitive Disorder Due to Parkinson's Disease
NCDO
Neurocognitive Disorders
G31.84
MINCDPRD
Mild Neurocognitive Disorder Due to Prion Disease
NCDO
Neurocognitive Disorders
G31.84
MINCDTBI
Mild Neurocognitive Disorder Due to Traumatic Brain Injury
NCDO
Neurocognitive Disorders
G31.84
MINCDLWB
Mild Neurocognitive Disorder With Lewy Bodies
NCDO
Neurocognitive Disorders
G31.84
MIVNCDO
Mild Vascular Neurocognitive Disorder
NCDO
Neurocognitive Disorders
G31.9
MJNCDPKD
Major Neurocognitive Disorder Possibly Due to Parkinson's Disease
NCDO
Neurocognitive Disorders
G31.9
MJFLDNCD
Possible Major Frontotemporal Neurocognitive Disorder
NCDO
Neurocognitive Disorders
G31.9
MJNCDALZ
Possible Major Neurocognitive Disorder Due to Alzheimer's Disease
NCDO
Neurocognitive Disorders
G31.9
MJNCDLWB
Possible Major Neurocognitive Disorder With Lewy Bodies
NCDO
Neurocognitive Disorders
G31.9
MJVNCDO
Possible Major Vascular Neurocognitive Disorder
Long Description for MH ICD Code
Other (or unknown) substance-induced mild neurocognitive disorder, With
moderate or severe use disorder
121
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MH
Diagnostic
Category *
NCDO
Long Description for MH
Diagnostic Category
Neurocognitive Disorders
MH ICD
Code *
R41.0
Description for
MH ICD Code
*
OTSPDEL
Long Description for MH ICD Code
Other Specified Delirium
NCDO
Neurocognitive Disorders
R41.0
UNSPDEL
Unspecified Delirium
NCDO
Neurocognitive Disorders
R41.9
UNSNCDO
Unspecified Neurocognitive Disorder
NDVDO
Neurodevelopmental
Disorders
F80.0
SPCSDO
Speech Sound Disorder (previously Phonological Disorder)
NDVDO
Neurodevelopmental
Disorders
F80.81
CHOFLDO
Childhood-Onset Fluency Disorder (Stuttering)
NDVDO
Neurodevelopmental
Disorders
F80.89
SPCOMDO
Social (Pragmatic) Communication Disorder
NDVDO
Neurodevelopmental
Disorders
F80.2
LANGDO
Language Disorder
NDVDO
Neurodevelopmental
Disorders
F80.9
UNSCOMDO
Unspecified Communication Disorder
NDVDO
Neurodevelopmental
Disorders
F81.0
SLRNDOIR
Specific Learning Disorder with impairment in reading
NDVDO
Neurodevelopmental
Disorders
F81.2
SLRNDOIM
Specific Learning Disorder with impairment in mathematics
NDVDO
Neurodevelopmental
Disorders
F81.81
SLRNDIWE
Specific Learning Disorder with impairment in written expression
NDVDO
Neurodevelopmental
Disorders
F82
DEVCRDO
Developmental Coordination Disorder
NDVDO
Neurodevelopmental
Disorders
F84.0
AUTSDO
Autism Spectrum Disorder
NDVDO
Neurodevelopmental
Disorders
F90.0
ADHDPIP
Attention-Deficit/Hyperactivity Disorder Predominantly inattentive
presentation
122
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MH
Diagnostic
Category *
NDVDO
Long Description for MH
Diagnostic Category
Neurodevelopmental
Disorders
MH ICD
Code *
F90.1
Description for
MH ICD Code
*
ADHDPHIP
NDVDO
Neurodevelopmental
Disorders
F90.2
ADHDCP
Attention-Deficit/Hyperactivity Disorder Combined Presentation
NDVDO
Neurodevelopmental
Disorders
F90.8
OTSADHD
Other Specified Attention-Deficit/Hyperactivity Disorder
NDVDO
Neurodevelopmental
Disorders
F90.9
UNSADHD
Unspecified Attention-Deficit/Hyperactivity Disorder
NDVDO
Neurodevelopmental
Disorders
F95.0
PRVTICDO
Provisional Tic Disorder
NDVDO
Neurodevelopmental
Disorders
F95.1
MVTICDO
Persistent (Chronic) Motor or Vocal Tic Disorder
NDVDO
Neurodevelopmental
Disorders
F95.2
TRTDO
Tourette's Disorder
NDVDO
Neurodevelopmental
Disorders
F95.8
OSTICDO
Other Specified Tic Disorder
NDVDO
Neurodevelopmental
Disorders
F95.9
UNSTICDO
Unspecified Tic Disorder
NDVDO
Neurodevelopmental
Disorders
F98.4
STRMVDO
Stereotypic Movement Disorder
NDVDO
Neurodevelopmental
Disorders
F98.5
ADOFLDO
Adult-Onset Fluency Disorder
OCRDO
Obsessive-Compulsive and
Related Disorders
F06.8
OCRDAMC
Obsessive-Compulsive and Related Disorder Due to Another Medical
Condition
OCRDO
Obsessive-Compulsive and
Related Disorders
F19.188
OUSIBCUD
Other (or unknown) substance- Induced Obsessive-Compulsive and Related
Disorder, With mild use disorder
Long Description for MH ICD Code
Attention-Deficit/Hyperactivity Disorder Predominantly hyperactive/impulsive
presentation
123
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02/12/16
MH
Diagnostic
Category *
OCRDO
Long Description for MH
Diagnostic Category
Obsessive-Compulsive and
Related Disorders
MH ICD
Code *
F19.288
Description for
MH ICD Code
*
OUSICDMS
OCRDO
Obsessive-Compulsive and
Related Disorders
F19.988
OUSICWOU
Other (or unknown) substance- Induced Obsessive-Compulsive and Related
Disorder, Without use disorder
OCRDO
Obsessive-Compulsive and
Related Disorders
F42
HORDO
Hoarding Disorder
OCRDO
Obsessive-Compulsive and
Related Disorders
F42
OCRDOTH
Obsessive-Compulsive Disorder, other
OCRDO
Obsessive-Compulsive and
Related Disorders
F42
OTSOCRDO
Other Specified Obsessive-Compulsive and Related Disorder
OCRDO
Obsessive-Compulsive and
Related Disorders
F42
UNSOCRDO
Unspecified Obsessive-Compulsive and Related Disorder
OCRDO
Obsessive-Compulsive and
Related Disorders
F45.22
BDYSDO
Body Dysmorphic Disorder
OCRDO
Obsessive-Compulsive and
Related Disorders
F63.3
HPLDO
Trichotillomania (Hair-Pulling Disorder)
OCRDO
Obsessive-Compulsive and
Related Disorders
L98.1
SKPCKDO
Excoriation (Skin-Picking) Disorder
OPRDO
Opioid-Related Disorders
F11.10
OPUDM
Opioid Use Disorder - Mild
OPRDO
Opioid-Related Disorders
F11.122
OPIWPUDM
Opioid Intoxication with Perceptual Disturbances, with Use Disorder, Mild
OPRDO
Opioid-Related Disorders
F11.129
OPIUDM
Opioid Intoxication without Perceptual Disturbances, with Use Disorder, Mild
OPRDO
Opioid-Related Disorders
F11.20
OPUDMD
Opioid Use Disorder - Moderate
OPRDO
Opioid-Related Disorders
F11.20
OPUDOSV
Opioid Use Disorder - Severe
Long Description for MH ICD Code
Other (or unknown) substance- Induced Obsessive-Compulsive and Related
Disorder, With moderate or severe use disorder
124
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MH
Diagnostic
Category *
OPRDO
Long Description for MH
Diagnostic Category
Opioid-Related Disorders
MH ICD
Code *
F11.222
Description for
MH ICD Code
*
OPIPUDMS
OPRDO
Opioid-Related Disorders
F11.229
OPIUDMS
Opioid Intoxication without Perceptual Disturbances, with Use Disorder,
Moderate or Severe
OPRDO
Opioid-Related Disorders
F11.23
OPWD
Opioid Withdrawal
OPRDO
Opioid-Related Disorders
F11.922
OPIPD
Opioid Intoxication with Perceptual Disturbances, without Use Disorder
OPRDO
Opioid-Related Disorders
F11.929
OPIWOPUD
Opioid Intoxication without Perceptual Disturbances, without Use Disorder
OPRDO
Opioid-Related Disorders
F11.99
UNSORDO
Unspecified Opioid-Related Disorder
CFCCLA
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
T74.01XA
SPTNCIE
Spouse or Partner Neglect, Confirmed, Initial encounter
T74.01XD
SPTNCSBE
Spouse or Partner Neglect, Confirmed, Subsequent encounter
T74.02XA
CHNGCIE
Child Neglect, Confirmed, Initial encounter
T74.02XD
CHNGCSBE
Child Neglect, Confirmed, Subsequent encounter
T74.11XA
APANSPCI
Adult Physical Abuse by Nonspouse or Nonpartner, Confirmed, Initial
encounter
T74.11XA
SPVPCIE
Spouse or Partner Violence, Physical, Confirmed, Initial encounter
T74.11XD
APANSPCS
Adult Physical Abuse by Nonspouse or Nonpartner, Confirmed, Subsequent
encounter
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH ICD Code
Opioid Intoxication with Perceptual Disturbances, with Use Disorder,
Moderate or Severe
125
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MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
MH ICD
Code *
T74.11XD
Description for
MH ICD Code
*
SPVPCSE
Long Description for MH ICD Code
Spouse or Partner Violence, Physical, Confirmed, Subsequent encounter
T74.12XA
CHPACIE
Child Physical Abuse, Confirmed, Initial encounter
T74.12XD
CHPACSE
Child Physical Abuse, Confirmed, Subsequent encounter
T74.21XA
ASANSPCI
Adult Sexual Abuse by Nonspouse or Nonpartner, Confirmed, Initial encounter
T74.21XA
SPVSCIE
Spouse or Partner Violence, Sexual, Confirmed, Initial encounter
T74.21XD
ASANSPCS
Adult Sexual Abuse by Nonspouse or Nonpartner, Confirmed, Subsequent
encounter
T74.21XD
SPVSCSE
Spouse or Partner Violence, Sexual, Confirmed, Subsequent encounter
T74.22XA
CHSACIE
Child Sexual Abuse, Confirmed, Initial encounter
T74.22XD
CHSACSE
Child Sexual Abuse, Confirmed, Subsequent encounter
T74.31XA
ACANSPCI
Adult Psychological Abuse by Nonspouse or Nonpartner, Confirmed, Initial
encounter
T74.31XA
SPAPCIE
Spouse or Partner Abuse, Psychological, Confirmed, Initial encounter
T74.31XD
ACANSPCS
Adult Psychological Abuse by Nonspouse or Nonpartner, Confirmed,
126
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02/12/16
MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
Subsequent encounter
T74.31XD
SPAPCSE
Spouse or Partner Abuse, Psychological, Confirmed, Subsequent encounter
T74.32XA
CHPABCIE
Child Psychological Abuse, Confirmed, Initial encounter
T74.32XD
CHPABCSE
Child Psychological Abuse, Confirmed, Subsequent encounter
T76.01XA
SPTNSIE
Spouse or Partner Neglect, Suspected, Initial encounter
T76.01XD
SPTNSSE
Spouse or Partner Neglect, Suspected, Subsequent encounter
T76.02XA
CHNSPIE
Child Neglect, Suspected, Initial encounter
T76.02XD
CHNSPSE
Child Neglect, Suspected, Subsequent encounter
T76.11XA
APNSPSIE
Adult Physical Abuse by Nonspouse or Nonpartner, Suspected, Initial
encounter
T76.11XA
SPVPSIE
Spouse or Partner Violence, Physical, Suspected, Initial encounter
T76.11XD
APNSPSSE
Adult Physical Abuse by Nonspouse or Nonpartner, Suspected, Subsequent
encounter
T76.11XD
SPVPSSE
Spouse or Partner Violence, Physical, Suspected, Subsequent encounter
127
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MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Description for
MH ICD Code
*
Long Description for MH
Diagnostic Category
Attention
MH ICD
Code *
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
T76.12XA
CPASPIE
Child Physical Abuse, Suspected, Initial encounter
T76.12XD
CPASPSE
Child Physical Abuse, Suspected, Subsequent encounter
T76.21XA
ASNSPSIE
Adult Sexual Abuse by Nonspouse or Nonpartner, Suspected, Initial encounter
T76.21XA
SPVSSIE
Spouse or Partner Violence, Sexual, Suspected, Initial encounter
T76.21XD
ASNSPSSE
Adult Sexual Abuse by Nonspouse or Nonpartner, Suspected, Subsequent
encounter
T76.21XD
SPVSSSE
Spouse or Partner Violence, Sexual, Suspected, Subsequent encounter
T76.22XA
CHSASIE
Child Sexual Abuse, Suspected, Initial encounter
T76.22XD
CHSASSE
Child Sexual Abuse, Suspected, Subsequent encounter
T76.31XA
APNSPSIE
Adult Physical Abuse by Nonspouse or Nonpartner, Suspected, Initial
encounter
T76.31XA
SPAPSIE
Spouse or Partner Abuse, Psychological, Suspected, Initial encounter
T76.31XD
APNSPSSE
Adult Physical Abuse by Nonspouse or Nonpartner, Suspected, Subsequent
encounter
Long Description for MH ICD Code
128
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
MH ICD
Code *
T76.31XD
Description for
MH ICD Code
*
SPAPSSE
Long Description for MH ICD Code
Spouse or Partner Abuse, Psychological, Suspected, Subsequent encounter
T76.32XA
CHPASIE
Child Psychological Abuse, Suspected, Initial encounter
T76.32XD
CHPASSE
Child Psychological Abuse, Suspected, Subsequent encounter
Z55.9
ACETPB
Academic or Educational Problem
Z56.82
PBMRCMS
Problem Related to Current Military Deployment Status
Z56.9
OTPREMP
Other Problem Related to Employment
Z59.0
HOMELSS
Homelessness
Z59.1
INADHSG
Inadequate Housing
Z59.2
DCNBLL
Discord With Neighbor, Lodger, or Landlord
Z59.3
PBRLVRIS
Problem Related to Living in a Residential Institution
Z59.4
LAFSDRW
Lack of Adequate Food and Safe Drinking Water
Z59.5
EXTPVRTY
Extreme Poverty
129
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02/12/16
MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
Z59.6
LOWINC
Low Income
Z59.7
INSINSWS
Insufficient Social Insurance or Welfare Support
Z59.9
UNSHSEPB
Unspecified Housing or Economic Problem
Z60.0
PHLFPRB
Phase of Life Problem
Z60.2
PRBRLVA
Problem Related to Living Alone
Z60.3
ACCTRNDF
Acculturation Difficulty
Z60.4
SCLELRJ
Social Exclusion or Rejection
Z60.5
TPVADPT
Target of (Perceived) Adverse Discrimination or Persecution
Z60.9
UNSPBRSE
Unspecified Problem Related to Social Environment
Z62.29
UPBAWPR
Upbringing Away From Parents
Z62.810
PPHPABCH
Personal history (past history) of physical abuse in childhood
130
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02/12/16
MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
Z62.810
PPHSABCH
Personal history (past history) of sexual abuse in childhood
Z62.811
PPHCABCH
Personal history (past history) of psychological abuse in childhood
Z62.812
PPHPNCH
Personal history (past history) of neglect in childhood
Z62.820
PTCHRLP
Parent-Child Relational Problem
Z62.891
SBLRLPB
Sibling Relational Problem
Z62.898
CHAFPRL
Child Affected by Parental Relationship Distress
Z63.0
RLSPINP
Relationship Distress With Spouse or Intimate Partner
Z63.4
UNCBVT
Uncomplicated Bereavement
Z63.5
DPTFPDV
Disruption of Family by Separation or Divorce
Z63.8
HETLWF
High Expressed Emotion Level Within Family
Z64.0
PBUNWPG
Problems Related to Unwanted Pregnancy
131
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02/12/16
MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
MH ICD
Code *
Z64.1
Description for
MH ICD Code
*
PBLTPTY
Z64.4
DPPCMWK
Discord With Social Service Provider, Including Probation Officer, Case
Manager, or Social Services Worker
Z65.0
CVCCPWOI
Conviction in Civil or Criminal Proceedings Without Imprisonment
Z65.1
IPNTOTI
Imprisonment or Other Incarceration
Z65.2
PBRLTPN
Problems Related to Release from Prison
Z65.3
PBOTHLCT
Problems Related to Other Legal Circumstances
Z65.4
VCTMCM
Victim of Crime
Z65.4
CVTMTT
Victim of Terrorism or Torture
Z65.5
EPDWOTHT
Exposure to Disaster, War, or Other Hostilities
Z65.8
OPUNSPC
Other Problem Related to Unspecified Psychosocial Circumstances
Z65.8
RELPBLM
Religious or Spiritual Problem
Z65.9
UNSPUPC
Unspecified Problem Related to Unspecified Psychosocial Circumstances
Long Description for MH ICD Code
Problems Related to Multiparity
132
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02/12/16
MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
Z69.010
EMHSVCAP
Encounter for mental health services for victim of child abuse by parent
Z69.010
EMHSVCNP
Encounter for mental health services for victim of child neglect by parent
Z69.010
EMHSVCPP
Encounter for mental health services for victim of child psychological abuse by
parent
Z69.010
EMHSVCSP
Encounter for mental health services for victim of child sexual abuse by parent
Z69.011
EMHSPPCA
Encounter for mental health services for perpetrator of parental child abuse
Z69.011
EMHSPPCN
Encounter for mental health services for perpetrator of parental child neglect
Z69.011
EMHPPCPA
Encounter for mental health services for perpetrator of parental child
psychological abuse
Z69.011
EMHPPCSA
Encounter for mental health services for perpetrator of parental child sexual
abuse
Z69.020
EMHVNPCA
Encounter for mental health services for victim of nonparental child abuse
Z69.020
EMHVNPCN
Encounter for mental health services for victim of nonparental child neglect
Z69.020
EMHVNPCP
Encounter for mental health services for victim of nonparental child
psychological abuse
133
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MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
Z69.020
EMHVNPCS
Encounter for mental health services for victim of nonparental child sexual
abuse
Z69.021
EMHNPCHA
Encounter for mental health services for perpetrator of nonparental child abuse
Z69.021
EMHNPCHN
Encounter for mental health services for perpetrator of nonparental child
neglect
Z69.021
EMHNPCPA
Encounter for mental health services for perpetrator of nonparental child
psychological abuse
Z69.021
EMHNPCSA
Encounter for mental health services for perpetrator of nonparental child sexual
abuse
Z69.11
EMHVSPTN
Encounter for mental health services for victim of spouse or partner neglect
Z69.11
EMHVSPAB
Encounter for mental health services for victim of spouse or partner
psychological abuse
Z69.11
EMHVSPVP
Encounter for mental health services for victim of spouse or partner violence,
physical
Z69.12
EMHPSPTN
Encounter for mental health services for perpetrator of spouse or partner
neglect
Z69.12
EMHPSPAB
Encounter for mental health services for perpetrator of spouse or partner
psychological abuse
Z69.12
EMHPSPVP
Encounter for mental health services for perpetrator of spouse or partner
violence, physical
134
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MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
MH ICD
Code *
Z69.12
Description for
MH ICD Code
*
EMHPSPVS
Z69.81
EMHVNSAB
Encounter for mental health services for victim of nonspousal or nonpartner
adult abuse
Z69.81
EMHVSPVS
Encounter for mental health services for victim of spouse or partner violence,
sexual
Z69.82
EMHPNSAB
Encounter for mental health services for perpetrator of nonspousal or
nonpartner adult abuse
Z70.9
SXCNSL
Sex Counseling
Z71.9
CLCLTN
Other Counseling or Consultation
Z72.0
TBCUDM
Tobacco Use Disorder, Mild
Z72.810
CHAASLB
Child or Adolescent Antisocial Behavior
Z72.811
ADLASLB
Adult Antisocial Behavior
Z72.9
PBLFSTLE
Problem Related to Lifestyle
Z75.3
UAVHLCRF
Unavailability or Inaccessibility of Health Care Facilities
Z75.4
UAVOTHPA
Unavailability or Inaccessibility of Other Helping Agencies
Long Description for MH ICD Code
Encounter for mental health services for perpetrator of spouse or partner
violence, sexual
135
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MH
Diagnostic
Category *
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
CFCCLA
Long Description for MH
Diagnostic Category
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
Attention
Other Conditions That May
Be a Focus of Clinical
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
Z76.5
MLNRIN
Malingering
Z91.19
NADMDTMT
Nonadherence to Medical Treatment
Z91.410
PPHSPVP
Personal history (past history) of spouse or partner violence, physical
Z91.410
PPHSPVS
Personal history (past history) of spouse or partner violence, sexual
Z91.411
PPHSPPAB
Personal history (past history) of spouse or partner psychological abuse
Z91.412
PPHSPTN
Personal history (past history) of spouse or partner neglect
Z91.49
OTPHPTA
Other Personal History of Psychological Trauma
Z91.5
PLHRSLHM
Personal History of Self-Harm
Z91.82
PLHRSMLT
Personal History of Military Deployment
Z91.83
WDAMNDO
Wandering Associated With a Mental Disorder
Z91.89
OTPLRSKF
Other Personal Risk Factors
136
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MH
Diagnostic
Category *
Long Description for MH
Diagnostic Category
Attention
MH ICD
Code *
Description for
MH ICD Code
*
Long Description for MH ICD Code
OMDO
Other Mental Disorders
F06.8
OSMDAMC
Other Specified Mental Disorder Due to Another Medical Condition
OMDO
Other Mental Disorders
F09
USMDAMC
Unspecified Mental Disorder Due to Another Medical Condition
OMDO
Other Mental Disorders
F99
OTSMDO
Other Specified Mental Disorder
OMDO
Other Mental Disorders
F99
UNSMDO
Unspecified Mental Disorder
OMDO
Other Mental Disorders
R41.83
BDINTFNC
Borderline Intellectual Functioning
OTNDDO
Other Neurodevelopmental
Disorders
F88
OTSNDDO
Other Specified Neurodevelopmental Disorder
OTNDDO
Other Neurodevelopmental
Disorders
F89
UNSNDDO
Unspecified Neurodevelopmental Disorder
PRPLDO
Paraphilic Disorders
F65.0
FTSHDO
Fetishistic Disorder
PRPLDO
Paraphilic Disorders
F65.1
TRNVDO
Transvestic Disorder
PRPLDO
Paraphilic Disorders
F65.2
EXBHDO
Exhibitionistic Disorder
PRPLDO
Paraphilic Disorders
F65.3
VOYSDO
Voyeuristic Disorder
PRPLDO
Paraphilic Disorders
F65.4
PDLDO
Pedophilic Disorder
PRPLDO
Paraphilic Disorders
F65.51
SMDO
Sexual Masochism Disorder
PRPLDO
Paraphilic Disorders
F65.52
SSDO
Sexual Sadism Disorder
PRPLDO
Paraphilic Disorders
F65.81
FRTSDO
Frotteuristic Disorder
PRPLDO
Paraphilic Disorders
F65.89
OTSPRPLD
Other Specified Paraphilic Disorder
PRPLDO
Paraphilic Disorders
F65.9
UNSPRPLD
Unspecified Paraphilic Disorder
PRSDO
Personality Disorders
F07.0
PSCGAMC
Personality Change Due to Another Medical Condition
PRSDO
Personality Disorders
F21
SCTPSDO
Schizotypal Personality Disorder
PRSDO
Personality Disorders
F60.0
PRNPSDO
Paranoid Personality Disorder
PRSDO
Personality Disorders
F60.1
SCZPSDO
Schizoid Personality Disorder
137
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MH
Diagnostic
Category *
PRSDO
Long Description for MH
Diagnostic Category
Personality Disorders
MH ICD
Code *
F60.2
Description for
MH ICD Code
*
ASPRSDO
Long Description for MH ICD Code
Antisocial Personality Disorder
PRSDO
Personality Disorders
F60.3
BRDPSDO
Borderline Personality Disorder
PRSDO
Personality Disorders
F60.4
HISTPSDO
Histrionic Personality Disorder
PRSDO
Personality Disorders
F60.5
OBCPSDO
Obsessive-Compulsive Personality Disorder
PRSDO
Personality Disorders
F60.6
AVDPSDO
Avoidant Personality Disorder
PRSDO
Personality Disorders
F60.7
DEPSDO
Dependent Personality Disorder
PRSDO
Personality Disorders
F60.81
NCSPSDO
Narcissistic Personality Disorder
PRSDO
Personality Disorders
F60.89
OTSPSDO
Other Specified Personality Disorder
PRSDO
Personality Disorders
F60.9
UNSPSDO
Unspecified Personality Disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F06.0
PDAMCHL
Psychotic Disorder Due to Another Medical Condition with Hallucinations
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F06.1
CTAOTUNS
Catatonia - other (Unspecified Catatonia)
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F06.1
CTAMDO
Catatonia Associated With Another Mental Disorder (Catatonia Specifier)
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F06.1
CTDOAMC
Catatonic Disorder Due to Another Medical Condition
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F06.1
UNSCTA
Unspecified Catatonia
138
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02/12/16
MH
Diagnostic
Category *
SSOPDO
Long Description for MH
Diagnostic Category
Schizophrenia Spectrum and
Other Psychotic Disorders
MH ICD
Code *
F06.2
Description for
MH ICD Code
*
PDAMCDEL
Long Description for MH ICD Code
Psychotic Disorder Due to Another Medical Condition with Delusions
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F12.159
CIPDWUDM
