Provider Bulletin 07-01 Philadelphia Department of Behavioral Health Community Behavioral Health State Allowable ICD-9-CM Codes. February 12, 2007 The Commonwealth of Pennsylvania lists the allowable ICD-9-CM (International Classification of Disease 9 th Revision, Clinical Modification) diagnosis codes in the Behavioral Health Services Reporting Classification Chart (BHSRCC). The BHSRCC is published and provided to CBH twice a year. The chart listed below contains the only allowable diagnosis codes as of January 1, 2007. This chart will be enforced via the CBH claims system as of March 15, 2007. The chart is currently available on the CBH website http://www.phila-bhs.org/providers.html. All future modifications to this chart will be published on the CBH website and providers will have the responsibility to check the website for any changes. At the current time the Commonwealth updates the BHSRCC in January and July. When using a diagnosis code please make sure that the number of digits after decimal point is correct and correspond to the one of the codes on the chart below. For example, when the diagnosis is Senile dementia, uncomplicated please ensure that the code 290.0 is used, not 290 or 290.00. Likewise, if a diagnosis code requires two digits after the decimal point both digits must be present. For instance, diagnosis Presenile dementia, uncomplicated must be coded as 290.10, not as 290.1. Dementias List of ICD-9-CM codes appropriate for billing (Behavioral Health Services Classification Chart, January 2007). 290.0 Senile dementia, uncomplicated Presenile dementia 290.10 Presenile dementia, uncomplicated 290.11 Presenile dementia with delirium 290.12 Presenile dementia with delusional features 290.13 Presenile dementia with depressive features Senile dementia with delusional or depressive features 290.20 Senile dementia with delusional features 290.21 Senile dementia with depressive features 290.3 Senile dementia with delirium Vascular dementia 290.40 Vascular dementia, uncomplicated 290.41 Vascular dementia with delirium 290.42 Vascular dementia with delusions 290.43 Vascular dementia with depressed mood *Code was added beginning 01/01/2006 1 of 14
290.8 Other specified senile psychotic conditions 290.9 Unspecified senile psychotic condition Alcohol-induced mental disorders 291.0 Alcohol withdrawal delirium 291.1 Alcohol-induced persisting amnestic syndrome 291.2 Alcohol-induced persisting dementia 291.3 Alcohol-induced psychotic disorder with hallucinations 291.4 Idiosyncratic alcohol intoxication 291.5 Alcohol-induced psychotic disorder with delusions Other specified alcoholic psychosis 291.81 Alcohol withdrawal 291.82* Alcohol induced sleep disorders 291.89 Other 291.9 Unspecified alcohol-induced mental disorder Drug-induced mental disorder 292.0 Drug withdrawal Drug-induced psychotic disorders 292.11 Drug-induced psychotic disorder with delusions 292.12 Drug-induced psychotic disorder with delusions hallucinations 292.2 Pathological drug intoxication Other specified drug-induced mental disorders 292.81 Drug-induced delirium 292.82 Drug-induced persisting dementia 292.83 Drug-induced persisting amnestic disorder 292.84 Drug-induced mood disorder 292.85* Drug-induced sleep disorders 292.89 Other 292.9 Unspecified drug-induced mental disorder Transient mental disorders due to conditions classified elsewhere 293.0 Delirium due to conditions classified elsewhere 293.1 Subacute delirium Other specified transient mental disorders due to conditions classified elsewhere 293.81 Psychotic disorder with delusions in conditions classified elsewhere 293.82 Psychotic disorder with hallucinations in conditions classified elsewhere 293.83 Mood disorder in conditions classified elsewhere 293.84 Anxiety disorder in conditions classified elsewhere 293.89 Other 293.9 Unspecified transient mental disorder in conditions classified elsewhere Persistent mental disorders due to conditions classified elsewhere 294.0 Amnestic disorder in conditions classified elsewhere *Code was added beginning 01/01/2006 2 of 14
