Year:  2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 

PQRS Measure

 This measure may be submitted via Registry only

The following codes apply for this PQRS measure:

CPT Codes

CodeModifierPOSDescription
99221Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
99222Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.
99223Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.
99231Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
99232Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.
99233Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.
99238Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
99239Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
99291Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
99221Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.
99222Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.
99223Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.
99231Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.
99232Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.
99233Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.
99238Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
99239Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter
99291Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

HCPCS Codes

CodeModifierPOSDescription
G9402Patient received follow-up within 30 days after discharge
G9403Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up)
G9404Patient did not receive follow-up within 30 days after discharge
G9405Patient received follow-up within 7 days after discharge
G9406Clinician documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-compliance for visit follow-up)
G9407Patient did not receive follow-up within 7 days after discharge

ICD9 Codes

CodeModifierPOSDescription
295.00Simple type schizophrenia, unspecified
295.01Simple type schizophrenia, subchronic
295.02Simple type schizophrenia, chronic
295.03Simple type schizophrenia, subchronic with acute exacerbation
295.04Simple type schizophrenia, chronic with acute exacerbation
295.05Simple type schizophrenia, in remission
295.10Disorganized type schizophrenia, unspecified
295.11Disorganized type schizophrenia, subchronic
295.12Disorganized type schizophrenia, chronic
295.13Disorganized type schizophrenia, subchronic with acute exacerbation
295.14Disorganized type schizophrenia, chronic with acute exacerbation
295.15Disorganized type schizophrenia, in remission
295.20Catatonic type schizophrenia, unspecified
295.21Catatonic type schizophrenia, subchronic
295.22Catatonic type schizophrenia, chronic
295.23Catatonic type schizophrenia, subchronic with acute exacerbation
295.24Catatonic type schizophrenia, chronic with acute exacerbation
295.25Catatonic type schizophrenia, in remission
295.30Paranoid type schizophrenia, unspecified
295.31Paranoid type schizophrenia, subchronic
295.32Paranoid type schizophrenia, chronic
295.33Paranoid type schizophrenia, subchronic with acute exacerbation
295.34Paranoid type schizophrenia, chronic with acute exacerbation
295.35Paranoid type schizophrenia, in remission
295.40Schizophreniform disorder, unspecified
295.41Schizophreniform disorder, subchronic
295.42Schizophreniform disorder, chronic
295.43Schizophreniform disorder, subchronic with acute exacerbation
295.44Schizophreniform disorder, chronic with acute exacerbation
295.45Schizophreniform disorder, in remission
295.50Latent schizophrenia, unspecified
295.51Latent schizophrenia, subchronic
295.52Latent schizophrenia, chronic
295.53Latent schizophrenia, subchronic with acute exacerbation
295.54Latent schizophrenia, chronic with acute exacerbation
295.55Latent schizophrenia, in remission
295.60Schizophrenic disorders, residual type, unspecified
295.61Schizophrenic disorders, residual type, subchronic
295.62Schizophrenic disorders, residual type, chronic
295.63Schizophrenic disorders, residual type, subchronic with acute exacerbation
295.64Schizophrenic disorders, residual type, chronic with acute exacerbation
295.65Schizophrenic disorders, residual type, in remission
295.70Schizoaffective disorder, unspecified
295.71Schizoaffective disorder, subchronic
295.72Schizoaffective disorder, chronic
295.73Schizoaffective disorder, subchronic with acute exacerbation
295.74Schizoaffective disorder, chronic with acute exacerbation
295.75Schizoaffective disorder, in remission
