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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