10.67.08.02

.02 Behavioral Health Non-Capitated Covered Services.

A. An MCO is not responsible for reimbursing for the following substance use disorder services, regardless of diagnosis:

(1) Services delivered by a community-based provider as described in COMAR 10.09.80 with the following procedure codes:

H0001

Alcohol/drug assessment

H0004

Alcohol/drug individual counseling and therapy

H0005

Alcohol/drug group counseling

H0014

Alcohol and/or drug services; ambulatory detoxification

H0015

Alcohol and/or drug services; intensive outpatient

H0016

Alcohol and/or drug services; buprenorphine induction

H0020

Alcohol and/or drug services; methadone administration and/or service

H0024

Group peer recovery support services

H0038

Individual peer recovery support services

H0047

Alcohol and/or drug services; buprenorphine administration and/or service

H2036

Alcohol and/or drug services; partial hospitalization

J8499

Prescription drug, oral, non-chemotherapeutic; buprenorphine

J0571

Buprenorphine, oral, 1 mg

J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg of buprenorphine

J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Q9991

Injection, Buprenorphine extended-release, less than or equal to 100 mg

Q9992

Injection, Buprenorphine extended-release, greater than 100 mg

(2) Substance use disorder services provided to children in an ICF-A with the revenue code 0100, Residential Services, child and adolescent.

B. An MCO is not responsible for reimbursing for the following services performed by free-standing laboratories, regardless of diagnosis:

(1) Presumptive drug tests; and

(2) Definitive drug tests.

C. An MCO is not responsible for reimbursing for the laboratory services described in §B of this regulation unless billed by a:

(1) Primary care provider; or

(2) Other somatic care provider.

D. An MCO is not responsible for reimbursing for the following substance use disorder services if the MCO is billed with a primary diagnosis listed in §M of this regulation:

(1) Services delivered by an inpatient hospital with the following revenue codes:

0114

Room and Board, Private Bed, Psychiatric

0116

Room and Board, Private Bed, Detoxification

0124

Room and Board, Semi-Private Bed, Psychiatric

0126

Room and Board, Semi-Private Bed, Detoxification

0134

Room and Board, 3-4 Beds, Psychiatric

0136

Room and Board, 3-4 Beds, Detoxification

0154

Room and Board, Ward, Psychiatric

0156

Room and Board, Ward, Detoxification

0169

Administrative Days

0762

Room and Board, Observation Room


(2) Services delivered by an outpatient hospital with the following revenue codes:

0900

Behavioral Health Treatments/Services-General Classification

0905

Intensive Outpatient Services-Psychiatric

0906

Intensive Outpatient Services-Chemical Dependency

0911

Behavioral Health-Rehabilitation

0912

Partial Hospitalization-Less Intensive

0913

Partial Hospitalization-Intensive

0914

Behavioral Health-Individual Therapy

0915

Behavioral Health-Group Therapy

0916

Behavioral Health-Family Therapy

0918

Behavioral Health-Testing

0919

Behavioral Health-Other

0944

Drug rehabilitation

0945

Alcohol rehabilitation

(3) Services delivered by an emergency department with the following revenue codes:

0450

General classification

0451

EMTALA

0452

ER Beyond EMTALA

0456

Urgent Care

0459

Other Emergency Room

E. An MCO is not responsible for reimbursing for mental health services with a primary diagnosis listed in §N of this regulation when the services are provided by a hospital and the services are the result of the treatment of mental health diagnosis.

F. An MCO shall be responsible for reimbursing for behavioral health services delivered by the participant’s primary care provider.

G. An MCO shall be responsible for reimbursing for somatic services related to gender identity disorder, including gender reassignment surgery.

H. An MCO is not responsible for reimbursing the behavioral poisoning diagnoses listed in §P of this regulation in an emergency department setting.

I. An MCO is not responsible for services billed by specialty mental health providers listed in COMAR 10.09.59 when the bill includes the specialty behavioral health diagnoses listed in §M or N in the primary diagnosis field.

J. An MCO is not responsible for reimbursement of behavioral

health crisis services as described in COMAR 10.09.16.

K. An MCO is not responsible for behavioral health medications.

L. An MCO is not responsible for reimbursing for services billed by a physician related to prescribing buprenorphine or Vivitrol when the following conditions are met:

(1) The physician delivering buprenorphine has a DATA 2000 waiver;

(2) The physician is not the participant’s primary care provider;

(3) The primary diagnosis is substance use disorder;

(4) The primary reason for the visit is substance use disorder treatment; and

(5) The procedure code listed on the claims is one of the following:

99202

Evaluation and Management, Straight forward, new patient

99203

Evaluation and Management, Low complexity, new patient

99204

Evaluation and Management, Moderately complex, new patient

99205

Evaluation and Management, Highly complex, new patient

99211

Evaluation and Management, Minimal

99212

Evaluation and Management, Straight forward

99213

Evaluation and Management, Low complexity

99214

Evaluation and Management, Moderately complex

99215

Evaluation and Management, Highly complex

J8499

Prescription drug, oral, non-chemotherapeutic; buprenorphine

J2315

Vivitrol

J0571

Buprenorphine, oral, 1 mg

J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg of buprenorphine

J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

J0574

Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine

Q9991

Injection, Buprenorphine extended-release, less than or equal to 100 mg

Q9992

Injection, Buprenorphine extended-release, greater than 100 mg

80305

Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service

80307

Drug test(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (e.g., immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service (when provider has appropriately licensed and has adequate instrumentation)

