ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| MDC 19 Mental diseases and disorders |
| Assignment of Diagnosis Codes |
| Page 1 of 2 |
| F0150 Q937 |
| F0150 | Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01511 | Vascular dementia, unspecified severity, with agitation |
| F01518 | Vascular dementia, unspecified severity, with other behavioral disturbance |
| F0152 | Vascular dementia, unspecified severity, with psychotic disturbance |
| F0153 | Vascular dementia, unspecified severity, with mood disturbance |
| F0154 | Vascular dementia, unspecified severity, with anxiety |
| F01A0 | Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01A11 | Vascular dementia, mild, with agitation |
| F01A18 | Vascular dementia, mild, with other behavioral disturbance |
| F01A2 | Vascular dementia, mild, with psychotic disturbance |
| F01A3 | Vascular dementia, mild, with mood disturbance |
| F01A4 | Vascular dementia, mild, with anxiety |
| F01B0 | Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01B11 | Vascular dementia, moderate, with agitation |
| F01B18 | Vascular dementia, moderate, with other behavioral disturbance |
| F01B2 | Vascular dementia, moderate, with psychotic disturbance |
| F01B3 | Vascular dementia, moderate, with mood disturbance |
| F01B4 | Vascular dementia, moderate, with anxiety |
| F01C0 | Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F01C11 | Vascular dementia, severe, with agitation |
| F01C18 | Vascular dementia, severe, with other behavioral disturbance |
| F01C2 | Vascular dementia, severe, with psychotic disturbance |
| F01C3 | Vascular dementia, severe, with mood disturbance |
| F01C4 | Vascular dementia, severe, with anxiety |
| F0280 | Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F02811 | Dementia in other diseases classified elsewhere, unspecified severity, with agitation |
| F02818 | Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance |
| F0282 | Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbance |
| F0283 | Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbance |
| F0284 | Dementia in other diseases classified elsewhere, unspecified severity, with anxiety |
| F02A0 | Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F02A11 | Dementia in other diseases classified elsewhere, mild, with agitation |
| F02A18 | Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance |
| F02A2 | Dementia in other diseases classified elsewhere, mild, with psychotic disturbance |
| F02A3 | Dementia in other diseases classified elsewhere, mild, with mood disturbance |
| F02A4 | Dementia in other diseases classified elsewhere, mild, with anxiety |
| F02B0 | Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F02B11 | Dementia in other diseases classified elsewhere, moderate, with agitation |
| F02B18 | Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance |
| F02B2 | Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance |
| F02B3 | Dementia in other diseases classified elsewhere, moderate, with mood disturbance |
| F02B4 | Dementia in other diseases classified elsewhere, moderate, with anxiety |
| F02C0 | Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F02C11 | Dementia in other diseases classified elsewhere, severe, with agitation |
| F02C18 | Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance |
| F02C2 | Dementia in other diseases classified elsewhere, severe, with psychotic disturbance |
| F02C3 | Dementia in other diseases classified elsewhere, severe, with mood disturbance |
| F02C4 | Dementia in other diseases classified elsewhere, severe, with anxiety |
| F0390 | Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F03911 | Unspecified dementia, unspecified severity, with agitation |
| F03918 | Unspecified dementia, unspecified severity, with other behavioral disturbance |
| F0392 | Unspecified dementia, unspecified severity, with psychotic disturbance |
| F0393 | Unspecified dementia, unspecified severity, with mood disturbance |
| F0394 | Unspecified dementia, unspecified severity, with anxiety |
| F03A0 | Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F03A11 | Unspecified dementia, mild, with agitation |
| F03A18 | Unspecified dementia, mild, with other behavioral disturbance |
| F03A2 | Unspecified dementia, mild, with psychotic disturbance |
| F03A3 | Unspecified dementia, mild, with mood disturbance |
| F03A4 | Unspecified dementia, mild, with anxiety |