Cannabis -Induced Psychotic Disorder, With mild use disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F12.259
CIPDUDMS
Cannabis -Induced Psychotic Disorder, With moderate or severe use disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F12.959
CIPDWOUD
Cannabis -Induced Psychotic Disorder, Without use disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F13.159
SHAIPDUD
Sedative, hypnotic, or anxiolytic Induced Psychotic Disorder, With mild use
disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F13.259
SHAIPDMS
Sedative, hypnotic, or anxiolytic Induced Psychotic Disorder, With moderate or
severe use disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F13.959
SHAIPWOU
Sedative, hypnotic, or anxiolytic Induced Psychotic Disorder, Without use
disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F16.159
OHIPDUDM
Other Hallucinogen-Induced Psychotic Disorder, With mild use disorder
139
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MH
Diagnostic
Category *
SSOPDO
Long Description for MH
Diagnostic Category
Schizophrenia Spectrum and
Other Psychotic Disorders
MH ICD
Code *
F16.159
Description for
MH ICD Code
*
PIPDWUDM
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F16.259
OHIPDUMS
Other Hallucinogen-Induced Psychotic Disorder, With moderate or severe use
disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F16.259
PIPDUDMS
Phencyclidine-Induced Psychotic Disorder, With moderate or severe use
disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F19.159
OUSIPDUD
Other (or unknown) substance Induced Psychotic Disorder, With mild use
disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F19.259
OUSIPDMS
Other (or unknown) substance-Induced Psychotic Disorder, With moderate or
severe use disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F19.959
OUSIPWOU
Other (or unknown) substance Induced Psychotic Disorder, Without use
disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F20.81
SCZPFDO
Schizophreniform Disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F20.9
SCZPNA
Schizophrenia
Long Description for MH ICD Code
Phencyclidine-Induced Psychotic Disorder, With mild use disorder
140
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MH
Diagnostic
Category *
SSOPDO
Long Description for MH
Diagnostic Category
Schizophrenia Spectrum and
Other Psychotic Disorders
MH ICD
Code *
F21
Description for
MH ICD Code
*
SCZPDO
Long Description for MH ICD Code
Schizotypal (Personality) Disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F22
DELDO
Delusional Disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F23
BPSYDO
Brief Psychotic Disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F25.0
SCZADBTP
Schizoaffective Disorder Bipolar Type
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F25.1
SCZADTP
Schizoaffective Disorder Depressive Type
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F28
OTSSPDO
Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
SSOPDO
Schizophrenia Spectrum and
Other Psychotic Disorders
F29
UNSSPDO
Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.10
SHAUDM
Sedative, Hypnotic, or Anxiolytic Use Disorder - Mild
141
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MH
Diagnostic
Category *
SHARDO
Long Description for MH
Diagnostic Category
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
MH ICD
Code *
F13.129
Description for
MH ICD Code
*
SHAIUDM
Long Description for MH ICD Code
Sedative, Hypnotic, or Anxiolytic Intoxication with Use Disorder, Mild
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.20
SHAUDMD
Sedative, Hypnotic, or Anxiolytic Use Disorder - Moderate
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.20
SHAUDSV
Sedative, Hypnotic, or Anxiolytic Use Disorder - Severe
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.229
SHAIUDMS
Sedative, Hypnotic, or Anxiolytic Intoxication with Use Disorder, Moderate
or Severe
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.232
SHAWPD
Sedative, Hypnotic, or Anxiolytic Withdrawal with Perceptual Disturbances
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.239
SHAWOPD
Sedative, Hypnotic, or Anxiolytic Withdrawal without Perceptual Disturbances
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.929
SHAWOUD
Sedative, Hypnotic, or Anxiolytic Intoxication, without Use Disorder
SHARDO
Sedative-, Hypnotic-, or
Anxiolytic-Related
Disorders
F13.99
UNSHARDO
Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder
SDDO
Sexual Dysfunctions
F11.181
OISDUDM
Opioid- Induced Sexual Dysfunction, With mild use disorder
142
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MH
Diagnostic
Category *
SDDO
Long Description for MH
Diagnostic Category
Sexual Dysfunctions
MH ICD
Code *
F11.281
Description for
MH ICD Code
*
OISDUDMS
Long Description for MH ICD Code
Opioid- Induced Sexual Dysfunction, With moderate or severe use disorder
SDDO
Sexual Dysfunctions
F11.981
OISDWOUD
Opioid- Induced Sexual Dysfunction, Without use disorder
SDDO
Sexual Dysfunctions
F13.181
SISDUDM
Sedative, Hypnotic, or Anxiolytic- Induced Sexual Dysfunction, With mild use
disorder
SDDO
Sexual Dysfunctions
F13.281
SISDUDMS
Sedative, Hypnotic, or Anxiolytic- Induced Sexual Dysfunction, With moderate
or severe use disorder
SDDO
Sexual Dysfunctions
F13.981
SISDWOUD
Sedative, Hypnotic, or Anxiolytic- Induced Sexual Dysfunction, Without use
disorder
SDDO
Sexual Dysfunctions
F19.181
UKSDUDM
Other (Or Unknown) Substance Induced Sexual Dysfunction, With mild use
disorder
SDDO
Sexual Dysfunctions
F19.281
UKSDUDMS
Other (or unknown) Substance- Induced Sexual Dysfunction, With moderate or
severe use disorder
SDDO
Sexual Dysfunctions
F52.0
MHSDDO
Male Hypoactive Sexual Desire Disorder
SDDO
Sexual Dysfunctions
F52.21
ERDO
Erectile Disorder
SDDO
Sexual Dysfunctions
F52.22
FSIADO
Female Sexual Interest/Arousal Disorder
SDDO
Sexual Dysfunctions
F52.31
FOGDO
Female Orgasmic Disorder
SDDO
Sexual Dysfunctions
F52.32
DELEJ
Delayed Ejaculation
SDDO
Sexual Dysfunctions
F52.4
PRMEJ
Premature (Early) Ejaculation
SDDO
Sexual Dysfunctions
F52.6
GPNDO
Genito-Pelvic Pain/Penetration Disorder
SDDO
Sexual Dysfunctions
F52.8
OTSDYFN
Other Specified Sexual Dysfunction
SDDO
Sexual Dysfunctions
F52.9
UNSDYF
Unspecified Sexual Dysfunction
SDDO
Sexual Dysfunctions
F19.981
UKSDWOUD
Other (or unknown) Substance-Induced Sexual Dysfunction, Without use
disorder
SWDO
Sleep-Wake Disorders
F11.182
OISLDUDM
Opioid-Induced Sleep Disorder, With mild use disorder
SWDO
Sleep-Wake Disorders
F11.282
OSLDUDMS
Opioid-Induced Sleep Disorder, With moderate or severe use disorder
143
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MH
Diagnostic
Category *
SWDO
Long Description for MH
Diagnostic Category
Sleep-Wake Disorders
MH ICD
Code *
F11.982
Description for
MH ICD Code
*
OISLWOUD
Long Description for MH ICD Code
Opioid-Induced Sleep Disorder, Without use disorder
SWDO
Sleep-Wake Disorders
F12.188
CISLDUDM
Cannabis-Induced Sleep Disorder, With mild use disorder
SWDO
Sleep-Wake Disorders
F12.988
CISLWOUD
Cannabis-Induced Sleep Disorder, Without use disorder
SWDO
Sleep-Wake Disorders
F13.182
SISLUDM
Sedative, hypnotic, or anxiolytic-Induced Sleep Disorder, With mild use
disorder
SWDO
Sleep-Wake Disorders
F13.282
SISLUDMS
Sedative, hypnotic, or anxiolytic-Induced Sleep Disorder, With moderate or
severe use disorder
SWDO
Sleep-Wake Disorders
F13.982
SISLWOUD
Sedative, hypnotic, or anxiolytic-Induced Sleep Disorder, Without use disorder
SWDO
Sleep-Wake Disorders
F17.208
TISLUDMS
Tobacco-Induced Sleep Disorder, With moderate or severe use disorder
SWDO
Sleep-Wake Disorders
F19.182
USSLUDM
Other (or unknown) substance-Induced Sleep Disorder, With mild use disorder
SWDO
Sleep-Wake Disorders
F19.282
USSLUDMS
Other (or unknown) substance-Induced Sleep Disorder, With moderate or
severe use disorder
SWDO
Sleep-Wake Disorders
F19.982
USSLWOUD
Other (or unknown) substance-Induced Sleep Disorder, Without use disorder
SWDO
Sleep-Wake Disorders
F51.3
NEMSADSW
Non-Rapid Eye Movement Sleep Arousal Disorders - Sleepwalking
SWDO
Sleep-Wake Disorders
F51.4
NEMSADST
Non-Rapid Eye Movement Sleep Arousal Disorders - Sleep Terrors
SWDO
Sleep-Wake Disorders
F51.5
NGTMDO
Nightmare Disorder
SWDO
Sleep-Wake Disorders
G25.81
RSTLGSYN
Restless Legs Syndrome
SWDO
Sleep-Wake Disorders
F51.01
INSMDO
Insomnia Disorder
SWDO
Sleep-Wake Disorders
G47.00
UNSINSDO
Unspecified Insomnia Disorder
SWDO
Sleep-Wake Disorders
G47.09
OTSINSDO
Other Specified Insomnia Disorder
SWDO
Sleep-Wake Disorders
F51.11
HYPSMLDO
Hypersomnolence Disorder
SWDO
Sleep-Wake Disorders
G47.10
UNHYPSLD
Unspecified Hypersomnolence Disorder
144
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MH
Diagnostic
Category *
SWDO
Long Description for MH
Diagnostic Category
Sleep-Wake Disorders
MH ICD
Code *
G47.19
Description for
MH ICD Code
*
OTHYPSLD
Long Description for MH ICD Code
Other Specified Hypersomnolence Disorder
SWDO
Sleep-Wake Disorders
G47.20
CRSWDUNT
Circadian Rhythm Sleep-Wake Disorders - Unspecified Type
SWDO
Sleep-Wake Disorders
G47.21
CRSWDDPT
Circadian Rhythm Sleep-Wake Disorders - Delayed Sleep Phase Type
SWDO
Sleep-Wake Disorders
G47.22
CRSWDAPT
Circadian Rhythm Sleep-Wake Disorders - Advanced Sleep Phase Type
SWDO
Sleep-Wake Disorders
G47.23
CRSWDIWT
Circadian Rhythm Sleep-Wake Disorders - Irregular Sleep-wake Type
SWDO
Sleep-Wake Disorders
G47.24
CRSWDNWT
Circadian Rhythm Sleep-Wake Disorders Non-24-hour Sleep-wake Type
SWDO
Sleep-Wake Disorders
G47.26
CRSWDSWT
Circadian Rhythm Sleep-Wake Disorders -Shift Work Type
SWDO
Sleep-Wake Disorders
G47.31
SLAPICSA
Central Sleep Apnea with Idiopathic Central Sleep Apnea
SWDO
Sleep-Wake Disorders
G47.33
OSLAHPNA
Obstructive Sleep Apnea Hypopnea
SWDO
Sleep-Wake Disorders
G47.34
SRHPID
Sleep-Related Hypoventilation - Idiopathic hypoventilation
SWDO
Sleep-Wake Disorders
G47.35
SRHPCCAH
Sleep-Related Hypoventilation - Congenital Central Alveolar Hypoventilation
SWDO
Sleep-Wake Disorders
G47.36
SRHPCSRH
Sleep-Related Hypoventilation - Comorbid Sleep-related Hypoventilation
SWDO
Sleep-Wake Disorders
G47.37
CSLAPWOP
Central Sleep Apnea comorbid with opioid use
SWDO
Sleep-Wake Disorders
G47.411
NRWCWOHD
Narcolepsy with cataplexy but without hypocretin deficiency
SWDO
Sleep-Wake Disorders
G47.419
NRADCADN
Narcolepsy - Autosomal dominant cerebellar ataxia, deafness, and narcolepsy
SWDO
Sleep-Wake Disorders
G47.419
NRADOTD
Narcolepsy - Autosomal dominant narcolepsy, obesity, and type 2 diabetes
SWDO
Sleep-Wake Disorders
G47.419
NRLSOTH
Narcolepsy - other
SWDO
Sleep-Wake Disorders
G47.419
NRWOCWHD
Narcolepsy without cataplexy but with hypocretin deficiency
SWDO
Sleep-Wake Disorders
G47.429
NRSCAMC
Narcolepsy secondary to another medical condition
SWDO
Sleep-Wake Disorders
G47.52
REMSBDO
Rapid Eye Movement Sleep Behavior Disorder
SWDO
Sleep-Wake Disorders
G47.8
OTSSLWDO
Other Specified Sleep-Wake Disorder
145
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MH
Diagnostic
Category *
SWDO
Long Description for MH
Diagnostic Category
Sleep-Wake Disorders
MH ICD
Code *
G47.9
Description for
MH ICD Code
*
UNSSLWDO
Long Description for MH ICD Code
Unspecified Sleep-Wake Disorder
SWDO
Sleep-Wake Disorders
R06.3
CSLAPCSB
Central Sleep Apnea with Cheyne-Stokes Breathing
SSRDO
Somatic Symptom and
Related Disorders
F44.4
CNVDOAM
Conversion Disorder (Functional Neurological Symptom Disorder) with
Abnormal Movement
SSRDO
Somatic Symptom and
Related Disorders
F44.4
CNVDOSPS
Conversion Disorder (Functional Neurological Symptom Disorder) with
Speech Symptom
SSRDO
Somatic Symptom and
Related Disorders
F44.4
CNVDOSS
Conversion Disorder (Functional Neurological Symptom Disorder) with
Swallowing Symptoms
SSRDO
Somatic Symptom and
Related Disorders
F44.4
CNVDOWP
Conversion Disorder (Functional Neurological Symptom Disorder) with
Weakness or Paralysis
SSRDO
Somatic Symptom and
Related Disorders
F44.5
CNVDOAS
Conversion Disorder (Functional Neurological Symptom Disorder) with
Attacks or Seizures
SSRDO
Somatic Symptom and
Related Disorders
F44.6
CNVDOASL
Conversion Disorder (Functional Neurological Symptom Disorder) with
Anesthesia or Sensory Loss
SSRDO
Somatic Symptom and
Related Disorders
F44.6
CNVDOSSS
Conversion Disorder (Functional Neurological Symptom Disorder) with
Special Sensory Symptom
SSRDO
Somatic Symptom and
Related Disorders
F44.7
CNVDOMXS
Conversion Disorder (Functional Neurological Symptom Disorder) with Mixed
Symptoms
SSRDO
Somatic Symptom and
Related Disorders
F45.1
SSYMPDO
Somatic Symptom Disorder
SSRDO
Somatic Symptom and
Related Disorders
F45.21
ILAXDO
Illness Anxiety Disorder
SSRDO
Somatic Symptom and
Related Disorders
F45.8
OTSSRDO
Other Specified Somatic Symptom and Related Disorder
SSRDO
Somatic Symptom and
Related Disorders
F45.9
UNSSRDO
Unspecified Somatic Symptom and Related Disorder
146
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
SSRDO
Long Description for MH
Diagnostic Category
Somatic Symptom and
Related Disorders
MH ICD
Code *
F54
Description for
MH ICD Code
*
PSYFAOMC
Long Description for MH ICD Code
Psychological Factors Affecting Other Medical Conditions
SSRDO
Somatic Symptom and
Related Disorders
F68.10
FCTSDO
Factitious Disorder
STRDO
Stimulant-Related Disorders
F14.10
STUDOCM
Stimulant Use Disorder - Cocaine - Mild
STRDO
Stimulant-Related Disorders
F14.121
CITXDMUD
Cocaine intoxication delirium, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.122
STCWPUDM
Stimulant Intoxication - Cocaine, With Perceptual Disturbances - With Use
Disorder, Mild
STRDO
Stimulant-Related Disorders
F14.129
STCWUDM
Stimulant Intoxication - Cocaine, Without Perceptual Disturbances - With Use
Disorder, Mild
STRDO
Stimulant-Related Disorders
F14.14
CIBPDUDM
Cocaine - Induced Bipolar and Related Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.14
CIDDUDM
Cocaine - Induced Depressive Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.159
CIPDUDM
Cocaine-Induced Psychotic Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.180
CIADUDM
Cocaine - Induced Anxiety Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.181
CISDUDM
Cocaine - Induced Sexual Dysfunction, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.182
CISLUDM
Cocaine-Induced Sleep Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F14.188
CIOCUDM
Cocaine - Induced Obsessive-Compulsive and Related Disorder, With mild use
disorder
147
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
STRDO
Long Description for MH
Diagnostic Category
Stimulant-Related Disorders
MH ICD
Code *
F14.20
Description for
MH ICD Code
*
STUDOCMD
Long Description for MH ICD Code
Stimulant Use Disorder - Cocaine - Moderate
STRDO
Stimulant-Related Disorders
F14.20
STUDOCSV
Stimulant Use Disorder - Cocaine - Severe
STRDO
Stimulant-Related Disorders
F14.221
CIDLMSUD
Cocaine Intoxication delirium, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F14.222
STCPUDMS
Stimulant Intoxication - Cocaine, With Perceptual Disturbances - With Use
Disorder, Moderate or Severe
STRDO
Stimulant-Related Disorders
F14.229
STCWUDMS
Stimulant Intoxication - Cocaine, Without Perceptual Disturbances - With Use
Disorder, Moderate or Severe
STRDO
Stimulant-Related Disorders
F14.23
STWDCO
Stimulant Withdrawal - Cocaine
STRDO
Stimulant-Related Disorders
F14.24
CIBDUDMS
Cocaine - Induced Bipolar and Related Disorder, With moderate or severe use
disorder
STRDO
Stimulant-Related Disorders
F14.24
CIDDUDMS
Cocaine - Induced Depressive Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F14.259
CCPDUDMS
Cocaine-Induced Psychotic Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F14.280
CIADUDMS
Cocaine - Induced Anxiety Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F14.281
CISDUDMS
Cocaine - Induced Sexual Dysfunction, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F14.282
CISLUDMS
Cocaine-Induced Sleep Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F14.288
CIOCUDMS
Cocaine - Induced Obsessive-Compulsive and Related Disorder, With moderate
or severe use disorder
148
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
STRDO
Long Description for MH
Diagnostic Category
Stimulant-Related Disorders
MH ICD
Code *
F14.921
Description for
MH ICD Code
*
CIDLWOUD
STRDO
Stimulant-Related Disorders
F14.922
STCPWOUD
Stimulant Intoxication - Cocaine, With Perceptual Disturbances - Without Use
Disorder
STRDO
Stimulant-Related Disorders
F14.929
STCWOPUD
Stimulant Intoxication - Cocaine, Without Perceptual Disturbances - Without
Use Disorder
STRDO
Stimulant-Related Disorders
F14.94
CIBDWOUD
Cocaine - Induced Bipolar and Related Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F14.94
CIDDWOUD
Cocaine - Induced Depressive Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F14.959
CCPDWOUD
Cocaine-Induced Psychotic Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F14.980
CIDAWOUD
Cocaine - Induced Anxiety Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F14.981
CISDWOUD
Cocaine - Induced Sexual Dysfunction, Without use disorder
STRDO
Stimulant-Related Disorders
F14.982
CCSLWOUD
Cocaine-Induced Sleep Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F14.988
CIOCWOUD
Cocaine - Induced Obsessive-Compulsive and Related Disorder, Without use
disorder
STRDO
Stimulant-Related Disorders
F14.99
USTIRDOC
Unspecified Stimulant-Related Disorder - Cocaine
STRDO
Stimulant-Related Disorders
F15.10
STUDASM
Stimulant Use Disorder - Amphetamine-type Substance - Mild
STRDO
Stimulant-Related Disorders
F15.10
STUDOTM
Stimulant Use Disorder - Other or Unspecified Stimulant - Mild
Long Description for MH ICD Code
Cocaine Intoxication Delirium, Without use disorder
149
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
STRDO
Long Description for MH
Diagnostic Category
Stimulant-Related Disorders
MH ICD
Code *
F15.121
Description for
MH ICD Code
*
ASIDWUDM
STRDO
Stimulant-Related Disorders
F15.122
ASTWPUDM
Amphetamine or other stimulant intoxication, With perceptual disturbances,
With mild use disorder.
STRDO
Stimulant-Related Disorders
F15.129
ASTUDM
Amphetamine or other stimulant intoxication, Without perceptual disturbances,
With mild use disorder
STRDO
Stimulant-Related Disorders
F15.14
ASIBPUDM
Amphetamine (or other stimulant)-induced bipolar and related disorder, With
mild use disorder
STRDO
Stimulant-Related Disorders
F15.14
ASIDDUDM
Amphetamine (or other stimulant)-induced depressive disorder, With mild use
disorder
STRDO
Stimulant-Related Disorders
F15.159
ASIPDUDM
Amphetamine (or other stimulant)-induced psychotic disorder, With mild use
disorder
STRDO
Stimulant-Related Disorders
F15.180
ASIADUDM
Amphetamine (or other stimulant)-induced anxiety disorder, With mild use
disorder
STRDO
Stimulant-Related Disorders
F15.180
CIDADUDM
Caffeine - Induced Anxiety Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F15.181
ASISDUDM
Amphetamine (or other stimulant) - Induced Sexual Dysfunction, With mild
use disorder
STRDO
Stimulant-Related Disorders
F15.182
ASISLUDM
Amphetamine (or other stimulant)-Induced Sleep Disorder, With mild use
disorder
STRDO
Stimulant-Related Disorders
F15.182
CIDSLUDM
Caffeine-Induced Sleep Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F15.188
ASIOCUDM
Amphetamine (or other stimulant) - Induced Obsessive-Compulsive and
Related Disorder, With mild use disorder
STRDO
Stimulant-Related Disorders
F15.20
STUDASMD
Stimulant Use Disorder - Amphetamine-type Substance - Moderate
Long Description for MH ICD Code
Amphetamine (or other stimulant) Intoxication Delirium, With mild use
disorder
150
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
STRDO
Long Description for MH
Diagnostic Category
Stimulant-Related Disorders
MH ICD
Code *
F15.20
Description for
MH ICD Code
*
STUDASV
Long Description for MH ICD Code
Stimulant Use Disorder - Amphetamine-type Substance - Severe
STRDO
Stimulant-Related Disorders
F15.20
STUDOUMD
Stimulant Use Disorder - Other or Unspecified Stimulant - Moderate
STRDO
Stimulant-Related Disorders
F15.20
STUDOUSV
Stimulant Use Disorder - Other or Unspecified Stimulant - Severe
STRDO
Stimulant-Related Disorders
F15.221
ASIDUDM
Amphetamine (or other stimulant) intoxication delirium, With moderate or
severe use disorder.
STRDO
Stimulant-Related Disorders
F15.222
ASWPUDMS
Amphetamine or other stimulation intoxication, With perceptual disturbances ,
With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.229
ASTUDMS
Amphetamine or other stimulant intoxication, Without perceptual disturbances,
With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.23
STWDAO
Stimulant Withdrawal - Amphetamine or Other Stimulant
STRDO
Stimulant-Related Disorders
F15.24
ASIDUDMS
Amphetamine (or other stimulant) - Induced Depressive Disorder, With
moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.24
ASIBDUDM
Amphetamine (or other stimulant)-Induced Bipolar and Related Disorder, With
moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.259
ASIPUDMS
Amphetamine (or other stimulant) Induced Psychotic Disorder, With moderate
or severe use disorder
STRDO
Stimulant-Related Disorders
F15.280
ASIAUDMS
Amphetamine (or other stimulant) - Induced Anxiety Disorder, With moderate
or severe use disorder
STRDO
Stimulant-Related Disorders
F15.280
CFAUDMS
Caffeine - Induced Anxiety Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.281
ASISUDMS
Amphetamine (or other stimulant) - Induced Sexual Dysfunction, With
moderate or severe use disorder
151
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
STRDO
Long Description for MH
Diagnostic Category
Stimulant-Related Disorders
MH ICD
Code *
F15.282
Description for
MH ICD Code
*
ASISLUMS
STRDO
Stimulant-Related Disorders
F15.282
CFSLUDMS
Caffeine-Induced Sleep Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.288
ASICUDMS
Amphetamine (or other stimulant) - Induced Obsessive-Compulsive and
Related Disorder, With moderate or severe use disorder
STRDO
Stimulant-Related Disorders
F15.921
ASIDWOUD
Amphetamine (or other stimulant) Intoxication Delirium, Without use disorder
STRDO
Stimulant-Related Disorders
F15.921
ASIMDID
Amphetamine-type (or other stimulant) -induced delirium
STRDO
Stimulant-Related Disorders
F15.922
ASTPWOUD
Amphetamine or other stimulant intoxication, With perceptual disturbances,
Without use disorder.