295.80Other specified types of schizophrenia, unspecified
295.81Other specified types of schizophrenia, subchronic
295.82Other specified types of schizophrenia, chronic
295.83Other specified types of schizophrenia, subchronic with acute exacerbation
295.84Other specified types of schizophrenia, chronic with acute exacerbation
295.85Other specified types of schizophrenia, in remission
295.90Unspecified schizophrenia, unspecified
295.91Unspecified schizophrenia, subchronic
295.92Unspecified schizophrenia, chronic
295.93Unspecified schizophrenia, subchronic with acute exacerbation
295.94Unspecified schizophrenia, chronic with acute exacerbation
295.95Unspecified schizophrenia, in remission
296.00Bipolar I disorder, single manic episode, unspecified
296.01Bipolar I disorder, single manic episode, mild
296.02Bipolar I disorder, single manic episode, moderate
296.03Bipolar I disorder, single manic episode, severe, without mention of psychotic behavior
296.04Bipolar I disorder, single manic episode, severe, specified as with psychotic behavior
296.05Bipolar I disorder, single manic episode, in partial or unspecified remission
296.06Bipolar I disorder, single manic episode, in full remission
296.10Manic affective disorder, recurrent episode, unspecified
296.11Manic affective disorder, recurrent episode, mild
296.12Manic affective disorder, recurrent episode, moderate
296.13Manic affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.14Manic affective disorder, recurrent episode, severe, specified as with psychotic behavior
296.15Manic affective disorder, recurrent episode, in partial or unspecified remission
296.16Manic affective disorder, recurrent episode, in full remission
296.20Major depressive affective disorder, single episode, unspecified
296.21Major depressive affective disorder, single episode, mild
296.22Major depressive affective disorder, single episode, moderate
296.23Major depressive affective disorder, single episode, severe, without mention of psychotic behavior
296.24Major depressive affective disorder, single episode, severe, specified as with psychotic behavior
296.25Major depressive affective disorder, single episode, in partial or unspecified remission
296.26Major depressive affective disorder, single episode, in full remission
296.30Major depressive affective disorder, recurrent episode, unspecified
296.31Major depressive affective disorder, recurrent episode, mild
296.32Major depressive affective disorder, recurrent episode, moderate
296.33Major depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.34Major depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior
296.35Major depressive affective disorder, recurrent episode, in partial or unspecified remission
296.36Major depressive affective disorder, recurrent episode, in full remission
296.40Bipolar I disorder, most recent episode (or current) manic, unspecified
296.41Bipolar I disorder, most recent episode (or current) manic, mild
296.42Bipolar I disorder, most recent episode (or current) manic, moderate
296.43Bipolar I disorder, most recent episode (or current) manic, severe, without mention of psychotic behavior
296.44Bipolar I disorder, most recent episode (or current) manic, severe, specified as with psychotic behavior
296.45Bipolar I disorder, most recent episode (or current) manic, in partial or unspecified remission
296.46Bipolar I disorder, most recent episode (or current) manic, in full remission
296.50Bipolar I disorder, most recent episode (or current) depressed, unspecified
296.51Bipolar I disorder, most recent episode (or current) depressed, mild
296.52Bipolar I disorder, most recent episode (or current) depressed, moderate
296.53Bipolar I disorder, most recent episode (or current) depressed, severe, without mention of psychotic behavior
296.54Bipolar I disorder, most recent episode (or current) depressed, severe, specified as with psychotic behavior
296.55Bipolar I disorder, most recent episode (or current) depressed, in partial or unspecified remission
296.56Bipolar I disorder, most recent episode (or current) depressed, in full remission
296.60Bipolar I disorder, most recent episode (or current) mixed, unspecified
296.61Bipolar I disorder, most recent episode (or current) mixed, mild
296.62Bipolar I disorder, most recent episode (or current) mixed, moderate