Dementia in conditions classified elsewhere 294.10 Dementia in conditions classified elsewhere without behavioral disturbance 294.11 Dementia in conditions classified elsewhere with behavioral disturbance 294.8 Other persistent mental disorders due to conditions classified elsewhere 294.9 Unspecified persistent mental disorders due to conditions classified elsewhere Schizophrenic disorders Simple type 295.00 0 Unspecified 295.01 1 Subchronic 295.02 2 Chronic 295.03 3 - Subchronic with acute exacerbation 295.04 4 - Chronic with acute exacerbation 295.05 5 - In remission Disorganized type 295.10 0 Unspecified 295.11 1 Subchronic 295.12 2 Chronic 295.13 3 - Subchronic with acute exacerbation 295.14 4 - Chronic with acute exacerbation 295.15 5 - In remission Catatonic type 295.20 0 Unspecified 295.21 1 Subchronic 295.22 2 Chronic 295.23 3 - Subchronic with acute exacerbation 295.24 4 - Chronic with acute exacerbation 295.25 5 - In remission Paranoid type 295.30 0 Unspecified 295.31 1 Subchronic 295.32 2 Chronic 295.33 3 - Subchronic with acute exacerbation 295.34 4 - Chronic with acute exacerbation 295.35 5 - In remission Schizophreniform disorder 295.40 0 Unspecified 295.41 1 Subchronic 295.42 2 Chronic 295.43 3 - Subchronic with acute exacerbation 295.44 4 - Chronic with acute exacerbation 295.45 5 - In remission Latent schizophrenia 295.50 0 Unspecified 295.51 1 Subchronic 295.52 2 Chronic 295.53 3 - Subchronic with acute exacerbation *Code was added beginning 01/01/2006 3 of 14
295.54 4 - Chronic with acute exacerbation 295.55 5 - In remission Residual type 295.60 0 Unspecified 295.61 1 Subchronic 295.62 2 Chronic 295.63 3 - Subchronic with acute exacerbation 295.64 4 - Chronic with acute exacerbation 295.65 5 - In remission Schizoaffective disorder 295.70 0 Unspecified 295.71 1 Subchronic 295.72 2 Chronic 295.73 3 - Subchronic with acute exacerbation 295.74 4 - Chronic with acute exacerbation 295.75 5 - In remission Other specified types of schizophrenia 295.80 0 Unspecified 295.81 1 Subchronic 295.82 2 Chronic 295.83 3 - Subchronic with acute exacerbation 295.84 4 - Chronic with acute exacerbation 295.85 5 - In remission Unspecified schizophrenia 295.90 0 Unspecified 295.91 1 Subchronic 295.92 2 Chronic 295.93 3 - Subchronic with acute exacerbation 295.94 4 Chronic with acute exacerbation 295.95 5 - In remission Episodic mood disorders Bipolar I disorder, single manic episode 296.00 0 - Unspecified 296.01 1 Mild 296.02 2 - Moderate 296.03 3 - Severe, without mention of psychotic behavior 296.04 4 - Severe, specified as with psychotic behavior 296.05 5 - In partial or unspecified remission 296.06 6 - In full remission Manic disorder, recurrent episode 296.10 0 - Unspecified 296.11 1 Mild 296.12 2 - Moderate 296.13 3 - Severe, without mention of psychotic behavior 296.14 4 - Severe, specified as with psychotic behavior 296.15 5 - In partial or unspecified remission 296.16 6 - In full remission *Code was added beginning 01/01/2006 4 of 14
Major depressive disorder, single episode 296.20 0 - Unspecified 296.21 1 Mild 296.22 2 - Moderate 296.23 3 - Severe, without mention of psychotic behavior 296.24 4 - Severe, specified as with psychotic behavior 296.25 5 - In partial or unspecified remission 296.26 6 - In full remission Major depressive disorder, recurrent episode 296.30 0 - Unspecified 296.31 1 Mild 296.32 2 - Moderate 296.33 3 - Severe, without mention of psychotic behavior 296.34 4 - Severe, specified as with psychotic behavior 296.35 5 - In partial or unspecified remission 296.36 6 - In full remission Bipolar I disorder, most recent episode (or current) manic 296.40 0 - Unspecified 296.41 1 Mild 296.42 2 - Moderate 296.43 3 - Severe, without mention of psychotic behavior 296.44 4 - Severe, specified as with psychotic behavior 296.45 5 - In partial or unspecified remission 296.46 6 - In full remission Bipolar I disorder, most recent episode (or current) depressed 296.50 0 - Unspecified 296.51 1 Mild 296.52 2 - Moderate 296.53 3 - Severe, without mention of psychotic behavior 296.54 4 - Severe, specified as with psychotic behavior 296.55 5 - In partial or unspecified remission 296.56 6 - In full remission Bipolar I disorder, most recent episode (or current) mixed 296.60 0 - Unspecified 296.61 1 Mild 296.62 2 - Moderate 296.63 3 - Severe, without mention of psychotic behavior 296.64 4 - Severe, specified as with psychotic behavior 296.65 5 - In partial or unspecified remission 296.66 6 - In full remission 296.7 Bipolar I disorder, most recent episode (or current) unspecified Other and unspecified bipolar disorders 296.80 Bipolar disorder, unspecified 296.81 Atypical manic disorder 296.82 Atypical depressive disorder 296.89 Other *Code was added beginning 01/01/2006 5 of 14
Other and unspecified episodic mood disorder 296.90 Unspecified episodic mood disorder 296.99 Other specified episodic mood disorder Delusional disorders 297.0 Paranoid state, simple 297.1 Delusional disorder 297.2 Paraphrenia 297.3 Shared psychotic disorder 297.8 Other specified paranoid states 297.9 Unspecified paranoid state Other nonorganic psychoses 298.0 Depressive type psychosis 298.1 Excitative type psychosis 298.2 Reactive confusion 298.3 Acute paranoid reaction 298.4 Psychogenic paranoid psychosis 298.8 Other and unspecified reactive psychosis 298.9 Unspecified psychosis Pervasive developmental disorders Autistic disorder 299.00 0 - Current or active state 299.01 1 - Residual state Childhood disintegrative disorder 299.10 0 - Current or active state 299.11 1 - Residual state Other specified pervasive developmental disorders 299.80 0 - Current or active state 299.81 1 - Residual state Unspecified pervasive developmental disorders 299.90 0 - Current or active state 299.91 1 - Residual state Anxiety, dissociative and somatoform disorders Anxiety states 300.00 Anxiety state, unspecified 300.01 Panic disorder without agoraphobia 300.02 Generalized anxiety disorder 300.09 Other Dissociative, conversion and factitious disorders 300.10 Hysteria, unspecified 300.11 Conversion disorder 300.12 Dissociative amnesia 300.13 Dissociative fugue 300.14 Dissociative identity disorder 300.15 Dissociative disorder or reaction, unspecified 300.16 Factitious disorder with predominantly psychological signs and symptoms *Code was added beginning 01/01/2006 6 of 14
300.19 Other and unspecified factitious illness Phobic disorders 300.20 Phobia, unspecified 300.21 Agoraphobia with panic disorder 300.22 Agoraphobia without mention of panic attacks 300.23 Social phobia 300.29 Other isolated or simple phobias 300.3 Obsessive-compulsive disorders 300.4 Dysthymic disorder 300.5 Neurasthenia 300.6 Depersonalization disorder 300.7 Hypochondriasis Somatoform disorders 300.81 Somatization disorder 300.82 Undifferentiated somatoform disorder 300.89 Other somatoform disorders 300.9 Unspecified nonpsychotic mental disorder Personality disorders 301.0 Paranoid personality disorder Affective personality disorder 301.10 Affective personality disorder, unspecified 301.11 Chronic hypomanic personality disorder 301.12 Chronic depressive personality disorder 301.13 Cyclothymic disorder Schizoid personality disorder 301.20 Schizoid personality disorder, unspecified 301.21 Introverted personality 301.22 Schizotypal personality disorder 301.3 Explosive personality disorder 301.4 Obsessive-compulsive personality disorder Histrionic personality disorder 301.50 Histrionic personality disorder, unspecified 301.51 Chronic factitious illness with physical symptoms 301.59 Other histrionic personality disorder 301.6 Dependent personality disorder 301.7 Antisocial personality disorder Other personality disorders 301.81 Narcissistic personality disorder 301.82 Avoidant personality disorder 301.83 Borderline personality disorder 301.84 Passive-aggressive personality 301.89 Other *Code was added beginning 01/01/2006 7 of 14
301.9 Unspecified personality disorder Sexual and gender identity disorders 302.0 Ego-dystonic sexual orientation 302.1 Zoophilia 302.2 Pedophilia 302.3 Transvestic fetishism 302.4 Exhibitionism Trans-sexualism 302.50 With unspecified sexual history 302.51 With asexual history 302.52 With homosexual history 302.53 With heterosexual history 302.6 Gender identity disorder in children Psychosexual dysfunction 302.70 Psychosexual dysfunction, unspecified 302.71 Hypoative sexual desire disorder 302.72 With inhibited sexual excitement 302.73 Female orgasmic disorder 302.74 Male orgasmic disorder 302.75 Premature ejaculation 302.76 Dyspareunia, psychogenic 302.79 With other specified psychosexual dysfunctions Other specified psychosexual disorders 302.81 Fetishism 302.82 Voyeurism 302.83 Sexual masochism 302.84 Sexual sadism 302.85 Gender identity disorder in adolescents or adult 302.89 Other 302.9 Unspecified psychosexual disorder Alcohol dependence syndrome Acute alcoholic intoxication 303.00 0 - Unspecified 303.01 1 - Continuous 303.02 2 - Episodic 303.03 3 - In remission Other and unspecified alcohol dependence 303.90 0 - Unspecified 303.91 1 - Continuous 303.92 2 - Episodic 303.93 3 - In remission Drug dependence Opioid type dependence *Code was added beginning 01/01/2006 8 of 14
304.00 0 - Unspecified 304.01 1 - Continuous 304.02 2 - Episodic 304.03 3 - In remission Sedative, hypnotic or anxiolytic dependence 304.10 0 - Unspecified 304.11 1 - Continuous 304.12 2 - Episodic 304.13 3 - In remission Cocaine dependence 304.20 0 - Unspecified 304.21 1 - Continuous 304.22 2 - Episodic 304.23 3 - In remission Cannabis dependence 304.30 0 - Unspecified 304.31 1 - Continuous 304.32 2 - Episodic 304.33 3 - In remission Amphetamine and other psychostimulant dependence 304.40 0 - Unspecified 304.41 1 - Continuous 304.42 2 - Episodic 304.43 3 - In remission Hallucinogen dependence 304.50 0 - Unspecified 304.51 1 - Continuous 304.52 2 - Episodic 304.53 3 - In remission Other specified drug dependence 304.60 0 - Unspecified 304.61 1 - Continuous 304.62 2 - Episodic 304.63 3 - In remission Combinations of opioid type drug with any other 304.70 0 - Unspecified 304.71 1 - Continuous 304.72 2 - Episodic 304.73 3 - In remission Combinations of drug dependence excluding opioid type drug 304.80 0 - Unspecified 304.81 1 - Continuous 304.82 2 - Episodic 304.83 3 - In remission Unspecified drug dependence 304.90 0 - Unspecified 304.91 1 - Continuous *Code was added beginning 01/01/2006 9 of 14