STRDO
Stimulant-Related Disorders
F15.929
ASTWOPUD
Amphetamine or other stimulant intoxication, Without perceptual disturbances,
Without use disorder
STRDO
Stimulant-Related Disorders
F15.94
ASIBWOUD
Amphetamine (or other stimulant) - Induced Bipolar and Related Disorder,
Without use disorder
STRDO
Stimulant-Related Disorders
F15.94
ASDWOUD
Amphetamine (or other stimulant) - Induced Depressive Disorder, Without use
disorder
STRDO
Stimulant-Related Disorders
F15.959
ATIPWOUD
Amphetamine (or other stimulant) Induced Psychotic Disorder, Without use
disorder
STRDO
Stimulant-Related Disorders
F15.980
AIADWOUD
Amphetamine (or other stimulant) - Induced Anxiety Disorder, Without use
disorder
STRDO
Stimulant-Related Disorders
F15.980
CFDAWOUD
Caffeine - Induced Anxiety Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F15.981
AISDWOUD
Amphetamine (or other stimulant) - Induced Sexual Dysfunction, Without use
disorder
Long Description for MH ICD Code
Amphetamine (or other stimulant)-Induced Sleep Disorder, With moderate or
severe use disorder
152
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
STRDO
Long Description for MH
Diagnostic Category
Stimulant-Related Disorders
MH ICD
Code *
F15.982
Description for
MH ICD Code
*
AIDSWOUD
STRDO
Stimulant-Related Disorders
F15.982
CIDSWOUD
Caffeine-Induced Sleep Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F15.988
ATICWOUD
Amphetamine (or other stimulant) - Induced Obsessive-Compulsive and
Related Disorder, Without use disorder
STRDO
Stimulant-Related Disorders
F15.99
USTIRDAO
Unspecified Stimulant-Related Disorder - Amphetamine or Other Stimulant
SMIDADO
Substance/MedicationInduced Anxiety Disorders
F10.180
AIADUDM
Alcohol - Induced Anxiety Disorder, With mild use disorder
SMIDADO
Substance/MedicationInduced Anxiety Disorders
F10.280
AIADUDMS
Alcohol - Induced Anxiety Disorder, With moderate or severe use disorder
SMIDADO
Substance/MedicationInduced Anxiety Disorders
F10.980
ACADWOUD
Alcohol - Induced Anxiety Disorder, Without use disorder
SMIBPDO
Substance/MedicationInduced Bipolar & Related
Disorders
F10.14
AIBDUDM
Alcohol - Induced Bipolar and Related Disorder, With mild use disorder
SMIBPDO
Substance/MedicationInduced Bipolar & Related
Disorders
F10.24
AIBDUDMS
Alcohol - Induced Bipolar and Related Disorder, With moderate or severe use
disorder
SMIBPDO
Substance/MedicationInduced Bipolar & Related
Disorders
F10.94
AIBDWOUD
Alcohol - Induced Bipolar and Related Disorder, Without use disorder
SMIPDO
Substance/MedicationInduced Psychotic Disorders
F10.159
AIPDUDM
Alcohol-Induced Psychotic Disorder, With mild use disorder
Long Description for MH ICD Code
Amphetamine (or other stimulant)-Induced Sleep Disorder, Without use
disorder
153
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
SMIPDO
Long Description for MH
Diagnostic Category
Substance/MedicationInduced Psychotic Disorders
MH ICD
Code *
F10.259
Description for
MH ICD Code
*
AIPDUDMS
Long Description for MH ICD Code
Alcohol-Induced Psychotic Disorder, With moderate or severe use disorder
SMIPDO
Substance/MedicationInduced Psychotic Disorders
F10.959
AIPDWOUD
Alcohol-Induced Psychotic Disorder, Without use disorder
SMISIDF
Substance/MedicationInduced Sexual Dysfunction
F10.181
AISDUDM
Alcohol - Induced Sexual Dysfunction, With mild use disorder
SMISIDF
Substance/MedicationInduced Sexual Dysfunction
F10.281
AISDUDMS
Alcohol - Induced Sexual Dysfunction, With moderate or severe use disorder
SMISIDF
Substance/MedicationInduced Sexual Dysfunction
F10.981
ACSDWOUD
Alcohol - Induced Sexual Dysfunction, Without use disorder
SMISDO
Substance/MedicationInduced Sleep Disorders
F10.182
AISLUDM
Alcohol-Induced Sleep Disorder, With mild use disorder
SMISDO
Substance/MedicationInduced Sleep Disorders
F10.282
AISLUDMS
Alcohol-Induced Sleep Disorder, With moderate or severe use disorder
SMISDO
Substance/MedicationInduced Sleep Disorders
F10.982
AISLWOUD
Alcohol-Induced Sleep Disorder, Without use disorder
SBADDO
Substance-Related and
Addictive Disorders
F10.10
ALUDOM
Alcohol Use Disorder- Mild
SBADDO
Substance-Related and
Addictive Disorders
F10.129
ALITXMUD
Alcohol Intoxication with Use Disorder, with mild use disorder
154
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
SBADDO
Long Description for MH
Diagnostic Category
Substance-Related and
Addictive Disorders
MH ICD
Code *
F10.20
Description for
MH ICD Code
*
ALUDOMD
Long Description for MH ICD Code
Alcohol Use Disorder - Moderate
SBADDO
Substance-Related and
Addictive Disorders
F10.20
ALUDOS
Alcohol Use Disorder - Severe
SBADDO
Substance-Related and
Addictive Disorders
F10.229
ALITMSUD
Alcohol Intoxication with Use Disorder, Moderate or Severe use disorder
SBADDO
Substance-Related and
Addictive Disorders
F10.232
ALWPD
Alcohol Withdrawal with Perceptual Disturbances
SBADDO
Substance-Related and
Addictive Disorders
F10.239
ALWOPD
Alcohol Withdrawal without Perceptual Disturbances
SBADDO
Substance-Related and
Addictive Disorders
F10.929
ALITWOUD
Alcohol Intoxication without Use Disorder
SBADDO
Substance-Related and
Addictive Disorders
F10.99
UNARDO
Unspecified Alcohol-Related Disorder
SBRDO
Substance-Related Disorders
F12.10
CBUDOM
Cannabis Use Disorder - Mild
SBRDO
Substance-Related Disorders
F12.122
CIPUDM
Cannabis Intoxication with Perceptual Disturbances, with Use Disorder, Mild
SBRDO
Substance-Related Disorders
F12.129
CIUDOM
Cannabis Intoxication without Perceptual Disturbances, with Use Disorder,
Mild
SBRDO
Substance-Related Disorders
F12.20
CBUDOMD
Cannabis Use Disorder - Moderate
SBRDO
Substance-Related Disorders
F12.20
CBUDOS
Cannabis Use Disorder - Severe
SBRDO
Substance-Related Disorders
F12.222
CIPMSUD
Cannabis Intoxication with Perceptual Disturbances, with Moderate or Severe
Use Disorder
155
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
SBRDO
Long Description for MH
Diagnostic Category
Substance-Related Disorders
MH ICD
Code *
F12.229
Description for
MH ICD Code
*
CIMSUD
SBRDO
Substance-Related Disorders
F12.288
CAWD
Cannabis Withdrawal
SBRDO
Substance-Related Disorders
F12.922
CITXPD
Cannabis Intoxication with Perceptual Disturbances, without Use Disorder
SBRDO
Substance-Related Disorders
F12.929
CITX
Cannabis Intoxication without Perceptual Disturbances, without Use Disorder
SBRDO
Substance-Related Disorders
F12.99
UNSCRDO
Unspecified Cannabis-Related Disorder
SBRDO
Substance-Related Disorders
F15.929
CAFITX
Caffeine Intoxication
SBRDO
Substance-Related Disorders
F15.93
CAFWD
Caffeine Withdrawal
SBRDO
Substance-Related Disorders
F15.99
UNCAFRDO
Unspecified Caffeine-Related Disorder
SBRDO
Substance-Related Disorders
F17.200
TCUDMD
Tobacco Use Disorder, Moderate
SBRDO
Substance-Related Disorders
F17.200
TCUDSV
Tobacco Use Disorder, Severe
SBRDO
Substance-Related Disorders
F17.203
TOBWD
Tobacco Withdrawal
SBRDO
Substance-Related Disorders
F17.209
UNTOBRDO
Unspecified Tobacco-Related Disorder
SBRDO
Substance-Related Disorders
F19.10
OUKSBUDM
Other (or Unknown) Substance Use Disorder - Mild
Long Description for MH ICD Code
Cannabis Intoxication without Perceptual Disturbances, with Moderate or
Severe Use Disorder
156
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
SBRDO
Long Description for MH
Diagnostic Category
Substance-Related Disorders
MH ICD
Code *
F19.129
Description for
MH ICD Code
*
OUSIMUD
Long Description for MH ICD Code
Other (or Unknown) Substance Intoxication - With Mild Use Disorder
SBRDO
Substance-Related Disorders
F19.20
OUKSBUMD
Other (or Unknown) Substance Use Disorder - Moderate
SBRDO
Substance-Related Disorders
F19.20
OUKSBUDS
Other (or Unknown) Substance Use Disorder - Severe
SBRDO
Substance-Related Disorders
F19.229
OUSIMSUD
Other (or Unknown) Substance Intoxication - With Moderate or Severe Use
Disorder
SBRDO
Substance-Related Disorders
F19.239
OUKSWD
Other (or Unknown) Substance Withdrawal
SBRDO
Substance-Related Disorders
F19.929
OUSIWOUD
Other (or Unknown) Substance Intoxication - Without Use Disorder
SBRDO
Substance-Related Disorders
F19.99
OTUNKSRD
Unspecified Other (or Unknown) Substance-Related Disorder
SBRDO
Substance-Related Disorders
F63.0
GAMBDO
Gambling Disorder
TSRDO
Trauma- and StressorRelated Disorders
F43.0
ACSTRDO
Acute Stress Disorder
TSRDO
Trauma- and StressorRelated Disorders
F43.10
PTRMSDO
Posttraumatic Stress Disorder
TSRDO
Trauma- and StressorRelated Disorders
F43.20
ADJDOUNS
Adjustment Disorders - Unspecified
TSRDO
Trauma- and StressorRelated Disorders
F43.21
ADJDODMP
Adjustment Disorder with depressed mood, Persistent
TSRDO
Trauma- and StressorRelated Disorders
F43.22
ADJDOAX
Adjustment Disorders With Anxiety
157
Beacon Health Options
02/12/16
MH
Diagnostic
Category *
TSRDO
Long Description for MH
Diagnostic Category
Trauma- and StressorRelated Disorders
MH ICD
Code *
F43.23
Description for
MH ICD Code
*
ADJDADM
Long Description for MH ICD Code
Adjustment Disorders with Mixed Anxiety and Depressed Mood
TSRDO
Trauma- and StressorRelated Disorders
F43.24
ADJDODC
Adjustment Disorders with Disturbance of Conduct
TSRDO
Trauma- and StressorRelated Disorders
F43.25
ADJDDEC
Adjustment Disorders with Mixed Disturbance of Emotions and Conduct
TSRDO
Trauma- and StressorRelated Disorders
F43.8
OTSTSRDO
Other Specified Trauma- and Stressor-Related Disorder
TSRDO
Trauma- and StressorRelated Disorders
F43.9
UNTSRDO
Unspecified Trauma- and Stressor-Related Disorder
TSRDO
Trauma- and StressorRelated Disorders
F94.1
RATCHDO
Reactive Attachment Disorder
TSRDO
Trauma- and StressorRelated Disorders
F94.2
DISEDO
Disinhibited Social Engagement Disorder
158
Beacon Health Options
02/12/16
APPENDIX B – DSM-5 / ICD-10 Medical Diagnostic Categories, Codes, and Descriptions
* These are the values that will be entered on the Batch Registration Submission File.
Medical
Diagnostic
Category *
NONE
Long Description for Medical
Diagnostic Category
None
UNK
Unknown
BBFOIM
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
Medical
ICD Code
*
Description for
Medical ICD
Code *
NONE
None
UNK
Unknown
D50
IRNDFANM
Iron deficiency anemia
D51
VB12DANM
Vitamin B12 deficiency anemia
D52
FOLDFANM
Folate deficiency anemia
D53
OTNUTANM
Other nutritional anemias
D55
ANMENZDO
Anemia due to enzyme disorders
D56
THLSMIA
Thalassemia
D57
SICELDO
Sickle-cell disorders
D58
OTHRHANM
Other hereditary hemolytic anemias
D59
ACQHMANM
Acquired hemolytic anemia
D60
APRCAPLA
Acquired pure red cell aplasia [erythroblastopenia]
Long Description for Medical ICD Code
159
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
Long Description for Medical
Diagnostic Category
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Medical
ICD Code
*
D61
Description for
Medical ICD
Code *
OAAOBMFS
Long Description for Medical ICD Code
Other aplastic anemias and other bone marrow failure syndromes
D62
ACPSMANM
Acute posthemorrhagic anemia
D63
ANMCDCLE
Anemia in chronic diseases classified elsewhere
D64
OTHANM
Other anemias
D65
DSMIVCG
Disseminated intravascular coagulation [defibrination syndrome]
D66
HRDF8DF
Hereditary factor VIII deficiency
D67
HRDF9DF
Hereditary factor IX deficiency
D68
OTHCGDF
Other coagulation defects
D69
PRTHMCND
Purpura and other hemorrhagic conditions
D70
NTROPNA
Neutropenia
D71
FNCDPMNN
Functional disorders of polymorphonuclear neutrophils
D72
OTWBCDO
Other disorders of white blood cells
D73
DSPLEEN
Diseases of spleen
D74
MTHGBNA
Methemoglobinemia
D75
OTUDBBFO
Other and unspecified diseases of blood and blood-forming organs
160
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02/12/16
Medical
Diagnostic
Category *
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
BBFOIM
CGDMCA
Long Description for Medical
Diagnostic Category
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Blood, blood-forming organs,
& immunological
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
D76
Description for
Medical ICD
Code *
OSDPLRT
D77
ODBBFOCE
D78
IOPPCMSP
Long Description for Medical ICD Code
Other specified diseases with participation of lymphoreticular and
reticulohistiocytic tissue
Other disorders of blood and blood-forming organs in diseases classified
elsewhere
Intraoperative and postprocedural complications of the spleen
D80
IMDFPABD
Immunodeficiency with predominantly antibody defects
D81
CMBIMDF
Combined immunodeficiencies
D82
IMDFAOMD
Immunodeficiency associated with other major defects
D83
CMVRIMDF
Common variable immunodeficiency
D84
OTHIMDF
Other immunodeficiencies
D86
SARCODOS
Sarcoidosis
D89
ODIMNEC
Other disorders involving the immune mechanism, not elsewhere classified
Q00
ANCPSMF
Anencephaly and similar malformations
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q01
ENCPHLCE
Encephalocele
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q02
MCROPHLY
Microcephaly
161
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q03
Description for
Medical ICD
Code *
CNGTHYDP
Long Description for Medical ICD Code
Congenital hydrocephalus
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q04
OCNGMFBR
Other congenital malformations of brain
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q05
SPNBFIDA
Spina bifida
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q06
OTCGMFSP
Other congenital malformations of spinal cord
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q07
OTHCGFNV
Other congenital malformations of nervous system
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q10
CGMFELAO
Congenital malformations of eyelid, lacrimal apparatus and orbit
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q11
AMMPTLMS
Anophthalmos, microphthalmos and macrophthalmos
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q12
CGLNSMF
Congenital lens malformations
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q13
CGMFASGE
Congenital malformations of anterior segment of eye
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q14
CGMFPSGE
Congenital malformations of posterior segment of eye
162
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q15
Description for
Medical ICD
Code *
OTCGMFE
Long Description for Medical ICD Code
Other congenital malformations of eye
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q16
CGMFERIH
Congenital malformations of ear causing impairment of hearing
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q17
OCGMFER
Other congenital malformations of ear
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q18
OTCGMFCN
Other congenital malformations of face and neck
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q20
CGMFCRDC
Congenital malformations of cardiac chambers and connections
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q21
CGMFCDSP
Congenital malformations of cardiac septa
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q22
CGMFPLTV
Congenital malformations of pulmonary and tricuspid valves
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q23
CGMFAMTV
Congenital malformations of aortic and mitral valves
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q24
OTCGMFHR
Other congenital malformations of heart
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q25
CGMFGART
Congenital malformations of great arteries
163
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q26
Description for
Medical ICD
Code *
CGMFGVN
Long Description for Medical ICD Code
Congenital malformations of great veins
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q27
OCGMFPVS
Other congenital malformations of peripheral vascular system
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q28
OCGMFCRC
Other congenital malformations of circulatory system
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q30
CGMFNOSE
Congenital malformations of nose
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q31
CGMFLRYX
Congenital malformations of larynx
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q32
CGMFTRBN
Congenital malformations of trachea and bronchus
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q33
CGMFLUNG
Congenital malformations of lung
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q34
OTCMRSPS
Other congenital malformations of respiratory system
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q35
CLFTPLTE
Cleft palate
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q36
CLFTLIP
Cleft lip
164
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q37
Description for
Medical ICD
Code *
CLFTPLP
Long Description for Medical ICD Code
Cleft palate with cleft lip
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q38
OCGMFTMP
Other congenital malformations of tongue, mouth and pharynx
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q39
CGMFESPG
Congenital malformations of esophagus
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q40
OCGMFUAT
Other congenital malformations of upper alimentary tract
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q41
CGAASMI
Congenital absence, atresia and stenosis of small intestine
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q42
CGAALGI
Congenital absence, atresia and stenosis of large intestine
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q43
OCGMFINS
Other congenital malformations of intestine
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q44
CGMFGBDL
Congenital malformations of gallbladder, bile ducts and liver
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q45
OCGMFDGS
Other congenital malformations of digestive system
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q50
CGMFOFBL
Congenital malformations of ovaries, fallopian tubes and broad ligaments
165
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q51
Description for
Medical ICD
Code *
CGMFUTRC
Long Description for Medical ICD Code
Congenital malformations of uterus and cervix
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q52
OCGMFMGL
Other congenital malformations of female genitalia
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q53
UNDECPTS
Undescended and ectopic testicle
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q54
HYPSPDIA
Hypospadias
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q55
OCGMFMGO
Other congenital malformations of male genital organs
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q56
IDSPHMDM
Indeterminate sex and pseudohermaphroditism
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q60
RNADFKDY
Renal agenesis and other reduction defects of kidney
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q61
CYSTKDNY
Cystic kidney disease
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q62
CGDFRPUR
Congenital obstructive defects of renal pelvis and congenital malformations of
ureter
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q63
OCGMFKDY
Other congenital malformations of kidney
166
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q64
Description for
Medical ICD
Code *
OCGMFURS
Long Description for Medical ICD Code
Other congenital malformations of urinary system
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q65
CGDFHIP
Congenital deformities of hip
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q66
CGDFEET
Congenital deformities of feet
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q67
CGMDFHSC
Congenital musculoskeletal deformities of head, face, spine and chest
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q68
OCGMSDF
Other congenital musculoskeletal deformities
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q69
PLYDACTY
Polydactyly
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q70
SYNSACTY
Syndactyly
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q71
RDFUPLMB
Reduction defects of upper limb
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q72
RDFLWLMB
Reduction defects of lower limb
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q73
RDFUNSLB
Reduction defects of unspecified limb
167
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q74
Description for
Medical ICD
Code *
OCGMFLMB
Long Description for Medical ICD Code
Other congenital malformations of limb(s)
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q75
OCGMFSFB
Other congenital malformations of skull and face bones
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q76
CGMFSBTH
Congenital malformations of spine and bony thorax
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q77
ODFGRTBS
Osteochondrodysplasia with defects of growth of tubular bones and spine
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q78
OTOSCDPA
Other osteochondrodysplasias
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q79
CGMFMSCS
Congenital malformations of musculoskeletal system, not elsewhere classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q80
CNGICTYS
Congenital ichthyosis
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q81
EPDRMBLA
Epidermolysis bullosa
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q82
OCGMFSKN
Other congenital malformations of skin
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q83
CGMFBRS
Congenital malformations of breast
168
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q84
Description for
Medical ICD
Code *
OCGMFIGM
Long Description for Medical ICD Code
Other congenital malformations of integument
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q85
PHKMATOS
Phakomatoses, not elsewhere classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q86
CGMFSKEG
Congenital malformation syndromes due to known exogenous causes, not
elsewhere classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q87
OSCMSAMS
Other specified congenital malformation syndromes affecting multiple
systems
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q89
OTCGMFL
Other congenital malformations, not elsewhere classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q90
DOWNSYN
Down syndrome
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q91
TRSMY
Trisomy 18 and Trisomy 13
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q92
OTPRTAT
Other trisomies and partial trisomies of the autosomes, not elsewhere
classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q93
MNDLFAT
Monosomies and deletions from the autosomes, not elsewhere classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q95
BLARSTRM
Balanced rearrangements and structural markers, not elsewhere classified
169
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CGDMCA
Long Description for Medical
Diagnostic Category
Congenital deformations,
malformations and
chromosomal abnormalities
Medical
ICD Code
*
Q96
Description for
Medical ICD
Code *
TRNSYND
Long Description for Medical ICD Code
Turner's syndrome
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q97
OSCRABFP
Other sex chromosome abnormalities, female phenotype, not elsewhere
classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q98
OSCRABMP
Other sex chromosome abnormalities, male phenotype, not elsewhere
classified
CGDMCA
Congenital deformations,
malformations and
chromosomal abnormalities
Q99
OCHRMABN
