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DCF Pamphlet 155-2: Appendix 3

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DCF Pamphlet 155-2: Appendix 3 DCF Pamphlet 155-2: Appendix 3 Appendix 3: The table below shows the ICD9 codes that are acceptable in the Substance Abuse and Mental Health Information System (SAMHIS). This replaces all previous versions of allowable ICD9 codes used in the Substance Abuse and Mental Health Information System. The following are the codes and their meaning. STATUS: 0 = Inactive, code is not usable, 1 = Active, this will show in SAMHIS. PROGRAM CODE: N = Not Active, M = Mental Health Code, S = Substance Abuse Code B = Behavioral Health (can be used for either a mental health or substance abuse diagnosis) NOTE: Codes with ‘N’ (Not Active) in the Program Code are for historical purposes only. ICD9 PROGRAM Code STATUS DESCRIPTION CODE 095.7 0 SYPHILIS OF TENDON/BURSA N 196.8 0 MAL NEO LYMPH NODE-MULT N 259.9 0 ENDOCRINE DISORDER NOS N 269.0 0 DEFICIENCY OF VITAMIN K N 289.9 0 BLOOD DISEASE NOS N 290 0 Senile and presenile organic psychotic conditions N 290.0 0 SENILE DEMENTIA UNCOMP N 290.1 0 Presenile dementia N 290.10 0 PRESENILE DEMENTIA N 290.11 0 PRESENILE DELIRIUM N 290.12 0 PRESENILE DELUSION M 290.13 0 PRESENILE DEPRESSION M 290.2 0 Senile dementia with delusional or depressive feat M 290.20 0 SENILE DELUSION M 290.21 0 SENILE DEPRESSIVE M 290.3 0 SENILE DELIRIUM N 290.4 0 Arteriosclerotic dementia N 290.40 0 ARTERIOSCLER DEMENT NOS N 290.41 0 ARTERIOSCLER DELIRIUM N 290.42 0 ARTERIOSCLER DELUSION M 290.43 0 ARTERIOSCLER DEPRESSIVE M 290.8 0 SENILE PSYCHOSIS NEC N 290.9 0 SENILE PSYCHOT COND NOS N 291 1 Alcohol psychoses S 291.0 1 DELIRIUM TREMENS S 291.1 1 ALCOHOL AMNESTIC SYND S 291.2 1 ALCOHOLIC DEMENTIA NEC S 291.3 1 ALCOHOL HALLUCINOSIS B 291.4 1 PATHOLOGIC ALCOHOL INTOX S 291.5 1 ALCOHOLIC JEALOUSY B 291.8 1 Other specified alcohol psychosis S 291.81 1 ALCOHOL WITHDRAWAL S 291.82 1 ALCOHOL INDUCED SLEEP DISORDERS S 291.89 1 ALCOHOLIC PSYCHOSIS NEC B 291.9 1 ALCOHOLIC PSYCHOSIS NOS S Version 10.3 Page 1 of 15 Effective October 1, 2013 DCF Pamphlet 155-2: Appendix 3 292 1 Drug psychoses S 292.0 1 DRUG WITHDRAWAL SYNDROME S 292.1 1 Paranoid and/or hallucinatory states induced by dr B 292.11 1 DRUG PARANOID STATE B 292.12 1 DRUG HALLUCINOSIS B 292.2 1 PATHOLOGIC DRUG INTOX S 292.8 1 Other specified drug-induced mental disorders S 292.81 1 DRUG-INDUCED DELIRIUM