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Diagnosis Code Crosswalks to Disability for Performance Reporting Purposes

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Diagnosis Code Crosswalks to Disability for Performance Reporting Purposes Vaya Health Diagnosis Code Crosswalks to Disability for Performance Reporting Purposes DSM-IV Diagnosis to Disability Crosswalk DX CODE DESCRIPTION Disability Group 290.0 Senile dementia, uncomplicated MH 290.10 Presenile dementia, uncomplicated MH 290.11 Presenile dementia with delirium MH 290.12 Presenile dementia with delusional features MH 290.13 Presenile dementia with depressive features MH 290.20 Senile dementia with delusional features MH 290.21 Senile dementia with depressive features MH 290.3 Senile dementia with delirium MH 290.40 Arteriosclerotic dementia, uncomplicated MH 290.41 Arteriosclerotic dementia with delirium MH 290.42 Arteriosclerotic dementia with delusional features MH 290.43 Arteriosclerotic dementia with depressive features MH 290.8 Other specified senile psychotic conditions MH 290.9 Unspecified senile psychotic condition MH 291.0 Alcohol withdrawal delirium SA 291.1 Alcohol amnestic syndrome SA 291.2 Other alcoholic dementia SA 291.3 Alcohol withdrawal hallucinosis SA 291.4 Idiosyncratic alcohol intoxication SA 291.5 Alcoholic jealousy SA 291.81 Alcoholic withdrawal SA 291.89 Other specified alcoholic psychosis SA 291.9 Unspecified alcoholic psychosis SA 291.99 Unspecified alcoholic psychosis SA 292.0 Drug withdrawal syndrome SA 292.11 Drug-induced organic delusional syndrome SA 292.12 Drug-induced hallucinosis SA 292.2 Pathological drug intoxication SA 292.81 Drug-induced delirium SA 292.82 Drug-induced dementia SA 292.83 Drug-induced amnestic syndrome SA 292.84 Drug-induced organic affective syndrome SA 292.89 Other specified drug-induced mental disorders SA 292.9 Unspecified drug-induced mental disorder SA 293.0 Acute delirium MH 293.1 Subacute delirium MH 293.81 Organic delusional syndrome MH 293.82 Organic hallucinosis syndrome MH 293.83 Organic affective syndrome MH 293.84 Organic anxiety syndrome MH 293.89 Other specified transient organic mental disorders MH 293.9 Unspecified transient organic mental disorder MH Page 2 of 34 DX CODE DESCRIPTION Disability Group 294.0 Amnestic syndrome MH 294.10 Dementia in conditions classified elsewhere without behavioral disturbance MH 294.11 Dementia in conditions classified elsewhere with behavioral disturbance MH 294.8 Other specified organic brain syndromes (chronic) MH 294.9 Unspecified organic brain syndrome (chronic) MH 295.00 Schizophrenia, simple type, unspecified MH 295.01 Schizophrenia, simple type, subchronic MH 295.02 Schizophrenia, simple type, chronic MH 295.03 Schizophrenia, simple type, subchronic with acute exacerbation MH 295.04 Schizophrenia, simple type, chronic with acute exacerbation MH 295.05 Schizophrenia, simple type, in remission MH 295.10 Schizophrenia, disorganized type, unspecified MH 295.11 Schizophrenia, disorganized type, subchronic MH 295.12 Schizophrenia, disorganized type, chronic MH 295.13 Schizophrenia, disorganized type, subchronic with acute exacerbation MH 295.14 Schizophrenia, disorganized type, chronic with acute exacerbation MH 295.15 Schizophrenia, disorganized type, in remission MH 295.20 Schizophrenia, catatonic type, unspecified MH 295.21 Schizophrenia, catatonic type, subchronic MH 295.22 Schizophrenia, catatonic type, chronic MH 295.23 Schizophrenia, catatonic type, subchronic with acute exacerbation MH 295.24 Schizophrenia, catatonic type, chronic with acute exacerbation MH 295.25 Schizophrenia, catatonic type, in remission MH 295.30 Schizophrenia, paranoid type, unspecified MH 295.31 Schizophrenia, paranoid type, subchronic MH 295.32 Schizophrenia, paranoid type, chronic MH 295.33 Schizophrenia, paranoid type, subchronic with acute exacerbation MH 295.34 Schizophrenia, paranoid type, chronic with acute exacerbation MH 295.35 Schizophrenia, paranoid type, in remission MH 295.40 Schizophrenia, acute schizophrenic episode, unspecified MH 295.41 Schizophrenia, acute schizophrenic episode, subchronic MH 295.42 Schizophrenia, acute schizophrenic episode, chronic MH Schizophrenia, acute schizophrenic episode, subchronic with acute 295.43 MH exacerbation 295.44 Schizophrenia, acute schizophrenic episode, chronic with acute exacerbation MH 295.45 Schizophrenia, acute schizophrenic episode, in remission MH 295.50 Latent schizophrenia, unspecified MH 295.51 Latent schizophrenia, subchronic MH 295.52 Latent schizophrenia, chronic MH 295.53 Latent schizophrenia, subchronic with acute exacerbation MH 295.54 Latent schizophrenia, chronic with acute exacerbation MH 295.55 Latent schizophrenia, in remission MH 295.60 Residual schizophrenia, unspecified MH 295.61 Residual schizophrenia, subchronic MH 295.62 Residual schizophrenia, chronic MH 295.63 Residual schizophrenia, subchronic with acute exacerbation MH 295.64 Residual schizophrenia, chronic with acute exacerbation MH 295.65 Residual schizophrenia, in remission MH 295.70 Schizophrenia, schizo-affective type, unspecified MH Vaya Health | Diagnosis to Disability Crosswalks Rev. 07.15.2019 Copyright © 2019 Vaya Health. All rights reserved. Version 1.0 Page 3 of 34 DX CODE DESCRIPTION Disability Group 295.71 Schizophrenia, schizo-affective type, subchronic MH 295.72 Schizophrenia, schizo-affective type, chronic MH 295.73 Schizophrenia, schizo-affective type, subchronic with acute exacerbation MH 295.74 Schizophrenia, schizo-affective type, chronic with acute exacerbation MH 295.75 Schizophrenia, schizo-affective type, in remission MH 295.80 Other specified types of schizophrenia, unspecified MH 295.81 Other specified types of schizophrenia, subchronic MH 295.82 Other specified types of schizophrenia, chronic MH 295.83 Other specified types of schizophrenia, subchronic with acute exacerbation MH 295.84 Other specified types of schizophrenia, chronic with acute exacerbation MH 295.85 Other specified types of schizophrenia, in remission MH 295.90 Unspecified schizophrenia, unspecified MH 295.91 Unspecified schizophrenia, subchronic MH 295.92 Unspecified schizophrenia, chronic MH 295.93 Unspecified schizophrenia, subchronic with acute exacerbation MH 295.94 Unspecified schizophrenia, chronic with acute exacerbation MH 295.95 Unspecified schizophrenia, in remission MH 296.00 Manic disorder, single episode, unspecified MH 296.01 Manic disorder, single episode, mild MH 296.02 Manic disorder, single episode, moderate MH 296.03 Manic disorder, single episode, severe, without mention of psychotic behavior MH 296.04 Manic disorder, single episode, severe, specified as with psychotic behavior MH 296.05 Manic disorder, single episode, in partial or unspecified remission MH 296.06 Manic disorder, single episode, in full remission MH 296.10 Manic disorder, recurrent episode, unspecified MH 296.11 Manic disorder, recurrent episode, mild MH 296.12 Manic disorder, recurrent episode, moderate MH Manic disorder, recurrent episode, severe, without mention of psychotic 296.13 MH behavior Manic disorder, recurrent episode, severe, specified as with psychotic 296.14 MH behavior 296.15 Manic disorder, recurrent episode, in partial or unspecified remission MH 296.16 Manic disorder, recurrent episode, in full remission MH 296.20 Major depressive disorder, single episode, unspecified MH 296.21 Major depressive disorder, single episode, mild MH 296.22 Major depressive disorder, single episode, moderate MH Major depressive disorder, single episode, severe, without mention of 296.23 MH psychotic behavior Major depressive disorder, single episode, severe, specified as with psychotic 296.24 MH behavior 296.25 Major depressive disorder, single episode, in partial or unspecified remission MH 296.26 Major depressive disorder, single episode, in full remission MH 296.30 Major depressive disorder, recurrent episode, unspecified MH 296.31 Major depressive disorder, recurrent episode, mild MH 296.32 Major depressive disorder, recurrent episode, moderate MH Major depressive disorder, recurrent episode, severe, without mention of 296.33 MH psychotic behavior Major depressive disorder, recurrent episode, severe, specified as with 296.34 MH psychotic behavior Vaya Health | Diagnosis to Disability Crosswalks Rev. 07.15.2019 Copyright © 2019 Vaya Health. All rights reserved. Version 1.0 Page 4 of 34 DX CODE DESCRIPTION Disability Group Major depressive disorder, recurrent episode, in partial or unspecified 296.35 MH remission 296.36 Major depressive disorder, recurrent episode, in full remission MH 296.40 Bipolar affective disorder, manic, unspecified MH 296.41 Bipolar affective disorder, manic, mild MH 296.42 Bipolar affective disorder, manic, moderate MH Bipolar affective disorder, manic, severe, without mention of psychotic 296.43 MH behavior 296.44 Bipolar affective disorder, manic, severe, specified as with psychotic behavior MH 296.45 Bipolar affective disorder, manic, in partial or unspecified remission MH 296.46 Bipolar affective disorder, manic, in full remission MH 296.50 Bipolar affective disorder, depressed, unspecified MH 296.51 Bipolar affective disorder, depressed, mild MH 296.52 Bipolar affective disorder, depressed, moderate MH Bipolar affective disorder, depressed, severe, without mention of psychotic 296.53 MH behavior Bipolar affective disorder, depressed, severe, specified as with psychotic 296.54 MH behavior 296.55 Bipolar affective disorder, depressed, in partial or unspecified remission MH 296.56 Bipolar affective disorder, depressed, in full remission MH 296.60 Bipolar affective disorder, mixed, unspecified MH 296.61 Bipolar affective disorder, mixed, mild MH 296.62 Bipolar affective disorder, mixed, moderate MH Bipolar affective disorder, mixed, severe, without mention of psychotic
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