Other chromosome abnormalities, not elsewhere classified
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
C00
C01
C02
C03
C04
C05
C06
C07
C08
C09
C10
C11
C12
C13
C14
MLGNPLP
MLGNPBT
MLGNPOUT
MLGNPGM
MLGNPFM
MLGNPPL
MLGNPOUM
MLGNPPG
MLGNPOSG
MLGNPTSL
MLGNPOP
MLGNPNP
MLGNPPS
MLGNPHP
MLGNPLOP
CNCRNP
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
C15
C16
C17
MLGNPES
MLGNPSTM
MLGNPSMI
Malignant neoplasm of lip
Malignant neoplasm of base of tongue
Malignant neoplasm of other and unspecified parts of tongue
Malignant neoplasm of gum
Malignant neoplasm of floor of mouth
Malignant neoplasm of palate
Malignant neoplasm of other and unspecified parts of mouth
Malignant neoplasm of parotid gland
Malignant neoplasm of other and unspecified major salivary glands
Malignant neoplasm of tonsil
Malignant neoplasm of oropharynx
Malignant neoplasm of nasopharynx
Malignant neoplasm of pyriform sinus
Malignant neoplasm of hypopharynx
Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and
pharynx
Malignant neoplasm of esophagus
Malignant neoplasm of stomach
Malignant neoplasm of small intestine
170
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Long Description for Medical
Diagnostic Category
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Medical
ICD Code
*
C18
C19
C20
C21
C22
C23
C24
C25
C26
C30
C31
C32
C33
C34
C37
C38
C39
Description for
Medical ICD
Code *
MLGNPCLN
MLGNPRSJ
MLGNPRC
MLGNPAAC
MLGNPLBD
MLGNPGB
MLGNPBLT
MLGNPNCR
MLGNPDGO
MLGNPNME
MLGNPACS
MLGNPLRY
MLGNPTRC
MLGNPBRL
MLGNPTHY
MLGNPHMP
MLGNPRIO
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
C40
C41
MLGNPBCL
MLGNBCLO
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
C43
C44
C45
C46
C47
C48
C49
C4A
C50
C51
MLGMLSK
OMLGNPSK
MSOTHLMA
KPSRCMA
MLGNPNRV
MLGNPRP
MLGNPCST
MRCLCRMA
MLGNPBR
MLGNPVL
Long Description for Medical ICD Code
Malignant neoplasm of colon
Malignant neoplasm of rectosigmoid junction
Malignant neoplasm of rectum
Malignant neoplasm of anus and anal canal
Malignant neoplasm of liver and intrahepatic bile ducts
Malignant neoplasm of gallbladder
Malignant neoplasm of other and unspecified parts of biliary tract
Malignant neoplasm of pancreas
Malignant neoplasm of other and ill-defined digestive organs
Malignant neoplasm of nasal cavity and middle ear
Malignant neoplasm of accessory sinuses
Malignant neoplasm of larynx
Malignant neoplasm of trachea
Malignant neoplasm of bronchus and lung
Malignant neoplasm of thymus
Malignant neoplasm of heart, mediastinum and pleura
Malignant neoplasm of other and ill-defined sites in the respiratory system
and intrathoracic organs
Malignant neoplasm of bone and articular cartilage of limbs
Malignant neoplasm of bone and articular cartilage of other and unspecified
sites
Malignant melanoma of skin
Other and unspecified malignant neoplasm of skin
Mesothelioma
Kaposi's sarcoma
Malignant neoplasm of peripheral nerves and autonomic nervous system
Malignant neoplasm of retroperitoneum and peritoneum
Malignant neoplasm of other connective and soft tissue
Merkel cell carcinoma
Malignant neoplasm of breast
Malignant neoplasm of vulva
171
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02/12/16
Medical
Diagnostic
Category *
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Long Description for Medical
Diagnostic Category
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Medical
ICD Code
*
C52
C53
C54
C55
C56
C57
C58
C60
C61
C62
C63
C64
C65
C66
C67
C68
C69
C70
C71
C72
Description for
Medical ICD
Code *
MLGNPVG
MLGNPCRU
MLGNPCPU
MLGNPUTU
MLGNPOV
MLGNPFGO
MLGNPLCA
MLGNPN
MLGNPRS
MLGNPTS
MLGNPMGO
MLGNPKDN
MLGNPRNP
MLGNPURT
MLGNPBLD
MLGNPOUO
MLGNPEAN
MLGNPMNG
MLGNPBRN
MLGNPSPN
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
C73
C74
C75
C76
C77
C78
C79
C7A
C7B
C80
MLGNPTHG
MLGNPADG
MLGNPEG
MLGNPOTS
SMLGNPLN
SMLNPRDO
SMLNOTUN
MLGNENDT
SMLNENDT
MLGNPWOS
Long Description for Medical ICD Code
Malignant neoplasm of vagina
Malignant neoplasm of cervix uteri
Malignant neoplasm of corpus uteri
Malignant neoplasm of uterus, part unspecified
Malignant neoplasm of ovary
Malignant neoplasm of other and unspecified female genital organs
Malignant neoplasm of placenta
Malignant neoplasm of penis
Malignant neoplasm of prostate
Malignant neoplasm of testis
Malignant neoplasm of other and unspecified male genital organs
Malignant neoplasm of kidney, except renal pelvis
Malignant neoplasm of renal pelvis
Malignant neoplasm of ureter
Malignant neoplasm of bladder
Malignant neoplasm of other and unspecified urinary organs
Malignant neoplasm of eye and adnexa
Malignant neoplasm of meninges
Malignant neoplasm of brain
Malignant neoplasm of spinal cord, cranial nerves and other parts of central
nervous system
Malignant neoplasm of thyroid gland
Malignant neoplasm of adrenal gland
Malignant neoplasm of other endocrine glands and related structures
Malignant neoplasm of other and ill-defined sites
Secondary and unspecified malignant neoplasm of lymph nodes
Secondary malignant neoplasm of respiratory and digestive organs
Secondary malignant neoplasm of other and unspecified sites
Malignant neuroendocrine tumors
Secondary neuroendocrine tumors
Malignant neoplasm without specification of site
172
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Long Description for Medical
Diagnostic Category
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Medical
ICD Code
*
C81
C82
C83
C84
C85
C86
C88
C90
C91
C92
C93
C94
C95
C96
Description for
Medical ICD
Code *
HDKLYMA
FOLYMA
NFOLYMA
MTNKLYMA
OTUHDKL
OTUTNKLY
MLIPDLMA
MYLMPCNP
LYMLKMA
MYLKMA
MNCLKMA
OTLKMASC
LKMAUNCT
OTMNLHRT
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
D00
D01
D02
D03
D04
D05
D06
D07
D09
D10
D11
D12
D13
D14
D15
D16
CRMAOCES
CRMAOTDO
CRMAMERS
MLMAIS
CRMASKIN
CRMABR
CRMACRUT
CRMAOTGO
CRMAOTST
BNPMTPH
BNPMSG
BNPCRAC
BNPODGS
BNPMERS
BNPOITHO
BNPBARTC
Long Description for Medical ICD Code
Hodgkin lymphoma
Follicular lymphoma
Non-follicular lymphoma
Mature T/NK-cell lymphomas
Other specified and unspecified types of non-Hodgkin lymphoma
Other specified types of T/NK-cell lymphoma
Malignant immunoproliferative diseases and certain other B-cell lymphomas
Multiple myeloma and malignant plasma cell neoplasms
Lymphoid leukemia
Myeloid leukemia
Monocytic leukemia
Other leukemias of specified cell type
Leukemia of unspecified cell type
Other and unspecified malignant neoplasms of lymphoid, hematopoietic and
related tissue
Carcinoma in situ of oral cavity, esophagus and stomach
Carcinoma in situ of other and unspecified digestive organs
Carcinoma in situ of middle ear and respiratory system
Melanoma in situ
Carcinoma in situ of skin
Carcinoma in situ of breast
Carcinoma in situ of cervix uteri
Carcinoma in situ of other and unspecified genital organs
Carcinoma in situ of other and unspecified sites
Benign neoplasm of mouth and pharynx
Benign neoplasm of major salivary glands
Benign neoplasm of colon, rectum, anus and anal canal
Benign neoplasm of other and ill-defined parts of digestive system
Benign neoplasm of middle ear and respiratory system
Benign neoplasm of other and unspecified intrathoracic organs
Benign neoplasm of bone and articular cartilage
173
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Medical
Diagnostic
Category *
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Long Description for Medical
Diagnostic Category
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Medical
ICD Code
*
D17
D18
D19
D20
D21
D22
D23
D24
D25
D26
D27
D28
D29
D30
D31
D32
D33
D34
D35
D36
D37
D38
Description for
Medical ICD
Code *
BNLPNP
HMLYMAS
BNPMSTS
BNPSTRP
OBNPCOST
MLNOCN
OBNPSKN
BNPBR
LYMYUTR
OTBNPUTR
BNPOVRY
BNPOFGO
BNPMGO
BNPURO
BNPEADA
BNPMNG
BNPBCNS
BNPTHYG
BNPOTEDG
BNPOUNS
NPUCBODO
NUCBERIO
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
CNCRNP
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
Cancer & Neoplasms
D39
D3A
D40
D41
D42
D43
D44
D45
NPUCBFGO
BNEDTMR
NPUCBMGO
NPUCBURO
NPUCBMNG
NPUCBCNR
NPUCBEDG
PLCYTMIV
Long Description for Medical ICD Code
Benign lipomatous neoplasm
Hemangioma and lymphangioma, any site
Benign neoplasm of mesothelial tissue
Benign neoplasm of soft tissue of retroperitoneum and peritoneum
Other benign neoplasms of connective and other soft tissue
Melanocytic nevi
Other benign neoplasms of skin
Benign neoplasm of breast
Leiomyoma of uterus
Other benign neoplasms of uterus
Benign neoplasm of ovary
Benign neoplasm of other and unspecified female genital organs
Benign neoplasm of male genital organs
Benign neoplasm of urinary organs
Benign neoplasm of eye and adnexa
Benign neoplasm of meninges
Benign neoplasm of brain and other parts of central nervous system
Benign neoplasm of thyroid gland
Benign neoplasm of other and unspecified endocrine glands
Benign neoplasm of other and unspecified sites
Neoplasm of uncertain behavior of oral cavity and digestive organs
Neoplasm of uncertain behavior of middle ear and respiratory and
intrathoracic organs
Neoplasm of uncertain behavior of female genital organs
Benign neuroendocrine tumors
Neoplasm of uncertain behavior of male genital organs
Neoplasm of uncertain behavior of urinary organs
Neoplasm of uncertain behavior of meninges
Neoplasm of uncertain behavior of brain and central nervous system
Neoplasm of uncertain behavior of endocrine glands
Polycythemia vera
174
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Medical
Diagnostic
Category *
CNCRNP
CNCRNP
Long Description for Medical
Diagnostic Category
Cancer & Neoplasms
Cancer & Neoplasms
Medical
ICD Code
*
D46
D47
Description for
Medical ICD
Code *
MYLDPSYN
ONUBLHRT
CNCRNP
CNCRNP
CRCHRT
CRCHRT
CRCHRT
Cancer & Neoplasms
Cancer & Neoplasms
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
D48
D49
I20
I21
I22
BPUCBOTU
NPUNSBEH
ANGPCTR
MYCINFN
SMYCINFN
CRCHRT
Circulatory system - Heart
I23
CMYCINFN
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
I24
I25
I26
I27
I28
I30
I31
I32
I33
I34
I35
I36
I37
I38
I39
I40
I41
I42
I43
I44
OTACICHD
CHRNICHD
PLMREMBL
OTPLMHD
OTDPLMVS
ACTPRCDT
OTDPCRDM
PCRDTDCE
ASENDCRD
NRHMVLDO
NRHAVLDO
NRHTVLDO
NRHPVLDO
ENDCRDVU
ECRHVDCE
ACMYCRDT
MYCRDCE
CRDIOMYP
CRDMPDCE
AVNTLBL
Long Description for Medical ICD Code
Myelodysplastic syndromes
Other neoplasms of uncertain behavior of lymphoid, hematopoietic and
related tissue
Neoplasm of uncertain behavior of other and unspecified sites
Neoplasms of unspecified behavior
Angina pectoris
ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI)
myocardial infarction
Certain current complications following ST elevation (STEMI) and non-ST
elevation (NSTEMI) myocardial infarction (within the 28 day period)
Other acute ischemic heart diseases
Chronic ischemic heart disease
Pulmonary embolism
Other pulmonary heart diseases
Other diseases of pulmonary vessels
Acute pericarditis
Other diseases of pericardium
Pericarditis in diseases classified elsewhere
Acute and subacute endocarditis
Nonrheumatic mitral valve disorders
Nonrheumatic aortic valve disorders
Nonrheumatic tricuspid valve disorders
Nonrheumatic pulmonary valve disorders
Endocarditis, valve unspecified
Endocarditis and heart valve disorders in diseases classified elsewhere
Acute myocarditis
Myocarditis in diseases classified elsewhere
Cardiomyopathy
Cardiomyopathy in diseases classified elsewhere
Atrioventricular and left bundle-branch block
175
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Medical
Diagnostic
Category *
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHRT
CRCHYPT
CRCHYPT
CRCHYPT
CRCHYPT
CRCHYPT
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
Long Description for Medical
Diagnostic Category
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system - Heart
Circulatory system Hypertension
Circulatory system Hypertension
Circulatory system Hypertension
Circulatory system Hypertension
Circulatory system Hypertension
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Medical
ICD Code
*
I45
I46
I47
I48
I49
I50
I51
I52
I10
Description for
Medical ICD
Code *
OTCNDO
CARDCARR
PRSMTCRD
ATFBNFL
OTCRDATH
HRTFLR
CMPHRTD
OHDODCE
ESSPRMHT
Long Description for Medical ICD Code
Other conduction disorders
Cardiac arrest
Paroxysmal tachycardia
Atrial fibrillation and flutter
Other cardiac arrhythmias
Heart failure
Complications and ill-defined descriptions of heart disease
Other heart disorders in diseases classified elsewhere
Essential (primary) hypertension
I11
HYPTHRD
Hypertensive heart disease
I12
HYPTCKID
Hypertensive chronic kidney disease
I13
HYPHCKID
Hypertensive heart and chronic kidney disease
I15
SECHYPT
Secondary hypertension
I00
I01
I02
I05
I06
I07
I08
I09
I60
I61
I62
I63
RHFVWOHI
RHFVWHI
RHMCHRA
RHMTVLD
RHMAVLD
RHMTRVLD
MULVALD
OTRHMHRD
NTRSAHMG
NTRICHMG
ONTRICHG
CRBINFRN
Rheumatic fever without heart involvement
Rheumatic fever with heart involvement
Rheumatic chorea
Rheumatic mitral valve diseases
Rheumatic aortic valve diseases
Rheumatic tricuspid valve diseases
Multiple valve diseases
Other rheumatic heart diseases
Nontraumatic subarachnoid hemorrhage
Nontraumatic intracerebral hemorrhage
Other and unspecified nontraumatic intracranial hemorrhage
Cerebral infarction
176
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Medical
Diagnostic
Category *
CRCOTH
Long Description for Medical
Diagnostic Category
Circulatory system - Other
Medical
ICD Code
*
I65
Description for
Medical ICD
Code *
OSPCBART
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
CRCOTH
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
Circulatory system - Other
I66
I67
I68
I69
I70
I71
I72
I73
I74
I75
I76
I77
I78
I79
I80
I81
I82
I83
I85
I86
I87
I88
I89
I95
I96
I97
OSCRBART
OCRBVSCD
CRBVSDCE
SQCRBVSD
ATHSCLRS
ARTANYDS
OTANRYSM
OPRPVSD
ARTEMTHR
ATHREMB
SPAREMB
ODOARTRL
DOCPLRS
DOAACDCE
PHLTHRM
PRTVNTRM
OVNEBTHB
VRCVNLE
ESOPGVRC
VRCVNOST
OTDOVEIN
NSPLYMPD
ONIDLYVN
HYPOTNSN
GNGRNE
IOPCRCS
CRCOTH
DIGSLV
Circulatory system - Other
Digestive system - Liver
I99
K70
OUSDCRCS
ALCLVD
Long Description for Medical ICD Code
Occlusion and stenosis of precerebral arteries, not resulting in cerebral
infarction
Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
Other cerebrovascular diseases
Cerebrovascular disorders in diseases classified elsewhere
Sequelae of cerebrovascular disease
Atherosclerosis
Aortic aneurysm and dissection
Other aneurysm
Other peripheral vascular diseases
Arterial embolism and thrombosis
Atheroembolism
Septic arterial embolism
Other disorders of arteries and arterioles
Diseases of capillaries
Disorders of arteries, arterioles and capillaries in diseases classified elsewhere
Phlebitis and thrombophlebitis
Portal vein thrombosis
Other venous embolism and thrombosis
Varicose veins of lower extremities
Esophageal varices
Varicose veins of other sites
Other disorders of veins
Nonspecific lymphadenitis
Other noninfective disorders of lymphatic vessels and lymph nodes
Hypotension
Gangrene, not elsewhere classified
Intraoperative and postprocedural complications and disorders of circulatory
system, not elsewhere classified
Other and unspecified disorders of circulatory system
Alcoholic liver disease
177
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Medical
Diagnostic
Category *
DIGSLV
DIGSLV
DIGSLV
DIGSLV
DIGSLV
DIGSLV
DIGSLV
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
Long Description for Medical
Diagnostic Category
Digestive system - Liver
Digestive system - Liver
Digestive system - Liver
Digestive system - Liver
Digestive system - Liver
Digestive system - Liver
Digestive system - Liver
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Beacon Health Options
Medical
ICD Code
*
K71
K72
K73
K74
K75
K76
K77
K00
K01
K02
K03
K04
K05
K06
K08
K09
K11
K12
K13
K14
K20
K21
K22
K23
K25
K26
K27
K28
K29
K30
K31
Description for
Medical ICD
Code *
TXLVD
HEPTFAIL
CHRNFAIL
FBRCRHLV
OINFMLVD
OTDLV
LVDOID
DOTHTDE
EMBITHT
DNTCRS
ODHTSTH
DPLPRTS
GNGVPRD
ODGEALR
ODTHSPS
CYSORLRG
DSALGLND
STMRLSN
ODLPORMC
DSTONGUE
ESPHGTS
GSESPRFD
ODESPGS
DOESPGSD
GSTRULCR
DUONULCR
PEPTULCR
GSTJULCR
GSTRDUOS
FNCDYSPA
OTDSTDD
Long Description for Medical ICD Code
Toxic liver disease
Hepatic failure, not elsewhere classified
Chronic hepatitis, not elsewhere classified
Fibrosis and cirrhosis of liver
Other inflammatory liver diseases
Other diseases of liver
Liver disorders in diseases classified elsewhere
Disorders of tooth development and eruption
Embedded and impacted teeth
Dental caries
Other diseases of hard tissues of teeth
Diseases of pulp and periapical tissues
Gingivitis and periodontal diseases
Other disorders of gingiva and edentulous alveolar ridge
Other disorders of teeth and supporting structures
Cysts of oral region, not elsewhere classified
Diseases of salivary glands
Stomatitis and related lesions
Other diseases of lip and oral mucosa
Diseases of tongue
Esophagitis
Gastro-esophageal reflux disease
Other diseases of esophagus
Disorders of esophagus in diseases classified elsewhere
Gastric ulcer
Duodenal ulcer
Peptic ulcer, site unspecified
Gastrojejunal ulcer
Gastritis and duodenitis
Functional dyspepsia
Other diseases of stomach and duodenum
178
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Medical
Diagnostic
Category *
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
Long Description for Medical
Diagnostic Category
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Beacon Health Options
Medical
ICD Code
*
K35
K36
K37
K38
K40
K41
K42
K43
K44
K45
K46
K50
K51
K52
K55
K56
K57
K58
K59
K60
K61
K62
K63
K64
K65
K66
K67
K68
K80
K81
K82
Description for
Medical ICD
Code *
ACAPNDCS
OTAPNDCS
UNAPNDCS
OTDAPNDX
INGNHRNA
FMRHRNA
UMBLHRNA
VNTRHRNA
DPHGHRNA
OABDHRNA
UNABHRNA
CROHNDS
ULCRCOLT
OUNIGENC
VSCDOIN
PRLINOB
DVRDOIN
IRBWSYN
OFNINDO
FSFTARR
ABANRCR
OTDANRC
OTDSINTS
HMPAVNTB
PRITNTS
ODPRITNM
DOPRTIFD
DORTPTNM
CHLTHIA
CHLECYST
OTDGLBLD
Long Description for Medical ICD Code
Acute appendicitis
Other appendicitis
Unspecified appendicitis
Other diseases of appendix
Inguinal hernia
Femoral hernia
Umbilical hernia
Ventral hernia
Diaphragmatic hernia
Other abdominal hernia
Unspecified abdominal hernia
Crohn's disease [regional enteritis]
Ulcerative colitis
Other and unspecified noninfective gastroenteritis and colitis
Vascular disorders of intestine
Paralytic ileus and intestinal obstruction without hernia
Diverticular disease of intestine
Irritable bowel syndrome
Other functional intestinal disorders
Fissure and fistula of anal and rectal regions
Abscess of anal and rectal regions
Other diseases of anus and rectum
Other diseases of intestine
Hemorrhoids and perianal venous thrombosis
Peritonitis
Other disorders of peritoneum
Disorders of peritoneum in infectious diseases classified elsewhere
Disorders of retroperitoneum
Cholelithiasis
Cholecystitis
Other diseases of gallbladder
179
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Medical
Diagnostic
Category *
DIGSOTH
DIGSOTH
DIGSOTH
DIGSOTH
Long Description for Medical
Diagnostic Category
Digestive system - Other
Digestive system - Other
Digestive system - Other
Digestive system - Other
Medical
ICD Code
*
K83
K85
K86
K87
Description for
Medical ICD
Code *
OTDBLTRC
ACPNCRTS
OTDPNCRS
DGBBTPCD
DIGSOTH
DIGSOTH
Digestive system - Other
Digestive system - Other
K90
K91
INSTMLAB
ITPPCDGS
DIGSOTH
DIGSOTH
DIGSOTH
ENMDB
Digestive system - Other
Digestive system - Other
Digestive system - Other
Endocrine, nutritional &
metabolic - Diabetes mellitus
Endocrine, nutritional &
metabolic - Diabetes mellitus
Endocrine, nutritional &
metabolic - Diabetes mellitus
Endocrine, nutritional &
metabolic - Diabetes mellitus
Endocrine, nutritional &
metabolic - Diabetes mellitus
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
K92
K94
K95
E08
OTDDGS
CMPAODGS
CMPBRPRC
DBMTULCN
Long Description for Medical ICD Code
Other diseases of biliary tract
Acute pancreatitis
Other diseases of pancreas
Disorders of gallbladder, biliary tract and pancreas in diseases classified
elsewhere
Intestinal malabsorption
Intraoperative and postprocedural complications and disorders of digestive
system, not elsewhere classified
Other diseases of digestive system
Complications of artificial openings of the digestive system
Complications of bariatric procedures
Diabetes mellitus due to underlying condition
E09
DCHIDBMT
Drug or chemical induced diabetes mellitus
E10
TYP1DBMT
Type 1 diabetes mellitus
E11
TYP2DBMT
Type 2 diabetes mellitus
E13
OTSPDBMT
Other specified diabetes mellitus
E15
NDBHGLCM
Nondiabetic hypoglycemic coma
E16
OTDPNRIS
Other disorders of pancreatic internal secretion
E20
HYPRTHYD
Hypoparathyroidism
E21
HYPTHYDO
Hyperparathyroidism and other disorders of parathyroid gland
E22
HYPFNPTG
Hyperfunction of pituitary gland
ENMDB
ENMDB
ENMDB
ENMDB
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
180
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02/12/16
Medical
Diagnostic
Category *
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
Long Description for Medical
Diagnostic Category
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Medical
ICD Code
*
E23
Description for
Medical ICD
Code *
HYPOFDPG
Long Description for Medical ICD Code
Hypofunction and other disorders of the pituitary gland
E24
CSHNGSYN
Cushing's syndrome
E25
ADROGNDO
Adrenogenital disorders
E26
HYPLDTNM
Hyperaldosteronism
E27
OTDOADGD
Other disorders of adrenal gland
E28
OVRNDYFN
Ovarian dysfunction
E29
TSTCDYFN
Testicular dysfunction
E30
DOPBTY
Disorders of puberty, not elsewhere classified
E31
PLYGDDYF
Polyglandular dysfunction
E32
DSTHYMUS
Diseases of thymus
E34
OTHENDO
Other endocrine disorders
E35
DOENDGLD
Disorders of endocrine glands in diseases classified elsewhere
E36
IOCMPEDS
Intraoperative complications of endocrine system
E40
KWSHRKR
Kwashiorkor
E41
NTRNMRMS
Nutritional marasmus
181
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
Long Description for Medical
Diagnostic Category
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Medical
ICD Code
*
E42
Description for
Medical ICD
Code *
MRSMKWSR
Long Description for Medical ICD Code
Marasmic kwashiorkor
E43
UNSVPRCM
Unspecified severe protein-calorie malnutrition
E44
PRCMNMDI
Protein-calorie malnutrition of moderate and mild degree
E45
RDVFPRCM
Retarded development following protein-calorie malnutrition
E46
UNPRCLMN
Unspecified protein-calorie malnutrition
E50
VITADEF
Vitamin A deficiency
E51
THIMNDEF
Thiamine deficiency
E52
NIACNDEF
Niacin deficiency [pellagra]
E53
DEFOBGVT
Deficiency of other B group vitamins
E54
ASCBADEF
Ascorbic acid deficiency
E55
VITDDEF
Vitamin D deficiency
E56
OTHVTDEF
Other vitamin deficiencies
E58
DTCALDEF
Dietary calcium deficiency
E59
DTSLMDEF
Dietary selenium deficiency
E60
DTZNCDEF
Dietary zinc deficiency
182
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
Long Description for Medical
Diagnostic Category
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Medical
ICD Code
*
E61
Description for
Medical ICD
Code *
DEFONTEL
Long Description for Medical ICD Code
Deficiency of other nutrient elements