| F03B0 | Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F03B11 | Unspecified dementia, moderate, with agitation |
| F03B18 | Unspecified dementia, moderate, with other behavioral disturbance |
| F03B2 | Unspecified dementia, moderate, with psychotic disturbance |
| F03B3 | Unspecified dementia, moderate, with mood disturbance |
| F03B4 | Unspecified dementia, moderate, with anxiety |
| F03C0 | Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety |
| F03C11 | Unspecified dementia, severe, with agitation |
| F03C18 | Unspecified dementia, severe, with other behavioral disturbance |
| F03C2 | Unspecified dementia, severe, with psychotic disturbance |
| F03C3 | Unspecified dementia, severe, with mood disturbance |
| F03C4 | Unspecified dementia, severe, with anxiety |
| F04 | Amnestic disorder due to known physiological condition |
| F05 | Delirium due to known physiological condition |
| F060 | Psychotic disorder with hallucinations due to known physiological condition |
| F061 | Catatonic disorder due to known physiological condition |
| F062 | Psychotic disorder with delusions due to known physiological condition |
| F0630 | Mood disorder due to known physiological condition, unspecified |
| F0631 | Mood disorder due to known physiological condition with depressive features |
| F0632 | Mood disorder due to known physiological condition with major depressive-like episode |
| F0633 | Mood disorder due to known physiological condition with manic features |
| F0634 | Mood disorder due to known physiological condition with mixed features |
| F064 | Anxiety disorder due to known physiological condition |
| F0670 | Mild neurocognitive disorder due to known physiological condition without behavioral disturbance |
| F0671 | Mild neurocognitive disorder due to known physiological condition with behavioral disturbance |
| F068 | Other specified mental disorders due to known physiological condition |
| F070 | Personality change due to known physiological condition |
| F079 | Unspecified personality and behavioral disorder due to known physiological condition |
| F09 | Unspecified mental disorder due to known physiological condition |
| F200 | Paranoid schizophrenia |
| F201 | Disorganized schizophrenia |
| F202 | Catatonic schizophrenia |
| F203 | Undifferentiated schizophrenia |
| F205 | Residual schizophrenia |
| F2081 | Schizophreniform disorder |
| F2089 | Other schizophrenia |
| F209 | Schizophrenia, unspecified |
| F21 | Schizotypal disorder |
| F22 | Delusional disorders |
| F23 | Brief psychotic disorder |
| F24 | Shared psychotic disorder |
| F250 | Schizoaffective disorder, bipolar type |
| F251 | Schizoaffective disorder, depressive type |
| F258 | Other schizoaffective disorders |
| F259 | Schizoaffective disorder, unspecified |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| F3010 | Manic episode without psychotic symptoms, unspecified |
| F3011 | Manic episode without psychotic symptoms, mild |
| F3012 | Manic episode without psychotic symptoms, moderate |
| F3013 | Manic episode, severe, without psychotic symptoms |
| F302 | Manic episode, severe with psychotic symptoms |
| F303 | Manic episode in partial remission |
| F304 | Manic episode in full remission |
| F308 | Other manic episodes |
| F309 | Manic episode, unspecified |
| F310 | Bipolar disorder, current episode hypomanic |
| F3110 | Bipolar disorder, current episode manic without psychotic features, unspecified |
| F3111 | Bipolar disorder, current episode manic without psychotic features, mild |
| F3112 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F3113 | Bipolar disorder, current episode manic without psychotic features, severe |
| F312 | Bipolar disorder, current episode manic severe with psychotic features |
| F3130 | Bipolar disorder, current episode depressed, mild or moderate severity, unspecified |
| F3131 | Bipolar disorder, current episode depressed, mild |
| F3132 | Bipolar disorder, current episode depressed, moderate |
| F314 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F315 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F3160 | Bipolar disorder, current episode mixed, unspecified |
| F3161 | Bipolar disorder, current episode mixed, mild |
| F3162 | Bipolar disorder, current episode mixed, moderate |
| F3163 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F3164 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F3170 | Bipolar disorder, currently in remission, most recent episode unspecified |