M. Table of substance use disorder diagnoses, for dates of service on or after October 1, 2015:

F1010

Alcohol abuse, uncomplicated

F1011

Alcohol abuse, in remission

F10120

Alcohol abuse with intoxication, uncomplicated

F10121

Alcohol abuse with intoxication delirium

F10129

Alcohol abuse with intoxication, unspecified

F1090

Alcohol use, unspecified, uncomplicated

F1091

Alcohol use, unspecified, in remission

F10130

Alcohol abuse with withdrawal, uncomplicated

F10131

Alcohol abuse with withdrawal delirium

F10132

Alcohol abuse with withdrawal with perceptual disturbance

F10139

Alcohol abuse with withdrawal, unspecified

F1014

Alcohol abuse with alcohol-induced mood disorder

F10150

Alcohol abuse with alcohol-induced psychotic disorder with delusions

F10151

Alcohol abuse with alcohol-induced psychotic disorder with hallucinations

F10159

Alcohol abuse with alcohol-induced psychotic disorder, unspecified

F10180

Alcohol abuse with alcohol-induced anxiety disorder

F10181

Alcohol abuse with alcohol-induced sexual dysfunction

F10182

Alcohol abuse with alcohol-induced sleep disorder

F10188

Alcohol abuse with other alcohol-induced disorder

F1019

Alcohol abuse with unspecified alcohol-induced disorder

F1020

Alcohol dependence, uncomplicated

F1021

Alcohol dependence, in remission

F10220

Alcohol dependence with intoxication, uncomplicated

F10221

Alcohol dependence with intoxication delirium

F10229

Alcohol dependence with intoxication, unspecified

F10230

Alcohol dependence with withdrawal, uncomplicated

F10231

Alcohol dependence with withdrawal delirium

F10232

Alcohol dependence with withdrawal with perceptual disturbance

F10239

Alcohol dependence with withdrawal, unspecified

F1024

Alcohol dependence with alcohol-induced mood disorder

F10250

Alcohol dependence with alcohol-induced psychotic disorder with delusions

F10251

Alcohol dependence with alcohol-induced psychotic disorder with hallucinations

F10259

Alcohol dependence with alcohol-induced psychotic disorder, unspecified

F10280

Alcohol dependence with alcohol-induced anxiety disorder

F10281

Alcohol dependence with alcohol-induced sexual dysfunction

F10282

Alcohol dependence with alcohol-induced sleep disorder

F10288

Alcohol dependence with other alcohol-induced disorder

F1029

Alcohol dependence with unspecified alcohol-induced disorder

F10920

Alcohol use, unspecified with intoxication, uncomplicated

F10921

Alcohol use, unspecified with intoxication delirium

F10929

Alcohol use, unspecified with intoxication, unspecified

F10930

Alcohol use, unspecified with withdrawal, uncomplicated

F10931

Alcohol use, unspecified with withdrawal delirium

F10932

Alcohol use, unspecified with withdrawal with perceptual disturbance

F10939

Alcohol use, unspecified with withdrawal, unspecified

F1094

Alcohol use, unspecified with alcohol-induced mood disorder

F10950

Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions

F10951

Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations

F10959

Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified

F10980

Alcohol use, unspecified with alcohol-induced anxiety disorder

F10981

Alcohol use, unspecified with alcohol-induced sexual dysfunction

F10982

Alcohol use, unspecified with alcohol-induced sleep disorder

F10988

Alcohol use, unspecified with other alcohol-induced disorder

F1099

Alcohol use, unspecified with unspecified alcohol-induced disorder

F1110

Opioid abuse, uncomplicated

F1111

Opioid abuse, in remission

F11120

Opioid abuse with intoxication, uncomplicated

F11121

Opioid abuse with intoxication delirium

F11122

Opioid abuse with intoxication with perceptual disturbance

F11129

Opioid abuse with intoxication, unspecified

F1113

Opioid abuse with withdrawal

F1114

Opioid abuse with opioid-induced mood disorder

F11150

Opioid abuse with opioid-induced psychotic disorder with delusions

F11151

Opioid abuse with opioid-induced psychotic disorder with hallucinations

F11159

Opioid abuse with opioid-induced psychotic disorder, unspecified

F11181

Opioid abuse with opioid-induced sexual dysfunction

F11182

Opioid abuse with opioid-induced sleep disorder

F11188

Opioid abuse with other opioid-induced disorder

F1119

Opioid abuse with unspecified opioid-induced disorder

F1120

Opioid dependence, uncomplicated

F1121

Opioid dependence, in remission

F11220

Opioid dependence with intoxication, uncomplicated

F11221

Opioid dependence with intoxication delirium

F11222

Opioid dependence with intoxication with perceptual disturbance

F11229

Opioid dependence with intoxication, unspecified

F1123

Opioid dependence with withdrawal

F1124

Opioid dependence with opioid-induced mood disorder

F11250

Opioid dependence with opioid-induced psychotic disorder with delusions

F11251

Opioid dependence with opioid-induced psychotic disorder with hallucinations

F11259

Opioid dependence with opioid-induced psychotic disorder, unspecified

F11281

Opioid dependence with opioid-induced sexual dysfunction

F11282

Opioid dependence with opioid-induced sleep disorder

F11288

Opioid dependence with other opioid-induced disorder

F1129

Opioid dependence with unspecified opioid-induced disorder

F1190

Opioid use, unspecified, uncomplicated

F1191

Opioid use, unspecified, in remission

F11920

Opioid use, unspecified with intoxication, uncomplicated

F11921

Opioid use, unspecified with intoxication delirium

F11922

Opioid use, unspecified with intoxication with perceptual disturbance

F11929

Opioid use, unspecified with intoxication, unspecified

F1193

Opioid use, unspecified with withdrawal

F1194

Opioid use, unspecified with opioid-induced mood disorder

F11950

Opioid use, unspecified with opioid-induced psychotic disorder with delusions

F11951

Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations

F11959

Opioid use, unspecified with opioid-induced psychotic disorder, unspecified

F11981

Opioid use, unspecified with opioid-induced sexual dysfunction

F11982

Opioid use, unspecified with opioid-induced sleep disorder

F11988

Opioid use, unspecified with other opioid-induced disorder

F1199

Opioid use, unspecified with unspecified opioid-induced disorder

F1210

Cannabis abuse, uncomplicated

F1211

Cannabis abuse, in remission

F12120

Cannabis abuse with intoxication, uncomplicated

F12121

Cannabis abuse with intoxication delirium

F12122

Cannabis abuse with intoxication with perceptual disturbance

F12129

Cannabis abuse with intoxication, unspecified

F1213

Cannabis abuse with withdrawal

F12150

Cannabis abuse with psychotic disorder with delusions

F12151

Cannabis abuse with psychotic disorder with hallucinations

F12159

Cannabis abuse with psychotic disorder, unspecified

F12180

Cannabis abuse with cannabis-induced anxiety disorder

F12188

Cannabis abuse with other cannabis-induced disorder

F1219

Cannabis abuse with unspecified cannabis-induced disorder

F1220

Cannabis dependence, uncomplicated

F1221

Cannabis dependence, in remission

F12220

Cannabis dependence with intoxication, uncomplicated

F12221

Cannabis dependence with intoxication delirium

F12222

Cannabis dependence with intoxication with perceptual disturbance

F12229

Cannabis dependence with intoxication, unspecified

F1223

Cannabis dependence with withdrawal

F12250

Cannabis dependence with psychotic disorder with delusions

F12251

Cannabis dependence with psychotic disorder with hallucinations

F12259

Cannabis dependence with psychotic disorder, unspecified

F12280

Cannabis dependence with cannabis-induced anxiety disorder

F12288

Cannabis dependence with other cannabis-induced disorder

F1229

Cannabis dependence with unspecified cannabis-induced disorder

F1290

Cannabis use, unspecified, uncomplicated

F1291

Cannabis use, unspecified, in remission

F12920

Cannabis use, unspecified with intoxication, uncomplicated

F12921

Cannabis use, unspecified with intoxication delirium

F12922

Cannabis use, unspecified with intoxication with perceptual disturbance

F12929

Cannabis use, unspecified with intoxication, unspecified

F1293

Cannabis use, unspecified with withdrawal

F12950

Cannabis use, unspecified with psychotic disorder with delusions

F12951

Cannabis use, unspecified with psychotic disorder with hallucinations

F12959

Cannabis use, unspecified with psychotic disorder, unspecified

F12980

Cannabis use, unspecified with anxiety disorder

F12988

Cannabis use, unspecified with other cannabis-induced disorder

F1299

Cannabis use, unspecified with unspecified cannabis-induced disorder

F1310

Sedative, hypnotic or anxiolytic abuse, uncomplicated

