PerformCare Provider Network Scott Daubert PhD, VP Provider Network & Account Management. AD ICD-10-CM Frequently Asked Questions

Transcription

1 Provider Notice To: From: PerformCare Provider Network Scott Daubert PhD, VP Provider Network & Account Management Date: April 23, 2015 Subject: AD ICD-10-CM Frequently Asked Questions The Centers for Medicaid and Medicare Services (CMS) has mandated that all health organizations be compliant with ICD-10-CM by October 1, Q. What is PerformCare currently doing to prepare for the ICD-10-CM transition? A. PerformCare began assessing the impact in 2009 and has participated with our parent company, AmeriHealth Caritas, to complete our impact assessment. PerformCare has a dedicated team working on the ICD-10-CM transition requirements. The team worked with each PerformCare business area to complete an assessment to identify the impacts the ICD-10-CM transition has on the organization. Upgrades for ICD-10-CM have already started and many have been completed for a number of key systems impacted by ICD-10-CM. Q. When will PerformCare be ICD-10-CM compliant? A. PerformCare is on track to be ICD-10-CM compliant by October 1, Q. Will PerformCare accept ICD-10-CM codes prior to October 1, 2015? A. No. ICD-10-CM codes should not be used prior to October 1, Q. Will PerformCare conduct testing with providers using ICD-10-CM codes? A. Providers are encouraged to test with their 837 vendor or clearinghouse. Further targeted communication regarding testing will be sent to those providers who directly submit electronic claims to PerformCare. Q. Will PerformCare accept ICD-9 codes after October 1, 2015, for dates of service prior to October 1, 2015? A. Yes. PerformCare will be able to process both ICD-9-CM and ICD-10-CM codes. ICD-9 codes should only be submitted on claims with dates of service prior to October 1, Current regulations require the use of ICD-9 codes for dates of service prior to October 1, All outpatient and professional claims with dates of service on or after October 1, 2015 must contain ICD-10-CM diagnosis codes. To avoid delays or corrections, PerformCare is requiring that professional claims be split. A single professional claim should not contain both dates of service before October 1, 2015 (with ICD-9 codes) and dates of service on or after October 1, 2015 (with ICD-10 codes). This applies to both paper and electronic claims. Inpatient claims with discharge dates on or after October 1, 2015, must be coded in ICD-10-CM. However, PerformCare is requiring all facilities submitting Institutional claims to provide an interim bill that ends with dates of service September 30, To avoid delays or corrections, PerformCare is requiring that institutional claims be split. A single inpatient or other facility claim should not contain both dates of service before October 1, 2015 (with ICD-9 codes) and dates of service on or after October 1, 2015 (with ICD-10 codes). This applies to both paper and electronic claims. 1 AD ICD-10-CM-CM Frequently Asked Questions

2 Q. Will PerformCare process using ICD-9-CM and ICD-10-CM, or will maps be used? A. PerformCare will process using the code that is applicable to the date of service. PerformCare will not use a map or crosswalk for processing claims. Our plan is to be able to accept both ICD-9 and ICD-10 at the same time within the same system and manage clinical and claims transactions in either format. This will allow us to accept ICD-9 codes after October 1, 2015 for dates of service prior to October 1, Our approach is as follows: Utilize a dual-processing approach so that we can process both ICD-9 and ICD-10 through our core systems without the use of a crosswalk map Configure the Claims module to accommodate either ICD-9 or ICD-10 codes for any given claim (the same code set must be used for a single claim). The diagnosis code will match to the one submitted and the system will know if it is ICD-9 or ICD-10 and store it. For this reason, providers will have to split claims as a single claim cannot contain multiple claim lines with dates of service both prior to and beyond October 1, ICD-9 and ICD-10 codes cannot be mixed on the same claim. Q. Will PerformCare have a contingency plan in the event that claims do not process correctly following the transition? A. Business continuity for our providers and the prompt processing of claims is of the utmost importance for PerformCare. Steps are being planned to mitigate any potential delays that might occur in payment processing as a result of the transition to ICD-10-CM. The first step for providers in resolving any claims questions / issues would be to call the PerformCare Provider Line at Q. How does the ICD-10-CM implementation impact providers that file paper claims or claims through ProviderConnect? A. The method used to submit the claim has no impact on the code set contained on the claim. The ICD- 10-CM code set must be used on all claims with dates of service on or after October 1, 2015, and inpatient claims with a date of discharge on or after October 1, ICD-10-CM must be used, based on these criteria, as described in more detail above. Q. What is the relationship of ICD-10-CM to DSM-5? Can clinicians continue the current practice and use the DSM-IV and DSM-5 diagnostic criteria? A. Many clinicians have historically used the DSM-IV in diagnosing mental s. As of May 19, 2013, the DSM-5 was released by the American Psychiatric Association. While neither the DSM-IV nor the DSM-5 are HIPAA adopted codes sets, the introductory material to the DSM-IV and DSM-5 indicates that the DSM-IV and DSM-5 are compatible with the ICD-9-CM diagnosis codes and crosswalks are provided. The updated DSM-5 codes are crosswalked within the APA publication to both ICD-9-CM and ICD-10-CM. However, full compatibility and a published crosswalk does not exist between DSM-IV and ICD-10-CM. As of October 1, 2015, the ICD-10-CM code set is the HIPAA adopted standard and is required for reporting diagnosis for dates of service on or after October 1, Therefore, all clinicians must switch to using DSM-5 by October 1, 2015 at the latest. We strongly recommend that all clinicians who have not switched to DSM-5 do so as soon as possible. 2 AD ICD-10-CM-CM Frequently Asked Questions