296.63Bipolar I disorder, most recent episode (or current) mixed, severe, without mention of psychotic behavior
296.64Bipolar I disorder, most recent episode (or current) mixed, severe, specified as with psychotic behavior
296.65Bipolar I disorder, most recent episode (or current) mixed, in partial or unspecified remission
296.66Bipolar I disorder, most recent episode (or current) mixed, in full remission
296.7Bipolar I disorder, most recent episode (or current) unspecified
296.80Bipolar disorder, unspecified
296.81Atypical manic disorder
296.82Atypical depressive disorder
296.89Other bipolar disorders
296.90Unspecified episodic mood disorder
296.99Other specified episodic mood disorder
297.0Paranoid state, simple
297.1Delusional disorder
297.2Paraphrenia
297.3Shared psychotic disorder
297.8Other specified paranoid states
297.9Unspecified paranoid state
298.0Depressive type psychosis
298.1Excitative type psychosis
298.2Reactive confusion
298.3Acute paranoid reaction
298.4Psychogenic paranoid psychosis
298.8Other and unspecified reactive psychosis
298.9Unspecified psychosis
299.00Autistic disorder, current or active state
299.01Autistic disorder, residual state
299.10Childhood disintegrative disorder, current or active state
299.11Childhood disintegrative disorder, residual state
299.80Other specified pervasive developmental disorders, current or active state
299.81Other specified pervasive developmental disorders, residual state
299.90Unspecified pervasive developmental disorder, current or active state
299.91Unspecified pervasive developmental disorder, residual state
300.3Obsessive-compulsive disorders
300.4Dysthymic disorder
301.0Paranoid personality disorder
301.10Affective personality disorder, unspecified
301.11Chronic hypomanic personality disorder
301.12Chronic depressive personality disorder
301.13Cyclothymic disorder
301.20Schizoid personality disorder, unspecified
301.21Introverted personality
301.22Schizotypal personality disorder
301.3Explosive personality disorder
301.4Obsessive-compulsive personality disorder
301.50Histrionic personality disorder, unspecified
301.51Chronic factitious illness with physical symptoms
301.59Other histrionic personality disorder
301.6Dependent personality disorder
301.7Antisocial personality disorder
301.81Narcissistic personality disorder
301.82Avoidant personality disorder
301.83Borderline personality disorder
301.84Passive-aggressive personality
301.89Other personality disorders
301.9Unspecified personality disorder
308.0Predominant disturbance of emotions
308.1Predominant disturbance of consciousness
308.2Predominant psychomotor disturbance
308.3Other acute reactions to stress
308.4Mixed disorders as reaction to stress
308.9Unspecified acute reaction to stress
309.0Adjustment disorder with depressed mood
309.1Prolonged depressive reaction
309.21Separation anxiety disorder
309.22Emancipation disorder of adolescence and early adult life
309.23Specific academic or work inhibition
309.24Adjustment disorder with anxiety
309.28Adjustment disorder with mixed anxiety and depressed mood
309.29Other adjustment reactions with predominant disturbance of other emotions
309.3Adjustment disorder with disturbance of conduct
309.4Adjustment disorder with mixed disturbance of emotions and conduct
309.81Posttraumatic stress disorder
309.82Adjustment reaction with physical symptoms
309.83Adjustment reaction with withdrawal
309.89Other specified adjustment reactions
309.9Unspecified adjustment reaction
311Depressive disorder, not elsewhere classified
312.00Undersocialized conduct disorder, aggressive type, unspecified
312.01Undersocialized conduct disorder, aggressive type, mild
312.02Undersocialized conduct disorder, aggressive type, moderate
312.03Undersocialized conduct disorder, aggressive type, severe
312.10Undersocialized conduct disorder, unaggressive type, unspecified
312.11Undersocialized conduct disorder, unaggressive type, mild
312.12Undersocialized conduct disorder, unaggressive type, moderate
312.13Undersocialized conduct disorder, unaggressive type, severe
312.20Socialized conduct disorder, unspecified
312.21Socialized conduct disorder, mild
312.22Socialized conduct disorder, moderate
312.23Socialized conduct disorder, severe
312.30Impulse control disorder, unspecified
312.31Pathological gambling
312.32Kleptomania
312.33Pyromania
312.34Intermittent explosive disorder
312.35Isolated explosive disorder
