Md. Code Regs. 10.67.08.02

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.67.08.02 - Behavioral Health Non-Capitated Covered Services

A. An MCO is not responsible for reimbursing for the following substance use disorder services, regardless of diagnosis:

(1) Services delivered by a community-based provider as described in COMAR 10.09.80 with the following procedure codes:

H0001	Alcohol/drug assessment
H0004	Alcohol/drug individual counseling and therapy
H0005	Alcohol/drug group counseling
H0014	Alcohol and/or drug services; ambulatory detoxification
H0015	Alcohol and/or drug services; intensive outpatient
H0016	Alcohol and/or drug services; buprenorphine induction
H0020	Alcohol and/or drug services; methadone administration and/or service
H0024	Group peer recovery support services
H0038	Individual peer recovery support services
H0047	Alcohol and/or drug services; buprenorphine administration and/or service
H2036	Alcohol and/or drug services; partial hospitalization
J8499	Prescription drug, oral, non-chemotherapeutic; buprenorphine
J0571	Buprenorphine, oral, 1 mg
J0572	Buprenorphine/naloxone, oral, less than or equal to 3 mg of buprenorphine
J0573	Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine
Q9991	Injection, Buprenorphine extended-release, less than or equal to 100 mg
Q9992	Injection, Buprenorphine extended-release, greater than 100 mg

(2) Substance use disorder services provided to children in an ICF-A with the revenue code 0100, Residential Services, child and adolescent.

B. An MCO is not responsible for reimbursing for the following services performed by free-standing laboratories, regardless of diagnosis:

(1) Presumptive drug tests; and

(2) Definitive drug tests.

C. An MCO is not responsible for reimbursing for the laboratory services described in §B of this regulation unless billed by a:

(1) Primary care provider; or

(2) Other somatic care provider.

D. An MCO is not responsible for reimbursing for the following substance use disorder services if the MCO is billed with a primary diagnosis listed in §M of this regulation:

(1) Services delivered by an inpatient hospital with the following revenue codes:

0114	Room and Board, Private Bed, Psychiatric
0116	Room and Board, Private Bed, Detoxification
0124	Room and Board, Semi-Private Bed, Psychiatric
0126	Room and Board, Semi-Private Bed, Detoxification
0134	Room and Board, 3-4 Beds, Psychiatric
0136	Room and Board, 3-4 Beds, Detoxification
0154	Room and Board, Ward, Psychiatric
0156	Room and Board, Ward, Detoxification
0169	Administrative Days
0762	Room and Board, Observation Room

(2) Services delivered by an outpatient hospital with the following revenue codes:

0900	Behavioral Health Treatments/Services-General Classification
0905	Intensive Outpatient Services-Psychiatric
0906	Intensive Outpatient Services-Chemical Dependency
0911	Behavioral Health-Rehabilitation
0912	Partial Hospitalization-Less Intensive
0913	Partial Hospitalization-Intensive
0914	Behavioral Health-Individual Therapy
0915	Behavioral Health-Group Therapy
0916	Behavioral Health-Family Therapy
0918	Behavioral Health-Testing
0919	Behavioral Health-Other
0944	Drug rehabilitation
0945	Alcohol rehabilitation

(3) Services delivered by an emergency department with the following revenue codes:

0450	General classification
0451	EMTALA
0452	ER Beyond EMTALA
0456	Urgent Care
0459	Other Emergency Room

E. An MCO is not responsible for reimbursing for mental health services with a primary diagnosis listed in §N of this regulation when the services are provided by a hospital and the services are the result of the treatment of mental health diagnosis.

F. An MCO shall be responsible for reimbursing for behavioral health services delivered by the participant's primary care provider.

G. An MCO shall be responsible for reimbursing for somatic services related to gender identity disorder, including gender reassignment surgery.

H. An MCO is not responsible for reimbursing the behavioral poisoning diagnoses listed in §P of this regulation in an emergency department setting.

I. An MCO is not responsible for services billed by specialty mental health providers listed in COMAR 10.09.59 when the bill includes the specialty behavioral health diagnoses listed in §MorN in the primary diagnosis field.

J. An MCO is not responsible for reimbursement of behavioral health crisis services as described in COMAR 10.09.16.

K. An MCO is not responsible for behavioral health medications.

L. An MCO is not responsible for reimbursing for services billed by a physician related to prescribing buprenorphine or Vivitrol when the following conditions are met:

(1) The physician delivering buprenorphine has a DATA 2000 waiver;

(2) The physician is not the participant's primary care provider;

(3) The primary diagnosis is substance use disorder;

(4) The primary reason for the visit is substance use disorder treatment; and

(5) The procedure code listed on the claims is one of the following:

99201	Evaluation and Management, Minimal, new patient
99202	Evaluation and Management, Straight forward, new patient
99203	Evaluation and Management, Low complexity, new patient
99204	Evaluation and Management, Moderately complex, new patient
99205	Evaluation and Management, Highly complex, new patient
99211	Evaluation and Management, Minimal
99212	Evaluation and Management, Straight forward
99213	Evaluation and Management, Low complexity
99214	Evaluation and Management, Moderately complex
99215	Evaluation and Management, Highly complex
J8499	Prescription drug, oral, non-chemotherapeutic; buprenorphine
J2315	Vivitrol
J0571	Buprenorphine, oral, 1 mg
J0572	Buprenorphine/naloxone, oral, less than or equal to 3 mg of buprenorphine
J0573	Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine
Q9991	Injection, Buprenorphine extended-release, less than or equal to 100 mg
Q9992	Injection, Buprenorphine extended-release, greater than 100 mg
80305	Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) capable of being read by direct optical observation only (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service
80307	Drug test(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers (e.g., immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when performed, per date of service (when provider has appropriately licensed and has adequate instrumentation)