3 Q. Will PerformCare change its policies with ICD-10-CM codes prior to October 1, 2015? A. When a substantive policy change is required, PerformCare policies and procedures will be updated to include the references to both the ICD-10-CM code set and DSM-5 where appropriate. Q. Will PerformCare require the execution of new contracts or contract addendum? A. Contracts are currently being reviewed to determine if any updates are required to accommodate ICD- 10-CM. However, new contracts or contract addendums are not anticipated at this time. Q. How will PerformCare communicate with providers about the ICD-10-CM transition? A. PerformCare will communicate with providers about the ICD-10-CM transition through its current channels of communication with providers including: Account Executive meetings, Provider Notices, distribution lists, the PerformCare website, and additional upcoming webinars and trainings. If you have additional questions or concerns regarding the process please contact your assigned Account Executive for further follow-up. See Attachment 1: ICD-10-CM Crosswalk Table for a full listing of reimbursable Behavioral Health diagnoses that are billable to PerformCare as of October 1, *Please note that the Attachment 1 crosswalk was developed by PerformCare and is based upon the listings found in the DSM-5 TM Manual. The intent is to map and provide an easy-to-use desk reference to the DSM-5 codes used by behavioral health providers to their approximate ICD-10 and ICD-9 code. Using DSM-5 TM as the source may result in some variances when compared to the official General Equivalency Mappings (GEMs), which are jointly maintained by the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC). The GEMs are a comprehensive bi-directional translation dictionary to translate information system data for all ICD-10 to ICD-9 codes, and vice versa, without consideration of DSM-5. If needed, GEMs can be downloaded at this link: ATTACHMENT 1: ICD-10-CM Crosswalk Table (available upon request in Excel format) cc: James Laughman, Executive Director, PerformCare Scott Suhring, Capital Area Behavioral Health Collaborative Pam Marple, Behavioral Health Services of Somerset & Bedford Counties Missy Reisinger, Tuscarora Managed Care Alliance Janina Kloster, PerformCare Account Executive Kelly Lauer, PerformCare Account Executive Lindsey Hoover, PerformCare Account Executive Michele Countryman, PerformCare Account Executive Lisa Shissler, PerformCare Account Executive 3 AD ICD-10-CM-CM Frequently Asked Questions

4 F01.50 Vascular dementia without behavioral disturbance Major vascular neurocognitive, Possible (or Code other disease first as Probable), Without behavioral disturbance primary (G Code) F01.51 Vascular dementia with behavioral disturbance Major vascular neurocognitive, Possible (or Code other disease first as Probable), With behavioral disturbance primary (G Code) F02.80 Dementia in other diseases classified elsewhere Major Frontotemporal Neurocognitive Disorder, without behavioral disturbance Possible (or Probable), Without behavioral disturbance Code other disease first as primary (G Code) F02.81 Dementia in other diseases classified elsewhere with behavioral disturbance Major Frontotemporal Neurocognitive Disorder, Possible (or Probable), With behavioral disturbance F03.90 Unspecified dementia without behavioral disturbance F03.91 Unspecified dementia with behavioral disturbance F04 Amnestic due to known physiological condition F05 Delirium due to known physiological condition Delirium due to another medical condition Delirium due to multiple etiologies F06.0 Psychotic with hallucinations due to known Psychotic Disorder Due to Another Medical Condition, physiological condition With hallucinations F06.1 Catatonic due to known physiological Catatonia Associated With Another Mental Disorder condition (Catatonia Specifier) Catatonic Disorder Due to Another Medical Condition Unspecified Catatonia F06.2 Psychotic with delusions due to known Psychotic Disorder Due to Another Medical Condition, physiological condition With delusions F06.30 Mood due to known physiological condition, unspecified F06.31 Mood due to known physiological condition Depressive Disorder Due to Another Medical with depressive features Condition, With depressive features F06.32 Mood due to known physiological condition Depressive Disorder Due to Another Medical with major depressive-like episode Condition, With major depressive-like episode F06.33 Mood due to known physiological condition Bipolar and related due to another medical with manic features condition, With manic features Bipolar and related due to another medical condition, With manic- or hypomanic-like episodes F06.34 Mood due to known physiological condition Bipolar and related due to another medical with mixed features condition, With mixed features Depressive Disorder Due to Another Medical Condition, With mixed features Code other disease first as primary (G Code) 1