F1311

Sedative, hypnotic or anxiolytic abuse, in remission

F13120

Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated

F13121

Sedative, hypnotic or anxiolytic abuse with intoxication delirium

F13129

Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified

F13130

Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated

F13131

Sedative, hypnotic or anxiolytic abuse with withdrawal delirium

F13132

Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance

F13139

Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified

F1314

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

F13150

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions

F13151

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations

F13159

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified

F13180

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder

F13181

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction

F13182

Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder

F13188

Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder

F1319

Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder

F1320

Sedative, hypnotic or anxiolytic dependence, uncomplicated

F1321

Sedative, hypnotic or anxiolytic dependence, in remission

F13220

Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated

F13221

Sedative, hypnotic or anxiolytic dependence with intoxication delirium

F13229

Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified

F13230

Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated

F13231

Sedative, hypnotic or anxiolytic dependence with withdrawal delirium

F13232

Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance

F13239

Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified

F1324

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

F13250

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions

F13251

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations

F13259

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified

F13280

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder

F13281

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction

F13282

Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder

F13288

Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder

F1329

Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder

F1390

Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated

F1391

Sedative, hypnotic, or anxiolytic use, unspecified, in remission

F13920

Sedative, hypnotic, or anxiolytic use, unspecified with intoxication, uncomplicated

F13921

Sedative, hypnotic, or anxiolytic use, unspecified with intoxication delirium

F13929

Sedative, hypnotic, or anxiolytic use, unspecified with intoxication, unspecified

F13930

Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal, uncomplicated

F13931

Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal delirium

F13932

Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal with perceptual disturbances

F13939

Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal, unspecified

F1394

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

F13950

Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced psychotic disorder with delusions

F13951

Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced psychotic disorder with hallucinations

F13959

Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced psychotic disorder with, unspecified

F13980

Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced anxiety disorder

F13981

Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced sexual dysfunction

F13982

Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced sleep disorder

F13988

Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic, or anxiolytic-induced disorder

F1399

Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic, or anxiolytic-induced disorder

F1410

Cocaine abuse, uncomplicated

F14120

Cocaine abuse with intoxication, uncomplicated

F14121

Cocaine abuse with intoxication with delirium

F14122

Cocaine abuse with intoxication with perceptual disturbance

F14129

Cocaine abuse with intoxication, unspecified

F1413

Cocaine abuse, unspecified with withdrawal

F1414

Cocaine abuse with cocaine-induced mood disorder

F14150

Cocaine abuse with cocaine-induced psychotic disorder with delusions

F14151

Cocaine abuse with cocaine-induced psychotic disorder with hallucinations

F14159

Cocaine abuse with cocaine-induced psychotic disorder, unspecified

F14180

Cocaine abuse with cocaine-induced anxiety disorder

F14181

Cocaine abuse with cocaine-induced sexual dysfunction

F14182

Cocaine abuse with cocaine-induced sleep disorder

F14188

Cocaine abuse with other cocaine-induced disorder

F1419

Cocaine abuse with unspecified cocaine-induced disorder

F1420

Cocaine dependence, uncomplicated

F1421

Cocaine dependence, in remission

F14220

Cocaine dependence with intoxication, uncomplicated

F14221

Cocaine dependence with intoxication delirium

F14222

Cocaine dependence with intoxication with perceptual disturbance

F14229

Cocaine dependence with intoxication, unspecified

F1423

Cocaine dependence with withdrawal

F1424

Cocaine dependence with cocaine-induced mood disorder

F14250

Cocaine dependence with cocaine-induced psychotic disorder with delusions

F14251

Cocaine dependence with cocaine-induced psychotic disorder with hallucinations

F14259

Cocaine dependence with cocaine-induced psychotic disorder, unspecified

F14280

Cocaine dependence with cocaine-induced anxiety disorder

F14281

Cocaine dependence with cocaine-induced sexual dysfunction

F14282

Cocaine dependence with cocaine-induced sleep disorder

F14288

Cocaine dependence with other cocaine-induced disorder

F1429

Cocaine dependence with unspecified cocaine-induced disorder

F1490

Cocaine use, unspecified, uncomplicated

F1491

Cocaine use, unspecified, in remission

F14920

Cocaine use, unspecified with intoxication, uncomplicated

F14921

Cocaine use, unspecified with intoxication delirium

F14922

Cocaine use, unspecified with intoxication with perceptual disturbance

F14929

Cocaine use, unspecified with intoxication, unspecified

F1493

Cocaine use, unspecified with withdrawal

F1494

Cocaine use, unspecified with cocaine-induced mood disorder

F14950

Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions

F14951

Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations

F14959

Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified

F14980

Cocaine use, unspecified with cocaine-induced anxiety disorder

F14981

Cocaine use, unspecified with cocaine-induced sexual dysfunction

F14982

Cocaine use, unspecified with cocaine-induced sleep disorder

F14988

Cocaine use, unspecified with other cocaine-induced disorder

F1499

Cocaine use, unspecified with unspecified cocaine-induced disorder

F1510

Other stimulant abuse, uncomplicated

F15120

Other stimulant abuse with intoxication, uncomplicated

F15121

Other stimulant abuse with intoxication delirium

F15122

Other stimulant abuse with intoxication with perceptual disturbance

F15129

Other stimulant abuse with intoxication, unspecified

F1513

Other stimulant abuse with withdrawal

F1514

Other stimulant abuse with stimulant-induced mood disorder

F15150

Other stimulant abuse with stimulant-induced psychotic disorder with delusions

F15151

Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations

F15159

Other stimulant abuse with stimulant-induced psychotic disorder, unspecified

F15180

Other stimulant abuse with stimulant-induced anxiety disorder

F15181

Other stimulant abuse with stimulant-induced sexual dysfunction

F15182

Other stimulant abuse with stimulant-induced sleep disorder

F15188

Other stimulant abuse with other stimulant-induced disorder

F1519

Other stimulant abuse with unspecified stimulant-induced disorder

F1520

Other stimulant dependence, uncomplicated

F1521

Other stimulant dependence, in remission

F15220

Other stimulant dependence with intoxication, uncomplicated

F15221

Other stimulant dependence with intoxication delirium

F15222

Other stimulant dependence with intoxication with perceptual disturbance

F15229

Other stimulant dependence with intoxication, unspecified

F1523

Other stimulant dependence with withdrawal

F1524

Other stimulant dependence with stimulant-induced mood disorder

F15250

Other stimulant dependence with stimulant-induced psychotic disorder with delusions

F15251

Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations

F15259

Other stimulant dependence with stimulant-induced psychotic disorder, unspecified

