Conditions Altering Mental Status. Those diagnoses which are categorized as altering the mental status of an individual but are of organic origin shall be part of the Contractor's medical, financial and Care Management responsibilities for all categories of enrollees. These include the diagnoses in the following ICD-9-CM Series with mappings to ICD-10-CM Series: ICD-9 ICD-9 Description ICD-10 ICD-10 Description 290.0 Senile dementia, uncomplicated F0390 Unspecified dementia without behavioral disturbance 290.1 Presenile dementia 290.10 Presenile dementia, uncomplicated F0390 Unspecified dementia without behavioral disturbance 290.11 Presenile dementia with delirium F0390 Unspecified dementia without behavioral disturbance 290.12 Presenile dementia with delusional features F0390 Unspecified dementia without behavioral disturbance 290.13 Presenile dementia with depressive features F0390 Unspecified dementia without behavioral disturbance 290.20 Senile dementia with delusional features F0390 Unspecified dementia without behavioral disturbance 290.21 Senile dementia with depressive features F0390 Unspecified dementia without behavioral disturbance 290.3 Senile dementia with delirium F0390 Unspecified dementia without behavioral disturbance 290.4 Vascular dementia 290.40 Vascular dementia, uncomplicated F0150 Vascular dementia without behavioral disturbance 290.41 Vascular dementia with delirium F0151 Vascular dementia with behavioral disturbance 290.42 Vascular dementia with delusions F0151 Vascular dementia with behavioral disturbance 290.43 Vascular dementia with depressive mood F0151 Vascular dementia with behavioral disturbance 290.8 Other specific senile psychotic conditions F0390 Unspecified dementia without behavioral disturbance 290.9 Unspecified senile psychotic condition F0390 Unspecified dementia without behavioral disturbance 291.1 Alcohol induced persisting amnestic disorder F1026 Alcohol dependence w/alcohol-induced persisting amnestic disorder F1096 Alcohol use, unsp w/alcohol-induced persisting amnestic disorder F1097 Alcohol use, unsp with alcohol-induced persisting dementia 291.2 Alcohol induced persisting dementia F1027 Alcohol dependence with alcohol-induced persisting dementia 292.82 Drug induced persisting dementia F11122 Opioid abuse with intoxication with perceptual disturbance F1327 Sedative/hyp/anxiolytc dependence w/persisting dementia F1397 Sedative/hyp/anxiolytc use, unsp w/persisting dementia F1817 Inhalant abuse with inhalant-induced dementia F1827 Inhalant dependence with inhalant-induced dementia F1897 Inhalant use, unsp with inhalant-induced persisting dementia F1917 Oth psychoactive substance abuse w/persisting dementia F1927 Oth psychoactive substance dependence w/persisting dementia F1997 Oth psychoactive substance use, unsp w/persisting dementia 292.83 Drug induced persisting amnestic disorder F1326 Sedatv/hyp/anxiolytc depend w/persisting amnestic disorder F1396 Sedatv/hyp/anxiolytc use, unsp w/persist amnestic disorder F1916 Oth psychoactv substance abuse w/persist amnestic disorder F1926 Oth psychoactv substance depend w/persist amnestic disorder F1996 Oth psychoactv sub use, unsp w/persist amnestic disorder 292.9 Unspecified drug induced mental disorder F1119 Opioid abuse with unspecified opioid-induced disorder F1129 Opioid dependence with unspecified opioid- induced disorder F1199 Opioid use, unsp with unspecified opioid- induced disorder F1219 Cannabis abuse with unspecified cannabis- induced disorder F1229 Cannabis dependence with unsp cannabis- induced disorder F1299 Cannabis use, unsp with unsp cannabis-induced disorder F1319 Sedative, hypnotic or anxiolytic abuse w unsp disorder F1329 Sedative, hypnotic or anxiolytic dependence w unsp disorder F1399 Sedative, hypnotic or anxiolytic use, unsp w unsp disorder F1419 Cocaine abuse with unspecified cocaine- induced disorder F1429 Cocaine dependence with unspecified cocaine- induced disorder F1499 Cocaine use, unsp with unspecified cocaine- induced disorder F1519 Other stimulant abuse with unsp stimulant- induced disorder F1529 Oth stimulant dependence w unsp stimulant- induced disorder F1599 Oth stimulant use, unsp with