M. Table of substance use disorder diagnoses, for dates of service on or after October 1, 2015:

F1010	Alcohol abuse, uncomplicated
F1011	Alcohol abuse, in remission
F10120	Alcohol abuse with intoxication, uncomplicated
F10121	Alcohol abuse with intoxication delirium
F10129	Alcohol abuse with intoxication, unspecified
F10130	Alcohol abuse with withdrawal, uncomplicated
F10131	Alcohol abuse with withdrawal delirium
F10132	Alcohol abuse with withdrawal with perceptual disturbance
F10139	Alcohol abuse with withdrawal, unspecified
F1014	Alcohol abuse with alcohol-induced mood disorder
F10150	Alcohol abuse with alcohol-induced psychotic disorder with delusions
F10151	Alcohol abuse with alcohol-induced psychotic disorder with hallucinations
F10159	Alcohol abuse with alcohol-induced psychotic disorder, unspecified
F10180	Alcohol abuse with alcohol-induced anxiety disorder
F10181	Alcohol abuse with alcohol-induced sexual dysfunction
F10182	Alcohol abuse with alcohol-induced sleep disorder
F10188	Alcohol abuse with other alcohol-induced disorder
F1019	Alcohol abuse with unspecified alcohol-induced disorder
F1020	Alcohol dependence, uncomplicated
F1021	Alcohol dependence, in remission
F10220	Alcohol dependence with intoxication, uncomplicated
F10221	Alcohol dependence with intoxication delirium
F10229	Alcohol dependence with intoxication, unspecified
F10230	Alcohol dependence with withdrawal, uncomplicated
F10231	Alcohol dependence with withdrawal delirium
F10232	Alcohol dependence with withdrawal with perceptual disturbance
F10239	Alcohol dependence with withdrawal, unspecified
F1024	Alcohol dependence with alcohol-induced mood disorder
F10250	Alcohol dependence with alcoholinduced psychotic disorder with delusions
F10251	Alcohol dependence with alcoholinduced psychotic disorder with hallucinations
F10259	Alcohol dependence with alcoholinduced psychotic disorder, unspecified
F10280	Alcohol dependence with alcohol-induced anxiety disorder
F10281	Alcohol dependence with alcohol-induced sexual dysfunction
F10282	Alcohol dependence with alcohol-induced sleep disorder
F10288	Alcohol dependence with other alcohol-induced disorder
F1029	Alcohol dependence with unspecified alcohol-induced disorder
F1090	Alcohol use, unspecified, uncomplicated
F1091	Alcohol use, unspecified, in remission
F10920	Alcohol use, unspecified with intoxication, uncomplicated
F10921	Alcohol use, unspecified with intoxication delirium
F10929	Alcohol use, unspecified with intoxication, unspecified
F10930	Alcohol use, unspecified with withdrawal, uncomplicated
F10931	Alcohol use, unspecified with withdrawal delirium
F10932	Alcohol use, unspecified with withdrawal with perceptual disturbance
F10939	Alcohol use, unspecified with withdrawal, unspecified
F1094	Alcohol use, unspecified with alcohol-induced mood disorder
F10950	Alcohol use, unspecified with alcohol-induce psychotic disorder with delusions
F10951	Alcohol use, unspecified with alcohol-induce psychotic disorder with hallucinations
F10959	Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified
F10980	Alcohol use, unspecified with alcohol-induced anxiety disorder
F10981	Alcohol use, unspecified with alcohol-induced sexual dysfunction
F10982	Alcohol use, unspecified with alcohol-induced sleep disorder
F10988	Alcohol use, unspecified with other alcohol-induced disorder
F1099	Alcohol use, unspecified with unspecified alcohol-induced disorder
F1110	Opioid abuse, uncomplicated
F1111	Opioid abuse, in remission
F11120	Opioid abuse with intoxication, uncomplicated
F11121	Opioid abuse with intoxication delirium
F11122	Opioid abuse with intoxication with perceptual disturbance
F11129	Opioid abuse with intoxication, unspecified
F1113	Opioid abuse with withdrawal
F1114	Opioid abuse with opioid-induced mood disorder
F11150	Opioid abuse with opioid-induced psychotic disorder with delusions
F11151	Opioid abuse with opioid-induced psychotic disorder with hallucinations
F11159	Opioid abuse with opioid-induced psychotic disorder, unspecified
F11181	Opioid abuse with opioid-induced sexual dysfunction
F11182	Opioid abuse with opioid-induced sleep disorder
F11188	Opioid abuse with other opioid-induced disorder
F1119	Opioid abuse with unspecified opioid-induced disorder
F1120	Opioid dependence, uncomplicated
F1121	Opioid dependence, in remission
F11220	Opioid dependence with intoxication, uncomplicated
F11221	Opioid dependence with intoxication delirium
F11222	Opioid dependence with intoxication with perceptual disturbance
F11229	Opioid dependence with intoxication, unspecified
F1123	Opioid dependence with withdrawal
F1124	Opioid dependence with opioid-induced mood disorder
F11250	Opioid dependence with opioid-induced psychotic disorder with delusions
F11251	Opioid dependence with opioid-induced psychotic disorder with hallucinations
F11259	Opioid dependence with opioid-induced psychotic disorder, unspecified
F11281	Opioid dependence with opioid-induced sexual dysfunction
F11282	Opioid dependence with opioid-induced sleep disorder
F11288	Opioid dependence with other opioid-induced disorder
F1129	Opioid dependence with unspecified opioid-induced disorder
F1190	Opioid use, unspecified, uncomplicated
F1191	Opioid use, unspecified, in remission
F11920	Opioid use, unspecified with intoxication, uncomplicated
F11921	Opioid use, unspecified with intoxication delirium
F11922	Opioid use, unspecified with intoxication with perceptual disturbance
F11929	Opioid use, unspecified with intoxication, unspecified
F1193	Opioid use, unspecified with withdrawal
F1194	Opioid use, unspecified with opioid-induced mood disorder
F11950	Opioid use, unspecified with opioid-induced psychotic disorder with delusions
F11951	Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations
F11959	Opioid use, unspecified with opioid-induced psychotic disorder, unspecified
F11981	Opioid use, unspecified with opioid-induced sexual dysfunction
F11982	Opioid use, unspecified with opioid-induced sleep disorder
F11988	Opioid use, unspecified with other opioid-induced disorder
F1199	Opioid use, unspecified with unspecified opioid-induced disorder
F1210	Cannabis abuse, uncomplicated
F1211	Cannabis abuse, in remission
F12120	Cannabis abuse with intoxication, uncomplicated
F12121	Cannabis abuse with intoxication delirium
F12122	Cannabis abuse with intoxication with perceptual disturbance
F12129	Cannabis abuse with intoxication, unspecified
F1213	Cannabis abuse with withdrawal
F12150	Cannabis abuse with psychotic disorder with delusions
F12151	Cannabis abuse with psychotic disorder with hallucinations
F12159	Cannabis abuse with psychotic disorder, unspecified
F12180	Cannabis abuse with cannabis-induced anxiety disorder
F12188	Cannabis abuse with other cannabis-induced disorder
F1219	Cannabis abuse with unspecified cannabis-induced disorder
F1220	Cannabis dependence, uncomplicated
F1221	Cannabis dependence, in remission
F12220	Cannabis dependence with intoxication, uncomplicated
F12221	Cannabis dependence with intoxication delirium
F12222	Cannabis dependence with intoxication with perceptual disturbance
F12229	Cannabis dependence with intoxication, unspecified
F1223	Cannabis dependence with withdrawal
F12250	Cannabis dependence with psychotic disorder with delusions
F12251	Cannabis dependence with psychotic disorder with hallucinations
F12259	Cannabis dependence with psychotic disorder, unspecified
F12280	Cannabis dependence with cannabis-induced anxiety disorder
F12288	Cannabis dependence with other cannabis-induced disorder
F1229	Cannabis dependence with unspecified cannabis-induced disorder
F1290	Cannabis use, unspecified, uncomplicated
F1291	Cannabis use, unspecified, in remission
F12920	Cannabis use, unspecified with intoxication, uncomplicated
F12921	Cannabis use, unspecified with intoxication delirium
F12922	Cannabis use, unspecified with intoxication with perceptual disturbance
F12929	Cannabis use, unspecified with intoxication, unspecified
F1293	Cannabis use, unspecified with withdrawal
F12950	Cannabis use, unspecified with psychotic disorder with delusions
F12951	Cannabis use, unspecified with psychotic disorder with hallucinations
F12959	Cannabis use, unspecified with psychotic disorder, unspecified
F12980	Cannabis use, unspecified with anxiety disorder
F12988	Cannabis use, unspecified with other cannabis-induced disorder
F1299	Cannabis use, unspecified with unspecified cannabis-induced disorder
F1310	Sedative, hypnotic or anxiolytic abuse, uncomplicated
F1311	Sedative, hypnotic or anxiolytic abuse, in remission
F13120	Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated
F13121	Sedative, hypnotic or anxiolytic abuse with intoxication delirium
F13129	Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified
F13130	Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated
F13131	Sedative, hypnotic or anxiolytic abuse with withdrawal delirium
F13132	Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance
F13139	Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified
F1314	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder
F13150	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
F13151	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
F13159	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified
F13180	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder
F13181	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction
F13182	Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder
F13188	Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder
F1319	Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder
F1320	Sedative, hypnotic or anxiolytic dependence, uncomplicated
F1321	Sedative, hypnotic or anxiolytic dependence, in remission
F13220	Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated
F13221	Sedative, hypnotic or anxiolytic dependence with intoxication delirium
F13229	Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified
F13230	Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated
F13231	Sedative, hypnotic or anxiolytic dependence with withdrawal delirium
F13232	Sedative, hypnotic or anxiolytic dependence with withdrawal with perceptual disturbance
F13239	Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified
F1324	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder
F13250	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with delusions
F13251	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder with hallucinations
F13259	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified
F13280	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder
F13281	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction
F13282	Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
F13288	Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder
F1329	Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder
F1390	Sedative, hypnotic, or anxiolytic use, unspecified, uncomplicated
F1391	Sedative, hypnotic, or anxiolytic use, unspecified, in remission
F13920	Sedative, hypnotic, or anxiolytic use, unspecified with intoxication, uncomplicated
F13921	Sedative, hypnotic, or anxiolytic use, unspecified with intoxication delirium
F13929	Sedative, hypnotic, or anxiolytic use, unspecified with intoxication, unspecified
F13930	Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal, uncomplicated
F13931	Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal delirium
F13932	Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal with perceptual disturbances
F13939	Sedative, hypnotic, or anxiolytic use, unspecified with withdrawal, unspecified
F1394	Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced mood disorder
F13950	Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced psychotic disorder with delusions
F13951	Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced psychotic disorder with hallucinations
F13959	Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced psychotic disorder with, unspecified
F13980	Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced anxiety disorder
F13981	Sedative, hypnotic, or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced sexual dysfunction
F13982	Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic, or anxiolytic-induced sleep disorder
F13988	Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic, or anxiolytic-induced disorder
F1399	Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic, or anxiolytic-induced disorder
F1410	Cocaine abuse, uncomplicated
F14120	Cocaine abuse with intoxication, uncomplicated
F14121	Cocaine abuse with intoxication with delirium
F14122	Cocaine abuse with intoxication with perceptual disturbance
F14129	Cocaine abuse with intoxication, unspecified
F1413	Cocaine abuse, unspecified with withdrawal
F1414	Cocaine abuse with cocaine-induced mood disorder
F14150	Cocaine abuse with cocaine-induced psychotic disorder with delusions
F14151	Cocaine abuse with cocaine-induced psychotic disorder with hallucinations
F14159	Cocaine abuse with cocaine-induced psychotic disorder, unspecified
F14180	Cocaine abuse with cocaine-induced anxiety disorder
F14181	Cocaine abuse with cocaine-induced sexual dysfunction
F14182	Cocaine abuse with cocaine-induced sleep disorder
F14188	Cocaine abuse with other cocaine-induced disorder
F1419	Cocaine abuse with unspecified cocaine-induced disorder
F1420	Cocaine dependence, uncomplicated
F1421	Cocaine dependence, in remission
F14220	Cocaine dependence with intoxication, uncomplicated
F14221	Cocaine dependence with intoxication delirium
F14222	Cocaine dependence with intoxication with perceptual disturbance
F14229	Cocaine dependence with intoxication, unspecified
F1423	Cocaine dependence with withdrawal
F1424	Cocaine dependence with cocaine-induced mood disorder
F14250	Cocaine dependence with cocaine-induced psychotic disorder with delusions
F14251	Cocaine dependence with cocaine-induced psychotic disorder with hallucinations
F14259	Cocaine dependence with cocaine-induced psychotic disorder, unspecified
F14280	Cocaine dependence with cocaine-induced anxiety disorder
F14281	Cocaine dependence with cocaine-induced sexual dysfunction
F14282	Cocaine dependence with cocaine-induced sleep disorder
F14288	Cocaine dependence with other cocaine-induced disorder
F1429	Cocaine dependence with unspecified cocaine-induced disorder
F1490	Cocaine use, unspecified, uncomplicated
F1491	Cocaine use, unspecified, in remission
F14920	Cocaine use, unspecified with intoxication, uncomplicated
F14921	Cocaine use, unspecified with intoxication delirium
F14922	Cocaine use, unspecified with intoxication with perceptual disturbance
F14929	Cocaine use, unspecified with intoxication, unspecified
F1494	Cocaine use, unspecified with cocaine-induced mood disorder
F14950	Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions
F14951	Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations
F14959	Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified
F14980	Cocaine use, unspecified with cocaine-induced anxiety disorder
F14981	Cocaine use, unspecified with cocaine-induced sexual dysfunction
F14982	Cocaine use, unspecified with cocaine-induced sleep disorder
F14988	Cocaine use, unspecified with other cocaine-induced disorder
F1499	Cocaine use, unspecified with unspecified cocaine-induced disorder
F1510	Other stimulant abuse, uncomplicated
F15120	Other stimulant abuse with intoxication, uncomplicated
F15121	Other stimulant abuse with intoxication delirium
F15122	Other stimulant abuse with intoxication with perceptual disturbance
F15129	Other stimulant abuse with intoxication, unspecified
F19130	Other psychoactive substance abuse with withdrawal, uncomplicated
F19131	Other psychoactive substance abuse with withdrawal delirium
F19132	Other psychoactive substance abuse with withdrawal with perceptual disturbances
F19139	Other psychoactive substance abuse with withdrawal with perceptual disturbances
F1514	Other stimulant abuse with stimulant-induced mood disorder
F15150	Other stimulant abuse with stimulant-induced psychotic disorder with delusions
F15151	Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations
F15159	Other stimulant abuse with stimulant-induced psychotic disorder, unspecified
F15180	Other stimulant abuse with stimulant-induced anxiety disorder
F15181	Other stimulant abuse with stimulant-induced sexual dysfunction
F15182	Other stimulant abuse with stimulant-induced sleep disorder
F15188	Other stimulant abuse with other stimulant-induced disorder
F1519	Other stimulant abuse with unspecified stimulant-induced disorder
F1520	Other stimulant dependence, uncomplicated
F1521	Other stimulant dependence, in remission
F15220	Other stimulant dependence with intoxication, uncomplicated
F15221	Other stimulant dependence with intoxication delirium
F15222	Other stimulant dependence with intoxication with perceptual disturbance
F15229	Other stimulant dependence with intoxication, unspecified
F1523	Other stimulant dependence with withdrawal
F1524	Other stimulant dependence with stimulant-induced mood disorder
F15250	Other stimulant dependence with stimulant-induced psychotic disorder with delusions
F15251	Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations
F15259	Other stimulant dependence with stimulant-induced psychotic disorder, unspecified
F15280	Other stimulant dependence with stimulant-induced anxiety disorder
F15281	Other stimulant dependence with stimulant-induced sexual dysfunction
F15282	Other stimulant dependence with stimulant-induced sleep disorder
F15288	Other stimulant dependence with other stimulant-induced disorder
F1529	Other stimulant dependence with unspecified stimulant-induced disorder
F1590	Other stimulant use, unspecified, uncomplicated
F1591	Other stimulant use, unspecified, in remission
F15920	Other stimulant use, unspecified with intoxication, uncomplicated
F15921	Other stimulant use, unspecified with intoxication delirium
F15922	Other stimulant use, unspecified with intoxication with perceptual disturbance
F15929	Other stimulant use, unspecified with intoxication, unspecified
F1593	Other stimulant use, unspecified with withdrawal
F1594	Other stimulant use, unspecified with stimulant-induced mood disorder
F15950	Other stimulant use, unspecified with stimulant-induced psychotic disorder with delusions
F15951	Other stimulant use, unspecified with stimulant-induced psychotic disorder with hallucinations
F15959	Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified
F15980	Other stimulant use, unspecified with stimulant-induced anxiety disorder
F15981	Other stimulant use, unspecified with stimulant-induced sexual dysfunction
F15982	Other stimulant use, unspecified with stimulant-induced sleep disorder
F15988	Other stimulant use, unspecified with other stimulant-induced disorder
F1599	Other stimulant use, unspecified with unspecified stimulant-induced disorder
F1610	Hallucinogen abuse, uncomplicated
F16120	Hallucinogen abuse with intoxication, uncomplicated
F16121	Hallucinogen abuse with intoxication with delirium
F16122	Hallucinogen abuse with intoxication with perceptual disturbance
F16129	Hallucinogen abuse with intoxication, unspecified
F1614	Hallucinogen abuse with hallucinogen-induced mood disorder
F16150	Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions
F16151	Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations
F16159	Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified
F16180	Hallucinogen abuse with hallucinogen-induced anxiety disorder
F16183	Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks)
F16188	Hallucinogen abuse with other hallucinogen-induced disorder
F1619	Hallucinogen abuse with unspecified hallucinogen-induced disorder
F1620	Hallucinogen dependence, uncomplicated
F1621	Hallucinogen dependence, in remission
F16220	Hallucinogen dependence with intoxication, uncomplicated
F16221	Hallucinogen dependence with intoxication with delirium
F16229	Hallucinogen dependence with intoxication, unspecified
F1624	Hallucinogen dependence with hallucinogen-induced mood disorder
F16250	Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions
F16251	Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations
F16259	Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified
F16280	Hallucinogen dependence with hallucinogen-induced anxiety disorder
F16283	Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks)
F16288	Hallucinogen dependence with other hallucinogen-induced disorder
F1629	Hallucinogen dependence with unspecified hallucinogen-induced disorder
F1690	Hallucinogen use, unspecified, uncomplicated
F1691	Hallucinogen use, unspecified, in remission
F16920	Hallucinogen use, unspecified with intoxication, uncomplicated
F16921	Hallucinogen use, unspecified with intoxication with delirium
F16929	Hallucinogen use, unspecified with intoxication, unspecified
F1694	Hallucinogen use, unspecified with hallucinogen-induced mood disorder
F16950	Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions
F16951	Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations
F16959	Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified
F16980	Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder
F16983	Hallucinogen use, unspecified with hallucinogen persisting perception disorder (flashbacks)
F16988	Hallucinogen use, unspecified with other hallucinogen-induced disorder
F1699	Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder
F17200	Nicotine dependence, unspecified, uncomplicated
F17201	Nicotine dependence, unspecified, in remission
F17203	Nicotine dependence unspecified, with withdrawal
F17208	Nicotine dependence, unspecified, with other nicotine-induced disorders
F17209	Nicotine dependence, unspecified, with unspecified nicotine-induced disorders
F17210	Nicotine dependence, cigarettes, uncomplicated
F17211	Nicotine dependence, cigarettes, in remission
F17213	Nicotine dependence, cigarettes, with withdrawal
F17218	Nicotine dependence, cigarettes, with other nicotine-induced disorders
F17219	Nicotine dependence, cigarettes, with unspecified nicotine-induced 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, with other nicotine-induced disorders
F17229	Nicotine dependence, chewing tobacco, with unspecified nicotine-induced 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, other tobacco product, with other nicotine-induced disorders
F17299	Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders
F1810	Inhalant abuse, uncomplicated
F18120	Inhalant abuse with intoxication, uncomplicated
F18121	Inhalant abuse with intoxication delirium
F18129	Inhalant abuse with intoxication, unspecified
F1814	Inhalant abuse with inhalant-induced mood disorder
F18150	Inhalant abuse with inhalant-induced psychotic disorder with delusions
F18151	Inhalant abuse with inhalant-induced psychotic disorder with hallucinations
F18159	Inhalant abuse with inhalant-induced psychotic disorder, unspecified
F1817	Inhalant abuse with inhalant-induced dementia
F18180	Inhalant abuse with inhalant-induced anxiety disorder
F18188	Inhalant abuse with other inhalant-induced disorder
F1819	Inhalant abuse with unspecified inhalant-induced disorder
F1820	Inhalant dependence, uncomplicated
F1821	Inhalant dependence, in remission
F18220	Inhalant dependence with intoxication, uncomplicated
F18221	Inhalant dependence with intoxication delirium
F18229	Inhalant dependence with intoxication, unspecified
F1824	Inhalant dependence with inhalant-induced mood disorder
F18250	Inhalant dependence with inhalant-induced psychotic disorder with delusions
F18251	Inhalant dependence with inhalant-induced psychotic disorder with hallucinations
F18259	Inhalant dependence with inhalant-induced psychotic disorder, unspecified
F1827	Inhalant dependence with inhalant-induced dementia
F18280	Inhalant dependence with inhalant-induced anxiety disorder
F18288	Inhalant dependence with other inhalant-induced disorder
F1829	Inhalant dependence with unspecified inhalant-induced disorder
F1890	Inhalant use, unspecified, uncomplicated
F1891	Inhalant use, unspecified, in remission
F18920	Inhalant use, unspecified with intoxication, uncomplicated
F18921	Inhalant use, unspecified with intoxication with delirium
F18929	Inhalant use, unspecified with intoxication, unspecified
F1894	Inhalant use, unspecified with inhalant-induced mood disorder
F18950	Inhalant use, unspecified with inhalant-induced psychotic disorder with delusions
F18951	Inhalant use, unspecified with inhalant-induced psychotic disorder with hallucinations
F18959	Inhalant use, unspecified with inhalant-induced psychotic disorder, unspecified
F18980	Inhalant use, unspecified with inhalant-induced anxiety disorder
F18988	Inhalant use, unspecified with other inhalant-induced disorder
F1899	Inhalant use, unspecified with unspecified inhalant-induced disorder
F1910	Other psychoactive substance abuse, uncomplicated
F19120	Other psychoactive substance abuse with intoxication, uncomplicated
F19121	Other psychoactive substance abuse with intoxication delirium
F19122	Other psychoactive substance abuse with intoxication with perceptual disturbances
F19129	Other psychoactive substance abuse with intoxication, unspecified
F1914	Other psychoactive substance abuse with psychoactive substance-induced mood disorder
F19150	Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions
F19151	Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations
F19159	Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified
F19180	Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder
F19181	Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction
F19182	Other psychoactive substance abuse with psychoactive substance-induced sleep disorder
F19188	Other psychoactive substance abuse with other psychoactive substance-induced disorder
F1919	Other psychoactive substance abuse with unspecified substance-induced disorder
F1920	Other psychoactive substance dependence, uncomplicated
F1921	Other psychoactive substance dependence, in remission
F19220	Other psychoactive substance dependence with intoxication, uncomplicated
F19221	Other psychoactive substance dependence with intoxication delirium
F19222	Other psychoactive substance dependence with intoxication with perceptual disturbance
F19229	Other psychoactive substance dependence with intoxication, unspecified
F19230	Other psychoactive substance dependence with withdrawal, uncomplicated
F19231	Other psychoactive substance dependence with withdrawal delirium
F19232	Other psychoactive substance dependence with withdrawal with perceptual disturbance
F19239	Other psychoactive substance dependence with withdrawal, unspecified
F1924	Other psychoactive substance dependence with psychoactive substance-induced mood disorder
F19250	Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions
F19251	Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations
F19259	Other psychoactive substance dependence with substance-induced psychotic disorder, unspecified
F19280	Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder
F19281	Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction
F19282	Other psychoactive substance dependence with psychoactive substance-induced sleep disorder
F19288	Other psychoactive substance dependence with other psychoactive substance-induced disorder
F1929	Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder
F1990	Other psychoactive substance use, unspecified, uncomplicated
F1991	Other psychoactive substance use, unspecified, in remission
F19920	Other psychoactive substance use, unspecified with intoxication, uncomplicated
F19921	Other psychoactive substance use, unspecified with intoxication with delirium
F19922	Other psychoactive substance use, unspecified with intoxication with perceptual disturbance
F19929	Other psychoactive substance use, unspecified with intoxication, unspecified
F19930	Other psychoactive substance use, unspecified with withdrawal, uncomplicated
F19931	Other psychoactive substance use, unspecified with withdrawal delirium
F19932	Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance
F19939	Other psychoactive substance use, unspecified with withdrawal, unspecified
F1994	Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder
F19950	Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions
F19951	Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations
F19959	Other psychoactive substance use, unspecified with psychoactive disorder, unspecified
F19980	Other psychoactive substance use, unspecified with anxiety disorder
F19981	Other psychoactive substance use, unspecified with sexual dysfunction
F19982	Other psychoactive substance use, unspecified with sleep disorder
F19988	Other psychoactive substance use, unspecified with other disorder
F1999	Other psychoactive substance use, unspecified with unspecified disorder
O99310	Alcohol use complicating pregnancy, unspecified trimester
O99311	Alcohol use complicating pregnancy, first trimester
O99312	Alcohol use complicating pregnancy, second trimester
O99313	Alcohol use complicating pregnancy, third trimester
O99314	Alcohol use complicating childbirth
O99315	Alcohol use complicating the puerperium
O99320	Drug use complicating pregnancy, unspecified trimester
O99321	Drug use complicating pregnancy, first trimester
O99322	Drug use complicating pregnancy, second trimester
O99323	Drug use complicating pregnancy, third trimester
O99324	Drug use complicating childbirth
O99325	Drug use complicating the puerperium
R780	Finding of alcohol in blood
R781	Finding of opiate drug in blood
R782	Finding of cocaine in blood
R783	Finding of hallucinogen in blood
R784	Finding of other drugs of addictive potential in blood
R785	Finding of other psychotropic drug in blood

N. Table of mental health diagnoses, for dates of service on or after October 1, 2015:

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, mod
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
F32A	Depression, 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
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 without agoraphobia
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
F446	Conversion disorder with sensory symptom or deficit
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
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
F53	Mental and behavioral disorders associated with the puerperium, not elsewhere classified
F530	Postpartum depression
F531	Puerperal psychosis
F54	Psychological and behavioral factors associated with disorders or diseases classified elsewhere
F600	Paranoid personality disorder
F601	Schizoid 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	Gender identity disorder in adolescence and adulthood
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
F6811	Factitious disorder with predominantly psychological signs and symptoms
F6813	Factitious disorder 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
F843	Other childhood disintegrative disorder
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
F984	Stereotyped movement disorders
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
G2111	Neuroleptic induced parkinsonism
G2402	Drug induced acute dystonia
G2589	Other specified extrapyramidal and movement disorders
G259	Extrapyramidal and movement disorder, unspecified
O99340	Other mental disorders complicating pregnancy, unspecified trimester
O99341	Other mental disorders complicating pregnancy, first trimester
O99342	Other mental disorders complicating pregnancy, second trimester
O99343	Other mental disorders complicating pregnancy, third trimester
O99344	Other mental disorders complicating childbirth
O99345	Other mental disorders complicating the puerperium
R457	State of emotional shock and stress, unspecified
R45850	Homicidal ideations
R45851	Suicidal ideations
T1491XA	Suicide attempt, initial
Z046	Encounter for general psychiatric examination requested by the authority

O. An MCO is not responsible for services billed by a psychiatrist when the claim includes one of the following primary diagnoses:

G24.4	Orofacial dyskinesia
G25.1	Drug-induced tremor
G21.0	Neuroleptic malignant syndrome

P. Table of poisoning diagnoses, for dates of service on or after July 1, 2016:

T360X2A	Poisoning by penicillins, intentional self-harm
T361X2A	Poisoning by cephalosporins and other beta-lactam antibiotics, intentional self-harm
T362X2A	Poisoning by chloramphenicol group, intentional self-harm
T363X2A	Poisoning by macrolides, intentional self-harm
T364X2A	Poisoning by tetracyclines, intentional self-harm
T365X2A	Poisoning by aminoglycosides, intentional self-harm
T366X2A	Poisoning by rifampicins, intentional self-harm
T367X2A	Poisoning by antifungal antibiotics, systemically used, intentional self-harm
T368X2A	Poisoning by other systemic antibiotics, intentional self-harm
T369X2A	Poisoning by unspecified systemic antibiotic, intentional self-harm
T370X2A	Poisoning by sulfonamides, intentional self-harm
T371X2A	Poisoning by antimycobacterial drugs, intentional self-harm
T372X2A	Poisoning by antimalarials and drugs acting on other blood protozoa, intentional self-harm
T373X2A	Poisoning by other antiprotozoal drugs, intentional self-harm
T374X2A	Poisoning by anthelminthics, intentional self-harm
T375X2A	Poisoning by antiviral drugs, intentional self-harm
T378X2A	Poisoning by other specified systemic anti-infectives and antiparasitics, intentional self-harm
T3792XA	Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self-harm
T380X2A	Poisoning by glucocorticoids and synthetic analogues, intentional self-harm
T381X2A	Poisoning by thyroid hormones and substitutes, intentional self-harm
T382X2A	Poisoning by antithyroid drugs, intentional self-harm
T383X2A	Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm
T384X2A	Poisoning by oral contraceptives, intentional self-harm
T385X2A	Poisoning by other estrogens and progestogens, intentional self-harm
T386X2A	Poisoning by antigonadotrophins, antiestrogens, antiandrogens, not elsewhere classified, intentional self-harm
T387X2A	Poisoning by androgens and anabolic congeners, intentional self-harm
T38802A	Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm
T38812A	Poisoning by anterior pituitary [adenohypophyseal] hormones, intentional self-harm
T38892A	Poisoning by other hormones and synthetic substitutes, intentional self-harm
T38902A	Poisoning by unspecified hormone antagonists, intentional self-harm
T38992A	Poisoning by other hormone antagonists, intentional self-harm
T39012A	Poisoning by aspirin, intentional self-harm
T39092A	Poisoning by salicylates, intentional self-harm
T391X2A	Poisoning by 4-Aminophenol derivatives, intentional self-harm
T392X2A	Poisoning by pyrazolone derivatives, intentional self-harm
T39312A	Poisoning by propionic acid derivatives, intentional self-harm
T39392A	Poisoning by other nonsteroidal anti-inflammatory drugs [NSAID], intentional self-harm
T394X2A	Poisoning by antirheumatics, not elsewhere classified, intentional self-harm
T398X2A	Poisoning by other nonopioid analgesics and antipyretics, not elsewhere classified, intentional self-harm
T3992XA	Poisoning by unspecified nonopioid analgesic, antipyretic and antirheumatic, intentional self-harm
T400X1A	Poisoning by opium, accidental (unintentional), initial encounter
T400X2A	Poisoning by opium, intentional self-harm
T401X1A	Poisoning by heroin, accidental (unintentional), initial encounter
T401X2A	Poisoning by heroin, intentional self-harm
T402X1A	Poisoning by other opioids, accidental (unintentional), initial encounter
T402X2A	Poisoning by other opioids, intentional self-harm
T403X1A	Poisoning by methadone, accidental (unintentional), initial encounter
T403X2A	Poisoning by methadone, intentional self-harm
T40411A	Poisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter
T40412A	Poisoning by fentanyl or fentanyl analogs, self-harm, initial encounter
T40421A	Poisoning by tramadol, accidental (unintentional), initial encounter
T40422A	Poisoning by tramadol, self-harm, initial encounter
T40491A	Poisoning by other synthetic narcotics, accidental (unintentional), initial encounter
T40492A	Poisoning by other synthetic narcotics, self-harm, initial encounter
T405X1A	Poisoning by cocaine, accidental (unintentional), initial encounter
T405X2A	Poisoning by cocaine, intentional self-harm, initial encounter
T40601A	Poisoning by unspecified narcotics, accidental (unintentional), initial encounter
T40602A	Poisoning by unspecified narcotics, intentional selfharm, initial encounter
T40691A	Poisoning by unspecified narcotics, accidental (unintentional), initial encounter
T40692A	Poisoning by other narcotics, intentional self-harm
T40711A	Poisoning by cannabis, accidental (unintentional), initial encounter
T40712A	Poisoning by cannabis, intentional self-harm, initial encounter
T40721A	Poisoning by synthetic cannabis, accidental (unintentional), initial encounter
T40722A	Poisoning by synthetic cannabis, intentional self-harm, initial encounter
T407X1A	Poisoning by cannabis (derivates), accidental (unintentional), initial encounter
T407X2A	Poisoning by cannabis (derivatives), intentional self-harm
T408X1A	Poisoning by lysergide [LSD], accidental (unintentional), initial encounter
T408X2A	Poisoning by lysergide [LSD], intentional self-harm
T40901A	Poisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), initial encounter
T40902A	Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm
T40991A	Poisoning by other psychodysleptics [hallucinogens], accidental (unintentional), initial encounter
T40992A	Poisoning by other psychodysleptics [hallucinogens], intentional self-harm
T410X2A	Poisoning by inhaled anesthetics, intentional self-harm
T411X2A	Poisoning by intravenous anesthetics, intentional self-harm
T41202A	Poisoning by unspecified general anesthetics, intentional self-harm
T41292A	Poisoning by other general anesthetics, intentional self-harm
T413X2A	Poisoning by local anesthetics, intentional self-harm
T4142XA	Poisoning by unspecified anesthetic, intentional self-harm
T415X2A	Poisoning by therapeutic gases, intentional self-harm
T420X2A	Poisoning by hydantoin derivatives, intentional self-harm
T421X2A	Poisoning by iminostilbenes, intentional self-harm
T422X2A	Poisoning by succinimides and oxazolidinediones, intentional self-harm
T423X1A	Poisoning by barbiturates, accidental (unintentional), initial encounter
T423X2A	Poisoning by barbiturates, intentional self-harm
T424X1A	Poisoning by benzodiazepines, accidental (unintentional), initial encounter
T424X2A	Poisoning by benzodiazepines, intentional self-harm
T425X2A	Poisoning by mixed antiepileptics, intentional self-harm
T426X2A	Poisoning by other antiepileptic and sedative-hypnotic drugs, intentional self-harm
T4272XA	Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, intentional self-harm
T428X2A	Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, intentional self-harm
T43012A	Poisoning by tricyclic antidepressants, intentional self-harm
T43022A	Poisoning by tetracyclic antidepressants, intentional self-harm
T431X2A	Poisoning by monoamine-oxidase-inhibitor antidepressants, intentional self-harm
T43202A	Poisoning by unspecified antidepressants, intentional self-harm
T43212A	Poisoning by selective serotonin and norepinephrine reuptake inhibitors, intentional self-harm
T43222A	Poisoning by selective serotonin reuptake inhibitors, intentional self-harm
T43292A	Poisoning by other antidepressants, intentional self-harm
T433X2A	Poisoning by phenothiazine antipsychotics and neuroleptics, intentional self-harm
T434X2A	Poisoning by butyrophenone and thiothixene neuroleptics, intentional self-harm
T43502A	Poisoning by unspecified antipsychotics and neuroleptics, intentional self-harm
T43592A	Poisoning by other antipsychotics and neuroleptics, intentional self-harm
T43601A	Poisoning by unspecified psychostimulants, accidental (unintentional), initial encounter
T43602A	Poisoning by unspecified psychostimulants, intentional self-harm
T43612A	Poisoning by caffeine, intentional self-harm
T43621A	Poisoning by amphetamines, accidental (unintentional), initial encounter
T43622A	Poisoning by amphetamines, intentional self-harm
T43631A	Poisoning by methylphenidate, accidental (unintentional), initial encounter
T43632A	Poisoning by methylphenidate, intentional self-harm
T43641A	Poisoning by ecstasy, accidental (unintentional), initial encounter
T43651A	Poisoning my methamphetamines, accidental (unintentional), initial encounter
T43652A	Poisoning by methamphetamines, intentional self-harm, intentional encounter
T43692A	Poisoning by other psychostimulants, intentional self-harm
T438X2A	Poisoning by other psychotropic drugs, intentional self-harm
T4392XA	Poisoning by unspecified psychotropic drug, intentional self-harm
T440X2A	Poisoning by anticholinesterase agents, intentional self-harm
T441X2A	Poisoning by other parasympathomimetics [cholinergics], intentional self-harm
T442X2A	Poisoning by ganglionic blocking drugs, intentional self-harm
T443X2A	Poisoning by other parasympatholytics [anticholinergics and antimuscarinics] and spasmolytics, intentional self-harm
T444X2A	Poisoning by predominantly alpha-adrenoreceptor agonists, intentional self-harm
T445X2A	Poisoning by predominantly beta-adrenoreceptor agonists, intentional self-harm
T446X2A	Poisoning by alpha-adrenoreceptor antagonists, intentional self-harm
T447X2A	Poisoning by beta-adrenoreceptor antagonists, intentional self-harm
T448X2A	Poisoning by centrally-acting and adrenergic-neuron-blocking agents, intentional self-harm
T44902A	Poisoning by unspecified drugs primarily affecting the autonomic nervous system, intentional self-harm
T44992A	Poisoning by other drug primarily affecting the autonomic nervous system, intentional self-harm
T450X2A	Poisoning by antiallergic and antiemetic drugs, intentional self-harm
T451X2A	Poisoning by antineoplastic and immunosuppressive drugs, intentional self-harm
T452X2A	Poisoning by vitamins, intentional self-harm
T453X2A	Poisoning by enzymes, intentional self-harm
T454X2A	Poisoning by iron and its compounds, intentional self-harm
T45512A	Poisoning by anticoagulants, intentional self-harm
T45522A	Poisoning by antithrombotic drugs, intentional self-harm
T45602A	Poisoning by unspecified fibrinolysis-affecting drugs, intentional self-harm
T45612A	Poisoning by thrombolytic drug, intentional self-harm
T45622A	Poisoning by hemostatic drug, intentional self-harm
T45692A	Poisoning by other fibrinolysis-affecting drugs, intentional self-harm
T457X2A	Poisoning by anticoagulant antagonists, vitamin K and other coagulants, intentional self-harm
T458X2A	Poisoning by other primarily systemic and hematological agents, intentional self-harm
T4592XA	Poisoning by unspecified primarily systemic and hematological agent, intentional self-harm
T460X2A	Poisoning by cardiac-stimulant glycosides and drugs of similar action, intentional self-harm
T461X2A	Poisoning by calcium-channel blockers, intentional self-harm
T462X2A	Poisoning by other antidysrhythmic drugs, intentional self-harm
T463X2A	Poisoning by coronary vasodilators, intentional self-harm
T464X2A	Poisoning by angiotensin-converting-enzyme inhibitors, intentional self-harm
T465X2A	Poisoning by other antihypertensive drugs, intentional self-harm
T466X2A	Poisoning by antihyperlipidemic and antiarteriosclerotic drugs, intentional self-harm
T467X2A	Poisoning by peripheral vasodilators, intentional self-harm
T468X2A	Poisoning by antivaricose drugs, including sclerosing agents, intentional self-harm
T46902A	Poisoning by unspecified agents primarily affecting the cardiovascular system, intentional self-harm
T46992A	Poisoning by other agents primarily affecting the cardiovascular system, intentional self-harm
T470X2A	Poisoning by histamine H2-receptor blockers, intentional self-harm
T471X2A	Poisoning by other antacids and anti-gastric-secretion drugs, intentional self-harm
T472X2A	Poisoning by stimulant laxatives, intentional self-harm
T473X2A	Poisoning by saline and osmotic laxatives, intentional self-harm
T474X2A	Poisoning by other laxatives, intentional self-harm
T475X2A	Poisoning by digestants, intentional self-harm
T476X2A	Poisoning by antidiarrheal drugs, intentional self-harm
T477X2A	Poisoning by emetics, intentional self-harm
T478X2A	Poisoning by other agents primarily affecting gastrointestinal system, intentional self-harm
T4792XA	Poisoning by unspecified agents primarily affecting the gastrointestinal system, intentional self-harm
T480X2A	Poisoning by oxytocic drugs, intentional self-harm
T481X2A	Poisoning by skeletal muscle relaxants [neuromuscular blocking agents], intentional self-harm
T48202A	Poisoning by unspecified drugs acting on muscles, intentional self-harm
T48292A	Poisoning by other drugs acting on muscles, intentional self-harm
T483X2A	Poisoning by antitussives, intentional self-harm
T484X2A	Poisoning by expectorants, intentional self-harm
T485X2A	Poisoning by other anti-common-cold drugs, intentional self-harm
T486X2A	Poisoning by antiasthmatics, intentional self-harm
T48902A	Poisoning by unspecified agents primarily acting on the respiratory system, intentional self-harm
T48992A	Poisoning by other agents primarily acting on the respiratory system, intentional self-harm
T490X2A	Poisoning by local antifungal, anti-infective and anti-inflammatory drugs, intentional self-harm
T491X2A	Poisoning by antipruritics, intentional self-harm
T492X2A	Poisoning by local astringents and local detergents, intentional self-harm
T493X2A	Poisoning by emollients, demulcents and protectants, intentional self-harm
T494X2A	Poisoning by keratolytics, keratoplastics, and other hair treatment drugs and preparations, intentional self-harm
T495X2A	Poisoning by ophthalmological drugs and preparations, intentional self-harm
T496X2A	Poisoning by otorhinolaryngological drugs and preparations, intentional self-harm
T497X2A	Poisoning by dental drugs, topically applied, intentional self-harm
T498X2A	Poisoning by other topical agents, intentional self-harm
T4992XA	Poisoning by unspecified topical agent, intentional self-harm
T500X2A	Poisoning by mineralocorticoids and their antagonists, intentional self-harm
T501X2A	Poisoning by loop [high-ceiling] diuretics, intentional self-harm
T502X2A	Poisoning by carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, intentional self-harm
T503X2A	Poisoning by electrolytic, caloric and water-balance agents, intentional self-harm
T504X2A	Poisoning by drugs affecting uric acid metabolism, intentional self-harm
T505X2A	Poisoning by appetite depressants, intentional self-harm
T506X2A	Poisoning by antidotes and chelating agents, intentional self-harm
T507X1A	Poisoning by analeptics and opioid receptor antagonists, accidental (unintentional), initial encounter
T507X2A	Poisoning by analeptics and opioid receptor antagonists, intentional self-harm
T508X2A	Poisoning by diagnostic agents, intentional self-harm
T50902A	Poisoning by unspecified drugs, medicaments and biological substances, intentional self-harm
T50912A	Poisoning by multiple unspecified drugs, medications and biological substances, intentional self-harm, initial selfharm, initial encounter
T50992A	Poisoning by other drugs, medicaments and biological substances, intentional self-harm

Md. Code Regs. 10.67.08.02

Regulations .02 recodified from 10.09.70.02 effective 46:22 Md. R. 976, eff. 11/1/2019; amended effective 48:26 Md. R.1112, eff. 12/27/2021; amended effective 50:23 Md. R. 1004, eff. 11/27/2023