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Behavioral ICD 10
PATIENT NAME:
√
CODE
99211
99212
99213
99214
99215
DOB:
ESTABLISHED PATIENT VISIT
Nurse/MD Visit
Problem Focused
Expanded Problem Focused
Detailed
Comprehensive
√
APPOINTMENT DATE:
CODE
99241
99242
99243
99244
99245
CONSULTATIONS
Problem Focused
Expanded Problem Focused
Detailed
Comprehensive
Comprehensive
PATIENT VISIT
90801 Psychiatric Diagnostic Interview
90862 Pharmacologic Management
PSYCHOTHERAPY
90804 20 - 30 minutes
96101
96102
96103
96118
90805
w/evaluation & Management Services
90806 45 - 50 minutes
96119 Neuropsychological Testing w/Technician
(Other)
F90.1
ADHD
ADHD- predominantly hyperactive type
F31.0
F90.2
ADHD- combined type
F31.11
F90.8
ADHD- other type
F31.12
F90.9
ADHD- unspecified type
F31.13
ANXIETY
F31.2
F41.9
Anxiety disorder, unspecified
F31.73
F41.0
F41.1
Panic disorder w/out agoraphobia
Generalized anxiety disorder
Anxiety disorder d/t known physiological
condition
F31.74
F31.31
F06.4
DEMENTIA
Unspecified dementia w/out behavioral
F03.90 disturbance
Unspecified dementia with behavioral
F03.91 disturbance
PSYCHOLOGICAL TESTING
Psychological Testing w/Psychologist
Psychological Testing w/Technician
Psychological Testing w/Computer
Neuropsychological Testing w/Psychologist
BIPOLAR DISORDER
Bipolar DO, current episode hypomanic
Bipolar DO, current episode manic w/out psychotic
features, mild
Bipolar DO, current episode manic w/out psychotic
features, moderate
Bipolar DO, current episode manic w/out psychotic
features, severe
Bipolar DO, current episode manic severe with
psychotic features
Bipolar DO, in partial remission, most recent episode
manic
Bipolar DO, in full remission, most recent episode
manic
Bipolar DO, current episode depressed, mild
F31.32 Bipolar DO, current episode depressed, moderate
Bipolar DO, current episode depressed, severe, w/out
F31.4 psychotic features
Bipolar DO, current episode depressed, severe, with
F31.5 psychotic features
Bipolar DO, in partial remission, most recent episode
F31.75 depressed
Bipolar DO, in full remission, most recent episode
F31.76 depressed
_____ G8553 At least one presescription created during the encounter was generated and transmitted electronically using a
qualified eRx system
APPOINTMENTS & TESTS TO BE SCHEDULED
OTHER
Behavioral ICD 10
√
DX
ADJUSTMENT DISORDER
F43.21 Adjustment disorder with depressed mood
√
DX
F05
F43.22 Adjustment disorder with anxiety
Adjustment disorder with mixed anxiety and depressed
F43.23 mood
F06.2
F43.29 Adjustment disorder with other symptoms
F06.1
F43.24 Adjustment disorder with disturbance of conduct
Adjustment disorder with mixed disturbance of
F43.25 emotions and conduct
F06.8
F06.34
MOOD DISORDER
Mood disorder d/t physiological condition with
depressive features
Mood disorder d/t physiological condition with major
depressive-like episode
Mood disorder d/t physiological condition with manic
features
Mood disorder d/t physiological condition with mixed
features
F32.0
MAJOR DEPRESSIVE DISORDER
Major depressive disorder, single episode, mild
F06.31
F06.32
F06.33
F32.1
Major depressive disorder, single episode, moderate
Major depressive disorder, single episode, severe
F32.2 w/out psychotic features
Major depressive disorder, single episode, severe with
F32.3 psychotic features
Major depressive disorder, single episode, in partial
F32.4 remission
Major depressive disorder, single episode, in full
F32.5 remission
Major depressive disorder, recurrent, in remission,
F33.40 unspecified
F33.0 Major depressive disorder, recurrent, mild
F33.1 Major depressive disorder, recurrent, moderate
Major depressive disorder, recurrent severe w/out
F33.2 psychotic features
Major depressive disorder, recurrent, severe with
F33.3 psychotic symptoms
Major depressive disorder, recurrent, in partial
F33.41 remission
F33.42 Major depressive disorder, recurrent, in full remission
F06.0
MISCELLANEOUS
Delirium d/t known physiological condition
Psychotic disorder with delusions d/t known
physiological condition
Psychotic disorder with hallucinations d/t known
physiological condition
F29
F34.1
Catatonic disorder d/t known physiological condition
Other specified mental disorders d/t known
physiological condition
Other psychotic disorder not d/t a substance or
known physiological cond.
Unspecified psychosis not d/t a substance or known
physiological cond.
Dysthymic disorder
F45.1
Undifferentiated somatoform disorder
F45.9
Somatoform disorder, unspecified
F93.0
Separation anxiety disorder of childhood
F94.8
F43.11
F43.12
F43.8
F43.9
Other childhood disorders of social functioning
Post-traumatic stress disorder, acute
Post-traumatic stress disorder, chronic
Other reactions to severe stress
Reaction to severe stress, unspecified
Psychological / Behavioral factors assoc. w/ DO or DZ
classified elsewhere
F28
F54
R41.1 Anterograde amnesia
R41.2 Retrograde amnesia
R41.3 Other amnesia
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