unsp stimulant- induced disorder F1619 Hallucinogen abuse with unsp hallucinogen- induced disorder F1629 Hallucinogen dependence w unsp hallucinogen- induced disorder F1699 Hallucinogen use, unsp w unsp hallucinogen- induced disorder F17209 Nicotine dependence, unsp, w unsp nicotine- induced disorders F17219 Nicotine dependence, cigarettes, w unsp disorders F17229 Nicotine dependence, chewing tobacco, w unsp disorders F17299 Nicotine dependence, oth tobacco product, w unsp disorders F1819 Inhalant abuse with unspecified inhalant- induced disorder F1829 Inhalant dependence with unsp inhalant-induced disorder F1899 Inhalant use, unsp with unsp inhalant-induced disorder F1919 Oth psychoactive substance abuse w unsp disorder F1929 Oth psychoactive substance dependence w unsp disorder F1999 Oth psychoactive substance use, unsp w unsp disorder 293.0 Delirium due to conditions classified elsewhere F05 Delirium due to known physiological condition 293.1 Subacute delirium F05 Delirium due to known physiological condition 293.81 Transient organic psychotic condition, paranoid type F062 Psychotic disorder w delusions due to known physiol cond 293.82 Transient organic psychotic condition, hallucinatory type F060 Psychotic disorder w hallucin due to known physiol condition 293.83 Transient organic psychotic condition, depressive type F0630 Mood disorder due to known physiological condition, unsp F0631 Mood disorder due to known physiol cond w depressv features F0632 Mood disord d/t physiol cond w major depressive-like epsd F0633 Mood disorder due to known physiol cond w manic features F0634 Mood disorder due to known physiol cond w mixed features 293.84 Anxiety disorder in conditions classified elsewhere F064 Anxiety disorder due to known physiological condition 294.0 Amnestic disorder in conditions classified elsewhere F04 Amnestic disorder due to known physiological condition 294.1 Dementia in conditions classified elsewhere 294.10 Dementia in conditions classified elsewhere without behavioral disturbance F0280 Dementia in oth diseases clasd elswhr w/o behavrl disturb 294.11 Dementia in conditions classified elsewhere with behavioral disturbance F0281 Dementia in oth diseases classd elswhr w/behavioral disturb 294.8 Other persistent mental disorders due to conditions classified elsewhere F061 Catatonic disorder due to known physiological condition F068 Oth mental disorders due to known physiological condition 294.9 Unspecified persistent mental disorders due to conditions classified elsewhere No GEMS 305.1 Tobacco use disorder F17200 Nicotine dependence, unspecified, uncomplicated F17201 Nicotine dependence, unspecified, in remission F17203 Nicotine dependence unspecified, with withdrawal F17208 Nicotine dependence, unsp, w oth nicotine- induced disorders F17209 Nicotine dependence, unsp, w unsp nicotine- induced disorders F17210 Nicotine dependence, cigarettes, uncomplicated F17211 Nicotine dependence, cigarettes, in remission F17213 Nicotine dependence, cigarettes, with withdrawal F17218 Nicotine dependence, cigarettes, w oth disorders F17219 Nicotine dependence, cigarettes, w unsp disorders F17220 Nicotine dependence, chewing tobacco, uncomplicated F17221 Nicotine dependence, chewing tobacco, in remission F17223 Nicotine dependence, chewing tobacco, with withdrawal F17228 Nicotine dependence, chewing tobacco, w oth disorders F17229 Nicotine dependence, chewing tobacco, w unsp disorders F17290 Nicotine dependence, other tobacco product, uncomplicated F17291 Nicotine dependence, other tobacco product, in remission F17293 Nicotine dependence, other tobacco product, with withdrawal F17298 Nicotine dependence, oth tobacco product, w oth disorders F17299 Nicotine dependence, oth tobacco product, w unsp disorders 310.0 Frontal lobe syndrome F070 Personality change due to known physiological condition 310.2 Postconcussion syndrome F0781 Postconcussional syndrome 310.81 Pseudobulbar affect F482 Pseudobulbar affect 310.89 Other specified nonpsychotic mental disorders following organic brain damage F0789 Oth personality & behavrl disord due to known physiol cond
Appears in 4 contracts
Samples: Provide Services, Provide Services, Provide Services