5 F06.4 Anxiety due to known physiological condition Anxiety Disorder Due to Another Medical Condition F06.8 Other specified mental s due to known Obsessive-Compulsive and Related Disorder Due to physiological condition Another Medical Condition Other Specified Mental Disorder Due to Another Medical Condition F07.0 Personality change due to known physiological Personality Change Due to Another Medical Condition condition F07.81 Postconcussional syndrome F07.89 Other personality and behavioral s due to known physiological condition F07.9 Unspecified personality and behavioral due to known physiological condition F09 Unspecified mental due to known Unspecified Mental Disorder Due to Another Medical physiological condition Condition F10.10 Alcohol abuse, uncomplicated Alcohol Use Disorder, Mild F Alcohol abuse with intoxication, uncomplicated F Alcohol abuse with intoxication delirium Alcohol intoxication delirium, With mild use F Alcohol abuse with intoxication, unspecified Alcohol intoxication, With mild use F10.14 Alcohol abuse with alcohol-induced mood Alcohol-induced bipolar and related, With mild use Alcohol-induced depressive, With mild use F Alcohol abuse with alcohol-induced psychotic with delusions F Alcohol abuse with alcohol-induced psychotic with hallucinations F Alcohol abuse with alcohol-induced psychotic, Alcohol-induced psychotic, With mild use unspecified F Alcohol abuse with alcohol-induced anxiety Alcohol-induced anxiety, With mild use F Alcohol abuse with alcohol-induced sexual dysfunction Alcohol-induced sexual dysfunction, With mild use F Alcohol abuse with alcohol-induced sleep Alcohol-induced sleep, With mild use F Alcohol abuse with other alcohol-induced F10.19 Alcohol abuse with unspecified alcohol-induced F10.20 Alcohol dependence, uncomplicated Alcohol Use Disorder, Moderate

6 Alcohol Use Disorder, Severe F10.21 Alcohol dependence, in remission F Alcohol dependence with intoxication, uncomplicated F Alcohol dependence with intoxication delirium Alcohol intoxication delirium, With moderate or severe use F Alcohol dependence with intoxication, unspecified Alcohol intoxication, With moderate or severe use F Alcohol dependence with withdrawal, uncomplicated F Alcohol dependence with withdrawal delirium Alcohol withdrawal delirium F Alcohol dependence with withdrawal with perceptual Alcohol withdrawal, With perceptual disturbances disturbance F Alcohol dependence with withdrawal, unspecified Alcohol withdrawal, Without perceptual disturbances F10.24 Alcohol dependence with alcohol-induced mood Alcohol-induced bipolar and related, With moderate or severe use Alcohol-induced depressive, With moderate or severe use F Alcohol dependence with alcohol-induced psychotic with delusions F Alcohol dependence with alcohol-induced psychotic with hallucinations F Alcohol dependence with alcohol-induced psychotic Alcohol-induced psychotic, With moderate or, unspecified severe use F10.26 Alcohol dependence with alcohol-induced persisting amnestic F10.27 Alcohol dependence with alcohol-induced persisting dementia F Alcohol dependence with alcohol-induced anxiety F Alcohol dependence with alcohol-induced sexual dysfunction F Alcohol dependence with alcohol-induced sleep F Alcohol dependence with other alcohol-induced F10.29 Alcohol dependence with unspecified alcohol-induced Alcohol-induced major neurocognitive, Amnestic confabulatory type, With moderate or severe use Alcohol-induced major neurocognitive, Nonamnestic confabulatory type, With moderate or severe use Alcohol-induced anxiety, With moderate or severe use Alcohol-induced sexual dysfunction, With moderate or severe use Alcohol-induced sleep, With moderate or severe use Alcohol-induced mild neurocognitive, With moderate or severe use

7 F Alcohol use, unspecified with intoxication, uncomplicated F Alcohol use, unspecified with intoxication delirium Alcohol intoxication delirium, Without use F Alcohol use, unspecified with intoxication, unspecified Alcohol intoxication, Without use F10.94 Alcohol use, unspecified with alcohol-induced mood Alcohol-induced bipolar and related, Without use Alcohol-induced depressive, Without use F Alcohol use, unspecified with alcohol-induced psychotic with delusions F Alcohol use, unspecified with alcohol-induced psychotic withhallucinations F Alcohol use, unspecified with alcohol-induced Alcohol-induced psychotic, Without use psychotic, unspecified F10.96 Alcohol use, unspecified with alcohol-induced Alcohol-induced major neurocognitive, persisting amnestic Amnestic confabulatory type, Without use F10.97 Alcohol use, unspecified with alcohol-induced persisting dementia Alcohol-induced major neurocognitive, Nonamnestic confabulatory type, Without use F Alcohol use, unspecified with alcohol-induced anxiety Alcohol-induced anxiety, Without use F Alcohol use, unspecified with alcohol-induced sexual Alcohol-induced sexual dysfunction, Without use dysfunction F Alcohol use, unspecified with alcohol-induced sleep Alcohol-induced sleep, Without use F Alcohol use, unspecified with other alcohol-induced Alcohol-induced mild neurocognitive, Without use F10.99 Alcohol use, unspecified with unspecified alcoholinduced F11.10 Opioid abuse, uncomplicated Opioid Use Disorder, Mild F Opioid abuse with intoxication, uncomplicated F Opioid abuse with intoxication delirium Opioid Intoxication delirium, With mild use F Opioid abuse with intoxication with perceptual disturbance Opioid Intoxication, With perceptual disturbances, With mild use F Opioid abuse with intoxication, unspecified Opioid Intoxication, Without perceptual disturbances, With mild use