E63
OTNTRDEF
Other nutritional deficiencies
E64
SQMLNTDF
Sequelae of malnutrition and other nutritional deficiencies
E65
LCLADPTY
Localized adiposity
E66
OWGHTOBS
Overweight and obesity
E67
OTHYPALM
Other hyperalimentation
E68
SQHYPALM
Sequelae of hyperalimentation
E70
DOARMAAM
Disorders of aromatic amino-acid metabolism
E71
DOBCAFAM
E72
OTDOAAMT
Disorders of branched-chain amino-acid metabolism and fatty-acid
metabolism
Other disorders of amino-acid metabolism
E73
LCTSINTL
Lactose intolerance
E74
OTDOCBMT
Other disorders of carbohydrate metabolism
E75
DSGMLPSD
Disorders of sphingolipid metabolism and other lipid storage disorders
E76
DAMGLCMT
Disorders of glycosaminoglycan metabolism
E77
DGPRMTB
Disorders of glycoprotein metabolism
183
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMOTH
ENMTHY
ENMTHY
ENMTHY
ENMTHY
ENMTHY
Long Description for Medical
Diagnostic Category
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Other
Endocrine, nutritional &
metabolic - Thyroid
Endocrine, nutritional &
metabolic - Thyroid
Endocrine, nutritional &
metabolic - Thyroid
Endocrine, nutritional &
metabolic - Thyroid
Endocrine, nutritional &
metabolic - Thyroid
Medical
ICD Code
*
E78
Description for
Medical ICD
Code *
DLPRMTLP
Long Description for Medical ICD Code
Disorders of lipoprotein metabolism and other lipidemias
E79
DOPRPMTB
Disorders of purine and pyrimidine metabolism
E80
DPRBLBMT
Disorders of porphyrin and bilirubin metabolism
E83
DOMNRLMT
Disorders of mineral metabolism
E84
CYSTFBR
Cystic fibrosis
E85
AMYLDSIS
Amyloidosis
E86
VLMDPLTN
Volume depletion
E87
OTDFEABB
Other disorders of fluid, electrolyte and acid-base balance
E88
OUNMTBDO
Other and unspecified metabolic disorders
E89
PPEDMTCD
E00
CNGIDNDF
Postprocedural endocrine and metabolic complications and disorders, not
elsewhere classified
Congenital iodine-deficiency syndrome
E01
IDDEFTHD
Iodine-deficiency related thyroid disorders and allied conditions
E02
SCIDDFHT
Subclinical iodine-deficiency hypothyroidism
E03
OTHYPTHY
Other hypothyroidism
E04
OTNTXCGT
Other nontoxic goiter
184
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
ENMTHY
ENMTHY
ENMTHY
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
ERMSP
Long Description for Medical
Diagnostic Category
Endocrine, nutritional &
metabolic - Thyroid
Endocrine, nutritional &
metabolic - Thyroid
Endocrine, nutritional &
metabolic - Thyroid
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Ear and mastoid process
Medical
ICD Code
*
E05
Description for
Medical ICD
Code *
HYPETHYD
Long Description for Medical ICD Code
Thyrotoxicosis [hyperthyroidism]
E06
THYRODTS
Thyroiditis
E07
OTDOTHYD
Other disorders of thyroid
H60
H61
H62
H65
H66
H67
H68
H69
H70
H71
H72
H73
H74
H75
H80
H81
H82
H83
H90
H91
H92
H93
H94
H95
OTSEXTRN
ODOEXTER
DOEXTERD
NSPOTSMD
SPUNOTMD
OTSMDAD
ESSGTOBT
OTUNDOET
MSTDRCND
CHLAMDER
PRFTPMEM
ODOTPMEM
ODOERMST
ODERMSTD
OCTSCLRS
DVSTBLFN
VRTSYND
ODSINRER
CDSNHRLS
OTUNHRLS
OTGEFFER
OTHDOEAR
OTHDEARD
IPPCDEMP
Otitis externa
Other disorders of external ear
Disorders of external ear in diseases classified elsewhere
Nonsuppurative otitis media
Suppurative and unspecified otitis media
Otitis media in diseases classified elsewhere
Eustachian salpingitis and obstruction
Other and unspecified disorders of Eustachian tube
Mastoiditis and related conditions
Cholesteatoma of middle ear
Perforation of tympanic membrane
Other disorders of tympanic membrane
Other disorders of middle ear mastoid
Other disorders of middle ear and mastoid in diseases classified elsewhere
Otosclerosis
Disorders of vestibular function
Vertiginous syndromes in diseases classified elsewhere
Other diseases of inner ear
Conductive and sensorineural hearing loss
Other and unspecified hearing loss
Otalgia and effusion of ear
Other disorders of ear, not elsewhere classified
Other disorders of ear in diseases classified elsewhere
Intraoperative and postprocedural complications and disorders of ear and
mastoid process, not elsewhere classified
185
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Medical
ICD Code
*
V00
V01
V02
V03
V04
V05
V06
V09
V10
V11
V12
V13
V14
V15
V16
V17
V18
V19
V20
V21
V22
V23
V24
V25
V26
V27
V28
V29
V30
Description for
Medical ICD
Code *
PDSTCVAC
PDIJCPCY
PDIJCMV
PDIJCCTV
PDICTVB
PDICRVT
PDICNMV
PDIOUTA
CRICPA
CRICOPC
CRICTWMV
CRICCTV
CRICHTVB
CRICRTV
CRICNMV
CRICFSOB
CRINCTA
CRIOUTA
MRICPA
MRICPCE
MRICTWMV
MRICCTV
MRICHTVB
MRICRTV
MRICONMV
MRICFSO
MRINCTA
MRIOUTA
OWMVICPA
EXTRCM
External causes of morbidity
V31
OWMVICPC
Long Description for Medical ICD Code
Pedestrian conveyance accident
Pedestrian injured in collision with pedal cycle
Pedestrian injured in collision with two- or three-wheeled motor vehicle
Pedestrian injured in collision with car, pick-up truck or van
Pedestrian injured in collision with heavy transport vehicle or bus
Pedestrian injured in collision with railway train or railway vehicle
Pedestrian injured in collision with other nonmotor vehicle
Pedestrian injured in other and unspecified transport accidents
Pedal cycle rider injured in collision with pedestrian or animal
Pedal cycle rider injured in collision with other pedal cycle
Pedal cycle rider injured in collision with two- or three-wheeled motor vehicle
Pedal cycle rider injured in collision with car, pick-up truck or van
Pedal cycle rider injured in collision with heavy transport vehicle or bus
Pedal cycle rider injured in collision with railway train or railway vehicle
Pedal cycle rider injured in collision with other nonmotor vehicle
Pedal cycle rider injured in collision with fixed or stationary object
Pedal cycle rider injured in noncollision transport accident
Pedal cycle rider injured in other and unspecified transport accidents
Motorcycle rider injured in collision with pedestrian or animal
Motorcycle rider injured in collision with pedal cycle
Motorcycle rider injured in collision with two- or three-wheeled motor vehicle
Motorcycle rider injured in collision with car, pick-up truck or van
Motorcycle rider injured in collision with heavy transport vehicle or bus
Motorcycle rider injured in collision with railway train or railway vehicle
Motorcycle rider injured in collision with other nonmotor vehicle
Motorcycle rider injured in collision with fixed or stationary object
Motorcycle rider injured in noncollision transport accident
Motorcycle rider injured in other and unspecified transport accidents
Occupant of three-wheeled motor vehicle injured in collision with pedestrian
or animal
Occupant of three-wheeled motor vehicle injured in collision with pedal cycle
186
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
Medical
ICD Code
*
V32
Description for
Medical ICD
Code *
OWMVICMV
EXTRCM
External causes of morbidity
V33
OWMVICTV
EXTRCM
External causes of morbidity
V34
OWMVICVB
EXTRCM
External causes of morbidity
V35
OMVICRTV
EXTRCM
External causes of morbidity
V36
OMVICNMV
EXTRCM
External causes of morbidity
V37
OMVICFSO
EXTRCM
External causes of morbidity
V38
OMVINCTA
EXTRCM
External causes of morbidity
V39
OMVIOUTA
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
V40
V41
V42
V43
V44
V45
V46
V47
V48
V49
V50
COICPA
COICPDC
COICWMV
COICCTV
COICTVB
COICRTV
COICNMV
COICFSO
COINCTA
COIOUTA
OPTVICPA
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
V51
V52
OPTVICPC
OPTVICMV
Long Description for Medical ICD Code
Occupant of three-wheeled motor vehicle injured in collision with two- or
three-wheeled motor vehicle
Occupant of three-wheeled motor vehicle injured in collision with car, pick-up
truck or van
Occupant of three-wheeled motor vehicle injured in collision with heavy
transport vehicle or bus
Occupant of three-wheeled motor vehicle injured in collision with railway
train or railway vehicle
Occupant of three-wheeled motor vehicle injured in collision with other
nonmotor vehicle
Occupant of three-wheeled motor vehicle injured in collision with fixed or
stationary object
Occupant of three-wheeled motor vehicle injured in noncollision transport
accident
Occupant of three-wheeled motor vehicle injured in other and unspecified
transport accidents
Car occupant injured in collision with pedestrian or animal
Car occupant injured in collision with pedal cycle
Car occupant injured in collision with two- or three-wheeled motor vehicle
Car occupant injured in collision with car, pick-up truck or van
Car occupant injured in collision with heavy transport vehicle or bus
Car occupant injured in collision with railway train or railway vehicle
Car occupant injured in collision with other nonmotor vehicle
Car occupant injured in collision with fixed or stationary object
Car occupant injured in noncollision transport accident
Car occupant injured in other and unspecified transport accidents
Occupant of pick-up truck or van injured in collision with pedestrian or
animal
Occupant of pick-up truck or van injured in collision with pedal cycle
Occupant of pick-up truck or van injured in collision with two- or threewheeled motor vehicle
187
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
Medical
ICD Code
*
V53
Description for
Medical ICD
Code *
OPTVICTV
EXTRCM
External causes of morbidity
V54
OVICHTVB
EXTRCM
External causes of morbidity
V55
OVICRTV
EXTRCM
External causes of morbidity
V56
OVICNMV
EXTRCM
External causes of morbidity
V57
OVICFSO
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
V58
V59
OTVNCTA
OTVIOUTA
EXTRCM
External causes of morbidity
V60
OHTVICPA
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
V61
V62
OHTVICPC
OHTVICMV
EXTRCM
External causes of morbidity
V63
OHTVICVN
EXTRCM
External causes of morbidity
V64
OHTVICVB
EXTRCM
External causes of morbidity
V65
OHTVICRV
EXTRCM
External causes of morbidity
V66
HTVICNMV
EXTRCM
External causes of morbidity
V67
HTVCFSOB
EXTRCM
External causes of morbidity
V68
OHTVNCTA
Long Description for Medical ICD Code
Occupant of pick-up truck or van injured in collision with car, pick-up truck
or van
Occupant of pick-up truck or van injured in collision with heavy transport
vehicle or bus
Occupant of pick-up truck or van injured in collision with railway train or
railway vehicle
Occupant of pick-up truck or van injured in collision with other nonmotor
vehicle
Occupant of pick-up truck or van injured in collision with fixed or stationary
object
Occupant of pick-up truck or van injured in noncollision transport accident
Occupant of pick-up truck or van injured in other and unspecified transport
accidents
Occupant of heavy transport vehicle injured in collision with pedestrian or
animal
Occupant of heavy transport vehicle injured in collision with pedal cycle
Occupant of heavy transport vehicle injured in collision with two- or threewheeled motor vehicle
Occupant of heavy transport vehicle injured in collision with car, pick-up
truck or van
Occupant of heavy transport vehicle injured in collision with heavy transport
vehicle or bus
Occupant of heavy transport vehicle injured in collision with railway train or
railway vehicle
Occupant of heavy transport vehicle injured in collision with other nonmotor
vehicle
Occupant of heavy transport vehicle injured in collision with fixed or
stationary object
Occupant of heavy transport vehicle injured in noncollision transport accident
188
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
Medical
ICD Code
*
V69
Description for
Medical ICD
Code *
OHTVIOTA
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
V70
V71
V72
V73
V74
V75
V76
V77
V78
V79
V80
BOICPA
BOICPC
BOICWMV
BOICCTV
BOICHTVB
BOICRTV
BOICONMV
BOICFSO
BOICNCTA
BOIOUTA
AROVITA
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
V81
V82
V83
ORTVITA
OPCITA
OSVIPTTA
EXTRCM
External causes of morbidity
V84
OSVAITA
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
V85
V86
OSCVITA
OSRMVITA
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
V87
V88
V89
V90
V91
V92
TAUKVMT
NTAUKVMT
MVATVU
DWACDWT
OTIJACWT
DWABWT
Long Description for Medical ICD Code
Occupant of heavy transport vehicle injured in other and unspecified transport
accidents
Bus occupant injured in collision with pedestrian or animal
Bus occupant injured in collision with pedal cycle
Bus occupant injured in collision with two- or three-wheeled motor vehicle
Bus occupant injured in collision with car, pick-up truck or van
Bus occupant injured in collision with heavy transport vehicle or bus
Bus occupant injured in collision with railway train or railway vehicle
Bus occupant injured in collision with other nonmotor vehicle
Bus occupant injured in collision with fixed or stationary object
Bus occupant injured in noncollision transport accident
Bus occupant injured in other and unspecified transport accidents
Animal-rider or occupant of animal-drawn vehicle injured in transport
accident
Occupant of railway train or railway vehicle injured in transport accident
Occupant of powered streetcar injured in transport accident
Occupant of special vehicle mainly used on industrial premises injured in
transport accident
Occupant of special vehicle mainly used in agriculture injured in transport
accident
Occupant of special construction vehicle injured in transport accident
Occupant of special all-terrain or other off-road motor vehicle, injured in
transport accident
Traffic accident of specified type but victim's mode of transport unknown
Nontraffic accident of specified type but victim's mode of transport unknown
Motor- or nonmotor-vehicle accident, type of vehicle unspecified
Drowning and submersion due to accident to watercraft
Other injury due to accident to watercraft
Drowning and submersion due to accident on board watercraft, without
accident to watercraft
189
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
Medical
ICD Code
*
V93
Description for
Medical ICD
Code *
INJABWT
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
V94
V95
V96
V97
V98
V99
W00
W01
W03
W04
W05
OTUNSWTA
APARIJO
ANPARIJO
OTSPATA
OTSPTA
UNSTRA
FLICESNW
FLSLTRSM
OFLCLAP
FLCSPOP
FNMWCSM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
W06
W07
W08
W09
W10
W11
W12
W13
W14
W15
W16
W17
W18
W19
W20
W21
W22
FALLFBED
FALLFCHR
FALLFT
FALLPLEQ
FALLSTRP
FALLLDR
FALLSCF
FALLBLST
FALLTREE
FALLCLF
FALLJDVW
OFLVLTA
OSLTRSTF
UNSFALL
STPFLOBJ
STRKSPEQ
STRKOTOB
Long Description for Medical ICD Code
Other injury due to accident on board watercraft, without accident to
watercraft
Other and unspecified water transport accidents
Accident to powered aircraft causing injury to occupant
Accident to nonpowered aircraft causing injury to occupant
Other specified air transport accidents
Other specified transport accidents
Unspecified transport accident
Fall due to ice and snow
Fall on same level from slipping, tripping and stumbling
Other fall on same level due to collision with another person
Fall while being carried or supported by other persons
Fall from non-moving wheelchair, nonmotorized scooter and motorized
mobility scooter
Fall from bed
Fall from chair
Fall from other furniture
Fall on and from playground equipment
Fall on and from stairs and steps
Fall on and from ladder
Fall on and from scaffolding
Fall from, out of or through building or structure
Fall from tree
Fall from cliff
Fall, jump or diving into water
Other fall from one level to another
Other slipping, tripping and stumbling and falls
Unspecified fall
Struck by thrown, projected or falling object
Striking against or struck by sports equipment
Striking against or struck by other objects
190
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Medical
ICD Code
*
W23
W24
W25
W26
W27
W28
W29
W30
W31
W32
W33
W34
Description for
Medical ICD
Code *
CCJMPNBO
CLFTRMDV
CNTSPGL
CNTKFDG
CNTNPHT
CNTPWRLM
CPHTHM
CNTAGRM
CNTOUM
AHGDCMF
ASGLDCMF
ADMNFAGN
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
W35
W36
W37
W38
W39
W40
W42
W45
W46
W49
W50
W51
W52
W53
W54
W55
W56
W57
EXPLRPBL
EXPLRPGC
EXPRPRT
EXPROSPD
DSCFRW
EXPLOMAT
EXPNOISE
FBOETSKN
CNTHYPDN
EXPOIMCF
AHSKTBAP
ASTBAP
CPSCRHS
CNTRDNT
CNTDOG
CNTOMAM
CNTNVMA
BNVIATP
Long Description for Medical ICD Code
Caught, crushed, jammed or pinched in or between objects
Contact with lifting and transmission devices, not elsewhere classified
Contact with sharp glass
Contact with knife, sword or dagger
Contact with nonpowered hand tool
Contact with powered lawn mower
Contact with other powered hand tools and household machinery
Contact with agricultural machinery
Contact with other and unspecified machinery
Accidental handgun discharge and malfunction
Accidental rifle, shotgun and larger firearm discharge and malfunction
Accidental discharge and malfunction from other and unspecified firearms and
guns
Explosion and rupture of boiler
Explosion and rupture of gas cylinder
Explosion and rupture of pressurized tire, pipe or hose
Explosion and rupture of other specified pressurized devices
Discharge of firework
Explosion of other materials
Exposure to noise
Foreign body or object entering through skin
Contact with hypodermic needle
Exposure to other inanimate mechanical forces
Accidental hit, strike, kick, twist, bite or scratch by another person
Accidental striking against or bumped into by another person
Crushed, pushed or stepped on by crowd or human stampede
Contact with rodent
Contact with dog
Contact with other mammals
Contact with nonvenomous marine animal
Bitten or stung by nonvenomous insect and other nonvenomous arthropods
191
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Beacon Health Options
Medical
ICD Code
*
W58
W59
W60
W61
W62
W64
W65
W67
W69
W73
W74
W85
W86
W88
W89
W90
W92
W93
W94
W99
X00
X01
X02
X03
X04
X05
X06
X08
X10
X11
X12
Description for
Medical ICD
Code *
CNTCRALL
CNTONVRP
CTNVPTSL
CNTWLBRD
CNTNVMAP
EXPAMCHF
ACDSBTB
ACDSSWPL
ACDSNTWT
OCANTRDS
UCANTRDS
EXPETMLN
EXPOSPEC
EXPIZRDN
EXPMVUVL
EXPNIZRD
EXPEHMMO
EXPECMMO
EXPHLAP
EXPMENVF
EXPUFBS
EXPUFNBS
EXPCFBS
EXPCFNBS
EXPIHFM
EXPIMNW
EXPIMCA
EXPSMFF
CNTHDFF
CNTHTWT
CNTOHTFL
Long Description for Medical ICD Code
Contact with crocodile or alligator
Contact with other nonvenomous reptiles
Contact with nonvenomous plant thorns and spines and sharp leaves
Contact with birds (domestic) (wild)
Contact with nonvenomous amphibians
Exposure to other animate mechanical forces
Accidental drowning and submersion while in bath-tub
Accidental drowning and submersion while in swimming-pool
Accidental drowning and submersion while in natural water
Other specified cause of accidental non-transport drowning and submersion
Unspecified cause of accidental drowning and submersion
Exposure to electric transmission lines
Exposure to other specified electric current
Exposure to ionizing radiation
Exposure to man-made visible and ultraviolet light
Exposure to other nonionizing radiation
Exposure to excessive heat of man-made origin
Exposure to excessive cold of man-made origin
Exposure to high and low air pressure and changes in air pressure
Exposure to other man-made environmental factors
Exposure to uncontrolled fire in building or structure
Exposure to uncontrolled fire, not in building or structure
Exposure to controlled fire in building or structure
Exposure to controlled fire, not in building or structure
Exposure to ignition of highly flammable material
Exposure to ignition or melting of nightwear
Exposure to ignition or melting of other clothing and apparel
Exposure to other specified smoke, fire and flames
Contact with hot drinks, food, fats and cooking oils
Contact with hot tap-water
Contact with other hot fluids
192
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Beacon Health Options
Medical
ICD Code
*
X13
X14
X15
X16
X17
X18
X19
X30
X31
X32
X34
X35
X36
X37
X38
X39
X52
X58
X71
X72
X73
X74
X75
X76
X77
X78
X79
X80
X81
X82
X83
Description for
Medical ICD
Code *
CNTSTOHV
CNTHTARG
CNTHTHSA
CNTHARDP
CNTHEGMT
CNTOHTMT
CNTHTSUB
EXPEXNHT
EXPEXNC
EXPSNLGT
ERTHQK
VLCNERP
AVLSERMV
CTSMSTRM
FLOOD
EXPOFRCN
PRLGSWLE
EXPOSPF
INTSHDSB
INTSHGDC
INTSHFDC
INTHFGDC
ITSHEXPM
ITSHSMFF
ITSHVHO
ITSHSPOB
ITSHBLOB
ITSHJPHP
ITSHJPMO
ITSHCMV
ITSHOSPM
Long Description for Medical ICD Code
Contact with steam and other hot vapors
Contact with hot air and other hot gases
Contact with hot household appliances
Contact with hot heating appliances, radiators and pipes
Contact with hot engines, machinery and tools
Contact with other hot metals
Contact with other heat and hot substances
Exposure to excessive natural heat
Exposure to excessive natural cold
Exposure to sunlight
Earthquake
Volcanic eruption
Avalanche, landslide and other earth movements
Cataclysmic storm
Flood
Exposure to other forces of nature
Prolonged stay in weightless environment
Exposure to other specified factors
Intentional self-harm by drowning and submersion
Intentional self-harm by handgun discharge
Intentional self-harm by rifle, shotgun and larger firearm discharge
Intentional self-harm by other and unspecified firearm and gun discharge
Intentional self-harm by explosive material
Intentional self-harm by smoke, fire and flames
Intentional self-harm by steam, hot vapors and hot objects
Intentional self-harm by sharp object
Intentional self-harm by blunt object
Intentional self-harm by jumping from a high place
Intentional self-harm by jumping or lying in front of moving object
Intentional self-harm by crashing of motor vehicle
Intentional self-harm by other specified means
193
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Beacon Health Options
Medical
ICD Code
*
X92
X93
X94
X95
X96
X97
X98
X99
Y00
Y01
Y02
Y03
Y04
Y07
Y08
Y09
Y21
Y22
Y23
Y24
Y25
Y26
Y27
Y28
Y29
Y30
Y31
Y32
Y33
Y35
Y36
Description for
Medical ICD
Code *
ASLDRWSB
ASLHGDC
ASLRSFDC
ASLUFGDC
ASLEXPMT
ASLSMFF
ASLSHVPO
ASLSPOB
ASLBLOB
ASLPSHP
ASLPVMVO
ASLCMV
ASLBFRCE
PASLMTG
ASLOSPM
ASLUSPM
DWSBUDI
HGDCUDI
RSFADCUI
OUFADCUI
CTEXPMUI
EXPSFFUI
CSHVPOUI
CSPOBJUI
CBLOBJUI
FJPHPUI
FLRMOBUI
CMVUI
OSPEVUI
LGLINVTN
OPNWR
Long Description for Medical ICD Code
Assault by drowning and submersion
Assault by handgun discharge
Assault by rifle, shotgun and larger firearm discharge
Assault by other and unspecified firearm and gun discharge
Assault by explosive material
Assault by smoke, fire and flames
Assault by steam, hot vapors and hot objects
Assault by sharp object
Assault by blunt object
Assault by pushing from high place
Assault by pushing or placing victim in front of moving object
Assault by crashing of motor vehicle
Assault by bodily force
Perpetrator of assault, maltreatment and neglect
Assault by other specified means
Assault by unspecified means
Drowning and submersion, undetermined intent
Handgun discharge, undetermined intent
Rifle, shotgun and larger firearm discharge, undetermined intent
Other and unspecified firearm discharge, undetermined intent
Contact with explosive material, undetermined intent
Exposure to smoke, fire and flames, undetermined intent
Contact with steam, hot vapors and hot objects, undetermined intent
Contact with sharp object, undetermined intent