Conditions Altering Mental Status. Those diagnoses which are categorized as altering the mental status of an individual but are of organic origin shall be part of the Contractor's medical, financial and Care Management responsibilities for all categories of enrollees. These include the diagnoses in the following ICD-9-CM Series with mappings to ICD-10-CM Series: ICD-9 ICD-9 Description ICD-10 ICD-10 Description 290.0 Senile dementia, uncomplicated F0390 Unspecified dementia without behavioral disturbance 290.1 Presenile dementia 290.10 Presenile dementia, uncomplicated F0390 Unspecified dementia without behavioral disturbance 290.11 Presenile dementia with delirium F0390 Unspecified dementia without behavioral disturbance 290.12 Presenile dementia with delusional features F0390 Unspecified dementia without behavioral disturbance 290.13 Presenile dementia with depressive features F0390 Unspecified dementia without behavioral disturbance 290.20 Senile dementia with delusional features F0390 Unspecified dementia without behavioral disturbance 290.21 Senile dementia with depressive features F0390 Unspecified dementia without behavioral features disturbance 290.3 Senile dementia with delirium F0390 Unspecified dementia without behavioral disturbance 290.4 Vascular dementia 290.40 Vascular dementia, uncomplicated F0150 Vascular dementia without behavioral disturbance 290.41 Vascular dementia with delirium F0151 Vascular dementia with behavioral disturbance 290.42 Vascular dementia with delusions F0151 Vascular dementia with behavioral disturbance 290.43 Vascular dementia with depressive mood F0151 Vascular dementia with behavioral disturbance 290.8 Other specific senile psychotic conditions F0390 Unspecified dementia without behavioral disturbance 290.9 Unspecified senile psychotic condition F0390 Unspecified dementia without behavioral disturbance 291.1 Alcohol induced persisting amnestic disorder F1026 Alcohol dependence w/alcohol-induced persisting amnestic disorder F1096 Alcohol use, unsp w/alcohol-induced persisting amnestic disorder F1097 Alcohol use, unsp with alcohol-induced persisting dementia 291.2 Alcohol induced persisting dementia F1027 Alcohol dependence with alcohol-induced persisting dementia 292.82 Drug induced persisting dementia F11122 Opioid abuse with intoxication with perceptual disturbance F1327 Sedative/hyp/anxiolytc dependence w/persisting dementia F1397 Sedative/hyp/anxiolytc use, unsp w/persisting dementia F1817 Inhalant abuse with inhalant-induced dementia F1827 Inhalant dependence with inhalant-induced dementia F1897 Inhalant use, unsp with inhalant-induced persisting dementia F1917 Oth psychoactive substance abuse w/persisting dementia F1927 Oth psychoactive substance dependence w/persisting dementia F1997 Oth psychoactive substance use, unsp w/persisting dementia 292.83 Drug induced persisting amnestic disorder F1326 Sedatv/hyp/anxiolytc depend w/persisting amnestic disorder F1396 Sedatv/hyp/anxiolytc use, unsp w/persist amnestic disorder F1916 Oth psychoactv substance abuse w/persist amnestic disorder F1926 Oth psychoactv substance depend w/persist amnestic disorder F1996 Oth psychoactv sub use, unsp w/persist amnestic disorder 292.9 Unspecified drug induced mental disorder F1119 Opioid abuse with unspecified opioid-induced disorder F1129 Opioid dependence with unspecified opioid- induced disorder F1199 Opioid use, unsp with unspecified opioid- induced disorder F1219 Cannabis abuse with unspecified cannabis- induced disorder F1229 Cannabis dependence with unsp cannabis- induced disorder F1299 Cannabis use, unsp with unsp cannabis-induced disorder F1319 Sedative, hypnotic or anxiolytic abuse w unsp disorder F1329 Sedative, hypnotic or anxiolytic dependence w unsp disorder F1399 Sedative, hypnotic or anxiolytic use, unsp w unsp disorder F1419 Cocaine abuse with unspecified cocaine- induced disorder F1429 Cocaine dependence with unspecified cocaine- induced disorder F1499 Cocaine use, unsp with unspecified cocaine- induced disorder F1519 Other stimulant abuse with unsp stimulant- induced disorder F1529 Oth stimulant dependence w unsp stimulant- induced disorder F1599 Oth