8 F11.14 Opioid abuse with opioid-induced mood Opioid-induced depressive, With mild use F Opioid abuse with opioid-induced psychotic with delusions F Opioid abuse with opioid-induced psychotic with hallucinations F Opioid abuse with opioid-induced psychotic, unspecified F Opioid abuse with opioid-induced sexual dysfunction Opioid-induced sexual dysfunction, With mild use F Opioid abuse with opioid-induced sleep Opioid-induced sleep, With mild use F Opioid abuse with other opioid-induced Opioid-induced anxiety, With mild use F11.19 Opioid abuse with unspecified opioid-induced F11.20 Opioid dependence, uncomplicated Opioid Use Disorder, Moderate Opioid Use Disorder, Severe F11.21 Opioid dependence, in remission F Opioid dependence with intoxication, uncomplicated F Opioid dependence with intoxication delirium Opioid Intoxication delirium, With moderate or severe use F Opioid dependence with intoxication with perceptual Opioid Intoxication, With perceptual disturbances, disturbance With moderate or severe use F Opioid dependence with intoxication, unspecified Opioid Intoxication, Without perceptual disturbances, With moderate or severe use F11.23 Opioid dependence with withdrawal Opioid Withdrawal Opioid Withdrawal Delirium F11.24 Opioid dependence with opioid-induced mood Opioid-induced depressive, With moderate or severe use F Opioid dependence with opioid-induced psychotic with delusions F Opioid dependence with opioid-induced psychotic with hallucinations F Opioid dependence with opioid-induced psychotic, unspecified F Opioid dependence with opioid-induced sexual dysfunction Opioid-induced sexual dysfunction, With moderate or severe use

9 F Opioid dependence with opioid-induced sleep Opioid-induced sleep, With moderate or severe use F Opioid dependence with other opioid-induced Opioid-induced anxiety, With moderate or severe use F11.29 Opioid dependence with unspecified opioid-induced F11.90 Opioid use, unspecified, uncomplicated F Opioid use, unspecified with intoxication, uncomplicated F Opioid use, unspecified with intoxication delirium Opioid Intoxication delirium, Without use Opioid-induced delirium F Opioid use, unspecified with intoxication with Opioid Intoxication, With perceptual disturbances, perceptual disturbance Without use F Opioid use, unspecified with intoxication, unspecified Opioid Intoxication, Without perceptual disturbances, Without use F11.93 Opioid use, unspecified with withdrawal F11.94 Opioid use, unspecified with opioid-induced mood Opioid-induced depressive, Without use F Opioid use, unspecified with opioid-induced psychotic with delusions F Opioid use, unspecified with opioid-induced psychotic with hallucinations F Opioid use, unspecified with opioid-induced psychotic, unspecified F Opioid use, unspecified with opioid-induced sexual Opioid-induced sexual dysfunction, Without use dysfunction F Opioid use, unspecified with opioid-induced sleep Opioid-induced sleep, With mild use F Opioid use, unspecified with other opioid-induced Opioid-induced anxiety, Without use F11.99 Opioid use, unspecified with unspecified opioidinduced Unspecified Opioid-Related Disorder F12.10 Cannabis abuse, uncomplicated Cannabis use, Mild F Cannabis abuse with intoxication, uncomplicated F Cannabis abuse with intoxication delirium Cannabis intoxication delirium, With mild use F Cannabis abuse with intoxication with perceptual Cannabis intoxication, With perceptual disturbances, disturbance With mild use

10 F Cannabis abuse with intoxication, unspecified Cannabis intoxication, Without perceptual disturbances, With mild use F Cannabis abuse with psychotic with delusions F Cannabis abuse with psychotic with hallucinations F Cannabis abuse with psychotic, unspecified Cannabis-induced psychotic, With mild use F Cannabis abuse with cannabis-induced anxiety Cannabis-induced anxiety, With mild use F Cannabis abuse with other cannabis-induced Cannabis-induced sleep, With mild use F12.19 Cannabis abuse with unspecified cannabis-induced F12.20 Cannabis dependence, uncomplicated Cannabis use, Moderate Cannabis use, Severe F12.21 Cannabis dependence, in remission F Cannabis dependence with intoxication, uncomplicated F Cannabis dependence with intoxication delirium Cannabis intoxication delirium, With moderate or severe use F Cannabis dependence with intoxication with Cannabis intoxication, With perceptual disturbances, perceptual disturbance With moderate or severe use F Cannabis dependence with intoxication, unspecified Cannabis intoxication, Without perceptual disturbances, With moderate or severe use F Cannabis dependence with psychotic with delusions F Cannabis dependence with psychotic with hallucinations F Cannabis dependence with psychotic, Cannabis-induced psychotic, With moderate unspecified or severe use F Cannabis dependence with cannabis-induced anxiety Cannabis-induced anxiety, With moderate or severe use F Cannabis dependence with other cannabis-induced Cannabis-induced sleep, With moderate or severe use Cannabis withdrawal F12.29 Cannabis dependence with unspecified cannabisinduced F12.90 Cannabis use, unspecified, uncomplicated 7

11 F Cannabis use, unspecified with intoxication, uncomplicated F Cannabis use, unspecified with intoxication delirium Cannabis intoxication delirium, Without use F Cannabis use, unspecified with intoxication with Cannabis intoxication, With perceptual disturbances, perceptual disturbance Without use F Cannabis use, unspecified with intoxication, Cannabis intoxication, Without perceptual unspecified disturbances, Without use F Cannabis use, unspecified with psychotic with delusions F Cannabis use, unspecified with psychotic with hallucinations F Cannabis use, unspecified with psychotic, Cannabis-induced psychotic, Without use unspecified F Cannabis use, unspecified with anxiety Cannabis-induced anxiety, Without use F Cannabis use, unspecified with other cannabis-induced Cannabis-induced sleep, Without use F12.99 Cannabis use, unspecified with unspecified cannabisinduced F13.10 Sedative, hypnotic or anxiolytic abuse, uncomplicated Sedative, Hypnotic, or Anxiolytic Use Disorder, Mild F Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated F Sedative, hypnotic or anxiolytic abuse with intoxication Sedative, Hypnotic, or Anxiolytic Intoxication Delirium, delirium With mild use F Sedative, hypnotic or anxiolytic abuse with Sedative, Hypnotic, or Anxiolytic Intoxication, With intoxication, unspecified mild use F13.14 Sedative, hypnotic or anxiolytic abuse with sedative, Sedative, hypnotic or anxiolytic-induced bipolar and hypnotic or anxiolytic-induced mood related, With mild use Sedative, hypnotic or anxiolytic-induced depressive, With mild use F Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic with delusions F Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic with hallucinations 8