F15280

Other stimulant dependence with stimulant-induced anxiety disorder

F15281

Other stimulant dependence with stimulant-induced sexual dysfunction

F15282

Other stimulant dependence with stimulant-induced sleep disorder

F15288

Other stimulant dependence with other stimulant-induced disorder

F1529

Other stimulant dependence with unspecified stimulant-induced disorder

F1590

Other stimulant use, unspecified, uncomplicated

F1591

Other stimulant use, unspecified, in remission

F15920

Other stimulant use, unspecified with intoxication, uncomplicated

F15921

Other stimulant use, unspecified with intoxication delirium

F15922

Other stimulant use, unspecified with intoxication with perceptual disturbance

F15929

Other stimulant use, unspecified with intoxication, unspecified

F1593

Other stimulant use, unspecified with withdrawal

F1594

Other stimulant use, unspecified with stimulant-induced mood disorder

F15950

Other stimulant use, unspecified with stimulant-induced psychotic disorder with delusions

F15951

Other stimulant use, unspecified with stimulant-induced psychotic disorder with hallucinations

F15959

Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified

F15980

Other stimulant use, unspecified with stimulant-induced anxiety disorder

F15981

Other stimulant use, unspecified with stimulant-induced sexual dysfunction

F15982

Other stimulant use, unspecified with stimulant-induced sleep disorder

F15988

Other stimulant use, unspecified with other stimulant-induced disorder

F1599

Other stimulant use, unspecified with unspecified stimulant-induced disorder

F1610

Hallucinogen abuse, uncomplicated

F16120

Hallucinogen abuse with intoxication, uncomplicated

F16121

Hallucinogen abuse with intoxication with delirium

F16122

Hallucinogen abuse with intoxication with perceptual disturbance

F16129

Hallucinogen abuse with intoxication, unspecified

F1614

Hallucinogen abuse with hallucinogen-induced mood disorder

F16150

Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions

F16151

Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations

F16159

Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified

F16180

Hallucinogen abuse with hallucinogen-induced anxiety disorder

F16183

Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks)

F16188

Hallucinogen abuse with other hallucinogen-induced disorder

F1619

Hallucinogen abuse with unspecified hallucinogen-induced disorder

F1620

Hallucinogen dependence, uncomplicated

F1621

Hallucinogen dependence, in remission

F16220

Hallucinogen dependence with intoxication, uncomplicated

F16221

Hallucinogen dependence with intoxication with delirium

F16229

Hallucinogen dependence with intoxication, unspecified

F1624

Hallucinogen dependence with hallucinogen-induced mood disorder

F16250

Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions

F16251

Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations

F16259

Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified

F16280

Hallucinogen dependence with hallucinogen-induced anxiety disorder

F16283

Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks)

F16288

Hallucinogen dependence with other hallucinogen-induced disorder

F1629

Hallucinogen dependence with unspecified hallucinogen-induced disorder

F1690

Hallucinogen use, unspecified, uncomplicated

F1691

Hallucinogen use, unspecified, in remission

F16920

Hallucinogen use, unspecified with intoxication, uncomplicated

F16921

Hallucinogen use, unspecified with intoxication with delirium

F16929

Hallucinogen use, unspecified with intoxication, unspecified

F1694

Hallucinogen use, unspecified with hallucinogen-induced mood disorder

F16950

Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions

F16951

Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations

F16959

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

F16980

Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder

F16983

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

F16988

Hallucinogen use, unspecified with other hallucinogen-induced disorder

F1699

Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder

F17200

Nicotine dependence, unspecified, uncomplicated

F17201

Nicotine dependence, unspecified, in remission

F17203

Nicotine dependence unspecified, with withdrawal

F17208

Nicotine dependence, unspecified, with other nicotine-induced disorders

F17209

Nicotine dependence, unspecified, with unspecified nicotine-induced disorders

F17210

Nicotine dependence, cigarettes, uncomplicated

F17211

Nicotine dependence, cigarettes, in remission

F17213

Nicotine dependence, cigarettes, with withdrawal

F17218

Nicotine dependence, cigarettes, with other nicotine-induced disorders

F17219

Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders

F17220

Nicotine dependence, chewing tobacco, uncomplicated

F17221

Nicotine dependence, chewing tobacco, in remission

F17223

Nicotine dependence, chewing tobacco, with withdrawal

F17228

Nicotine dependence, chewing tobacco, with other nicotine-induced disorders

F17229

Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders

F17290

Nicotine dependence, other tobacco product, uncomplicated

F17291

Nicotine dependence, other tobacco product, in remission

F17293

Nicotine dependence, other tobacco product, with withdrawal

F17298

Nicotine dependence, other tobacco product, with other nicotine-induced disorders

F17299

Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders

F1810

Inhalant abuse, uncomplicated

F18120

Inhalant abuse with intoxication, uncomplicated

F18121

Inhalant abuse with intoxication delirium

F18129

Inhalant abuse with intoxication, unspecified

F1814

Inhalant abuse with inhalant-induced mood disorder

F18150

Inhalant abuse with inhalant-induced psychotic disorder with delusions

F18151

Inhalant abuse with inhalant-induced psychotic disorder with hallucinations

F18159

Inhalant abuse with inhalant-induced psychotic disorder, unspecified

F1817

Inhalant abuse with inhalant-induced dementia

F18180

Inhalant abuse with inhalant-induced anxiety disorder

F18188

Inhalant abuse with other inhalant-induced disorder

F1819

Inhalant abuse with unspecified inhalant-induced disorder

F1820

Inhalant dependence, uncomplicated

F1821

Inhalant dependence, in remission

F18220

Inhalant dependence with intoxication, uncomplicated

F18221

Inhalant dependence with intoxication delirium

F18229

Inhalant dependence with intoxication, unspecified

F1824

Inhalant dependence with inhalant-induced mood disorder

F18250

Inhalant dependence with inhalant-induced psychotic disorder with delusions

F18251

Inhalant dependence with inhalant-induced psychotic disorder with hallucinations

F18259

Inhalant dependence with inhalant-induced psychotic disorder, unspecified

F1827

Inhalant dependence with inhalant-induced dementia

F18280

Inhalant dependence with inhalant-induced anxiety disorder

F18288

Inhalant dependence with other inhalant-induced disorder

F1829

Inhalant dependence with unspecified inhalant-induced disorder

F1890

Inhalant use, unspecified, uncomplicated

F1891

Hallucinogen use, unspecified, in remission

F18920

Inhalant use, unspecified with intoxication, uncomplicated

F18921

Inhalant use, unspecified with intoxication with delirium

F18929

Inhalant use, unspecified with intoxication, unspecified

F1894

Inhalant use, unspecified with inhalant-induced mood disorder

F18950

Inhalant use, unspecified with inhalant-induced psychotic disorder with delusions

F18951

Inhalant use, unspecified with inhalant-induced psychotic disorder with hallucinations