stimulant use, unsp with unsp stimulant- induced disorder F1619 Hallucinogen abuse with unsp hallucinogen- induced disorder F1629 Hallucinogen dependence w unsp hallucinogen- induced disorder F1699 Hallucinogen use, unsp w unsp hallucinogen- induced disorder F17209 Nicotine dependence, unsp, w unsp nicotine- induced disorders F17219 Nicotine dependence, cigarettes, w unsp disorders F17229 Nicotine dependence, chewing tobacco, w unsp disorders F17299 Nicotine dependence, oth tobacco product, w unsp disorders F1819 Inhalant abuse with unspecified inhalant- induced disorder F1829 Inhalant dependence with unsp inhalant-induced disorder F1899 Inhalant use, unsp with unsp inhalant-induced disorder F1919 Oth psychoactive substance abuse w unsp disorder F1929 Oth psychoactive substance dependence w unsp disorder F1999 Oth psychoactive substance use, unsp w unsp disorder 293.0 Delirium due to conditions classified elsewhere F05 Delirium due to known physiological condition 293.1 Subacute delirium F05 Delirium due to known physiological condition 293.81 Transient organic psychotic condition, paranoid type F062 Psychotic disorder w delusions due to known physiol cond 293.82 Transient organic psychotic condition, hallucinatory type F060 Psychotic disorder w hallucin due to known physiol condition 293.83 Transient organic psychotic condition, depressive type F0630 Mood disorder due to known physiological condition, unsp F0631 Mood disorder due to known physiol cond w depressv features F0632 Mood disord d/t physiol cond w major depressive-like epsd F0633 Mood disorder due to known physiol cond w manic features F0634 Mood disorder due to known physiol cond w mixed features 293.84 Anxiety disorder in conditions classified elsewhere F064 Anxiety disorder due to known physiological condition 294.0 Amnestic disorder in conditions classified elsewhere F04 Amnestic disorder due to known physiological condition 294.1 Dementia in conditions classified elsewhere 294.10 Dementia in conditions classified elsewhere without behavioral disturbance F0280 Dementia in oth diseases clasd elswhr w/o behavrl disturb 294.11 Dementia in conditions classified elsewhere with behavioral disturbance F0281 Dementia in oth diseases classd elswhr w/behavioral disturb 294.8 Other persistent mental disorders due to conditions classified elsewhere F061 Catatonic disorder due to known physiological condition F068 Oth mental disorders due to known physiological condition 294.9 Unspecified persistent mental disorders due to conditions classified elsewhere No GEMS 305.1 Tobacco use disorder F17200 Nicotine dependence, unspecified, uncomplicated F17201 Nicotine dependence, unspecified, in remission F17203 Nicotine dependence unspecified, with withdrawal F17208 Nicotine dependence, unsp, w oth nicotine- induced disorders F17209 Nicotine dependence, unsp, w unsp nicotine- induced disorders F17210 Nicotine dependence, cigarettes, uncomplicated F17211 Nicotine dependence, cigarettes, in remission F17213 Nicotine dependence, cigarettes, with withdrawal F17218 Nicotine dependence, cigarettes, w oth disorders F17219 Nicotine dependence, cigarettes, w unsp disorders F17220 Nicotine dependence, chewing tobacco, uncomplicated F17221 Nicotine dependence, chewing tobacco, in remission F17223 Nicotine dependence, chewing tobacco, with withdrawal F17228 Nicotine dependence, chewing tobacco, w oth disorders F17229 Nicotine dependence, chewing tobacco, w unsp disorders F17290 Nicotine dependence, other tobacco product, uncomplicated F17291 Nicotine dependence, other tobacco product, in remission F17293 Nicotine dependence, other tobacco product, with withdrawal F17298 Nicotine dependence, oth tobacco product, w oth disorders F17299 Nicotine dependence, oth tobacco product, w unsp disorders 310.0 Frontal lobe syndrome F070 Personality change due to known physiological condition 310.2 Postconcussion syndrome F0781 Postconcussional syndrome 310.81 Pseudobulbar affect F482 Pseudobulbar affect 310.89 Other specified nonpsychotic mental disorders following organic brain damage F0789 Oth personality & behavrl disord due to known physiol cond
Appears in 1 contract
Samples: Provide Services
