Diagnosis Codes:
Coverage for Screens Yes/with secondary covered dx
Coverage for Confirms Yes/with secondary covered dx
Diagnosis Code
Coverage for Screens
Coverage for Confirms
Diagnosis Code
Diagnosis Description
Diagnosis Description
F11.90 OPIOID USE, UNSPECIFIED, UNCOMPLICATED
NO NO NO NO NO NO
YES YES YES YES YES YES
Z71.51 DRUG ABUSE COUNSELING AND SURVEILLANCE OF DRUG ABUSER
F11.11 OPIOID ABUSE, IN REMISSION
F16.10 HALLUCINOGEN ABUSE, UNCOMPLICATED
Z79.891 LONG TERM (CURRENT) USE OF OPIATE ANALGESIC F11.20 OPIOID DEPENDENCE, UNCOMPLICATED Z79.899 OTHER LONG TERM (CURRENT) DRUG THERAPY
YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES
F31.9
BIPOLAR DISORDER, UNSPECIFIED
F12.21 CANNABIS DEPENDENCE, IN REMISSION
F10.99 ALCOHOL USE, UNSPECIFIED WITH UNSPECIFIED ALCOHOL-INDUCED DISORDER
M54.50 LOW BACK PAIN, UNSPECIFIED
F15.99 OTHER STIMULANT USE, UNSPECIFIED WITH UNSPECIFIED STIMULANT-INDUCED DISORDER
NO
YES
M54.2 CERVICALGIA
M54.59 OTHER LOW BACK PAIN
F19.94 OTHER PSYCHOACTIVE SUBSTANCE USE, UNSPECIFIED WITH PSYCHOACTIVE SUBSTANCE-INDUCED MOOD DISORDER
NO
YES
F19.20 OTHER PSYCHOACTIVE SUBSTANCE DEPENDENCE, UNCOMPLICATED
M54.16 RADICULOPATHY, LUMBAR REGION
YES YES
NO NO
F20.9 F25.9
SCHIZOPHRENIA, UNSPECIFIED
M47.816 SPONDYLOSIS WITHOUT MYELOPATHY OR RADICULOPATHY, LUMBAR REGION M47.812 SPONDYLOSIS WITHOUT MYELOPATHY OR RADICULOPATHY, CERVICAL REGION M51.36 OTHER INTERVERTEBRAL DISC DEGENERATION, LUMBAR REGION
SCHIZOAFFECTIVE DISORDER, UNSPECIFIED
MAJOR DEPRESSIVE DISORDER, RECURRENT SEVERE WITHOUT PSYCHOTIC FEATURES
F33.2
NO
YES
YES YES YES YES YES YES
F34.1
DYSTHYMIC DISORDER
NO NO NO NO NO NO
M79.7 FIBROMYALGIA
F10.239 ALCOHOL DEPENDENCE WITH WITHDRAWAL, UNSPECIFIED F13.10 SEDATIVE, HYPNOTIC OR ANXIOLYTIC ABUSE, UNCOMPLICATED F15.90 OTHER STIMULANT USE, UNSPECIFIED, UNCOMPLICATED F16.20 HALLUCINOGEN DEPENDENCE, UNCOMPLICATED F19.10 OTHER PSYCHOACTIVE SUBSTANCE ABUSE, UNCOMPLICATED
M54.17 RADICULOPATHY, LUMBOSACRAL REGION
YES
YES
M47.817 SPONDYLOSIS WITHOUT MYELOPATHY OR RADICULOPATHY, LUMBOSACRAL REGION
M51.16 INTERVERTEBRAL DISC DISORDERS WITH RADICULOPATHY, LUMBAR REGION
YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
F20.0
PARANOID SCHIZOPHRENIA
M51.37 OTHER INTERVERTEBRAL DISC DEGENERATION, LUMBOSACRAL REGION
BIPOLAR DISORDER, CURRENT EPISODE DEPRESSED, SEVERE, WITH PSYCHOTIC FEATURES MAJOR DEPRESSIVE DISORDER, RECURRENT, MILD MAJOR DEPRESSIVE DISORDER, RECURRENT, UNSPECIFIED
F31.5
NO
YES
M79.2 NEURALGIA AND NEURITIS, UNSPECIFIED M54.51 VERTEBROGENIC LOW BACK PAIN
YES YES YES YES YES YES
F33.0 F33.9
NO NO NO NO NO NO
M25.50 PAIN IN UNSPECIFIED JOINT
M54.10 RADICULOPATHY, SITE UNSPECIFIED
F43.22 ADJUSTMENT DISORDER WITH ANXIETY
M79.18 MYALGIA, OTHER SITE
F11.220 OPIOID DEPENDENCE WITH INTOXICATION, UNCOMPLICATED