| F3171 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F3172 | Bipolar disorder, in full remission, most recent episode hypomanic |
| F3173 | Bipolar disorder, in partial remission, most recent episode manic |
| F3174 | Bipolar disorder, in full remission, most recent episode manic |
| F3175 | Bipolar disorder, in partial remission, most recent episode depressed |
| F3176 | Bipolar disorder, in full remission, most recent episode depressed |
| F3177 | Bipolar disorder, in partial remission, most recent episode mixed |
| F3178 | Bipolar disorder, in full remission, most recent episode mixed |
| F3181 | Bipolar II disorder |
| F3189 | Other bipolar disorder |
| F319 | Bipolar disorder, unspecified |
| F320 | Major depressive disorder, single episode, mild |
| F321 | Major depressive disorder, single episode, moderate |
| F322 | Major depressive disorder, single episode, severe without psychotic features |
| F323 | Major depressive disorder, single episode, severe with psychotic features |
| F324 | Major depressive disorder, single episode, in partial remission |
| F325 | Major depressive disorder, single episode, in full remission |
| F3281 | Premenstrual dysphoric disorder |
| F3289 | Other specified depressive episodes |
| F329 | Major depressive disorder, single episode, unspecified |
| F32A | Depression, unspecified |
| F330 | Major depressive disorder, recurrent, mild |
| F331 | Major depressive disorder, recurrent, moderate |
| F332 | Major depressive disorder, recurrent severe without psychotic features |
| F333 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F3340 | Major depressive disorder, recurrent, in remission, unspecified |
| F3341 | Major depressive disorder, recurrent, in partial remission |
| F3342 | Major depressive disorder, recurrent, in full remission |
| F338 | Other recurrent depressive disorders |
| F339 | Major depressive disorder, recurrent, unspecified |
| F340 | Cyclothymic disorder |
| F341 | Dysthymic disorder |
| F3481 | Disruptive mood dysregulation disorder |
| F3489 | Other specified persistent mood disorders |
| F349 | Persistent mood [affective] disorder, unspecified |
| F39 | Unspecified mood [affective] disorder |
| F4000 | Agoraphobia, unspecified |
| F4001 | Agoraphobia with panic disorder |
| F4002 | Agoraphobia without panic disorder |
| F4010 | Social phobia, unspecified |
| F4011 | Social phobia, generalized |
| F40210 | Arachnophobia |
| F40218 | Other animal type phobia |
| F40220 | Fear of thunderstorms |
| F40228 | Other natural environment type phobia |
| F40230 | Fear of blood |
| F40231 | Fear of injections and transfusions |
| F40232 | Fear of other medical care |
| F40233 | Fear of injury |
| F40240 | Claustrophobia |
| F40241 | Acrophobia |
| F40242 | Fear of bridges |
| F40243 | Fear of flying |
| F40248 | Other situational type phobia |
| F40290 | Androphobia |
| F40291 | Gynephobia |
| F40298 | Other specified phobia |
| F408 | Other phobic anxiety disorders |
| F409 | Phobic anxiety disorder, unspecified |
| F410 | Panic disorder [episodic paroxysmal anxiety] |
| F411 | Generalized anxiety disorder |
| F413 | Other mixed anxiety disorders |
| F418 | Other specified anxiety disorders |
| F419 | Anxiety disorder, unspecified |
| F422 | Mixed obsessional thoughts and acts |
| F423 | Hoarding disorder |
| F424 | Excoriation (skin-picking) disorder |
| F428 | Other obsessive-compulsive disorder |
| F429 | Obsessive-compulsive disorder, unspecified |
| F430 | Acute stress reaction |
| F4310 | Post-traumatic stress disorder, unspecified |
| F4311 | Post-traumatic stress disorder, acute |
| F4312 | Post-traumatic stress disorder, chronic |
| F4320 | Adjustment disorder, unspecified |
| F4321 | Adjustment disorder with depressed mood |
| F4322 | Adjustment disorder with anxiety |
| F4323 | Adjustment disorder with mixed anxiety and depressed mood |
| F4324 | Adjustment disorder with disturbance of conduct |
| F4325 | Adjustment disorder with mixed disturbance of emotions and conduct |
| F4329 | Adjustment disorder with other symptoms |
| F4381 | Prolonged grief disorder |
| F4389 | Other reactions to severe stress |
| F439 | Reaction to severe stress, unspecified |
| F440 | Dissociative amnesia |
| F441 | Dissociative fugue |
| F442 | Dissociative stupor |
| F444 | Conversion disorder with motor symptom or deficit |
| F445 | Conversion disorder with seizures or convulsions |