12 F Sedative, hypnotic or anxiolytic abuse with sedative, Sedative, hypnotic or anxiolytic-induced psychotic hypnotic or anxiolytic-induced psychotic,, With mild use unspecified F Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety F Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction F Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep F Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced F13.19 Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced F13.20 Sedative, hypnotic or anxiolytic dependence, uncomplicated F13.21 Sedative, hypnotic or anxiolytic dependence, in remission F Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated F Sedative, hypnotic or anxiolytic dependence with intoxication delirium F Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified F Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated F Sedative, hypnotic or anxiolytic dependence with withdrawal delirium F Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance F Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified F13.24 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood Sedative, hypnotic or anxiolytic-induced anxiety, With mild use Sedative, hypnotic or anxiolytic-induced sexual dysfunction, With mild use Sedative, hypnotic or anxiolytic-induced sleep, With mild use Sedative, Hypnotic, or Anxiolytic Use Disorder, Moderate Sedative, Hypnotic, or Anxiolytic Use Disorder, Severe Sedative, Hypnotic, or Anxiolytic Intoxication Delirium, With moderate or severe use Sedative, Hypnotic, or Anxiolytic Intoxication, With moderate or severe use Sedative, Hypnotic, or Anxiolytic Withdrawal, With perceptual disturbances Sedative, Hypnotic, or Anxiolytic Withdrawal, Without perceptual disturbances Sedative, hypnotic or anxiolytic-induced bipolar and related, With moderate or severe use

13 Sedative, hypnotic or anxiolytic-induced depressive, With moderate or severe use F Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic with delusions F Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic with hallucinations F Sedative, hypnotic or anxiolytic dependence with Sedative, hypnotic or anxiolytic-induced psychotic sedative, hypnotic or anxiolytic-induced psychotic, With moderate or severe use, unspecified F13.26 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-inducedpersisting amnestic F13.27 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting dementia F Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety F Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction F Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep F Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic oranxiolytic-induced F13.29 Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced F13.90 Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated F Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated F Sedative, hypnotic or anxiolytic use, unspecified with intoxication delirium Sedative, hypnotic or anxiolytic-induced major neurocognitive, With moderate or severe use Sedative, hypnotic or anxiolytic-induced anxiety, With moderate or severe use Sedative, hypnotic or anxiolytic-induced sexual dysfunction, With moderate or severe use Sedative, hypnotic or anxiolytic-induced sleep, With moderate or severe use Sedative, hypnotic or anxiolytic-induced mild neurocognitive, With moderate or severe use Sedative, Hypnotic, or Anxiolytic Intoxication Delirium, Without use Sedative-, Hypnotic-, or Anxiolytic-Induced Delirium

14 F Sedative, hypnotic or anxiolytic use, unspecified with Sedative, Hypnotic, or Anxiolytic Intoxication, Without intoxication, unspecified use F Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, uncomplicated F Sedative, hypnotic or anxiolytic use, unspecified with withdrawal delirium F Sedative, hypnotic or anxiolytic use, unspecified with withdrawal with perceptualdisturbances F Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, unspecified F13.94 Sedative, hypnotic or anxiolytic use, unspecified with Sedative, hypnotic or anxiolytic-induced bipolar and sedative, hypnotic or anxiolytic-induced mood related, Without use Sedative, hypnotic or anxiolytic-induced depressive, Without use F Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic oranxiolytic-induced psychotic with delusions F Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic oranxiolytic-induced psychotic with hallucinations F Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic oranxiolytic-induced psychotic, unspecified F13.96 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-inducedpersisting amnestic F13.97 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-inducedpersisting dementia F Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic oranxiolytic-induced anxiety F Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction Sedative, hypnotic or anxiolytic-induced psychotic, Without use Sedative, hypnotic or anxiolytic-induced major neurocognitive, Without use Sedative, hypnotic or anxiolytic-induced anxiety, Without use Sedative, hypnotic or anxiolytic-induced sexual dysfunction, Without use