F18959

Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified

F18980

Inhalant use, unspecified with inhalant-induced anxiety disorder

F18988

Inhalant use, unspecified with other inhalant-induced disorder

F1899

Inhalant use, unspecified with unspecified inhalant-induced disorder

F1910

Other psychoactive substance abuse, uncomplicated

F19120

Other psychoactive substance abuse with intoxication, uncomplicated

F19121

Other psychoactive substance abuse with intoxication delirium

F19122

Other psychoactive substance abuse with intoxication with perceptual disturbances

F19129

Other psychoactive substance abuse with intoxication, unspecified

F19130

Other psychoactive substance abuse with withdrawal, uncomplicated

F19131

Other psychoactive substance abuse with withdrawal delirium

F19132

Other psychoactive substance abuse with withdrawal with perceptual disturbances

F19139

Other psychoactive substance abuse with withdrawal, unspecified

F1914

Other psychoactive substance abuse with psychoactive substance-induced mood disorder

F19150

Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions

F19151

Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations

F19159

Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified

F19180

Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder

F19181

Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction

F19182

Other psychoactive substance abuse with psychoactive substance-induced sleep disorder

F19188

Other psychoactive substance abuse with other psychoactive substance-induced disorder

F1919

Other psychoactive substance abuse with unspecified substance-induced disorder

F1920

Other psychoactive substance dependence, uncomplicated

F1921

Other psychoactive substance dependence, in remission

F19220

Other psychoactive substance dependence with intoxication, uncomplicated

F19221

Other psychoactive substance dependence with intoxication delirium

F19222

Other psychoactive substance dependence with intoxication with perceptual disturbance

F19229

Other psychoactive substance dependence with intoxication, unspecified

F19230

Other psychoactive substance dependence with withdrawal, uncomplicated

F19231

Other psychoactive substance dependence with withdrawal delirium

F19232

Other psychoactive substance dependence with withdrawal with perceptual disturbance

F19239

Other psychoactive substance dependence with withdrawal, unspecified

F1924

Other psychoactive substance dependence with psychoactive substance-induced mood disorder

F19250

Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions

F19251

Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations

F19259

Other psychoactive substance dependence with substance-induced psychotic disorder, unspecified

F19280

Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder

F19281

Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction

F19282

Other psychoactive substance dependence with psychoactive substance-induced sleep disorder

F19288

Other psychoactive substance dependence with other psychoactive substance-induced disorder

F1929

Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder

F1990

Other psychoactive substance use, unspecified, uncomplicated

F1991

Other psychoactive substance use, unspecified, in remission

F19920

Other psychoactive substance use, unspecified with intoxication, uncomplicated

F19921

Other psychoactive substance use, unspecified with intoxication with delirium

F19922

Other psychoactive substance use, unspecified with intoxication with perceptual disturbance

F19929

Other psychoactive substance use, unspecified with intoxication, unspecified

F19930

Other psychoactive substance use, unspecified with withdrawal, uncomplicated

F19931

Other psychoactive substance use, unspecified with withdrawal delirium

F19932

Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance

F19939

Other psychoactive substance use, unspecified with withdrawal, unspecified

F1994

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

F19950

Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions

F19951

Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations

F19959

Other psychoactive substance use, unspecified with psychoactive disorder, unspecified

F19980

Other psychoactive substance use, unspecified with anxiety disorder

F19981

Other psychoactive substance use, unspecified with sexual dysfunction

F19982

Other psychoactive substance use, unspecified with sleep disorder

F19988

Other psychoactive substance use, unspecified with other disorder

F1999

Other psychoactive substance use, unspecified with unspecified disorder

O99310

Alcohol use complicating pregnancy, unspecified trimester

O99311

Alcohol use complicating pregnancy, first trimester

O99312

Alcohol use complicating pregnancy, second trimester

O99313

Alcohol use complicating pregnancy, third trimester

O99314

Alcohol use complicating childbirth

O99315

Alcohol use complicating the puerperium

O99320

Drug use complicating pregnancy, unspecified trimester

O99321

Drug use complicating pregnancy, first trimester

O99322

Drug use complicating pregnancy, second trimester

O99323

Drug use complicating pregnancy, third trimester

O99324

Drug use complicating childbirth

O99325

Drug use complicating the puerperium

R780

Finding of alcohol in blood

R781

Finding of opiate drug in blood

R782

Finding of cocaine in blood

R783

Finding of hallucinogen in blood

R784

Finding of other drugs of addictive potential in blood

R785

Finding of other psychotropic drug in blood

N. Table of mental health diagnoses, for dates of service on or after October 1, 2015:

F200

Paranoid schizophrenia

F201

Disorganized schizophrenia

F202

Catatonic schizophrenia

F203

Undifferentiated schizophrenia

F205

Residual schizophrenia

F2081

Schizophreniform disorder

F2089

Other schizophrenia

F209

Schizophrenia, unspecified

F21

Schizotypal disorder

F22

Delusional disorders

F23

Brief psychotic disorder

F24

Shared psychotic disorder

F250

Schizoaffective disorder, bipolar type

F251

Schizoaffective disorder, depressive type

F258

Other schizoaffective disorders

F259

Schizoaffective disorder, unspecified

F28

Other psychotic disorder not due to a substance or known physiological condition

F29

Unspecified psychosis not due to a substance or known physiological condition

F3010

Manic episode without psychotic symptoms, unspecified

F3011

Manic episode without psychotic symptoms, mild

F3012

Manic episode without psychotic symptoms, moderate

F3013

Manic episode, severe, without psychotic symptoms

F302

Manic episode, severe with psychotic symptoms

F303

Manic episode in partial remission

F304

Manic episode in full remission

F308

Other manic episodes

F309

Manic episode, unspecified

F310

Bipolar disorder, current episode hypomanic

F3110

Bipolar disorder, current episode manic without psychotic features, unspecified

F3111

Bipolar disorder, current episode manic without psychotic features, mild

F3112

Bipolar disorder, current episode manic without psychotic features, mod

F3113

Bipolar disorder, current episode manic without psychotic features, severe

F312

Bipolar disorder, current episode manic severe with psychotic features

F3130

Bipolar disorder, current episode depressed, mild or moderate severity, unspecified