Contact with blunt object, undetermined intent
Falling, jumping or pushed from a high place, undetermined intent
Falling, lying or running before or into moving object, undetermined intent
Crashing of motor vehicle, undetermined intent
Other specified events, undetermined intent
Legal intervention
Operations of war
194
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
EXTRCM
Long Description for Medical
Diagnostic Category
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Medical
ICD Code
*
Y37
Y38
Y62
Y63
Y64
Y65
Y66
Y69
Y70
Y71
Y72
Y73
Y74
Y75
Y76
Y77
Y78
Y79
Y80
Y81
Y82
Y83
Description for
Medical ICD
Code *
MLTRYOPN
TERROISM
FLSPSRMC
FLDSRMC
CNMTMBS
OMADSMC
NADMSMC
UNSMASMC
ANSDADVI
CRVDADVI
OTLGDADI
GEURDADI
GNHPDADI
NROLDADI
OBGNDADI
OPTHDADI
RADGDADI
ORTODADI
PMEDDADI
GPLSDADI
OTUMDADI
SRGABLC
EXTRCM
External causes of morbidity
Y84
MDPRCALC
Other medical procedures as the cause of abnormal reaction of the patient, or
of later complication, without mention of misadventure at the time of the
procedure
EXTRCM
EXTRCM
EXTRCM
EXTRCM
External causes of morbidity
External causes of morbidity
External causes of morbidity
External causes of morbidity
Y90
Y92
Y93
Y95
EVALCIBA
PLOCREXC
ACTVTYCD
NSCMLCND
Evidence of alcohol involvement determined by blood alcohol level
Place of occurrence of the external cause
Activity codes
Nosocomial condition
Long Description for Medical ICD Code
Military operations
Terrorism
Failure of sterile precautions during surgical and medical care
Failure in dosage during surgical and medical care
Contaminated medical or biological substances
Other misadventures during surgical and medical care
Nonadministration of surgical and medical care
Unspecified misadventure during surgical and medical care
Anesthesiology devices associated with adverse incidents
Cardiovascular devices associated with adverse incidents
Otorhinolaryngological devices associated with adverse incidents
Gastroenterology and urology devices associated with adverse incidents
General hospital and personal-use devices associated with adverse incidents
Neurological devices associated with adverse incidents
Obstetric and gynecological devices associated with adverse incidents
Ophthalmic devices associated with adverse incidents
Radiological devices associated with adverse incidents
Orthopedic devices associated with adverse incidents
Physical medicine devices associated with adverse incidents
General- and plastic-surgery devices associated with adverse incidents
Other and unspecified medical devices associated with adverse incidents
Surgical operation and other surgical procedures as the cause of abnormal
reaction of the patient, or of later complication, without mention of
misadventure at the time of the procedure
195
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
EXTRCM
EYEBLND
EYEBLND
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
Long Description for Medical
Diagnostic Category
External causes of morbidity
Eye - Blindness
Eye - Blindness
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Beacon Health Options
Medical
ICD Code
*
Y99
H53
H54
H00
H01
H02
H04
H05
H10
H11
H15
H16
H17
H18
H20
H21
H22
H25
H26
H27
H28
H30
H31
H32
H33
H34
H35
H36
H40
H42
H43
Description for
Medical ICD
Code *
EXTCAST
VSLDSTB
BLNDLVSN
HRDLCLZN
OTINFLEL
OTDOEYLD
DOLCRMNS
DOFORBT
CNJCTVTS
ODCNJVTS
DOSCLRA
KRATITS
CRNLSOP
OTDOCRNA
IRDCYCLT
OTDIRCLR
DIRSCLRD
AGRLCTRT
OTHCTRCT
OTDOLNS
CTRCTID
CHRTNLIF
OTDOCHRD
CHRTNLDD
RTNLDTBR
RTNLVSLO
OTRTNLDO
RTNLDOD
GLAUCOMA
GLCOMAD
DOVTRSBD
Long Description for Medical ICD Code
External cause status
Visual disturbances
Blindness and low vision
Hordeolum and chalazion
Other inflammation of eyelid
Other disorders of eyelid
Disorders of lacrimal system
Disorders of orbit
Conjunctivitis
Other disorders of conjunctiva
Disorders of sclera
Keratitis
Corneal scars and opacities
Other disorders of cornea
Iridocyclitis
Other disorders of iris and ciliary body
Disorders of iris and ciliary body in diseases classified elsewhere
Age-related cataract
Other cataract
Other disorders of lens
Cataract in diseases classified elsewhere
Chorioretinal inflammation
Other disorders of choroid
Chorioretinal disorders in diseases classified elsewhere
Retinal detachments and breaks
Retinal vascular occlusions
Other retinal disorders
Retinal disorders in diseases classified elsewhere
Glaucoma
Glaucoma in diseases classified elsewhere
Disorders of vitreous body
196
02/12/16
Medical
Diagnostic
Category *
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
EYEOTH
Long Description for Medical
Diagnostic Category
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Eye - Other
Medical
ICD Code
*
H44
H46
H47
H49
H50
H51
H52
H55
H57
H59
Description for
Medical ICD
Code *
DOGLBE
OPTCNRTS
OD2OPNVP
PRLYSTRB
OTSTRBSM
OTDBNCLM
DORFRTNA
NYSTGIRM
OTDEYADX
IOPPCDEA
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
N00
N01
N02
N03
N04
N05
N06
N07
N08
N10
N11
N12
N13
N14
N15
N16
N17
N18
N19
N20
ACTNPSYN
RPGNPSYN
RCPSHMTA
CHRNPSYN
NPHTCSYN
UNNPHSYN
IPTSMRLS
HRDNPTY
GLMRDOD
ACTBISNP
CRTBISNP
TBINSNPR
OBSTRFUR
DHMITITC
OTRNTBIS
RNTBISDD
ACTKDFLR
CHRKDND
UNSKNDF
CLCKNDUR
Long Description for Medical ICD Code
Disorders of globe
Optic neuritis
Other disorders of optic [2nd] nerve and visual pathways
Paralytic strabismus
Other strabismus
Other disorders of binocular movement
Disorders of refraction and accommodation
Nystagmus and other irregular eye movements
Other disorders of eye and adnexa
Intraoperative and postprocedural complications and disorders of eye and
adnexa, not elsewhere classified
Acute nephritic syndrome
Rapidly progressive nephritic syndrome
Recurrent and persistent hematuria
Chronic nephritic syndrome
Nephrotic syndrome
Unspecified nephritic syndrome
Isolated proteinuria with specified morphological lesion
Hereditary nephropathy, not elsewhere classified
Glomerular disorders in diseases classified elsewhere
Acute tubulo-interstitial nephritis
Chronic tubulo-interstitial nephritis
Tubulo-interstitial nephritis, not specified as acute or chronic
Obstructive and reflux uropathy
Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions
Other renal tubulo-interstitial diseases
Renal tubulo-interstitial disorders in diseases classified elsewhere
Acute kidney failure
Chronic kidney disease (CKD)
Unspecified kidney failure
Calculus of kidney and ureter
197
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEURKD
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
Long Description for Medical
Diagnostic Category
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Kidney
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Beacon Health Options
Medical
ICD Code
*
N21
N22
N23
N25
N26
N27
N28
N29
N30
N31
N32
N33
N34
N35
N36
N37
N39
N40
N41
N42
N43
N44
N45
N46
N47
N48
N49
N50
N51
N52
N53
Description for
Medical ICD
Code *
CLCLWURT
CLCURTD
UNSRNCLC
DIRNTBFN
UNCNTKND
SMKNDUKC
OTDKNDUR
ODKNDURD
CYSTSIS
NRMSDFBL
OTDOBLDR
BLDRDOD
URTHRSYN
URTHSTRC
OTDOURTH
URTHLDOD
OTDURSYS
ENLGPRST
INFLDPRS
OUNDOPRS
HYDSPMCL
NINFLDTS
ORCHEPTS
MLIFRTLY
DOPRPCE
OTDPNS
INFLDMGO
OTUNDMGO
DOMLGOD
MERDYSFN
OMSDYSFN
Long Description for Medical ICD Code
Calculus of lower urinary tract
Calculus of urinary tract in diseases classified elsewhere
Unspecified renal colic
Disorders resulting from impaired renal tubular function
Unspecified contracted kidney
Small kidney of unknown cause
Other disorders of kidney and ureter, not elsewhere classified
Other disorders of kidney and ureter in diseases classified elsewhere
Cystitis
Neuromuscular dysfunction of bladder, not elsewhere classified
Other disorders of bladder
Bladder disorders in diseases classified elsewhere
Urethritis and urethral syndrome
Urethral stricture
Other disorders of urethra
Urethral disorders in diseases classified elsewhere
Other disorders of urinary system
Enlarged prostate
Inflammatory diseases of prostate
Other and unspecified disorders of prostate
Hydrocele and spermatocele
Noninflammatory disorders of testis
Orchitis and epididymitis
Male infertility
Disorders of prepuce
Other disorders of penis
Inflammatory disorders of male genital organs, not elsewhere classified
Other and unspecified disorders of male genital organs
Disorders of male genital organs in diseases classified elsewhere
Male erectile dysfunction
Other male sexual dysfunction
198
02/12/16
Medical
Diagnostic
Category *
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
GEUROTH
Long Description for Medical
Diagnostic Category
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Medical
ICD Code
*
N60
N61
N62
N63
N64
N65
N70
N71
N72
N73
N74
N75
N76
N77
N80
N81
N82
N83
N84
N85
N86
N87
N88
N89
N90
N91
N92
N93
N94
Description for
Medical ICD
Code *
BGNMRDSP
INFLDOBR
HYPTRYBR
UNSLMPBR
OTHDOBR
DFDPRCBR
SPGOOPRT
INFLDUTR
INFLDCRU
OFPVINFD
FPVINFDO
DBRTLNGL
OINFVGVU
VUVGUIFD
ENDMETRS
FMGNPRLP
FSTLFGNT
NIFOFTBL
PLYPFGNT
ONIFDUTR
ERSPCRUT
DYSPCRUT
ONIFDCUT
ONIFDVG
ONIFDVLP
ABSCRMSN
EXFRIMSN
OTABUTVB
PCFMGOMC
GEUROTH
Genitourinary system - Other
N95
MPOTPRMD
Long Description for Medical ICD Code
Benign mammary dysplasia
Inflammatory disorders of breast
Hypertrophy of breast
Unspecified lump in breast
Other disorders of breast
Deformity and disproportion of reconstructed breast
Salpingitis and oophoritis
Inflammatory disease of uterus, except cervix
Inflammatory disease of cervix uteri
Other female pelvic inflammatory diseases
Female pelvic inflammatory disorders in diseases classified elsewhere
Diseases of Bartholin's gland
Other inflammation of vagina and vulva
Vulvovaginal ulceration and inflammation in diseases classified elsewhere
Endometriosis
Female genital prolapse
Fistulae involving female genital tract
Noninflammatory disorders of ovary, fallopian tube and broad ligament
Polyp of female genital tract
Other noninflammatory disorders of uterus, except cervix
Erosion and ectropion of cervix uteri
Dysplasia of cervix uteri
Other noninflammatory disorders of cervix uteri
Other noninflammatory disorders of vagina
Other noninflammatory disorders of vulva and perineum
Absent, scanty and rare menstruation
Excessive, frequent and irregular menstruation
Other abnormal uterine and vaginal bleeding
Pain and other conditions associated with female genital organs and menstrual
cycle
Menopausal and other perimenopausal disorders
199
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
GEUROTH
GEUROTH
GEUROTH
GEUROTH
Long Description for Medical
Diagnostic Category
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Genitourinary system - Other
Medical
ICD Code
*
N96
N97
N98
N99
Description for
Medical ICD
Code *
RCPRGLS
FMINFRTY
CMPARFRT
IPCDGNUR
INFPSHIV
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
Infectious & Parasitic - HIV
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
B20
A00
A01
A02
A03
A04
A05
A06
A07
A08
A09
A15
A17
A18
A19
A20
A21
A22
A23
A24
A25
A26
A27
A28
A30
A31
HMIDFVRS
CHOLRA
TYPHDFV
OSLMNAIF
SHGLSIS
OBINTSIF
OTBFBITX
AMBIASIS
OPRTZIND
VRLSINTF
IGSTRCLS
RSPTBCS
TBCSNRVS
TBCSORGN
MLRYTBCS
PLAGUE
TLARMIA
ANTHRAX
BRCLOSIS
GLNDMLDS
RATBTFV
ERYSPLD
LPTOSPRS
OZBCTRD
LPSYD
INFMCBT
Long Description for Medical ICD Code
Recurrent pregnancy loss
Female infertility
Complications associated with artificial fertilization
Intraoperative and postprocedural complications and disorders of
genitourinary system, not elsewhere classified
Human immunodeficiency virus [HIV] disease
Cholera
Typhoid and paratyphoid fevers
Other salmonella infections
Shigellosis
Other bacterial intestinal infections
Other bacterial foodborne intoxications, not elsewhere classified
Amebiasis
Other protozoal intestinal diseases
Viral and other specified intestinal infections
Infectious gastroenteritis and colitis, unspecified
Respiratory tuberculosis
Tuberculosis of nervous system
Tuberculosis of other organs
Miliary tuberculosis
Plague
Tularemia
Anthrax
Brucellosis
Glanders and melioidosis
Rat-bite fevers
Erysipeloid
Leptospirosis
Other zoonotic bacterial diseases, not elsewhere classified
Leprosy [Hansen's disease]
Infection due to other mycobacteria
200
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
Long Description for Medical
Diagnostic Category
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Beacon Health Options
Medical
ICD Code
*
A32
A33
A34
A35
A36
A37
A38
A39
A40
A41
A42
A43
A44
A46
A48
A49
A50
A51
A52
A53
A54
A55
A56
A57
A58
A59
A60
A63
A64
A65
A66
Description for
Medical ICD
Code *
LSTRSIS
TTNSNTM
OBSTTNS
OTHTTNS
DPTHRIA
WHPNGCGH
SCRLTFVR
MNGCLINF
STRPCPS
OTHSEPS
ACTNMYS
NCRDSIS
BRTNLSIS
ERYSPLAS
OTHBTDS
BTINFUST
CNGSYPL
ERLSYPL
LTSYPL
OTUNSYPL
GNCLINFN
CHLYMPGL
OSTCHLYD
CHNCRD
GRNLMAIG
TRCHMNS
AGNHPINF
OPRSTRD
UNSTRD
NVNSYPL
YAWS
Long Description for Medical ICD Code
Listeriosis
Tetanus neonatorum
Obstetrical tetanus
Other tetanus
Diphtheria
Whooping cough
Scarlet fever
Meningococcal infection
Streptococcal sepsis
Other sepsis
Actinomycosis
Nocardiosis
Bartonellosis
Erysipelas
Other bacterial diseases, not elsewhere classified
Bacterial infection of unspecified site
Congenital syphilis
Early syphilis
Late syphilis
Other and unspecified syphilis
Gonococcal infection
Chlamydial lymphogranuloma (venereum)
Other sexually transmitted chlamydial diseases
Chancroid
Granuloma inguinale
Trichomoniasis
Anogenital herpesviral [herpes simplex] infections
Other predominantly sexually transmitted diseases, not elsewhere classified
Unspecified sexually transmitted disease
Nonvenereal syphilis
Yaws
201
02/12/16
Medical
Diagnostic
Category *
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
Long Description for Medical
Diagnostic Category
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Beacon Health Options
Medical
ICD Code
*
A67
A68
A69
A70
A71
A74
A75
A77
A78
A79
A80
A81
A82
A83
A84
A85
A86
A87
A88
A89
A90
A91
A92
A93
A94
A95
A96
A98
A99
B00
B01
Description for
Medical ICD
Code *
PINTA
RLPSFVR
OTSPTINF
CHPTINF
TRACHOMA
OTDCHLMY
TYPHUSFV
SPTDFV
QFEVER
OTRCKTS
ACTPLMYS
ATVNICNS
RABIES
MSQBVREL
TCKBVREL
OTHVRELS
UNVRLELS
VRLMNGTS
VRLINCNS
UNVRCNS
DNGFVR
DNGHMGFV
OMSQBVRF
OATBVRFV
UNATBVFV
YLWFVR
AVRHMGFV
OVRHMGFV
UVRHMGFV
HRPSVRIF
VRCLLA
Long Description for Medical ICD Code
Pinta [carate]
Relapsing fevers
Other spirochetal infections
Chlamydia psittaci infections
Trachoma
Other diseases caused by chlamydiae
Typhus fever
Spotted fever [tick-borne rickettsioses]
Q fever
Other rickettsioses
Acute poliomyelitis
Atypical virus infections of central nervous system
Rabies
Mosquito-borne viral encephalitis
Tick-borne viral encephalitis
Other viral encephalitis, not elsewhere classified
Unspecified viral encephalitis
Viral meningitis
Other viral infections of central nervous system, not elsewhere classified
Unspecified viral infection of central nervous system
Dengue fever [classical dengue]
Dengue hemorrhagic fever
Other mosquito-borne viral fevers
Other arthropod-borne viral fevers, not elsewhere classified
Unspecified arthropod-borne viral fever
Yellow fever
Arenaviral hemorrhagic fever
Other viral hemorrhagic fevers, not elsewhere classified
Unspecified viral hemorrhagic fever
Herpesviral [herpes simplex] infections
Varicella [chickenpox]
202
02/12/16
Medical
Diagnostic
Category *
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
Long Description for Medical
Diagnostic Category
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Medical
ICD Code
*
B02
B03
B04
B05
B06
B07
B08
Description for
Medical ICD
Code *
ZOSTER
SMLPOX
MNKYPOX
MEASLES
RUBELLA
VRLWART
OTVIMCLS
INFPSOTH
Infectious & Parasitic - Other
B09
UVIMCLS
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
B10
B15
B16
B17
B18
B19
B25
B26
B27
B30
B33
B34
B35
B36
B37
B38
B39
B40
B41
B42
B43
OTHMHRPS
ACHPTSA
ACHPTSB
OTACVRHP
CHRNVRHP
UNSVRHP
CYMGVRD
MUMPS
INFMNCLS
VRCNJTVS
OTVRLDS
VRLIFUNS
DRMAPHTS
OTHSPFMY
CNDIASIS
CDMYCSIS
HSTPLSM
BLSTMYCS
PRCDMYCS
SPRTRCHS
CHRMPHAB
Long Description for Medical ICD Code
Zoster [herpes zoster]
Smallpox
Monkeypox
Measles
Rubella [German measles]
Viral warts
Other viral infections characterized by skin and mucous membrane lesions,
not elsewhere classified
Unspecified viral infection characterized by skin and mucous membrane
lesions
Other human herpesviruses
Acute hepatitis A
Acute hepatitis B
Other acute viral hepatitis
Chronic viral hepatitis
Unspecified viral hepatitis
Cytomegaloviral disease
Mumps
Infectious mononucleosis
Viral conjunctivitis
Other viral diseases, not elsewhere classified
Viral infection of unspecified site
Dermatophytosis
Other superficial mycoses
Candidiasis
Coccidioidomycosis
Histoplasmosis
Blastomycosis
Paracoccidioidomycosis
Sporotrichosis
Chromomycosis and pheomycotic abscess
203
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
Long Description for Medical
Diagnostic Category
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Beacon Health Options
Medical
ICD Code
*
B44
B45
B46
B47
B48
B49
B50
B51
B52
B53
B54
B55
B56
B57
B58
B59
B60
B64
B65
B66
B67
B68
B69
B70
B71
B72
B73
B74
B75
B76
B77
Description for
Medical ICD
Code *
ASPRGLSI
CRYPTCS
ZYGMYCS
MYCTMA
OTMYCOS
UNMYCOS
PLSFMLRA
PLSVMLRA
PLSMMLRA
OTSPMLRA
UNSMLRA
LSHMNAS
AFRTPAS
CHGADS
TXOPLSMS
PNMOCYST
OPRTZDS
UNPRTZDS
SCHTSMAS
OFLKINF
ECHNCSIS
TAENASIS
CYSTRCIS
DPHYLSPG
OCSTDINF
DRLIASIS
ONCHASIS
FILARSIS
TRCHNELS
HKWRMDS
ASCRASIS
Long Description for Medical ICD Code
Aspergillosis
Cryptococcosis
Zygomycosis
Mycetoma
Other mycoses, not elsewhere classified
Unspecified mycosis
Plasmodium falciparum malaria
Plasmodium vivax malaria
Plasmodium malariae malaria
Other specified malaria
Unspecified malaria
Leishmaniasis
African trypanosomiasis
Chagas' disease
Toxoplasmosis
Pneumocystosis
Other protozoal diseases, not elsewhere classified
Unspecified protozoal disease
Schistosomiasis [bilharziasis]
Other fluke infections
Echinococcosis
Taeniasis
Cysticercosis
Diphyllobothriasis and sparganosis
Other cestode infections
Dracunculiasis
Onchocerciasis
Filariasis
Trichinellosis
Hookworm diseases
Ascariasis
204
02/12/16
Medical
Diagnostic
Category *
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
INFPSOTH
IPEXTBI
IPEXTBI
IPEXTBI
IPEXTBI
IPEXTBI
Long Description for Medical
Diagnostic Category
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Infectious & Parasitic - Other
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Medical
ICD Code
*
B78
B79
B80
B81
B82
B83
B85
B86
B87
B88
B89
B90
B91
B92
B94
B95
Description for
Medical ICD
Code *
STRGYLDS
TRICHRAS
ENTROBAS
OINTHLMS
UNINTPRS
OTHLMTHS
PDICLPHT
SCABIES
MYIASIS
OTHINF
UNSPARDS
SEQTBCS
SEQPLMYT
SEQLPRY
SQOUINPD
STENCD
B96
B97
B99
S00
OBTAGCD
VRLAGTCD
OTUNINFD
SPIJHEAD
Long Description for Medical ICD Code
Strongyloidiasis
Trichuriasis
Enterobiasis
Other intestinal helminthiases, not elsewhere classified
Unspecified intestinal parasitism
Other helminthiases
Pediculosis and phthiriasis
Scabies
Myiasis
Other infestations
Unspecified parasitic disease
Sequelae of tuberculosis
Sequelae of poliomyelitis
Sequelae of leprosy
Sequelae of other and unspecified infectious and parasitic diseases
Streptococcus, Staphylococcus, and Enterococcus as the cause of diseases
classified elsewhere
Other bacterial agents as the cause of diseases classified elsewhere
Viral agents as the cause of diseases classified elsewhere
Other and unspecified infectious diseases
Superficial injury of head
S01
OPWHEAD
Open wound of head
S02
FRCTSFB
Fracture of skull and facial bones
S03
DSLSJLHD
Dislocation and sprain of joints and ligaments of head
S04
INJCRNRV
Injury of cranial nerve
205
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTBI
IPEXTBI
IPEXTBI
IPEXTBI
IPEXTBI
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - TBI
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S05
Description for
Medical ICD
Code *
INJEYORB
Long Description for Medical ICD Code
Injury of eye and orbit
S06
INTCRNIJ
Intracranial injury
S07
CINJHEAD
Crushing injury of head
S08
ALTRMAHD
Avulsion and traumatic amputation of part of head
S09
OUIJHEAD
Other and unspecified injuries of head
S10
SPFINJRN
Superficial injury of neck
S11
OPWNDN
Open wound of neck
S12
FRCVPN
Fracture of cervical vertebra and other parts of neck
S13
DLSPJLN
Dislocation and sprain of joints and ligaments at neck level
S14
INRVSPNL
Injury of nerves and spinal cord at neck level
S15
IBVSNL
Injury of blood vessels at neck level
S16
IMFSCTDN
Injury of muscle, fascia and tendon at neck level
S17
CRSHIJN
Crushing injury of neck
S19
OTSUSIJN
Other specified and unspecified injuries of neck
S20
SPFIJTRX
Superficial injury of thorax
206
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S21
Description for
Medical ICD
Code *
OPWNDTRX
Long Description for Medical ICD Code
Open wound of thorax
S22
FRBSTHR
Fracture of rib(s), sternum and thoracic spine
S23
DSLSPJLT
Dislocation and sprain of joints and ligaments of thorax
S24
INRSPCTX
Injury of nerves and spinal cord at thorax level
S25
IBVSTHX
Injury of blood vessels of thorax
S26
INJHRT
Injury of heart
S27
IJOUITHO
Injury of other and unspecified intrathoracic organs
S28
CITAPTHX
Crushing injury of thorax, and traumatic amputation of part of thorax
S29
OTSPITHX
Other and unspecified injuries of thorax
S30
SIALBPEG
Superficial injury of abdomen, lower back, pelvis and external genitals
S31
OWALBPEG
Open wound of abdomen, lower back, pelvis and external genitals
S32
FLMRSPLV
Fracture of lumbar spine and pelvis
S33
DSJLSPLV
Dislocation and sprain of joints and ligaments of lumbar spine and pelvis
S34
LSCNALBP
S35
IJBVALBP
Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back
and pelvis level
Injury of blood vessels at abdomen, lower back and pelvis level
207
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S36
Description for
Medical ICD
Code *
IJIABDOG
Long Description for Medical ICD Code
Injury of intra-abdominal organs
S37
IJURNPVO
Injury of urinary and pelvic organs
S38
CITALBEG
S39
OUNALBEG
S40
SPISHUPA
Crushing injury and traumatic amputation of abdomen, lower back, pelvis and
external genitals
Other and unspecified injuries of abdomen, lower back, pelvis and external
genitals
Superficial injury of shoulder and upper arm
S41
OPWSHUPA
Open wound of shoulder and upper arm
S42
FRSHUPA
Fracture of shoulder and upper arm
S43
DSPJLGS
Dislocation and sprain of joints and ligaments of shoulder girdle
S44
IJNRSDUA
Injury of nerves at shoulder and upper arm level
S45
IJBVSDUA
Injury of blood vessels at shoulder and upper arm level
S46
IFSTSDUA
Injury of muscle, fascia and tendon at shoulder and upper arm level
S47
CRIJSDUA
Crushing injury of shoulder and upper arm
S48
TRAPSDUA
Traumatic amputation of shoulder and upper arm
S49
ORUSHUAM
Other and unspecified injuries of shoulder and upper arm
S50
SPIJELFA
Superficial injury of elbow and forearm
208
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S51
Description for
Medical ICD
Code *
OPWELFA
Long Description for Medical ICD Code
Open wound of elbow and forearm
S52
FRCFRAM
Fracture of forearm
S53
DSLSPJLE
Dislocation and sprain of joints and ligaments of elbow
S54
IJNRVFAM
Injury of nerves at forearm level
S55
IJBVFRAM
Injury of blood vessels at forearm level
S56
IJMFCTFA
Injury of muscle, fascia and tendon at forearm level
S57
CIJRLFAM
Crushing injury of elbow and forearm
S58
TRAPELFA
Traumatic amputation of elbow and forearm
S59
OTIJELFA
Other and unspecified injuries of elbow and forearm
S60
SPIJWHF
Superficial injury of wrist, hand and fingers
S61
OPWDWHF
Open wound of wrist, hand and fingers
S62
FRWRHF
Fracture at wrist and hand level
S63
DSLSJWH
Dislocation and sprain of joints and ligaments at wrist and hand level
S64
IJNRVWH
Injury of nerves at wrist and hand level
S65
IJBVWH
Injury of blood vessels at wrist and hand level
209
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S66
Description for
Medical ICD
Code *
IJMFTWH
Long Description for Medical ICD Code
Injury of muscle, fascia and tendon at wrist and hand level
S67
CIJRWHF
Crushing injury of wrist, hand and fingers
S68
TRAWHF
Traumatic amputation of wrist, hand and fingers
S69
OTIJWHF
Other and unspecified injuries of wrist, hand and finger(s)
S70
SPINJHPT
Superficial injury of hip and thigh
S71
OPWDHPT
Open wound of hip and thigh
S72
FRTFMR
Fracture of femur
S73
DSLSJLH
Dislocation and sprain of joint and ligaments of hip
S74
IJNRVHPT
Injury of nerves at hip and thigh level
S75
IJBVHPT
Injury of blood vessels at hip and thigh level
S76
IJMFTHPT
Injury of muscle, fascia and tendon at hip and thigh level
S77
CINJHPT
Crushing injury of hip and thigh
S78
TRAHPT
Traumatic amputation of hip and thigh
S79
OTINJHPT
Other and unspecified injuries of hip and thigh
S80
SPFIKNLL
Superficial injury of knee and lower leg
210
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S81
Description for
Medical ICD
Code *
OPWKNLL
Long Description for Medical ICD Code
Open wound of knee and lower leg
S82
FRLLIAK
Fracture of lower leg, including ankle
S83
DSLSJLKN
Dislocation and sprain of joints and ligaments of knee
S84
IJNRVLL
Injury of nerves at lower leg level
S85
IJBVLL
Injury of blood vessels at lower leg level
S86
IJMSFTLL
Injury of muscle, fascia and tendon at lower leg level
S87
CINJLL
Crushing injury of lower leg
S88
TRALWL
Traumatic amputation of lower leg
S89
OTINJLWL
Other and unspecified injuries of lower leg
S90
SPFIJAFT
Superficial injury of ankle, foot and toes
S91
OPWAFT
Open wound of ankle, foot and toes
S92
FRCTFTT
Fracture of foot and toe, except ankle
S93
DSLSLAFT
Dislocation and sprain of joints and ligaments at ankle, foot and toe level
S94
IJNRVAF
Injury of nerves at ankle and foot level
S95
IJBVAF
Injury of blood vessels at ankle and foot level
211
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
S96
Description for
Medical ICD
Code *
IJMTAF
Long Description for Medical ICD Code
Injury of muscle and tendon at ankle and foot level
S97
CINJAF
Crushing injury of ankle and foot
S98
TRAAF
Traumatic amputation of ankle and foot
S99
OTINJAF
Other and unspecified injuries of ankle and foot
T07
UNMULINJ
Unspecified multiple injuries
T14
INJUNBR
Injury of unspecified body region
T15
FRBEXEYE
Foreign body on external eye
T16
FRBEAR
Foreign body in ear
T17
FRBRSPT
Foreign body in respiratory tract
T18
FRBALMT
Foreign body in alimentary tract
T19
FRBGNT
Foreign body in genitourinary tract
T20
BRNCRHFN
Burn and corrosion of head, face, and neck
T21
BRNCRTRK
Burn and corrosion of trunk
T22
BRCSUPLM
Burn and corrosion of shoulder and upper limb, except wrist and hand
T23
BRCWRHD
Burn and corrosion of wrist and hand
212
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
T24
Description for
Medical ICD
Code *
BRCLWRL
Long Description for Medical ICD Code
Burn and corrosion of lower limb, except ankle and foot
T25
BRCAFT
Burn and corrosion of ankle and foot
T26
BRCEYADX
Burn and corrosion confined to eye and adnexa
T27
BRCRSPT
Burn and corrosion of respiratory tract
T28
BRCITORG
Burn and corrosion of other internal organs
T30
BRCUNSBR
Burn and corrosion, body region unspecified
T31
BRNSBSFC
Burns classified according to extent of body surface involved
T32
CRRBSFC
Corrosions classified according to extent of body surface involved
T33
SPFRSTBT
Superficial frostbite
T34
FRSBTSNI
Frostbite with tissue necrosis
T36
PAEUSAB
Poisoning by, adverse effect of and underdosing of systemic antibiotics
T37
PAEUOAIP
T38
PAEUHSSA
T39
PAEUNOAA
T40
PAEUNPDS
Poisoning by, adverse effect of and underdosing of other systemic antiinfectives and antiparasitics
Poisoning by, adverse effect of and underdosing of hormones and their
synthetic substitutes and antagonists, not elsewhere classified
Poisoning by, adverse effect of and underdosing of nonopioid analgesics,
antipyretics and antirheumatics
Poisoning by, adverse effect of and underdosing of narcotics and
psychodysleptics [hallucinogens]
213
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
T41
Description for
Medical ICD
Code *
PAEUANTG
T42
PAUASHAD
T43
PAUAPCD
T44
PAUAANVS
T45
PAUAPSHA
T46
PAUACDVS
T47
PAUAGITS
T48
PAUASSMR
T49
PAUASODD
T50
PAUAUDMB
T51
TXEFALC
Poisoning by, adverse effect of and underdosing of diuretics and other and
unspecified drugs, medicaments and biological substances
Toxic effect of alcohol
T52
TXEFOGVN
Toxic effect of organic solvents
T53
TXEFHDAH
Toxic effect of halogen derivatives of aliphatic and aromatic hydrocarbons
T54
TXEFCRSB
Toxic effect of corrosive substances
T55
TXEFSPDT
Toxic effect of soaps and detergents
Long Description for Medical ICD Code
Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic
gases
Poisoning by, adverse effect of and underdosing of antiepileptic, sedativehypnotic and antiparkinsonism drugs
Poisoning by, adverse effect of and underdosing of psychotropic drugs, not
elsewhere classified
Poisoning by, adverse effect of and underdosing of drugs primarily affecting
the autonomic nervous system
Poisoning by, adverse effect of and underdosing of primarily systemic and
hematological agents, not elsewhere classified
Poisoning by, adverse effect of and underdosing of agents primarily affecting
the cardiovascular system
Poisoning by, adverse effect of and underdosing of agents primarily affecting
the gastrointestinal system
Poisoning by, adverse effect of and underdosing of agents primarily acting on
smooth and skeletal muscles and the respiratory system
Poisoning by, adverse effect of and underdosing of topical agents primarily
affecting skin and mucous membrane and by ophthalmological,
otorhinorlaryngological and dental drugs
214
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
T56
Description for
Medical ICD
Code *
TXEFMTAL
Long Description for Medical ICD Code
Toxic effect of metals
T57
TXEFIOGB
Toxic effect of other inorganic substances
T58
TXEFCBMN
Toxic effect of carbon monoxide
T59
TXEFGFV
Toxic effect of other gases, fumes and vapors
T60
TXEFPST
Toxic effect of pesticides
T61
TXEFNSFD
Toxic effect of noxious substances eaten as seafood
T62
TXEFNSBF
Toxic effect of other noxious substances eaten as food
T63
TXEFCVAP
Toxic effect of contact with venomous animals and plants
T64
TXEFAMFC
Toxic effect of aflatoxin and other mycotoxin food contaminants
T65
TXEFOTUB
Toxic effect of other and unspecified substances
T66
RDNSKNU
Radiation sickness, unspecified
T67
EFFHTLGT
Effects of heat and light
T68
HYPOTHMA
Hypothermia
T69
OTEFRDTM
Other effects of reduced temperature
T70
EFFAWPRS
Effects of air pressure and water pressure
215
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
IPEXTCOT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Injury, poisoning & other
effects of ext causes - Other
Medical
ICD Code
*
T71
Description for
Medical ICD
Code *
ASPHYXTN
Asphyxiation
T73
EFOTDPRV
Effects of other deprivation
T74
ACABNMC
Adult and child abuse, neglect and other maltreatment, confirmed
T75
OTUNEXCA
Other and unspecified effects of other external causes
T76
ACABNMS
Adult and child abuse, neglect and other maltreatment, suspected
T78
ADVEFNEC
Adverse effects, not elsewhere classified
T79
ERLCPTRM
Certain early complications of trauma, not elsewhere classified
T80
CPITFTIJ
Complications following infusion, transfusion and therapeutic injection
T81
CMPROC
Complications of procedures, not elsewhere classified
T82
CPCRDVPD
Complications of cardiac and vascular prosthetic devices, implants and grafts
T83
CPGTUPDV
Complications of genitourinary prosthetic devices, implants and grafts
T84
CIOTPDIG
Complications of internal orthopedic prosthetic devices, implants and grafts
T85
COTIPDIG
Complications of other internal prosthetic devices, implants and grafts
T86
CTRSPOGT
Complications of transplanted organs and tissue
T87
CMPRAMPT
Complications peculiar to reattachment and amputation
Long Description for Medical ICD Code
216
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
IPEXTCOT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
Long Description for Medical
Diagnostic Category
Injury, poisoning & other
effects of ext causes - Other
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Medical
ICD Code
*
T88
Description for
Medical ICD
Code *
OTCSMCNC
Long Description for Medical ICD Code
Other complications of surgical and medical care, not elsewhere classified
M00
PYGNCART
Pyogenic arthritis
M01
INFJPRSD
M02
PIRAPTS
Direct infections of joint in infectious and parasitic diseases classified
elsewhere
Postinfective and reactive arthropathies
M05
RHMTARTF
Rheumatoid arthritis with rheumatoid factor
M06
OTRHMTA
Other rheumatoid arthritis
M07
ENTRPAR
Enteropathic arthropathies
M08
JUVNLAR
Juvenile arthritis
M10
GOUT
Gout
M11
OCSLATP
Other crystal arthropathies
M12
OTHUATP
Other and unspecified arthropathy
M13
OTHARTH
Other arthritis
M14
ATPIOD
Arthropathies in other diseases classified elsewhere
M15
PLYSTART
Polyosteoarthritis
M16
OSTARHIP
Osteoarthritis of hip
217
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
Long Description for Medical
Diagnostic Category
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Medical
ICD Code
*
M17
Description for
Medical ICD
Code *
OSTARKNE
Long Description for Medical ICD Code
Osteoarthritis of knee
M18
OSTARFCJ
Osteoarthritis of first carpometacarpal joint
M19
OTUNOTA
Other and unspecified osteoarthritis
M1A
CHRNGOUT
Chronic gout
M20
ADFNGTOE
Acquired deformities of fingers and toes
M21
OADFLMB
Other acquired deformities of limbs
M22
DOPTLA
Disorder of patella
M23
IDARGKNE
Internal derangement of knee
M24
OTSPJTDR
Other specific joint derangements
M25
OTJNTDO
Other joint disorder, not elsewhere classified
M26
DTFCANML
Dentofacial anomalies [including malocclusion]
M27
OTDJAWS
Other diseases of jaws
M30
PLYATNRC
Polyarteritis nodosa and related conditions
M31
OTNCZVSC
Other necrotizing vasculopathies
M32
SYSLPSE
Systemic lupus erythematosus (SLE)
218
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
Long Description for Medical
Diagnostic Category
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Medical
ICD Code
*
M33
Description for
Medical ICD
Code *
DRMAPLT
Long Description for Medical ICD Code
Dermatopolymyositis
M34
SCLRDRMA
Systemic sclerosis [scleroderma]
M35
OTHSYICT
Other systemic involvement of connective tissue
M36
SYDOCTID
Systemic disorders of connective tissue in diseases classified elsewhere
M40
KYPLDSIS
Kyphosis and lordosis
M41
SCOLISIS
Scoliosis
M42
SPNLOCD
Spinal osteochondrosis
M43
OTHDFDP
Other deforming dorsopathies
M45
AKSPDY
Ankylosing spondylitis
M46
OTIFSPDY
Other inflammatory spondylopathies
M47
SPDYLSIS
Spondylosis
M48
OSPDYLIS
Other spondylopathies
M49
SPDYLSID
Spondylopathies in diseases classified elsewhere
M50
CRVCLDO
Cervical disc disorders
M51
TCLBIVDD
Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders
219
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Medical
Diagnostic
Category *
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
Long Description for Medical
Diagnostic Category
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Medical
ICD Code
*
M53
Description for
Medical ICD
Code *
OTUNDRSP
Long Description for Medical ICD Code
Other and unspecified dorsopathies, not elsewhere classified
M54
DRSLGIA
Dorsalgia
M60
MYSTIS
Myositis
M61
CLCFMSC
Calcification and ossification of muscle
M62
OTDOMSC
Other disorders of muscle
M63
DOMSCD
Disorders of muscle in diseases classified elsewhere
M65
SVTSVT
Synovitis and tenosynovitis
M66
SPNRSVTN
Spontaneous rupture of synovium and tendon
M67
SFTSDUP
Other disorders of synovium and tendon
M70
SFTDUOP
Soft tissue disorders related to use, overuse and pressure
M71
OTHBPTH
Other bursopathies
M72
FBRBLDO
Fibroblastic disorders
M75
SLDRLSN
Shoulder lesions
M76
ETSPLWLB
Enthesopathies, lower limb, excluding foot
M77
OTHENTSP
Other enthesopathies
220
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Medical
Diagnostic
Category *
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
MUSCNT
Long Description for Medical
Diagnostic Category
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Medical
ICD Code
*
M79
Description for
Medical ICD
Code *
OTUSFTDO
Long Description for Medical ICD Code
Other and unspecified soft tissue disorders, not elsewhere classified
M80
OTPRSCPF
Osteoporosis with current pathological fracture
M81
OSTPWOPF
Osteoporosis without current pathological fracture
M83
ADLOSTCA
Adult osteomalacia
M84
DOCNTBN
Disorder of continuity of bone
M85
OTDOBDST
Other disorders of bone density and structure
M86
OSTMYLTS
Osteomyelitis
M87
OSTNRSIS
Osteonecrosis
M88
OSTDFMA
Osteitis deformans [Paget's disease of bone]
M89
OTHDOBN
Other disorders of bone
M90
OSTPTHD
Osteopathies in diseases classified elsewhere
M91
JVOTDS
Juvenile osteochondrosis of hip and pelvis
M92
OTJVOTDS
Other juvenile osteochondrosis
M93
OTHOCDP
Other osteochondropathies
M94
OTHDOCRT
Other disorders of cartilage
221
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Medical
Diagnostic
Category *
MUSCNT
MUSCNT
MUSCNT
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVCHPO
NRVMSCL
Long Description for Medical
Diagnostic Category
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Musculoskeletal system &
connective tissue
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Chronic pain,
other
Nervous system - Multiple
Sclerosis
Medical
ICD Code
*
M95
Description for
Medical ICD
Code *
OTADFMCT
M96
IPPCDMS
M99
BMCHLSN
Intraoperative and postprocedural complications and disorders of
musculoskeletal system, not elsewhere classified
Biomechanical lesions, not elsewhere classified
G89
PAINNCE
Pain, not elsewhere classified
G90
DOATNRVS
Disorders of autonomic nervous system
G91
HYDRCPLS
Hydrocephalus
G92
TXCENPT
Toxic encephalopathy
G93
OTDOBRN
Other disorders of brain
G94
OTDOBRND
Other disorders of brain in diseases classified elsewhere
G95
OTUDSPC
Other and unspecified diseases of spinal cord
G96
OTDOCNVS
Other disorders of central nervous system
G97
ICDNSNEC
G98
OTDONVS
Intraoperative and postprocedural complications and disorders of nervous
system, not elsewhere classified
Other disorders of nervous system not elsewhere classified
G99
OTDONVCE
Other disorders of nervous system in diseases classified elsewhere
G35
MLTSCLRS
Multiple sclerosis
Long Description for Medical ICD Code
Other acquired deformities of musculoskeletal system and connective tissue
222
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Medical
Diagnostic
Category *
NRVMSCL
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
Long Description for Medical
Diagnostic Category
Nervous system - Multiple
Sclerosis
Nervous system - Multiple
Sclerosis
Nervous system - Migraine,
Epilepsy, Stroke
Nervous system - Migraine,
Epilepsy, Stroke
Nervous system - Migraine,
Epilepsy, Stroke
Nervous system - Migraine,
Epilepsy, Stroke
Nervous system - Migraine,
Epilepsy, Stroke
Nervous system - Migraine,
Epilepsy, Stroke
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
NRVMSCL
NRVSMES
NRVSMES
NRVSMES
NRVSMES
NRVSMES
NRVSMES
Medical
ICD Code
*
G36
Description for
Medical ICD
Code *
OTADSDM
Long Description for Medical ICD Code
Other acute disseminated demyelination
G37
ODMLDNV
Other demyelinating diseases of central nervous system
G40
EPLPSYRS
Epilepsy and recurrent seizures
G43
MGRAINE
Migraine
G44
OHDACSYN
Other headache syndromes
G45
TCBICATK
Transient cerebral ischemic attacks and related syndromes
G46
VSCSYBCD
Vascular syndromes of brain in cerebrovascular diseases
G47
SLEEPDO
Sleep disorders
G00
G01
G02
G03
G04
G05
G06
G07
BCTMNGTS
MNGTSBTD
MNGTSIPD
MNGTSOUC
EPMYEPTS
EPMYEPID
ICSPABGL
ICSPABGD
G08
G09
G10
G11
G12
ICSPBTHB
SQIFCNVS
HNTGTND
HRDATAX
SPMSCAYN
Bacterial meningitis, not elsewhere classified
Meningitis in bacterial diseases classified elsewhere
Meningitis in other infectious and parasitic diseases classified elsewhere
Meningitis due to other and unspecified causes
Encephalitis, myelitis and encephalomyelitis
Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
Intracranial and intraspinal abscess and granuloma
Intracranial and intraspinal abscess and granuloma in diseases classified
elsewhere
Intracranial and intraspinal phlebitis and thrombophlebitis
Sequelae of inflammatory diseases of central nervous system
Huntington's disease
Hereditary ataxia
Spinal muscular atrophy and related syndromes
223
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Medical
Diagnostic
Category *
NRVSOTH
Long Description for Medical
Diagnostic Category
Nervous system - Other
Medical
ICD Code
*
G13
Description for
Medical ICD
Code *
SAPCNSD
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
G14
G30
G31
G32
PSTPLIOS
ALZHMRD
ODGNRVS
ODGDONVD
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
NRVSOTH
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
Nervous system - Other
G50
G51
G52
G53
G54
G55
G56
G57
G58
G59
G60
G61
G62
G63
G64
G65
G70
G71
G72
G73
G80
G81
G82
G83
DOTRGMNV
FCNRVDO
DOCRNRV
CRNRVDD
NRVRTPDO
NVRTPCPD
MNRPTUPL
MNRPTLWL
OMNONRPH
MNONRD
HRDIDPNR
INFLPNRP
OUPNRPTH
PLYNRPTD
OTDOPRNS
SQIFTXPN
MYGOMNDO
PRMDOMSC
OTUNMYP
DOMNJMED
CRBPLSY
HMPLGRS
PRPQLGIA
OTPRLSYM
Long Description for Medical ICD Code
Systemic atrophies primarily affecting central nervous system in diseases
classified elsewhere
Postpolio syndrome
Alzheimer's disease
Other degenerative diseases of nervous system, not elsewhere classified
Other degenerative disorders of nervous system in diseases classified
elsewhere
Disorders of trigeminal nerve
Facial nerve disorders
Disorders of other cranial nerves
Cranial nerve disorders in diseases classified elsewhere
Nerve root and plexus disorders
Nerve root and plexus compressions in diseases classified elsewhere
Mononeuropathies of upper limb
Mononeuropathies of lower limb
Other mononeuropathies
Mononeuropathy in diseases classified elsewhere
Hereditary and idiopathic neuropathy
Inflammatory polyneuropathy
Other and unspecified polyneuropathies
Polyneuropathy in diseases classified elsewhere
Other disorders of peripheral nervous system
Sequelae of inflammatory and toxic polyneuropathies
Myasthenia gravis and other myoneural disorders
Primary disorders of muscles
Other and unspecified myopathies
Disorders of myoneural junction and muscle in diseases classified elsewhere
Cerebral palsy
Hemiplegia and hemiparesis
Paraplegia (paraparesis) and quadriplegia (quadriparesis)
Other paralytic syndromes
224
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Medical
Diagnostic
Category *
NRVSPEPS
Medical
ICD Code
*
G20
Description for
Medical ICD
Code *
PRKSND
Long Description for Medical ICD Code
Parkinson's disease
G21
SECPRKSN
Secondary parkinsonism
G23
ODGDBSGL
Other degenerative diseases of basal ganglia
G24
DYSTONIA
Dystonia
G25
OEPRMVDO
Other extrapyramidal and movement disorders
G26
ETPMVDOD
Extrapyramidal and movement disorders in diseases classified elsewhere
P00
NBMCUPP
Newborn (suspected to be) affected by maternal conditions that may be
unrelated to present pregnancy
Newborn (suspected to be) affected by maternal complications of pregnancy
Newborn (suspected to be) affected by complications of placenta, cord and
membranes
Newborn (suspected to be) affected by other complications of labor and
delivery
Newborn (suspected to be) affected by noxious substances transmitted via
placenta or breast milk
Disorders of newborn related to slow fetal growth and fetal malnutrition
Disorders of newborn related to short gestation and low birth weight, not
elsewhere classified
Disorders of newborn related to long gestation and high birth weight
Abnormal findings on neonatal screening
Intracranial laceration and hemorrhage due to birth injury
Other birth injuries to central nervous system
Birth injury to scalp
Birth injury to skeleton
Birth injury to peripheral nervous system
PNATPRD
Long Description for Medical
Diagnostic Category
Nervous system - Parkinsons,
EPS
Nervous system - Parkinsons,
EPS
Nervous system - Parkinsons,
EPS
Nervous system - Parkinsons,
EPS
Nervous system - Parkinsons,
EPS
Nervous system - Parkinsons,
EPS
Perinatal period
PNATPRD
PNATPRD
Perinatal period
Perinatal period
P01
P02
NBAMCP
NBCPLCM
PNATPRD
Perinatal period
P03
NBOCLBDL
PNATPRD
Perinatal period
P04
NBNSTPBM
PNATPRD
PNATPRD
Perinatal period
Perinatal period
P05
P07
DONBFGML
DNBSGLBW
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
P08
P09
P10
P11
P12
P13
P14
DNBLGHBW
ABFNSCR
ILHMBRIJ
OBIJCNVS
BIJSCLP
BIJSKLN
BINJPHNR
NRVSPEPS
NRVSPEPS
NRVSPEPS
NRVSPEPS
NRVSPEPS
225
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Medical
Diagnostic
Category *
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
Long Description for Medical
Diagnostic Category
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Medical
ICD Code
*
P15
P19
P22
P23
P24
P25
Description for
Medical ICD
Code *
OTHBRINJ
MBADNWB
RSPDSNWB
CNGPNMA
NTLASPN
IEMPCPNP
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
P26
P27
P28
P29
P35
P36
P37
P38
P39
P50
P51
P52
P53
P54
P55
P56
P57
P58
P59
P60
P61
P70
P71
P72
PLMHROPP
CRSPDOPP
ORSPCOPP
CDVSCOPP
CNGVRLD
BTSPNWB
OCGIPRD
OMPLNWB
OINFSPNP
NWBFTBL
UMBHMNB
INTHMNB
HMDNWB
OTNTHM
HLYDNWB
HYFHLYD
KRNICTR
NJDEXHMY
NTJOTUC
DMIVCGNB
OTPNHMDO
TDCBMTNB
TNDCLMG
OTNEDDO
Long Description for Medical ICD Code
Other birth injuries
Metabolic acidemia in newborn
Respiratory distress of newborn
Congenital pneumonia
Neonatal aspiration
Interstitial emphysema and related conditions originating in the perinatal
period
Pulmonary hemorrhage originating in the perinatal period
Chronic respiratory disease originating in the perinatal period
Other respiratory conditions originating in the perinatal period
Cardiovascular disorders originating in the perinatal period
Congenital viral diseases
Bacterial sepsis of newborn
Other congenital infectious and parasitic diseases
Omphalitis of newborn
Other infections specific to the perinatal period
Newborn affected by intrauterine (fetal) blood loss
Umbilical hemorrhage of newborn
Intracranial nontraumatic hemorrhage of newborn
Hemorrhagic disease of newborn