15 F Sedative, hypnotic or anxiolytic use, unspecified with Sedative, hypnotic or anxiolytic-induced sleep, sedative, hypnotic oranxiolytic-induced sleep Without use F Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic oranxiolytic-induced F13.99 Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic oranxiolytic-induced Sedative, hypnotic or anxiolytic-induced mild neurocognitive, Without use Unspecified Sedative-, Hypnotic-, or Anxiolytic-Related Disorder F14.10 Cocaine abuse, uncomplicated Cocaine use, Mild F Cocaine abuse with intoxication, uncomplicated F Cocaine abuse with intoxication delirium Cocaine intoxication delirium, With mild use F Cocaine abuse with intoxication with perceptual Cocaine intoxication, With perceptual disturbances, disturbance With mild use F Cocaine abuse with intoxication, unspecified Cocaine intoxication, Without perceptual disturbances, With mild use F14.14 Cocaine abuse with cocaine-induced mood Cocaine-induced bipolar and related, With mild use Cocaine-induced depressive, With mild use F Cocaine abuse with cocaine-induced psychotic with delusions F Cocaine abuse with cocaine-induced psychotic with hallucinations F Cocaine abuse with cocaine-induced psychotic Cocaine-induced psychotic, With mild use, unspecified F Cocaine abuse with cocaine-induced anxiety Cocaine-induced anxiety, With mild use F Cocaine abuse with cocaine-induced sexual Cocaine-induced sexual dysfunction, With mild use dysfunction F Cocaine abuse with cocaine-induced sleep Cocaine-induced sleep, With mild use F Cocaine abuse with other cocaine-induced Cocaine-induced obsessive-compulsive and related, With mild use F14.19 Cocaine abuse with unspecified cocaine-induced F14.20 Cocaine dependence, uncomplicated Cocaine use, Moderate Cocaine use, Severe F14.21 Cocaine dependence, in remission 12

16 F Cocaine dependence with intoxication, uncomplicated F Cocaine dependence with intoxication delirium Cocaine intoxication delirium, With moderate or severe use F Cocaine dependence with intoxication with perceptual Cocaine intoxication, With perceptual disturbances, disturbance With moderate or severe use F Cocaine dependence with intoxication, unspecified Cocaine intoxication, Without perceptual disturbances, With moderate or severe use F14.23 Cocaine dependence with withdrawal F14.24 Cocaine dependence with cocaine-induced mood Cocaine-induced bipolar and related, With moderate or severe use Cocaine-induced depressive, With moderate or severe use F Cocaine dependence with cocaine-induced psychotic with delusions F Cocaine dependence with cocaine-induced psychotic with hallucinations F Cocaine dependence with cocaine-induced psychotic Cocaine-induced psychotic, With moderate or, unspecified severe use F Cocaine dependence with cocaine-induced anxiety Cocaine-induced anxiety, With moderate or severe use F Cocaine dependence with cocaine-induced sexual Cocaine-induced sexual dysfunction, With moderate or dysfunction severe use F Cocaine dependence with cocaine-induced sleep Cocaine-induced sleep, With moderate or severe use F Cocaine dependence with other cocaine-induced Cocaine-induced obsessive-compulsive and related, With moderate or severe use F14.29 Cocaine dependence with unspecified cocaine-induced F14.90 Cocaine use, unspecified, uncomplicated F Cocaine use, unspecified with intoxication, uncomplicated F Cocaine use, unspecified with intoxication delirium Cocaine intoxication delirium, Without use F Cocaine use, unspecified with intoxication with Cocaine intoxication, With perceptual disturbances, perceptual disturbance Without use F Cocaine use, unspecified with intoxication, unspecified Cocaine intoxication, Without perceptual disturbances, Without use

17 F14.94 Cocaine use, unspecified with cocaine-induced mood Cocaine-induced bipolar and related, Without use Cocaine-induced depressive, Without use F Cocaine use, unspecified with cocaine-induced psychotic with delusions F Cocaine use, unspecified with cocaine-induced psychotic with hallucinations F Cocaine use, unspecified with cocaine-induced Cocaine-induced psychotic, Without use psychotic, unspecified F Cocaine use, unspecified with cocaine-induced anxiety Cocaine-induced anxiety, Without use F Cocaine use, unspecified with cocaine-induced sexual Cocaine-induced sexual dysfunction, Without use dysfunction F Cocaine use, unspecified with cocaine-induced sleep Cocaine-induced sleep, Without use F Cocaine use, unspecified with other cocaine-induced Cocaine-induced obsessive-compulsive and related, Without use F14.99 Cocaine use, unspecified with unspecified cocaineinduced Unspecified cocaine-related F15.10 Other stimulant abuse, uncomplicated Amphetamine-type substance use, Mild F Other stimulant abuse with intoxication, uncomplicated F Other stimulant abuse with intoxication delirium Amphetamine (or other stimulant) intoxication delirium, With mild use F Other stimulant abuse with intoxication with Amphetamine or other stimulant intoxication, With perceptual disturbance perceptual disturbances, With mild use Amphetamine or other stimulant intoxication, With perceptual disturbances, With moderate or severe use Amphetamine or other stimulant intoxication, With perceptual disturbances, Without use F Other stimulant abuse with intoxication, unspecified Amphetamine or other stimulant intoxication, Without perceptual disturbances, With mild use Amphetamine or other stimulant intoxication, Without perceptual disturbances, With moderate or severe use