G40.909 EPILEPSY, UNSPECIFIED, NOT INTRACTABLE, WITHOUT STATUS EPILEPTICUS
F13.90 SEDATIVE, HYPNOTIC, OR ANXIOLYTIC USE, UNSPECIFIED, UNCOMPLICATED
M54.14 RADICULOPATHY, THORACIC REGION
F25.1
SCHIZOAFFECTIVE DISORDER, DEPRESSIVE TYPE
M54.18 RADICULOPATHY, SACRAL AND SACROCOCCYGEAL REGION M79.12 MYALGIA OF AUXILIARY MUSCLES, HEAD AND NECK F10.20 ALCOHOL DEPENDENCE, UNCOMPLICATED F15.20 OTHER STIMULANT DEPENDENCE, UNCOMPLICATED
F31.12 BIPOLAR DISORDER, CURRENT EPISODE MANIC WITHOUT PSYCHOTIC FEATURES, MODERATE F31.60 BIPOLAR DISORDER, CURRENT EPISODE MIXED, UNSPECIFIED
NO
YES
YES YES YES YES YES YES
NO NO NO NO NO NO
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
F43.12 POST-TRAUMATIC STRESS DISORDER, CHRONIC
F11.99 OPIOID USE, UNSPECIFIED WITH UNSPECIFIED OPIOID-INDUCED DISORDER
F12.20 DORSALGIA, UNSPECIFIED
F14.90 COCAINE USE, UNSPECIFIED, UNCOMPLICATED F15.11 OTHER STIMULANT ABUSE, IN REMISSION F19.11 OTHER PSYCHOACTIVE SUBSTANCE ABUSE, IN REMISSION
F14.20 COCAINE DEPENDENCE, UNCOMPLICATED F43.10 POST-TRAUMATIC STRESS DISORDER, UNSPECIFIED
F14.10 COCAINE ABUSE, UNCOMPLICATED
F13.20 SEDATIVE, HYPNOTIC OR ANXIOLYTIC DEPENDENCE, UNCOMPLICATED
F31.30 BIPOLAR DISORDER, CURRENT EPISODE DEPRESSED, MILD OR MODERATE SEVERITY, UNSPECIFIED
NO
YES
F10.21 ALCOHOL DEPENDENCE, IN REMISSION F11.21 OPIOID DEPENDENCE, IN REMISSION F15.21 OTHER STIMULANT DEPENDENCE, IN REMISSION
BIPOLAR DISORDER, CURRENT EPISODE DEPRESSED, SEVERE, WITHOUT PSYCHOTIC FEATURES
F31.4
NO
YES
YES YES
F31.77 BIPOLAR DISORDER, IN PARTIAL REMISSION, MOST RECENT EPISODE MIXED
NO NO
F60.3 F32.9
BORDERLINE PERSONALITY DISORDER
F31.89 OTHER BIPOLAR DISORDER
MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED
MAJOR DEPRESSIVE DISORDER, RECURRENT, SEVERE WITH PSYCHOTIC SYMPTOMS
F33.3
NO
YES
F15.10 OTHER STIMULANT ABUSE, UNCOMPLICATED F12.90 CANNABIS USE, UNSPECIFIED, UNCOMPLICATED
YES YES YES YES YES
F33.40 MAJOR DEPRESSIVE DISORDER, RECURRENT, IN REMISSION, UNSPECIFIED F33.41 MAJOR DEPRESSIVE DISORDER, RECURRENT, IN PARTIAL REMISSION F33.42 MAJOR DEPRESSIVE DISORDER, RECURRENT, IN FULL REMISSION
NO NO NO NO NO
F10.11 ALCOHOL ABUSE, IN REMISSION
F19.99 OTHER PSYCHOACTIVE SUBSTANCE USE, UNSPECIFIED WITH UNSPECIFIED PSYCHOACTIVE SUBSTANCE-INDUCED DISORDER
F45.1 F60.9
UNDIFFERENTIATED SOMATOFORM DISORDER PERSONALITY DISORDER, UNSPECIFIED
F32.1 F33.1 F25.0
MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, MODERATE MAJOR DEPRESSIVE DISORDER, RECURRENT, MODERATE
LOCALIZATION-RELATED (FOCAL) (PARTIAL) IDIOPATHIC EPILEPSY AND EPILEPTIC SYNDROMES WITH SEIZURES OF LOCALIZED ONSET, NOT INTRACTABLE, WITHOUT STATUS EPILEPTICUS
SCHIZOAFFECTIVE DISORDER, BIPOLAR TYPE
G40.009
NO
YES
F31.81 BIPOLAR II DISORDER
30
31
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