| F446 | Conversion disorder with sensory symptom or deficit |
| F447 | Conversion disorder with mixed symptom presentation |
| F4481 | Dissociative identity disorder |
| F4489 | Other dissociative and conversion disorders |
| F449 | Dissociative and conversion disorder, unspecified |
| F450 | Somatization disorder |
| F451 | Undifferentiated somatoform disorder |
| F4520 | Hypochondriacal disorder, unspecified |
| F4521 | Hypochondriasis |
| F4522 | Body dysmorphic disorder |
| F4529 | Other hypochondriacal disorders |
| F4541 | Pain disorder exclusively related to psychological factors |
| F4542 | Pain disorder with related psychological factors |
| F458 | Other somatoform disorders |
| F459 | Somatoform disorder, unspecified |
| F481 | Depersonalization-derealization syndrome |
| F488 | Other specified nonpsychotic mental disorders |
| F489 | Nonpsychotic mental disorder, unspecified |
| F5000 | Anorexia nervosa, unspecified |
| F5001 | Anorexia nervosa, restricting type |
| F5002 | Anorexia nervosa, binge eating/purging type |
| F502 | Bulimia nervosa |
| F5081 | Binge eating disorder |
| F5082 | Avoidant/restrictive food intake disorder |
| F5089 | Other specified eating disorder |
| F509 | Eating disorder, unspecified |
| F5101 | Primary insomnia |
| F5102 | Adjustment insomnia |
| F5103 | Paradoxical insomnia |
| F5104 | Psychophysiologic insomnia |
| F5105 | Insomnia due to other mental disorder |
| F5109 | Other insomnia not due to a substance or known physiological condition |
| F5111 | Primary hypersomnia |
| F5112 | Insufficient sleep syndrome |
| F5113 | Hypersomnia due to other mental disorder |
| F5119 | Other hypersomnia not due to a substance or known physiological condition |
| F513 | Sleepwalking [somnambulism] |
| F514 | Sleep terrors [night terrors] |
| F515 | Nightmare disorder |
| F518 | Other sleep disorders not due to a substance or known physiological condition |
| F519 | Sleep disorder not due to a substance or known physiological condition, unspecified |
| F520 | Hypoactive sexual desire disorder |
| F521 | Sexual aversion disorder |
| F5221 | Male erectile disorder |
| F5222 | Female sexual arousal disorder |
| F5231 | Female orgasmic disorder |
| F5232 | Male orgasmic disorder |
| F524 | Premature ejaculation |
| F526 | Dyspareunia not due to a substance or known physiological condition |
| F528 | Other sexual dysfunction not due to a substance or known physiological condition |
| F529 | Unspecified sexual dysfunction not due to a substance or known physiological condition |
| F530 | Postpartum depression |
| F531 | Puerperal psychosis |
| F54 | Psychological and behavioral factors associated with disorders or diseases classified elsewhere |
| F59 | Unspecified behavioral syndromes associated with physiological disturbances and physical factors |
| F600 | Paranoid personality disorder |
| F601 | Schizoid personality disorder |
| F602 | Antisocial personality disorder |
| F603 | Borderline personality disorder |
| F604 | Histrionic personality disorder |
| F605 | Obsessive-compulsive personality disorder |
| F606 | Avoidant personality disorder |
| F607 | Dependent personality disorder |
| F6081 | Narcissistic personality disorder |
| F6089 | Other specific personality disorders |
| F609 | Personality disorder, unspecified |
| F630 | Pathological gambling |
| F631 | Pyromania |
| F632 | Kleptomania |
| F633 | Trichotillomania |
| F6381 | Intermittent explosive disorder |
| F6389 | Other impulse disorders |
| F639 | Impulse disorder, unspecified |
| F640 | Transsexualism |
| F641 | Dual role transvestism |
| F642 | Gender identity disorder of childhood |
| F648 | Other gender identity disorders |
| F649 | Gender identity disorder, unspecified |
| F650 | Fetishism |
| F651 | Transvestic fetishism |
| F652 | Exhibitionism |
| F653 | Voyeurism |
| F654 | Pedophilia |
| F6550 | Sadomasochism, unspecified |
| F6551 | Sexual masochism |
| F6552 | Sexual sadism |
| F6581 | Frotteurism |
| F6589 | Other paraphilias |
| F659 | Paraphilia, unspecified |
| F66 | Other sexual disorders |
| F6810 | Factitious disorder imposed on self, unspecified |
| F6811 | Factitious disorder imposed on self, with predominantly psychological signs and symptoms |
| F6812 | Factitious disorder imposed on self, with predominantly physical signs and symptoms |
| F6813 | Factitious disorder imposed on self, with combined psychological and physical signs and symptoms |