18 Amphetamine or other stimulant intoxication, Without perceptual disturbances, Without use F15.14 Other stimulant abuse with stimulant-induced mood Amphetamine (or other stimulant)-induced bipolar and related, With mild use Amphetamine (or other stimulant)-induced depressive, With mild use F Other stimulant abuse with stimulant-induced psychotic with delusions F Other stimulant abuse with stimulant-induced psychotic withhallucinations F Other stimulant abuse with stimulant-induced Amphetamine (or other stimulant)-induced psychotic psychotic, unspecified, With mild use F Other stimulant abuse with stimulant-induced anxiety Amphetamine (or other stimulant)-induced anxiety, With mild use Caffeine-induced anxiety, With mild use F Other stimulant abuse with stimulant-induced sexual Amphetamine (or other stimulant)-induced sexual dysfunction dysfunction, With mild use F Other stimulant abuse with stimulant-induced sleep Amphetamine (or other stimulant)-induced sleep, With mild use Caffeine-induced sleep, With mild use F Other stimulant abuse with other stimulant-induced Amphetamine (or other stimulant)-induced obsessivecompulsive and related, With mild use F15.19 Other stimulant abuse with unspecified stimulantinduced F15.20 Other stimulant dependence, uncomplicated Amphetamine-type substance use, Moderate Amphetamine-type substance use, Severe F15.21 Other stimulant dependence, in remission F Other stimulant dependence with intoxication, uncomplicated F Other stimulant dependence with intoxication delirium Amphetamine (or other stimulant) intoxication delirium, With moderate or severe use F Other stimulant dependence with intoxication with perceptual disturbance 15

19 F Other stimulant dependence with intoxication, unspecified F15.23 Other stimulant dependence with withdrawal Amphetamine or other stimulant withdrawal F15.24 Other stimulant dependence with stimulant-induced Amphetamine (or other stimulant)-induced bipolar and mood related, With moderate or severe use Amphetamine (or other stimulant)-induced depressive, With moderate or severe use F Other stimulant dependence with stimulant-induced psychotic withdelusions F Other stimulant dependence with stimulant-induced psychotic withhallucinations F Other stimulant dependence with stimulant-induced psychotic,unspecified F F Other stimulant dependence with stimulant-induced sexual dysfunction F Other stimulant dependence with stimulant-induced anxiety Other stimulant dependence with stimulant-induced sleep F Other stimulant dependence with other stimulantinduced F15.29 Other stimulant dependence with unspecified stimulant-induced F15.90 Other stimulant use, unspecified, uncomplicated F Other stimulant use, unspecified with intoxication, uncomplicated F Other stimulant use, unspecified with intoxication delirium Amphetamine (or other stimulant)-induced psychotic, With moderate or severe use Amphetamine (or other stimulant)-induced anxiety, With moderate or severe use Caffeine-induced anxiety, With moderate or severe use Amphetamine (or other stimulant)-induced sexual dysfunction, With moderate or severe use Amphetamine (or other stimulant)-induced sleep, With moderate or severe use Caffeine-induced sleep, With moderate or severe use Amphetamine (or other stimulant)-induced obsessivecompulsive and related, With moderate or severe use Amphetamine (or other stimulant)-induced delirium

20 Amphetamine (or other stimulant) intoxication delirium, Without use F Other stimulant use, unspecified with intoxication with perceptual disturbance F Other stimulant use, unspecified with intoxication, Caffeine intoxication unspecified F15.93 Other stimulant use, unspecified with withdrawal Caffeine withdrawal F15.94 Other stimulant use, unspecified with stimulantinduced Amphetamine (or other stimulant)-induced bipolar and mood related, Without use Amphetamine (or other stimulant)-induced depressive, Without use F Other stimulant use, unspecified with stimulantinduced psychotic withdelusions F Other stimulant use, unspecified with stimulantinduced psychotic withhallucinations F Other stimulant use, unspecified with stimulantinduced Amphetamine (or other stimulant)-induced psychotic psychotic,unspecified, Without use F Other stimulant use, unspecified with stimulantinduced Amphetamine (or other stimulant)-induced anxiety anxiety, With use Caffeine-induced anxiety, With use F Other stimulant use, unspecified with stimulantinduced Amphetamine (or other stimulant)-induced sexual sexual dysfunction dysfunction, Without use F Other stimulant use, unspecified with stimulantinduced Amphetamine (or other stimulant)-induced sleep sleep, Without use Caffeine-induced sleep, Without use F Other stimulant use, unspecified with other stimulantinduced F15.99 Other stimulant use, unspecified with unspecified stimulant-induced F16.10 Hallucinogen abuse, uncomplicated F Hallucinogen abuse with intoxication, uncomplicated F Hallucinogen abuse with intoxication with delirium Amphetamine (or other stimulant)-induced obsessivecompulsive and related, Without use Unspecified amphetamine or other stimulant-related Phencyclidine Use Disorder, Mild Other Hallucinogen Use Disorder, Mild Phencyclidine intoxication delirium, With mild use

21 Other hallucinogen intoxication delirium, With mild use F Hallucinogen abuse with intoxication with perceptual disturbance F Hallucinogen abuse with intoxication, unspecified Phencyclidine intoxication, With mild use Other hallucinogen intoxication, With mild use F16.14 Hallucinogen abuse with hallucinogen-induced mood Phencyclidine-induced bipolar and related, With mild use Phencyclidine-induced depressive, With mild use Other hallucinogen-induced bipolar and related, With mild use Other hallucinogen-induced depressive, With mild use F Hallucinogen abuse with hallucinogen-induced psychotic with delusions F Hallucinogen abuse with hallucinogen-induced psychotic withhallucinations F Hallucinogen abuse with hallucinogen-induced Phencyclidine-induced psychotic, With mild psychotic, unspecified use Other hallucinogen-induced psychotic, With mild use F Hallucinogen abuse with hallucinogen-induced anxiety Phencyclidine-induced anxiety, With mild use Other hallucinogen-induced anxiety, With mild use F Hallucinogen abuse with hallucinogen persisting perception (flashbacks) F Hallucinogen abuse with other hallucinogen-induced F16.19 Hallucinogen abuse with unspecified hallucinogeninduced F16.20 Hallucinogen dependence, uncomplicated Phencyclidine Use Disorder, Moderate Phencyclidine Use Disorder, Severe Other Hallucinogen Use Disorder, Moderate Other Hallucinogen Use Disorder, Severe F16.21 Hallucinogen dependence, in remission F Hallucinogen dependence with intoxication, uncomplicated 18