S 292.82 1 DRUG-INDUCED DEMENTIA S 292.83 1 DRUG AMNESTIC SYNDROME S 292.84 1 DRUG DEPRESSIVE SYNDROME B 292.85 1 DRUG INDUCED SLEEP DISORDER S 292.89 1 DRUG MENTAL DISORDER NEC B 292.9 1 DRUG MENTAL DISORDER NOS S 293 1 Transient organic psychotic conditions M 293.0 1 ACUTE DELIRIUM M 293.1 1 SUBACUTE DELIRIUM M 293.8 1 Other specified transient organic mental disorders M 293.81 1 ORGANIC DELUSIONAL SYND M 293.82 1 ORGANIC HALLUCINOSIS SYN M 293.83 1 ORGANIC AFFECTIVE SYND M 293.84 1 ORGANIC ANXIETY SYNDROME M 293.89 1 TRANSIENT ORG MENTAL NEC M 293.9 1 TRANSIENT ORG MENTAL NOS M 294 0 other organic psychotic conditions (chronic) N 294.0 0 AMNESTIC SYNDROME N 294.1 0 DEMENTIA IN OTH DISEASES N 294.10 0 DEMENTIA W/O BEHAV DIST N 294.11 1 DEMENTIA W BEHAVIOR DIST M 294.8 0 ORGANIC BRAIN SYND NEC N 294.9 0 ORGANIC BRAIN SYND NOS N 295 1 Schizophrenic disorders [there is a 5th-digit sub- M 295.0 1 Simple type M 295.00 1 SIMPL SCHIZOPHREN-UNSPEC M 295.01 1 SIMPL SCHIZOPHREN-SUBCHR M 295.02 1 SIMPLE SCHIZOPHREN-CHR M 295.03 1 SIMP SCHIZ-SUBCHR/EXACER M 295.04 1 SIMPL SCHIZO-CHR/EXACERB M 295.05 1 SIMPL SCHIZOPHREN-REMISS M 295.1 1 Disorganized type M 295.10 1 HEBEPHRENIA-UNSPEC M 295.11 1 HEBEPHRENIA-SUBCHRONIC M 295.12 1 HEBEPHRENIA-CHRONIC M 295.13 1 HEBEPHREN-SUBCHR/EXACERB M 295.14 1 HEBEPHRENIA-CHR/EXACERB M 295.15 1 HEBEPHRENIA-REMISSION M 295.2 1 Catatonic type M 295.20 1 CATATONIA-UNSPEC M Version 10.3 Page 2 of 15 Effective October 1, 2013 DCF Pamphlet 155-2: Appendix 3 295.21 1 CATATONIA-SUBCHRONIC M 295.22 1 CATATONIA-CHRONIC M 295.23 1 CATATONIA-SUBCHR/EXACERB M 295.24 1 CATATONIA-CHR/EXACERB M 295.25 1 CATATONIA-REMISSION M 295.3 1 Paranoid type M 295.30 1 PARANOID SCHIZO-UNSPEC M 295.31 1 PARANOID SCHIZO-SUBCHR M 295.32 1 PARANOID SCHIZO-CHRONIC M 295.33 1 PARAN SCHIZO-SUBCHR/EXAC M 295.34 1 PARAN SCHIZO-CHR/EXACERB M 295.35 1 PARANOID SCHIZO-REMISS M 295.4 1 Acute schizophrenic episode M 295.40 1 AC SCHIZOPHRENIA-UNSPEC M 295.41 1 AC SCHIZOPHRENIA-SUBCHR M 295.42 1 AC SCHIZOPHRENIA-CHR M 295.43 1 AC SCHIZO-SUBCHR/EXACERB M 295.44 1 AC SCHIZOPHR-CHR/EXACERB M 295.45 1 AC SCHIZOPHRENIA-REMISS M 295.5 1 Latent schizophrenia M 295.50 1 LATENT SCHIZOPHREN-UNSP M 295.51 1 LAT SCHIZOPHREN-SUBCHR M 295.52 1 LATENT SCHIZOPHREN-CHR M 295.53 1 LAT SCHIZO-SUBCHR/EXACER M 295.54 1 LATENT SCHIZO-CHR/EXACER M 295.55 1 LAT SCHIZOPHREN-REMISS M 295.6 1 Residual schizophrenia M 295.60 1 RESID SCHIZOPHREN-UNSP M 295.61 