| F688 | Other specified disorders of adult personality and behavior |
| F68A | Factitious disorder imposed on another |
| F69 | Unspecified disorder of adult personality and behavior |
| F70 | Mild intellectual disabilities |
| F71 | Moderate intellectual disabilities |
| F72 | Severe intellectual disabilities |
| F73 | Profound intellectual disabilities |
| F78A1 | SYNGAP1-related intellectual disability |
| F78A9 | Other genetic related intellectual disability |
| F79 | Unspecified intellectual disabilities |
| F800 | Phonological disorder |
| F801 | Expressive language disorder |
| F802 | Mixed receptive-expressive language disorder |
| F804 | Speech and language development delay due to hearing loss |
| F8082 | Social pragmatic communication disorder |
| F8089 | Other developmental disorders of speech and language |
| F809 | Developmental disorder of speech and language, unspecified |
| F810 | Specific reading disorder |
| F812 | Mathematics disorder |
| F8181 | Disorder of written expression |
| F8189 | Other developmental disorders of scholastic skills |
| F819 | Developmental disorder of scholastic skills, unspecified |
| F82 | Specific developmental disorder of motor function |
| F840 | Autistic disorder |
| F843 | Other childhood disintegrative disorder |
| F845 | Asperger's syndrome |
| F848 | Other pervasive developmental disorders |
| F849 | Pervasive developmental disorder, unspecified |
| F88 | Other disorders of psychological development |
| F89 | Unspecified disorder of psychological development |
| F900 | Attention-deficit hyperactivity disorder, predominantly inattentive type |
| F901 | Attention-deficit hyperactivity disorder, predominantly hyperactive type |
| F902 | Attention-deficit hyperactivity disorder, combined type |
| F908 | Attention-deficit hyperactivity disorder, other type |
| F909 | Attention-deficit hyperactivity disorder, unspecified type |
| F910 | Conduct disorder confined to family context |
| F911 | Conduct disorder, childhood-onset type |
| F912 | Conduct disorder, adolescent-onset type |
| F913 | Oppositional defiant disorder |
| F918 | Other conduct disorders |
| F919 | Conduct disorder, unspecified |
| F930 | Separation anxiety disorder of childhood |
| F938 | Other childhood emotional disorders |
| F939 | Childhood emotional disorder, unspecified |
| F940 | Selective mutism |
| F941 | Reactive attachment disorder of childhood |
| F942 | Disinhibited attachment disorder of childhood |
| F948 | Other childhood disorders of social functioning |
| F949 | Childhood disorder of social functioning, unspecified |
| F980 | Enuresis not due to a substance or known physiological condition |
| F981 | Encopresis not due to a substance or known physiological condition |
| F9821 | Rumination disorder of infancy |
| F9829 | Other feeding disorders of infancy and early childhood |
| F983 | Pica of infancy and childhood |
| F984 | Stereotyped movement disorders |
| F985 | Adult onset fluency disorder |
| F988 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F989 | Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence |
| F99 | Mental disorder, not otherwise specified |
| G4700 | Insomnia, unspecified |
| G4701 | Insomnia due to medical condition |
| G4709 | Other insomnia |
| G4710 | Hypersomnia, unspecified |
| G4711 | Idiopathic hypersomnia with long sleep time |
| G4712 | Idiopathic hypersomnia without long sleep time |
| G4713 | Recurrent hypersomnia |
| G4714 | Hypersomnia due to medical condition |
| G4719 | Other hypersomnia |
| G479 | Sleep disorder, unspecified |
| H9325 | Central auditory processing disorder |
| Q900 | Trisomy 21, nonmosaicism (meiotic nondisjunction) |
| Q901 | Trisomy 21, mosaicism (mitotic nondisjunction) |
| Q902 | Trisomy 21, translocation |
| Q909 | Down syndrome, unspecified |
| Q910 | Trisomy 18, nonmosaicism (meiotic nondisjunction) |
| Q911 | Trisomy 18, mosaicism (mitotic nondisjunction) |
| Q912 | Trisomy 18, translocation |
| Q913 | Trisomy 18, unspecified |
| Q914 | Trisomy 13, nonmosaicism (meiotic nondisjunction) |
| Q915 | Trisomy 13, mosaicism (mitotic nondisjunction) |
| Q916 | Trisomy 13, translocation |
| Q917 | Trisomy 13, unspecified |
| Q933 | Deletion of short arm of chromosome 4 |
| Q934 | Deletion of short arm of chromosome 5 |
| Q9351 | Angelman syndrome |
| Q9359 | Other deletions of part of a chromosome |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |