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 9th 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. List of ICD-9-CM codes appropriate for billing (Behavioral Health Services Classification Chart, January 2007). Dementias 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