F3131

Bipolar disorder, current episode depressed, mild

F3132

Bipolar disorder, current episode depressed, moderate

F314

Bipolar disorder, current episode depressed, severe, without psychotic features

F315

Bipolar disorder, current episode depressed, severe, with psychotic features

F3160

Bipolar disorder, current episode mixed, unspecified

F3161

Bipolar disorder, current episode mixed, mild

F3162

Bipolar disorder, current episode mixed, moderate

F3163

Bipolar disorder, current episode mixed, severe, without psychotic features

F3164

Bipolar disorder, current episode mixed, severe, with psychotic features

F3170

Bipolar disorder, currently in remission, most recent episode unspecified

F3171

Bipolar disorder, in partial remission, most recent episode hypomanic

F3172

Bipolar disorder, in full remission, most recent episode hypomanic

F3173

Bipolar disorder, in partial remission, most recent episode manic

F3174

Bipolar disorder, in full remission, most recent episode manic

F3175

Bipolar disorder, in partial remission, most recent episode depressed

F3176

Bipolar disorder, in full remission, most recent episode depressed

F3177

Bipolar disorder, in partial remission, most recent episode mixed

F3178

Bipolar disorder, in full remission, most recent episode mixed

F3181

Bipolar II disorder

F3189

Other bipolar disorder

F319

Bipolar disorder, unspecified

F32A

Depression, unspecified

F320

Major depressive disorder, single episode, mild

F321

Major depressive disorder, single episode, moderate

F322

Major depressive disorder, single episode, severe without psychotic features

F323

Major depressive disorder, single episode, severe with psychotic features

F324

Major depressive disorder, single episode, in partial remission

F325

Major depressive disorder, single episode, in full remission

F3281

Premenstrual dysphoric disorder

F3289

Other specified depressive episodes

F329

Major depressive disorder, single episode, unspecified

F330

Major depressive disorder, recurrent, mild

F331

Major depressive disorder, recurrent, moderate

F332

Major depressive disorder, recurrent severe without psychotic features

F333

Major depressive disorder, recurrent, severe with psychotic symptoms

F3340

Major depressive disorder, recurrent, in remission, unspecified

F3341

Major depressive disorder, recurrent, in partial remission

F3342

Major depressive disorder, recurrent, in full remission

F338

Other recurrent depressive disorders

F339

Major depressive disorder, recurrent, unspecified

F340

Cyclothymic disorder

F341

Dysthymic disorder

F3481

Disruptive mood dysregulation disorder

F3489

Other specified persistent mood disorders

F349

Persistent mood (affective) disorder, unspecified

F39

Unspecified mood (affective) disorder

F4000

Agoraphobia, unspecified

F4001

Agoraphobia with panic disorder

F4002

Agoraphobia without panic disorder

F4010

Social phobia, unspecified

F4011

Social phobia, generalized

F40210

Arachnophobia

F40218

Other animal type phobia

F40220

Fear of thunderstorms

F40228

Other natural environment type phobia

F40230

Fear of blood

F40231

Fear of injections and transfusions

F40232

Fear of other medical care

F40233

Fear of injury

F40240

Claustrophobia

F40241

Acrophobia

F40242

Fear of bridges

F40243

Fear of flying

F40248

Other situational type phobia

F40290

Androphobia

F40291

Gynephobia

F40298

Other specified phobia

F408

Other phobic anxiety disorders

F409

Phobic anxiety disorder, unspecified

F410

Panic disorder without agoraphobia

F411

Generalized anxiety disorder

F413

Other mixed anxiety disorders

F418

Other specified anxiety disorders

F419

Anxiety disorder, unspecified

F422

Mixed obsessional thoughts and acts

F423

Hoarding disorder

F424

Excoriation (skin-picking) disorder

F428

Other obsessive compulsive disorder

F429

Obsessive-compulsive disorder, unspecified

F430

Acute stress reaction

F4310

Post-traumatic stress disorder, unspecified

F4311

Post-traumatic stress disorder, acute

F4312

Post-traumatic stress disorder, chronic

F4320

Adjustment disorder, unspecified

F4321

Adjustment disorder with depressed mood

F4322

Adjustment disorder with anxiety

F4323

Adjustment disorder with mixed anxiety and depressed mood

F4324

Adjustment disorder with disturbance of conduct

F4325

Adjustment disorder with mixed disturbance of emotions and conduct

F4329

Adjustment disorder with other symptoms

F4381

Prolonged grief disorder

F4389

Other reactions to severe stress

F439

Reaction to severe stress, unspecified

F440

Dissociative amnesia

F441

Dissociative fugue

F442

Dissociative stupor

F444

Conversion disorder with motor symptom or deficit

F446

Conversion disorder with sensory symptom or deficit

F4481

Dissociative identity disorder

F4489

Other dissociative and conversion disorders

F449

Dissociative and conversion disorder, unspecified

F450

Somatization disorder

F451

Undifferentiated somatoform disorder

F4520

Hypochondriacal disorder, unspecified

F4521

Hypochondriasis

F4522

Body dysmorphic disorder

F4529

Other hypochondriacal disorders

F4541

Pain disorder exclusively related to psychological factors

F458

Other somatoform disorders

F459

Somatoform disorder, unspecified

F481

Depersonalization-derealization syndrome

F488

Other specified nonpsychotic mental disorders

F489

Nonpsychotic mental disorder, unspecified

F5000

Anorexia nervosa, unspecified

F5001

Anorexia nervosa, restricting type

F5002

Anorexia nervosa, binge eating/purging type

F502

Bulimia nervosa

F5081

Binge eating disorder

F5082

Avoidant/restrictive food intake disorder

F5089

Other specified eating disorder

F509

Eating disorder, unspecified

F53

Mental and behavioral disorders associated with the puerperium, not elsewhere classified

F530

Postpartum depression

F531

Puerperal psychosis

F54

Psychological and behavioral factors associated with disorders or diseases classified elsewhere