1 RESID SCHIZOPHREN-SUBCHR M 295.62 1 RESIDUAL SCHIZOPHREN-CHR M 295.63 1 RESID SCHIZO-SUBCHR/EXAC M 295.64 1 RESID SCHIZO-CHR/EXACERB M 295.65 1 RESID SCHIZOPHREN-REMISS M 295.7 1 Schizo-affective type M 295.70 1 SCHIZOAFFECTIVE-UNSPEC M 295.71 1 SCHIZOAFFECTIVE-SUBCHR M 295.72 1 SCHIZOAFFECTIVE-CHRONIC M 295.73 1 SCHIZOAFF-SUBCHR/EXACER M 295.74 1 SCHIZOAFFECT-CHR/EXACER M 295.75 1 SCHIZOAFFECTIVE-REMISS M 295.8 1 Other specified types of schizophrenia M 295.80 1 SCHIZOPHRENIA NEC-UNSPEC M 295.81 1 SCHIZOPHRENIA NEC-SUBCHR M 295.82 1 SCHIZOPHRENIA NEC-CHR M 295.83 1 SCHIZO NEC-SUBCHR/EXACER M 295.84 1 SCHIZO NEC-CHR/EXACERB M 295.85 1 SCHIZOPHRENIA NEC-REMISS M 295.9 1 Unspecified schizophrenia M Version 10.3 Page 3 of 15 Effective October 1, 2013 DCF Pamphlet 155-2: Appendix 3 295.90 1 SCHIZOPHRENIA NOS-UNSPEC M 295.91 1 SCHIZOPHRENIA NOS-SUBCHR M 295.92 1 SCHIZOPHRENIA NOS-CHR M 295.93 1 SCHIZO NOS-SUBCHR/EXACER M 295.94 1 SCHIZO NOS-CHR/EXACERB M 295.95 1 SCHIZOPHRENIA NOS-REMISS M 296 1 "Affective psychoses (5th-digit sub-classification M 296.0 1 "Manic disorder, single episode" M 296.00 1 MANIC DISORDER-UNSPEC M 296.01 1 MANIC DISORDER-MILD M 296.02 1 MANIC DISORDER-MOD M 296.03 1 MANIC DISORDER-SEVERE M 296.04 1 MANIC DIS-SEVERE W PSYCH M 296.05 1 MANIC DIS-PARTIAL REMISS M 296.06 1 MANIC DIS-FULL REMISSION M 296.1 1 "Manic disorder, recurrent episode" M 296.10 1 RECUR MANIC DIS-UNSPEC M 296.11 1 RECUR MANIC DIS-MILD M 296.12 1 RECUR MANIC DIS-MOD M 296.13 1 RECUR MANIC DIS-SEVERE M 296.14 1 RECUR MANIC-SEV W PSYCHO M 296.15 1 RECUR MANIC-PART REMISS M 296.16 1 RECUR MANIC-FULL REMISS M 296.2 1 "Major depressive disorder, single episode" M 296.20 1 DEPRESS PSYCHOSIS-UNSPEC M 296.21 1 DEPRESS PSYCHOSIS-MILD M 296.22 1 DEPRESSIVE PSYCHOSIS-MOD M 296.23 1 DEPRESS PSYCHOSIS-SEVERE M 296.24 1 DEPR PSYCHOS-SEV W PSYCH M 296.25 1 DEPR PSYCHOS-PART REMISS M 296.26 1 DEPR PSYCHOS-FULL REMISS M 296.3 1 "Major depressive disorder, recurrent episode" M 296.30 1 RECURR DEPR PSYCHOS-UNSP M 296.31 1 RECURR DEPR PSYCHOS-MILD M 296.32 1 RECURR DEPR PSYCHOS-MOD M 296.33 1 RECUR DEPR PSYCH-SEVERE M 296.34 1 REC DEPR PSYCH-PSYCHOTIC M 296.35 1 RECUR DEPR PSYC-PART REM M 296.36 1 RECUR DEPR PSYC-FULL REM M 296.4 1 "Bipolar affective disorder, manic" M 296.40 1 "BIPOL AFF, MANIC-UNSPEC" M 296.41 1 "BIPOLAR AFF, MANIC-MILD" M 296.42 1 "BIPOLAR AFFEC, MANIC-MOD" M 296.43 1 "BIPOL AFF, MANIC-SEVERE" M 296.44 1 BIPOL MANIC-SEV W PSYCH M 296.45 1 BIPOL AFF MANIC-PART REM M 296.46 1 BIPOL AFF MANIC-FULL REM M 296.5 1 "Bipolar affective disorder, depressed" M Version 10.3 Page 4 of 15 Effective October 1, 2013 DCF Pamphlet 155-2: Appendix 3 296.50 1 "BIPOLAR AFF, DEPR-UNSPEC" M 296.51 1 "BIPOLAR AFFEC, DEPR-MILD" M 296.52 1 "BIPOLAR AFFEC, DEPR-MOD" M 296.53 1 "BIPOL AFF, DEPR-SEVERE" M 296.54 1 BIPOL DEPR-SEV W PSYCH M 296.55 1 BIPOL AFF DEPR-PART REM M 296.56 1 BIPOL AFF DEPR-FULL REM M 296.6 1 "Bipolar affective disorder, mixed" M 296.60 1 "BIPOL AFF, MIXED-UNSPEC" M 296.61 1 "BIPOLAR AFF, MIXED-MILD" M 296.62 1 "BIPOLAR AFFEC, MIXED-MOD" M 296.63 1 "BIPOL AFF, MIXED-SEVERE" M 296.64 1 BIPOL MIXED-SEV W PSYCH M 296.65 1 "BIPOL AFF, MIX-PART REM" M 296.66 1 "BIPOL AFF, MIX-FULL REM" M 296.7 1 BIPOLAR AFFECTIVE NOS M 296.7 1 BIPOLAR AFFECTIVE NOS M 296.8 1 "Manic-depressive psychosis, other and unspecified M 296.80 1 MANIC-DEPRESSIVE NOS M 296.81 1 ATYPICAL MANIC DISORDER M 296.82 1 ATYPICAL DEPRESSIVE DIS M 296.89 1 MANIC-DEPRESSIVE NEC M 296.9 1 Other and unspecified affective psychoses M 296.90 1 AFFECTIVE PSYCHOSIS NOS M 296.99 1 AFFECTIVE PSYCHOSES NEC M 297 1 Paranoid states M 297.0 1 "PARANOID STATE, SIMPLE" M 297.1 1 PARANOIA M 297.2 1 PARAPHRENIA M 297.3 1 SHARED PARANOID DISORDER M 297.8 1 PARANOID STATES NEC M 297.9 1 PARANOID STATE NOS M 298 1 Other non-organic psychoses M 298.0 1 REACT DEPRESS PSYCHOSIS M 298.1 1 EXCITATIV TYPE PSYCHOSIS M 298.2 1 REACTIVE CONFUSION M 298.3 1 ACUTE PARANOID REACTION M 298.4 1 PSYCHOGEN PARANOID PSYCH M 298.8 1 REACT PSYCHOSIS NEC/NOS M 298.9 1 PSYCHOSIS NOS M 299 1 "Psychoses with origin specific to childhood (5th- M 299.0 1 infantile autism M 299.00 1 INFANTILE AUTISM-ACTIVE M 299.01 1 INFANTILE AUTISM-RESID M 299.1 1 disintegrative psychosis M 299.10 1 DISINTEGR PSYCH-ACTIVE M 299.11 1 DISINTEGR PSYCH-RESIDUAL M 299.8 1 other specified early childhood psychoses M Version 10.3 Page 5 of 15 Effective October 1, 2013 DCF Pamphlet 155-2: Appendix 3 299.80 1 CHILD PSYCHOS NEC-ACTIVE M 299.81 1 CHILD PSYCHOS NEC-RESID M 299.9 1 Unspecified child psychosis NOS M 299.90 1 CHILD PSYCHOS NOS-ACTIVE M 299.91 1 CHILD PSYCHOS NOS-RESID M 300 1 neurotic disorders M 300.0 1 anxiety states M 300.00 1 ANXIETY STATE NOS M 300.01 1 PANIC DISORDER M 300.02 1 GENERALIZED ANXIETY DIS M 300.09 1 ANXIETY STATE NEC M 300.1 1 hysteria M 300.10 1 HYSTERIA NOS M 300.11
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