304.92 2 - Episodic 304.93 3 - In remission Nondependent abuse of drugs Alcohol abuse 305.00 0 - Unspecified 305.01 1 - Continuous 305.02 2 - Episodic 305.03 3 - In remission 305.1 Tobacco use disorder Cannabis abuse 305.20 0 - Unspecified 305.21 1 - Continuous 305.22 2 - Episodic 305.23 3 - In remission Hallucinogen abuse 305.30 0 - Unspecified 305.31 1 - Continuous 305.32 2 - Episodic 305.33 3 - In remission Sedative, hypnotic or anxiolytic abuse 305.40 0 - Unspecified 305.41 1 - Continuous 305.42 2 - Episodic 305.43 3 - In remission Opioid abuse 305.50 0 - Unspecified 305.51 1 - Continuous 305.52 2 - Episodic 305.53 3 - In remission Cocaine abuse 305.60 0 - Unspecified 305.61 1 - Continuous 305.62 2 - Episodic 305.63 3 - In remission Amphetamine or related acting sympathomimetic abuse 305.70 0 - Unspecified 305.71 1 - Continuous 305.72 2 - Episodic 305.73 3 - In remission Antidepressant type abuse 305.80 0 - Unspecified 305.81 1 - Continuous 305.82 2 - Episodic 305.83 3 - In remission Other, mixed, or unspecified drug abuse 305.90 0 - Unspecified 305.91 1 - Continuous *Code was added beginning 01/01/2006 10 of 14
305.92 2 - Episodic 305.93 3 - In remission Physiological malfunction arising from mental factors 306.0 Musculoskeletal 306.1 Respiratory 306.2 Cardiovascular 306.3 Skin 306.4 Gastrointestinal Genitourinary 306.50 Psychogenic genitourinary malfunction, unspecified 306.51 Psychogenic vaginismus 306.52 Psychogenic dysmenorrhea 306.53 Psychogenic dysuria 306.59 Other 306.6 Endocrine 306.7 Organs of special sense 306.8 Other specified psychophysiological malfunction 306.9 Unspecified psychophysiological malfunction Special symptoms or syndromes, not elsewhere classified 307.0 Stuttering 307.1 Anorexia nervosa 307.20 Tic disorder, unspecified 307.21 Transient tic disorder 307.22 Chronic motor or vocal tic disorder 307.23 Tourette s disorder 307.3 Stereotypic movement disorder Specific disorders of sleep of nonorganic origin 307.40 Nonorganic sleep disorder, unspecified 307.41 Transient disorder of initiating or maintaining sleep 307.42 Persistent disorder of initiating or maintaining sleep 307.43 Transient disorder of initiating or maintaining wakefulness 307.44 Persistent disorder of initiating or maintaining wakefulness 307.45 Circadian rhythm sleep disorder of nonorganic origin 307.46 Sleep arousal disorder 307.47 Other dysfunctions of sleep stages or arousal from sleep 307.48 Repetitive intrusions of sleep 307.49 Other Other and unspecified disorders of eating 307.50 Eating disorder, unspecified 307.51 Bulimia nervosa 307.52 Pica 307.53 Rumination disorder 307.54 Psychogenic vomiting *Code was added beginning 01/01/2006 11 of 14
307.59 Other 307.6 Enuresis 307.7 Encopresis Pain disorders related to psychological factors 307.80 Psychogenic pain, site unspecified 307.81 Tension headache 307.89 Other 307.9 Other and unspecified special symptoms or syndrome Acute reaction to stress 308.0 Predominant disturbance of emotions 308.1 Predominant disturbance of consciousness 308.2 Predominant psychomotor disturbance 308.3 Other acute reactions to stress 308.4 Mixed disorders as reaction to stress 308.9 Unspecified acute reaction to stress Adjustment reaction 309.0 Adjustment disorder with depressed mood 309.1 Prolonged depressive reaction With predominant disturbance of other emotions 309.21 Separation anxiety disorder 309.22 Emancipation disorder of adolescence and early adult life 309.23 Specific academic or work inhibition 309.24 Adjustment disorder with anxiety 309.28 Adjustment disorder with mixed anxiety and depressed mood 309.29 Other 309.3 Adjustment disorder with