F600

Paranoid personality disorder

F601

Schizoid personality disorder

F603

Borderline personality disorder

F604

Histrionic personality disorder

F605

Obsessive-compulsive personality disorder

F606

Avoidant personality disorder

F607

Dependent personality disorder

F6081

Narcissistic personality disorder

F6089

Other specific personality disorders

F609

Personality disorder, unspecified

F630

Pathological gambling

F631

Pyromania

F632

Kleptomania

F633

Trichotillomania

F6381

Intermittent explosive disorder

F6389

Other impulse disorders

F639

Impulse disorder, unspecified

F640

Transsexualism

F641

Gender identity disorder in adolescence and adulthood

F642

Gender identity disorder of childhood

F648

Other gender identity disorders

F649

Gender identity disorder, unspecified

F650

Fetishism

F651

Transvestic fetishism

F652

Exhibitionism

F653

Voyeurism

F654

Pedophilia

F6550

Sadomasochism, unspecified

F6551

Sexual masochism

F6552

Sexual sadism

F6581

Frotteurism

F6589

Other paraphilias

F659

Paraphilia, unspecified

F66

Other sexual disorders

F6811

Factitious disorder with predominantly psychological signs and symptoms

F6813

Factitious disorder with combined psychological and physical signs and symptoms

F688

Other specified disorders of adult personality and behavior

F68A

Factitious disorder imposed on another

F69

Unspecified disorder of adult personality and behavior

F843

Other childhood disintegrative disorder

F900

Attention-deficit hyperactivity disorder, predominantly inattentive type

F901

Attention-deficit hyperactivity disorder, predominantly hyperactive type

F902

Attention-deficit hyperactivity disorder, combined type

F908

Attention-deficit hyperactivity disorder, other type

F909

Attention-deficit hyperactivity disorder, unspecified type

F910

Conduct disorder confined to family context

F911

Conduct disorder, childhood-onset type

F912

Conduct disorder, adolescent-onset type

F913

Oppositional defiant disorder

F918

Other conduct disorders

F919

Conduct disorder, unspecified

F930

Separation anxiety disorder of childhood

F938

Other childhood emotional disorders

F939

Childhood emotional disorder, unspecified

F940

Selective mutism

F941

Reactive attachment disorder of childhood

F942

Disinhibited attachment disorder of childhood

F948

Other childhood disorders of social functioning

F949

Childhood disorder of social functioning, unspecified

F980

Enuresis not due to a substance or known physiological condition

F981

Encopresis not due to a substance or known physiological condition

F984

Stereotyped movement disorders

F988

Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence

F989

Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence

F99

Mental disorder, not otherwise specified

G2111

Neuroleptic induced parkinsonism

G2402

Drug induced acute dystonia

G2589

Other specified extrapyramidal and movement disorders

G259

Extrapyramidal and movement disorder, unspecified

O99340

Other mental disorders complicating pregnancy, unspecified trimester

O99341

Other mental disorders complicating pregnancy, first trimester

O99342

Other mental disorders complicating pregnancy, second trimester

O99343

Other mental disorders complicating pregnancy, third trimester

O99344

Other mental disorders complicating childbirth

O99345

Other mental disorders complicating the puerperium

R457

State of emotional shock and stress, unspecified

R45850

Homicidal ideations

R45851

Suicidal ideations

T1491XA

Suicide attempt, initial

Z046

Encounter for general psychiatric examination requested by the authority

O. An MCO is not responsible for services billed by a psychiatrist when the claim includes one of the following primary diagnoses:

G24.4

Orofacial dyskinesia

G25.1

Drug-induced tremor

G21.0

Neuroleptic malignant syndrome

P. Table of poisoning diagnoses, for dates of service on or after July 1, 2016:

T360X2A

Poisoning by penicillins, intentional self-harm

T361X2A

Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm

T362X2A

Poisoning by chloramphenicol group, intentional self-harm

T363X2A

Poisoning by macrolides, intentional self-harm

T364X2A

Poisoning by tetracyclines, intentional self-harm

T365X2A

Poisoning by aminoglycosides, intentional self-harm

T366X2A

Poisoning by rifampicins, intentional self-harm

T367X2A

Poisoning by antifungal antibiotics, systemically used, intentional self-harm

T368X2A

Poisoning by other systemic antibiotics, intentional self-harm

T369X2A

Poisoning by unspecified systemic antibiotic, intentional self-harm

T370X2A

Poisoning by sulfonamides, intentional self-harm

T371X2A

Poisoning by antimycobacterial drugs, intentional self-harm

T372X2A

Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm

T373X2A

Poisoning by other antiprotozoal drugs, intentional self-harm

T374X2A

Poisoning by anthelminthics, intentional self-harm

T375X2A

Poisoning by antiviral drugs, intentional self-harm

T378X2A

Poisoning by other specified systemic anti-infectives and antiparasitics, intentional self-harm

T3792XA

Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm

T380X2A

Poisoning by glucocorticoids and synthetic analogues, intentional self-harm

T381X2A

Poisoning by thyroid hormones and substitutes, intentional self-harm

T382X2A

Poisoning by antithyroid drugs, intentional self-harm

T383X2A

Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm

T384X2A

Poisoning by oral contraceptives, intentional self-harm

T385X2A

Poisoning by other estrogens and progestogens, intentional self-harm

T386X2A

Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm

T387X2A

Poisoning by androgens and anabolic congeners, intentional self-harm

T38802A

Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm

T38812A

Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm

T38892A

Poisoning by other hormones and synthetic substitutes, intentional self-harm

T38902A

Poisoning by unspecified hormone antagonists, intentional self-harm

T38992A

Poisoning by other hormone antagonists, intentional self-harm

T39012A

Poisoning by aspirin, intentional self-harm

T39092A

Poisoning by salicylates, intentional self-harm

T391X2A

Poisoning by 4-Aminophenol derivatives, intentional self-harm

T392X2A

Poisoning by pyrazolone derivatives, intentional self-harm

T39312A

Poisoning by propionic acid derivatives, intentional self-harm

T39392A

Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm

T394X2A

Poisoning by antirheumatics, not elsewhere classified, intentional self-harm

T398X2A

Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, intentional self-harm

T3992XA

Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm

T400X1A

Poisoning by opium, accidental (unintentional), initial encounter

T400X2A

Poisoning by opium, intentional self-harm

T401X1A

Poisoning by heroin, accidental (unintentional), initial encounter

T401X2A

Poisoning by heroin, intentional self-harm

T402X2A

Poisoning by other opioids, intentional self-harm

T403X1A

Poisoning by methadone, accidental (unintentional), initial encounter

T403X2A

Poisoning by methadone, intentional self-harm

T40411A

Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter

T40412A

Poisoning by fentanyl or fentanyl analogs, self-harm, initial encounter

T40421A

Poisoning by tramadol, accidental (unintentional), initial encounter

T40422A

Poisoning by tramadol, self-harm, initial encounter

T40491A

Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter

T40492A

Poisoning by other synthetic narcotics, self-harm, initial encounter

T405X1A

Poisoning by cocaine, accidental (unintentional), initial encounter

T405X2A

Poisoning by cocaine, intentional self-harm, initial encounter

T40601A

Poisoning by unspecified narcotics, accidental (unintentional), initial encounter

T40602A

Poisoning by unspecified narcotics, intentional self-harm, initial encounter

T40691A

Poisoning by unspecified narcotics, accidental (unintentional), initial encounter