22 F Hallucinogen dependence with intoxication with Phencyclidine intoxication delirium, With moderate or delirium severe use Other hallucinogen intoxication delirium, With moderate or severe use F Hallucinogen dependence with intoxication, Phencyclidine intoxication, With moderate or severe unspecified use Other hallucinogen intoxication, With moderate or severe use F16.24 Hallucinogen dependence with hallucinogen-induced Phencyclidine-induced bipolar and related, mood With moderate or severe use Phencyclidine-induced depressive, With moderate or severe use Other hallucinogen-induced bipolar and related, With moderate or severe use Other hallucinogen-induced depressive, With moderate or severe use F Hallucinogen dependence with hallucinogen-induced psychotic withdelusions F Hallucinogen dependence with hallucinogen-induced psychotic withhallucinations F Hallucinogen dependence with hallucinogen-induced Phencyclidine-induced psychotic, With psychotic,unspecified moderate or severe use Other hallucinogen-induced psychotic, With moderate or severe use F Hallucinogen dependence with hallucinogen-induced Phencyclidine-induced anxiety, With anxiety moderate or severe use Other hallucinogen-induced anxiety, With moderate or severe use F Hallucinogen dependence with hallucinogen persisting perception (flashbacks) F Hallucinogen dependence with other hallucinogeninduced F16.29 Hallucinogen dependence with unspecified hallucinogen-induced F16.90 Hallucinogen use, unspecified, uncomplicated F Hallucinogen use, unspecified with intoxication, uncomplicated F Hallucinogen use, unspecified with intoxication with Phencyclidine intoxication delirium, Without use delirium Other hallucinogen intoxication delirium, Without use

23 F Hallucinogen use, unspecified with intoxication, Phencyclidine intoxication, Without use unspecified Phencyclidine intoxication, Without use F16.94 Hallucinogen use, unspecified with hallucinogeninduced Phencyclidine-induced bipolar and related, mood Without use Phencyclidine-induced depressive, Without use Other hallucinogen-induced bipolar and related, Without use Other hallucinogen-induced depressive, Without use F Hallucinogen use, unspecified with hallucinogeninduced psychotic with delusions F Hallucinogen use, unspecified with hallucinogeninduced psychotic with hallucinations F Hallucinogen use, unspecified with hallucinogeninduced Phencyclidine-induced psychotic, Without use psychotic,unspecified Other hallucinogen-induced psychotic, Without use F Hallucinogen use, unspecified with hallucinogeninduced Phencyclidine-induced anxiety, Without use anxiety Other hallucinogen-induced anxiety, Without use F Hallucinogen use, unspecified with hallucinogen Hallucinogen Persisting Perception Disorder persisting perception (flashbacks) F Hallucinogen use, unspecified with other hallucinogeninduced F16.99 Hallucinogen use, unspecified with unspecified Unspecified Phencyclidine-Related Disorder hallucinogen-induced Unspecified Hallucinogen-Related Disorder F Nicotine dependence, unspecified, uncomplicated Tobacco Use Disorder, Moderate Tobacco Use Disorder, Severe F Nicotine dependence, unspecified, in remission F Nicotine dependence unspecified, with withdrawal Tobacco Withdrawal

24 F Nicotine dependence, unspecified, with other nicotineinduced Tobacco-induced sleep, With moderate or s severe use F Nicotine dependence, unspecified, with unspecified Unspecified tobacco-related nicotine-induced s F Nicotine dependence, cigarettes, uncomplicated F Nicotine dependence, cigarettes, in remission F Nicotine dependence, cigarettes, with withdrawal F Nicotine dependence, cigarettes, with other nicotineinduced s F Nicotine dependence, cigarettes, with unspecified nicotine-induced s F Nicotine dependence, chewing tobacco, uncomplicated F Nicotine dependence, chewing tobacco, in remission F Nicotine dependence, chewing tobacco, with withdrawal F Nicotine dependence, chewing tobacco, with other nicotine-induced s F Nicotine dependence, chewing tobacco, with unspecified nicotine-induceds F Nicotine dependence, other tobacco product, uncomplicated F Nicotine dependence, other tobacco product, in remission F Nicotine dependence, other tobacco product, with withdrawal F Nicotine dependence, other tobacco product, with other nicotine-induced s F Nicotine dependence, other tobacco product, with unspecified nicotine-induceds F18.10 Inhalant abuse, uncomplicated Inhalant Use Disorder, Mild F Inhalant abuse with intoxication, uncomplicated F Inhalant abuse with intoxication delirium Inhalant Intoxication Delirium, With mild use F Inhalant abuse with intoxication, unspecified Inhalant Intoxication, With mild use F18.14 Inhalant abuse with inhalant-induced mood Inhalant-induced depressive, With mild use