disturbance of conduct 309.4 Adjustment disorder with mixed disturbance of emotions and conduct Other specified adjustment reactions 309.81 Posttraumatic stress disorder 309.82 Adjustment reaction with physical symptoms 309.83 Adjustment reaction with withdrawal 309.89 Other 309.9 Unspecified adjustment reaction Specific nonpsychotic mental disorders due to brain damage 310.0 Frontal lobe syndrome 310.1 Personality change due to conditions classified elsewhere 310.2 Postconcussion syndrome 310.8 Other specified nonpsychotic mental disorder following organic brain damage 310.9 Unspecified nonpsychotic mental disorder following organic brain damage Depressive disorder, not elsewhere classified 311 Depressive disorder not elsewhere classified *Code was added beginning 01/01/2006 12 of 14
Disturbance of conduct, not elsewhere classified Undersocialized conduct disorder, aggressive type 312.00 0 - Unspecified 312.01 1 Mild 312.02 2 - Moderate 312.03 3 - Severe Undersocialized conduct disorder, unaggressive type 312.10 0 - Unspecified 312.11 1 Mild 312.12 2 - Moderate 312.13 3 - Severe Socialized conduct disorder 312.20 0 - Unspecified 312.21 1 Mild 312.22 2 - Moderate 312.23 3 - Severe Disorders of impulse control, not elsewhere classic 312.30 Impulse control disorder, unspecified 312.31 Pathological gambling 312.32 Kleptomania 312.33 Pyromania 312.34 Intermittent explosive disorder 312.35 Isolated explosive disorder 312.39 Other 312.4 Mixed disturbance of conduct and emotions Other specified disturbances of conduct, not elsewhere 312.81 Conduct disorder, childhood onset type 312.82 Conduct disorder, adolescent onset type 312.89 Other conduct disorder 312.9 Unspecified disturbance of conduct Disturbance of emotions specific to childhood and adolescence 313.0 Overanxious disorder 313.1 Misery and unhappiness disorder Sensitivity, shyness, and social withdrawal disorder 313.21 Shyness disorder of childhood 313.22 Introverted disorder of childhood 313.23 Selective mutism 313.3 Relationship problems Other or mixed emotional disturbances of childhood 313.81 Oppositional defiant disorder 313.82 Identity disorder 313.83 Academic underachievement disorder *Code was added beginning 01/01/2006 13 of 14
313.89 Other 313.9 Unspecified emotional disturbance of childhood or Hyperkinetic syndrome of childhood Attention deficit disorder 314.00 Without mention of hyperactivity 314.01 With hyperactivity 314.1 Hyperkinesis with developmental delay 314.2 Hyperkinetic conduct disorder 314.8 Other specified manifestations of hyperkinetic syndrome 314.9 Unspecified hyperkinetic syndrome Specific delays in development Specific reading disorder 315.00 Reading disorder, unspecified 315.01 Alexia 315.02 Developmental dyslexia 315.09 Other 315.1 Mathematics disorder 315.2 Other specific learning difficulties Developmental speech or language disorder 315.31 Expressive language disorder 315.32 Mixed receptive-expressive language disorder 315.39 Other 315.4 Development coordination disorder 315.5 Mixed development disorder 315.8 Other specified delays in development 315.9 Unspecified delay in development Psychic factors associated with diseases classified elsewhere 316 Psychic factor associated with diseases classified elsewhere Mild mental retardation 317 Mild mental retardation Other specified mental retardation 318.0 Moderate mental retardation 318.1 Severe mental retardation 318.2 Profound mental retardation Unspecified mental retardation 319 Unspecified mental retardation Other unknown and unspecified cause 799.9 Other unknown and unspecified cause *Code was added beginning 01/01/2006 14 of 14