Other neonatal hemorrhages
Hemolytic disease of newborn
Hydrops fetalis due to hemolytic disease
Kernicterus
Neonatal jaundice due to other excessive hemolysis
Neonatal jaundice from other and unspecified causes
Disseminated intravascular coagulation of newborn
Other perinatal hematological disorders
Transitory disorders of carbohydrate metabolism specific to newborn
Transitory neonatal disorders of calcium and magnesium metabolism
Other transitory neonatal endocrine disorders
226
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Medical
Diagnostic
Category *
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PNATPRD
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
Long Description for Medical
Diagnostic Category
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Perinatal period
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Medical
ICD Code
*
P74
P76
P77
P78
P80
P81
P83
P84
P90
P91
P92
P93
P94
P95
P96
O00
Description for
Medical ICD
Code *
OTNELMTD
OINSOBNB
NZCETNWB
OPNDGSDO
HYPTHMNB
ODTMRGNB
OCNDISNB
OTPRBNWB
CNVNWB
ODCBSNWB
FDPRBNWB
RITXDANB
DOMCTNWB
STLBRTH
OCNDOPP
ECTPCPRG
Long Description for Medical ICD Code
Other transitory neonatal electrolyte and metabolic disturbances
Other intestinal obstruction of newborn
Necrotizing enterocolitis of newborn
Other perinatal digestive system disorders
Hypothermia of newborn
Other disturbances of temperature regulation of newborn
Other conditions of integument specific to newborn
Other problems with newborn
Convulsions of newborn
Other disturbances of cerebral status of newborn
Feeding problems of newborn
Reactions and intoxications due to drugs administered to newborn
Disorders of muscle tone of newborn
Stillbirth
Other conditions originating in the perinatal period
Ectopic pregnancy
O01
HDFMLE
Hydatidiform mole
O02
OTHAPCNP
Other abnormal products of conception
O03
OTABPCP
Spontaneous abortion
O04
SPABRTN
Complications following (induced) termination of pregnancy
O07
FLATRMPG
Failed attempted termination of pregnancy
O08
CPEMLPG
Complications following ectopic and molar pregnancy
O09
SPVHRPG
Supervision of high risk pregnancy
227
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Medical
Diagnostic
Category *
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
Long Description for Medical
Diagnostic Category
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Medical
ICD Code
*
O10
Description for
Medical ICD
Code *
PEHTCPC
O11
PREHPEP
Long Description for Medical ICD Code
Pre-existing hypertension complicating pregnancy, childbirth and the
puerperium
Pre-existing hypertension with pre-eclampsia
O12
GSTEDPN
Gestational [pregnancy-induced] edema and proteinuria without hypertension
O13
GSTHYPT
Gestational [pregnancy-induced] hypertension without significant proteinuria
O14
PRECLMP
Pre-eclampsia
O15
ECLMPSIA
Eclampsia
O16
UNSMNHT
Unspecified maternal hypertension
O20
HMRGERPG
Hemorrhage in early pregnancy
O21
EXCSVMPG
Excessive vomiting in pregnancy
O22
VNCPHMPG
Venous complications and hemorrhoids in pregnancy
O23
IGGNUTPG
Infections of genitourinary tract in pregnancy
O24
DBPGCBPP
Diabetes mellitus in pregnancy, childbirth, and the puerperium
O25
MLPGCBPP
Malnutrition in pregnancy, childbirth and the puerperium
O26
MCCPRG
Maternal care for other conditions predominantly related to pregnancy
O28
ABFANSM
Abnormal findings on antenatal screening of mother
228
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Medical
Diagnostic
Category *
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
Long Description for Medical
Diagnostic Category
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Medical
ICD Code
*
O29
Description for
Medical ICD
Code *
CMPATPRG
Long Description for Medical ICD Code
Complications of anesthesia during pregnancy
O30
MLTGSTN
Multiple gestation
O31
CMPSMULG
Complications specific to multiple gestation
O32
MNCMPFTS
Maternal care for malpresentation of fetus
O33
MNCDPRP
Maternal care for disproportion
O34
MCABPLVO
Maternal care for abnormality of pelvic organs
O35
MNCFTABD
Maternal care for known or suspected fetal abnormality and damage
O36
MCOTFTPB
Maternal care for other fetal problems
O40
PLYHDNI
Polyhydramnios
O41
OTDAFLMB
Other disorders of amniotic fluid and membranes
O42
PRMRMEM
Premature rupture of membranes
O43
PLCNTLDO
Placental disorders
O44
PLCNTAPV
Placenta previa
O45
PRSPLCNA
Premature separation of placenta [abruptio placentae]
O46
APTHMG
Antepartum hemorrhage, not elsewhere classified
229
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Medical
Diagnostic
Category *
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
Long Description for Medical
Diagnostic Category
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Medical
ICD Code
*
O47
Description for
Medical ICD
Code *
FLSLBR
False labor
O48
LTPREG
Late pregnancy
O60
PTRMLBR
Preterm labor
O61
FLIDLBR
Failed induction of labor
O62
ABFRCLBR
Abnormalities of forces of labor
O63
LNGLBR
Long labor
O64
OBLRMMFT
Obstructed labor due to malposition and malpresentation of fetus
O65
OBLRMPVA
Obstructed labor due to maternal pelvic abnormality
O66
OTHOBLBR
Other obstructed labor
O67
LBDLIPHM
O68
LBDLVFAB
Labor and delivery complicated by intrapartum hemorrhage, not elsewhere
classified
Labor and delivery complicated by abnormality of fetal acid-base balance
O69
LBDLUMCD
Labor and delivery complicated by umbilical cord complications
O70
PRNLCDEL
Perineal laceration during delivery
O71
OTOBTRMA
Other obstetric trauma
O72
PSTPHMG
Postpartum hemorrhage
Long Description for Medical ICD Code
230
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02/12/16
Medical
Diagnostic
Category *
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
PREGCBP
Long Description for Medical
Diagnostic Category
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Medical
ICD Code
*
O73
Description for
Medical ICD
Code *
RPLNTAMB
Long Description for Medical ICD Code
Retained placenta and membranes, without hemorrhage
O74
CPALBD
Complications of anesthesia during labor and delivery
O75
OTCPLBD
Other complications of labor and delivery, not elsewhere classified
O76
AFHRCPLD
Abnormality in fetal heart rate and rhythm complicating labor and delivery
O77
OFSCLBDL
Other fetal stress complicating labor and delivery
O80
EFTUCPDL
Encounter for full-term uncomplicated delivery
O82
ECSDLWOI
Encounter for cesarean delivery without indication
O85
PRPLSPIS
Puerperal sepsis
O86
OTHPRPI
Other puerperal infections
O87
VNCPHMPP
Venous complications and hemorrhoids in the puerperium
O88
OBSTEMB
Obstetric embolism
O89
CMPATPP
Complications of anesthesia during the puerperium
O90
CMPPRPNC
Complications of the puerperium, not elsewhere classified
O91
IBPRGPL
Infections of breast associated with pregnancy, the puerperium and lactation
O92
ODOBLPP
Other disorders of breast and disorders of lactation associated with pregnancy
and the puerperium
231
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02/12/16
Medical
Diagnostic
Category *
PREGCBP
PREGCBP
PREGCBP
PREGCBP
RSPSCAE
RSPSCAE
RSPSCAE
RSPSCAE
RSPSCAE
RSPSCAE
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
Long Description for Medical
Diagnostic Category
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Pregnancy, childbirth and the
puerperium
Respiratory system - COPD,
Asthma, Emphysema
Respiratory system - COPD,
Asthma, Emphysema
Respiratory system - COPD,
Asthma, Emphysema
Respiratory system - COPD,
Asthma, Emphysema
Respiratory system - COPD,
Asthma, Emphysema
Respiratory system - COPD,
Asthma, Emphysema
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Medical
ICD Code
*
O94
Description for
Medical ICD
Code *
SCPRGCP
O98
MIPRDCPC
O99
OTHMDCPC
O9A
MLGNPTIA
J41
MCPRBRCH
Maternal infectious and parasitic diseases classifiable elsewhere but
complicating pregnancy, childbirth and the puerperium
Other maternal diseases classifiable elsewhere but complicating pregnancy,
childbirth and the puerperium
Maternal malignant neoplasms, traumatic injuries and abuse classifiable
elsewhere but complicating pregnancy, childbirth and the puerperium
Simple and mucopurulent chronic bronchitis
J42
UNCRBRCH
Unspecified chronic bronchitis
J43
EMPYSMA
Emphysema
J44
OCROPLMD
Other chronic obstructive pulmonary disease
J45
ASTHMA
Asthma
J47
BRCHCTA
Bronchiectasis
J00
J01
J02
J03
J04
J05
J06
J09
J10
J11
J12
ACNASPHT
ACSNSTIS
ACPHYTIS
ACTNSTIS
ACLRGTRS
ACOBLGEP
AURIFMUS
INFLCIVR
INFLOTIV
INFLUNIV
VRLPNMA
Acute nasopharyngitis [common cold]
Acute sinusitis
Acute pharyngitis
Acute tonsillitis
Acute laryngitis and tracheitis
Acute obstructive laryngitis [croup] and epiglottitis
Acute upper respiratory infections of multiple and unspecified sites
Influenza due to certain identified influenza viruses
Influenza due to other identified influenza virus
Influenza due to unidentified influenza virus
Viral pneumonia, not elsewhere classified
Long Description for Medical ICD Code
Sequelae of complication of pregnancy, childbirth, and the puerperium
232
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02/12/16
Medical
Diagnostic
Category *
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
Long Description for Medical
Diagnostic Category
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Medical
ICD Code
*
J13
J14
J15
J16
J17
J18
J20
J21
J22
J30
J31
J32
J33
J34
J35
J36
J37
J38
J39
J40
J60
J61
J62
J63
J64
J65
J66
J67
J68
Description for
Medical ICD
Code *
PNMASTRC
PNMAHMIL
BTRPNMA
PNMAIORG
PNMAID
PNMAUORG
ACBRCHTS
ACBRCLTS
UACLRSIF
VSCMALRH
CRHNASPY
CHRSINUS
NASLPLYP
ODNSINUS
CHRDTNAD
PERTNSAB
CHRLRNGT
DVCLRYNX
ODURSPT
BRCHNAC
CWKRPNMA
PNMCSAMF
PNMCSDCS
PNMCSOID
UNSPNMCS
PNMCDTBC
AWDSORDT
HSPNORDT
RSPICGFV
RSPSOTH
Respiratory system - Other
J69
PNMSLLQ
Long Description for Medical ICD Code
Pneumonia due to Streptococcus pneumoniae
Pneumonia due to Hemophilus influenzae
Bacterial pneumonia, not elsewhere classified
Pneumonia due to other infectious organisms, not elsewhere classified
Pneumonia in diseases classified elsewhere
Pneumonia, unspecified organism
Acute bronchitis
Acute bronchiolitis
Unspecified acute lower respiratory infection
Vasomotor and allergic rhinitis
Chronic rhinitis, nasopharyngitis and pharyngitis
Chronic sinusitis
Nasal polyp
Other and unspecified disorders of nose and nasal sinuses
Chronic diseases of tonsils and adenoids
Peritonsillar abscess
Chronic laryngitis and laryngotracheitis
Diseases of vocal cords and larynx, not elsewhere classified
Other diseases of upper respiratory tract
Bronchitis, not specified as acute or chronic
Coalworker's pneumoconiosis
Pneumoconiosis due to asbestos and other mineral fibers
Pneumoconiosis due to dust containing silica
Pneumoconiosis due to other inorganic dusts
Unspecified pneumoconiosis
Pneumoconiosis associated with tuberculosis
Airway disease due to specific organic dust
Hypersensitivity pneumonitis due to organic dust
Respiratory conditions due to inhalation of chemicals, gases, fumes and
vapors
Pneumonitis due to solids and liquids
233
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02/12/16
Medical
Diagnostic
Category *
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
RSPSOTH
Long Description for Medical
Diagnostic Category
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Medical
ICD Code
*
J70
J80
J81
J82
J84
J85
J86
J90
J91
J92
J93
J94
J95
Description for
Medical ICD
Code *
RSPCEXAG
ACRSPDSN
PLMEDMA
PLMESPHA
OILPLMD
ABLGMTM
PYOTHRX
PLREFFS
PLREFCD
PLRLPLQ
PNMTXAL
OPLRLCD
IPPCDRSP
RSPSOTH
RSPSOTH
RSPSOTH
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
Respiratory system - Other
Respiratory system - Other
Respiratory system - Other
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
J96
J98
J99
L00
L01
L02
L03
L04
L05
L08
L10
L11
L12
L13
L14
L20
L21
RSPFLR
ORSPDO
RSPDOD
SPHCSKN
IMPETIGO
CTNANFC
CLACPG
ACLPDT
PLCSNS
OLINFSS
PMPHGS
OACNTD
PMPGID
OBLLSDO
BLLSDOD
ATPCDRMT
SBRHDRMT
Long Description for Medical ICD Code
Respiratory conditions due to other external agents
Acute respiratory distress syndrome
Pulmonary edema
Pulmonary eosinophilia, not elsewhere classified
Other interstitial pulmonary diseases
Abscess of lung and mediastinum
Pyothorax
Pleural effusion, not elsewhere classified
Pleural effusion in conditions classified elsewhere
Pleural plaque
Pneumothorax and air leak
Other pleural conditions
Intraoperative and postprocedural complications and disorders of respiratory
system, not elsewhere classified
Respiratory failure, not elsewhere classified
Other respiratory disorders
Respiratory disorders in diseases classified elsewhere
Staphylococcal scalded skin syndrome
Impetigo
Cutaneous abscess, furuncle and carbuncle
Cellulitis and acute lymphangitis
Acute lymphadenitis
Pilonidal cyst and sinus
Other local infections of skin and subcutaneous tissue
Pemphigus
Other acantholytic disorders
Pemphigoid
Other bullous disorders
Bullous disorders in diseases classified elsewhere
Atopic dermatitis
Seborrheic dermatitis
234
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02/12/16
Medical
Diagnostic
Category *
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
Long Description for Medical
Diagnostic Category
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Medical
ICD Code
*
L22
L23
L24
L25
L26
L27
L28
L29
L30
L40
L41
L42
L43
L44
L45
L49
Description for
Medical ICD
Code *
DPRDRMT
ALGRCTDT
IRRCTDT
UNSPCTDT
EXFOLADT
DTSBINT
LCHNSCP
PRITUS
OSDRMATS
SRIASIS
PRASRIS
PTYSRA
LCHEPLS
OPLSQMDO
PAPSQDRD
EXFLECBS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
L50
L51
L52
L53
L54
L55
L56
L57
L58
L59
L60
L62
L63
L64
URTCRA
ERYTMAMF
ERYTMAND
OTERYTCD
ERYTMAD
SUNBURN
OASCGUVR
SKCENIRD
RDIDRMT
OTDSKTRD
NAILDO
NLDOD
ALPCAR
ANDRGNA
Long Description for Medical ICD Code
Diaper dermatitis
Allergic contact dermatitis
Irritant contact dermatitis
Unspecified contact dermatitis
Exfoliative dermatitis
Dermatitis due to substances taken internally
Lichen simplex chronicus and prurigo
Pruritus
Other and unspecified dermatitis
Psoriasis
Parapsoriasis
Pityriasis rosea
Lichen planus
Other papulosquamous disorders
Papulosquamous disorders in diseases classified elsewhere
Exfoliation due to erythematous conditions according to extent of body
surface involved
Urticaria
Erythema multiforme
Erythema nodosum
Other erythematous conditions
Erythema in diseases classified elsewhere
Sunburn
Other acute skin changes due to ultraviolet radiation
Skin changes due to chronic exposure to nonionizing radiation
Radiodermatitis
Other disorders of skin and subcutaneous tissue related to radiation
Nail disorders
Nail disorders in diseases classified elsewhere
Alopecia areata
Androgenic alopecia
235
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02/12/16
Medical
Diagnostic
Category *
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
Long Description for Medical
Diagnostic Category
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Medical
ICD Code
*
L65
L66
L67
L68
L70
L71
L72
L73
L74
L75
L76
Description for
Medical ICD
Code *
OTNSHL
CTCLALPA
HCLSHAB
HYPTRCH
ACNE
RSCEA
FLCYSKNT
OTFLCLDO
ECRNSWDO
APCRSWDO
IPPCSKNT
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
SKNSCTS
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
Skin & subcutaneous tissue
L80
L81
L82
L83
L84
L85
L86
L87
L88
L89
L90
L91
L92
L93
L94
L95
L97
L98
VTILIGO
OTHDOPGM
SBRHKRTS
ACNTHNGN
CRNCLST
OTEPDTCK
KRTDMAD
TSPDELMD
PYDMGNGR
PRSRULCR
ARDOSKN
HYPRDOSK
GRNDSKNT
LPSERTM
OLCNTSDO
VASCSKN
NPCULWLB
OTDSKTNC
Long Description for Medical ICD Code
Other nonscarring hair loss
Cicatricial alopecia [scarring hair loss]
Hair color and hair shaft abnormalities
Hypertrichosis
Acne
Rosacea
Follicular cysts of skin and subcutaneous tissue
Other follicular disorders
Eccrine sweat disorders
Apocrine sweat disorders
Intraoperative and postprocedural complications of skin and subcutaneous
tissue
Vitiligo
Other disorders of pigmentation
Seborrheic keratosis
Acanthosis nigricans
Corns and callosities
Other epidermal thickening
Keratoderma in diseases classified elsewhere
Transepidermal elimination disorders
Pyoderma gangrenosum
Pressure ulcer
Atrophic disorders of skin
Hypertrophic disorders of skin
Granulomatous disorders of skin and subcutaneous tissue
Lupus erythematosus
Other localized connective tissue disorders
Vasculitis limited to skin, not elsewhere classified
Non-pressure chronic ulcer of lower limb, not elsewhere classified
Other disorders of skin and subcutaneous tissue, not elsewhere classified
236
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02/12/16
Medical
Diagnostic
Category *
SKNSCTS
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
Long Description for Medical
Diagnostic Category
Skin & subcutaneous tissue
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Medical
ICD Code
*
L99
Description for
Medical ICD
Code *
OTDSKTCE
R00
ABNHRTBT
Long Description for Medical ICD Code
Other disorders of skin and subcutaneous tissue in diseases classified
elsewhere
Abnormalities of heart beat
R01
CRDMRSND
Cardiac murmurs and other cardiac sounds
R03
ABPRDWOD
Abnormal blood-pressure reading, without diagnosis
R04
HMRSPORG
Hemorrhage from respiratory passages
R05
COUGH
Cough
R06
ABNBRTH
Abnormalities of breathing
R07
PNTRTCHS
Pain in throat and chest
R09
OTSSCRSP
Other symptoms and signs involving the circulatory and respiratory system
R10
ABDPLVPN
Abdominal and pelvic pain
R11
NSAVMT
Nausea and vomiting
R12
HERTBURN
Heartburn
R13
APGDPG
Aphagia and dysphagia
R14
FLTCRCD
Flatulence and related conditions
R15
FCLICTN
Fecal incontinence
237
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
Long Description for Medical
Diagnostic Category
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Medical
ICD Code
*
R16
Description for
Medical ICD
Code *
HPSPLNNC
Long Description for Medical ICD Code
Hepatomegaly and splenomegaly, not elsewhere classified
R17
USPJNDCE
Unspecified jaundice
R18
ASCITES
Ascites
R19
OSSDGSAB
Other symptoms and signs involving the digestive system and abdomen
R20
DBSKNSN
Disturbances of skin sensation
R21
RASHSKER
Rash and other nonspecific skin eruption
R22
LSMLPSKT
Localized swelling, mass and lump of skin and subcutaneous tissue
R23
OTSKNCHG
Other skin changes
R25
ABINVLMV
Abnormal involuntary movements
R26
ABGTMBL
Abnormalities of gait and mobility
R27
OLCKCRD
Other lack of coordination
R29
OSNRVMSC
Other symptoms and signs involving the nervous and musculoskeletal systems
R30
PAINMTRN
Pain associated with micturition
R31
HMATRIA
Hematuria
R32
UNURNINT
Unspecified urinary incontinence
238
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
Long Description for Medical
Diagnostic Category
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Medical
ICD Code
*
R33
Description for
Medical ICD
Code *
RTNURIN
Retention of urine
R34
ANRIOLGA
Anuria and oliguria
R35
POLYURIA
Polyuria
R36
URTHDSC
Urethral discharge
R37
SDYSFNU
Sexual dysfunction, unspecified
R39
OSSGNURS
Other and unspecified symptoms and signs involving the genitourinary system
R40
SMNLCESC
Somnolence, stupor and coma
R41
OSSCDFAW
Other symptoms and signs involving cognitive functions and awareness
R42
DZNSGDNS
Dizziness and giddiness
R43
DSBSMLTS
Disturbances of smell and taste
R44
OSSGSNPR
Other symptoms and signs involving general sensations and perceptions
R45
SSIEMNTS
Symptoms and signs involving emotional state
R46
SSAPBHR
Symptoms and signs involving appearance and behavior
R47
SPCHDSB
Speech disturbances, not elsewhere classified
R48
DSDYSFN
Dyslexia and other symbolic dysfunctions, not elsewhere classified
Long Description for Medical ICD Code
239
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
Long Description for Medical
Diagnostic Category
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Medical
ICD Code
*
R49
Description for
Medical ICD
Code *
VCERSNDO
Long Description for Medical ICD Code
Voice and resonance disorders
R50
FVROTUOG
Fever of other and unknown origin
R51
HEADACHE
Headache
R52
PAINUNSP
Pain, unspecified
R53
MLSEFATG
Malaise and fatigue
R54
AGRPHYD
Age-related physical debility
R55
SYNCPCL
Syncope and collapse
R56
CNVLNEC
Convulsions, not elsewhere classified
R57
SHOCK
Shock, not elsewhere classified
R58
HMRHAGE
Hemorrhage, not elsewhere classified
R59
ENLGLMPN
Enlarged lymph nodes
R60
EDEMA
Edema, not elsewhere classified
R61
GENHYPDR
Generalized hyperhidrosis
R62
LEPDCDAD
Lack of expected normal physiological development in childhood and adults
R63
SSCFDFLI
Symptoms and signs concerning food and fluid intake
240
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
Long Description for Medical
Diagnostic Category
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Medical
ICD Code
*
R64
Description for
Medical ICD
Code *
CACHXIA
R65
SSASIFMN
R68
OTGNSYSG
Symptoms and signs specifically associated with systemic inflammation and
infection
Other general symptoms and signs
R69
ILLUNS
Illness, unspecified
R70
EVESRAPV
Elevated erythrocyte sedimentation rate and abnormality of plasma viscosity
R71
ABNRBC
Abnormality of red blood cells
R73
ELVBGL
Elevated blood glucose level
R74
ABSRMEZL
Abnormal serum enzyme levels
R75
ICLBEHIV
Inconclusive laboratory evidence of human immunodeficiency virus [HIV]
R76
OABILFNU
Other abnormal immunological findings in serum
R77
OABPSPRT
Other abnormalities of plasma proteins
R78
FDROSNB
Findings of drugs and other substances, not normally found in blood
R79
OABFBCHM
Other abnormal findings of blood chemistry
R80
PRTNRIA
Proteinuria
R81
GLYCSRIA
Glycosuria
Long Description for Medical ICD Code
Cachexia
241
Beacon Health Options
02/12/16
Medical
Diagnostic
Category *
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
SMPSABCL
Long Description for Medical
Diagnostic Category
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Symptoms, signs & abnormal
clinical/lab
Medical
ICD Code
*
R82
Description for
Medical ICD
Code *
OABFURN
Long Description for Medical ICD Code
Other and unspecified abnormal findings in urine
R83
ABFCBSPF
Abnormal findings in cerebrospinal fluid
R84
ABFSRSPT
Abnormal findings in specimens from respiratory organs and thorax
R85
ABFSDGAC
Abnormal findings in specimens from digestive organs and abdominal cavity
R86
ABFSMGO
Abnormal findings in specimens from male genital organs
R87
ABFSFGO
Abnormal findings in specimens from female genital organs
R88
ABFOBFS
Abnormal findings in other body fluids and substances
R89
ABFSOST
Abnormal findings in specimens from other organs, systems and tissues
R90
ABFDICNS
Abnormal findings on diagnostic imaging of central nervous system
R91
ABFDIMGL
Abnormal findings on diagnostic imaging of lung
R92
ABFDIMGB
Abnormal and inconclusive findings on diagnostic imaging of breast
R93
ABFDIMBS
Abnormal findings on diagnostic imaging of other body structures
R94
ABRSFNST
Abnormal results of function studies
R97
ABTMRMKR
Abnormal tumor markers
R99
UKMRTLY
Ill-defined and unknown cause of mortality
242
Beacon Health Options
02/12/16