T40692A

Poisoning by other narcotics, intentional self-harm

T40711A

Poisoning by cannabis, accidental (unintentional), initial encounter

T40712A

Poisoning by cannabis, intentional self-harm, initial encounter

T40721A

Poisoning by synthetic cannabis, accidental (unintentional), initial encounter

T40722A

Poisoning by synthetic cannabis, intentional self-harm, initial encounter

T407X1A

Poisoning by cannabis (derivates), accidental (unintentional), initial encounter

T407X2A

Poisoning by cannabis (derivatives), intentional self-harm

T408X1A

Poisoning by lysergide [LSD], accidental (unintentional), initial encounter

T408X2A

Poisoning by lysergide [LSD], intentional self-harm

T40901A

Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), initial encounter

T40902A

Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm

T40991A

Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), initial encounter

T40992A

Poisoning by other psychodysleptics [hallucinogens], intentional self-harm

T410X2A

Poisoning by inhaled anesthetics, intentional self-harm

T411X2A

Poisoning by intravenous anesthetics, intentional self-harm

T41202A

Poisoning by unspecified general anesthetics, intentional self-harm

T41292A

Poisoning by other general anesthetics, intentional self-harm

T413X2A

Poisoning by local anesthetics, intentional self-harm

T4142XA

Poisoning by unspecified anesthetic, intentional self-harm

T415X2A

Poisoning by therapeutic gases, intentional self-harm

T420X2A

Poisoning by hydantoin derivatives, intentional self-harm

T421X2A

Poisoning by iminostilbenes, intentional self-harm

T422X2A

Poisoning by succinimides and oxazolidinediones, intentional self-harm

T423X1A

Poisoning by barbiturates, accidental (unintentional), initial encounter

T423X2A

Poisoning by barbiturates, intentional self-harm

T424X1A

Poisoning by benzodiazepines, accidental (unintentional), initial encounter

T424X2A

Poisoning by benzodiazepines, intentional self-harm

T425X2A

Poisoning by mixed antiepileptics, intentional self-harm

T426X2A

Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm

T4272XA

Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm

T428X2A

Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm

T43012A

Poisoning by tricyclic antidepressants, intentional self-harm

T43022A

Poisoning by tetracyclic antidepressants, intentional self-harm

T431X2A

Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm

T43202A

Poisoning by unspecified antidepressants, intentional self-harm

T43212A

Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm

T43222A

Poisoning by selective serotonin reuptake inhibitors, intentional self-harm

T43292A

Poisoning by other antidepressants, intentional self-harm

T433X2A

Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm

T434X2A

Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm

T43502A

Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm

T43592A

Poisoning by other antipsychotics and neuroleptics, intentional self-harm

T43601A

Poisoning by unspecified psychostimulants, accidental (unintentional), initial encounter

T43602A

Poisoning by unspecified psychostimulants, intentional self-harm

T43612A

Poisoning by caffeine, intentional self-harm

T43621A

Poisoning by amphetamines, accidental (unintentional), initial encounter

T43622A

Poisoning by amphetamines, intentional self-harm

T43631A

Poisoning by methylphenidate, accidental (unintentional), initial encounter

T43632A

Poisoning by methylphenidate, intentional self-harm

T43641A

Poisoning by ecstasy, accidental (unintentional), initial encounter

T43651A

Poisoning my methamphetamines, accidental (unintentional), initial encounter

T43652A

Poisoning by methamphetamines, intentional self-harm, intentional encounter

T43692A

Poisoning by other psychostimulants, intentional self-harm

T438X2A

Poisoning by other psychotropic drugs, intentional self-harm

T4392XA

Poisoning by unspecified psychotropic drug, intentional self-harm

T440X2A

Poisoning by anticholinesterase agents, intentional self-harm

T441X2A

Poisoning by other parasympathomimetics [cholinergics], intentional self-harm

T442X2A

Poisoning by ganglionic blocking drugs, intentional self-harm

T443X2A

Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, intentional self-harm

T444X2A

Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm

T445X2A

Poisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm

T446X2A

Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm

T447X2A

Poisoning by beta-adrenoreceptor antagonists, intentional self-harm

T448X2A

Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm

T44902A

Poisoning by unspecified drugs primarily affecting the autonomic nervous system, intentional self-harm

T44992A

Poisoning by other drug primarily affecting the autonomic nervous system, intentional self-harm

T450X2A

Poisoning by antiallergic and antiemetic drugs, intentional self-harm

T451X2A

Poisoning by antineoplastic and immunosuppressive drugs, intentional self-harm

T452X2A

Poisoning by vitamins, intentional self-harm

T453X2A

Poisoning by enzymes, intentional self-harm

T454X2A

Poisoning by iron and its compounds, intentional self-harm

T45512A

Poisoning by anticoagulants, intentional self-harm

T45522A

Poisoning by antithrombotic drugs, intentional self-harm

T45602A

Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm

T45612A

Poisoning by thrombolytic drug, intentional self-harm

T45622A

Poisoning by hemostatic drug, intentional self-harm

T45692A

Poisoning by other fibrinolysis-affecting drugs, intentional self-harm

T457X2A

Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm

T458X2A

Poisoning by other primarily systemic and hematological agents, intentional self-harm

T4592XA

Poisoning by unspecified primarily systemic and hematological agent, intentional self-harm

T460X2A

Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm

T461X2A

Poisoning by calcium-channel blockers, intentional self-harm

T462X2A

Poisoning by other antidysrhythmic drugs, intentional self-harm

T463X2A

Poisoning by coronary vasodilators, intentional self-harm

T464X2A

Poisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm

T465X2A

Poisoning by other antihypertensive drugs, intentional self-harm

T466X2A

Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm

T467X2A

Poisoning by peripheral vasodilators, intentional self-harm

T468X2A

Poisoning by antivaricose drugs, including sclerosing agents, intentional self-harm

T46902A

Poisoning by unspecified agents primarily affecting the cardiovascular system, intentional self-harm

T46992A

Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm

T470X2A

Poisoning by histamine H2-receptor blockers, intentional self-harm

T471X2A

Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm

T472X2A

Poisoning by stimulant laxatives, intentional self-harm

T473X2A

Poisoning by saline and osmotic laxatives, intentional self-harm

T474X2A

Poisoning by other laxatives, intentional self-harm

T475X2A

Poisoning by digestants, intentional self-harm

T476X2A

Poisoning by antidiarrheal drugs, intentional self-harm

T477X2A

Poisoning by emetics, intentional self-harm

T478X2A

Poisoning by other agents primarily affecting gastrointestinal system, intentional self-harm

T4792XA

Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm

T480X2A

Poisoning by oxytocic drugs, intentional self-harm

T481X2A

Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm

T48202A

Poisoning by unspecified drugs acting on muscles, intentional self-harm

T48292A

Poisoning by other drugs acting on muscles, intentional self-harm

T483X2A

Poisoning by antitussives, intentional self-harm

T484X2A

Poisoning by expectorants, intentional self-harm

T485X2A

Poisoning by other anti-common-cold drugs, intentional self-harm

T486X2A

Poisoning by antiasthmatics, intentional self-harm

T48902A

Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm

T48992A

Poisoning by other agents primarily acting on the respiratory system, intentional self-harm

T490X2A

Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm

T491X2A

Poisoning by antipruritics, intentional self-harm

T492X2A

Poisoning by local astringents and local detergents, intentional self-harm

T493X2A

Poisoning by emollients, demulcents and protectants, intentional self-harm

T494X2A

Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, intentional self-harm

T495X2A

Poisoning by ophthalmological drugs and preparations, intentional self-harm

T496X2A

Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm

T497X2A

Poisoning by dental drugs, topically applied, intentional self-harm

T498X2A

Poisoning by other topical agents, intentional self-harm

T4992XA

Poisoning by unspecified topical agent, intentional self-harm

T500X2A

Poisoning by mineralocorticoids and their antagonists, intentional self-harm

T501X2A

Poisoning by loop [high-ceiling] diuretics, intentional self-harm

T502X2A

Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm

T503X2A

Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm

T504X2A

Poisoning by drugs affecting uric acid metabolism, intentional self-harm

T505X2A

Poisoning by appetite depressants, intentional self-harm

T506X2A

Poisoning by antidotes and chelating agents, intentional self-harm

T507X1A

Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter

T507X2A

Poisoning by analeptics and opioid receptor antagonists, intentional self-harm

T508X2A

Poisoning by diagnostic agents, intentional self-harm

T50902A

Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm

T50912A

Poisoning by multiple unspecified drugs, medications and biological substances, intentional self-harm, initial self-harm, initial encounter

T50992A

Poisoning by other drugs, medicaments and biological substances, intentional self-harm