312.39Other disorders of impulse control
312.4Mixed disturbance of conduct and emotions
312.81Conduct disorder, childhood onset type
312.82Conduct disorder, adolescent onset type
312.89Other conduct disorder
312.9Unspecified disturbance of conduct
313.0Overanxious disorder specific to childhood and adolescence
313.1Misery and unhappiness disorder specific to childhood and adolescence
313.21Shyness disorder of childhood
313.22Introverted disorder of childhood
313.23Selective mutism
313.3Relationship problems specific to childhood and adolescence
313.81Oppositional defiant disorder
313.82Identity disorder of childhood or adolescence
313.83Academic underachievement disorder of childhood or adolescence
313.89Other emotional disturbances of childhood or adolescence
313.9Unspecified emotional disturbance of childhood or adolescence
314.00Attention deficit disorder without mention of hyperactivity
314.01Attention deficit disorder with hyperactivity
314.1Hyperkinesis with developmental delay
314.2Hyperkinetic conduct disorder
314.8Other specified manifestations of hyperkinetic syndrome
314.9Unspecified hyperkinetic syndrome
648.44Mental disorders of mother, postpartum condition or complication
295.00Simple type schizophrenia, unspecified
295.01Simple type schizophrenia, subchronic
295.02Simple type schizophrenia, chronic
295.03Simple type schizophrenia, subchronic with acute exacerbation
295.04Simple type schizophrenia, chronic with acute exacerbation
295.05Simple type schizophrenia, in remission
295.10Disorganized type schizophrenia, unspecified
295.11Disorganized type schizophrenia, subchronic
295.12Disorganized type schizophrenia, chronic
295.13Disorganized type schizophrenia, subchronic with acute exacerbation
295.14Disorganized type schizophrenia, chronic with acute exacerbation
295.15Disorganized type schizophrenia, in remission
295.20Catatonic type schizophrenia, unspecified
295.21Catatonic type schizophrenia, subchronic
295.22Catatonic type schizophrenia, chronic
295.23Catatonic type schizophrenia, subchronic with acute exacerbation
295.24Catatonic type schizophrenia, chronic with acute exacerbation
295.25Catatonic type schizophrenia, in remission
295.30Paranoid type schizophrenia, unspecified
295.31Paranoid type schizophrenia, subchronic
295.32Paranoid type schizophrenia, chronic
295.33Paranoid type schizophrenia, subchronic with acute exacerbation
295.34Paranoid type schizophrenia, chronic with acute exacerbation
295.35Paranoid type schizophrenia, in remission
295.40Schizophreniform disorder, unspecified
295.41Schizophreniform disorder, subchronic
295.42Schizophreniform disorder, chronic
295.43Schizophreniform disorder, subchronic with acute exacerbation
295.44Schizophreniform disorder, chronic with acute exacerbation
295.45Schizophreniform disorder, in remission
295.50Latent schizophrenia, unspecified
295.51Latent schizophrenia, subchronic
295.52Latent schizophrenia, chronic
295.53Latent schizophrenia, subchronic with acute exacerbation
295.54Latent schizophrenia, chronic with acute exacerbation
295.55Latent schizophrenia, in remission
295.60Schizophrenic disorders, residual type, unspecified
295.61Schizophrenic disorders, residual type, subchronic
295.62Schizophrenic disorders, residual type, chronic
295.63Schizophrenic disorders, residual type, subchronic with acute exacerbation
295.64Schizophrenic disorders, residual type, chronic with acute exacerbation
295.65Schizophrenic disorders, residual type, in remission
295.70Schizoaffective disorder, unspecified
295.71Schizoaffective disorder, subchronic
295.72Schizoaffective disorder, chronic
295.73Schizoaffective disorder, subchronic with acute exacerbation
295.74Schizoaffective disorder, chronic with acute exacerbation
295.75Schizoaffective disorder, in remission
295.80Other specified types of schizophrenia, unspecified
295.81Other specified types of schizophrenia, subchronic
295.82Other specified types of schizophrenia, chronic
295.83Other specified types of schizophrenia, subchronic with acute exacerbation
295.84Other specified types of schizophrenia, chronic with acute exacerbation
295.85Other specified types of schizophrenia, in remission
295.90Unspecified schizophrenia, unspecified
295.91Unspecified schizophrenia, subchronic
295.92Unspecified schizophrenia, chronic
295.93Unspecified schizophrenia, subchronic with acute exacerbation
295.94Unspecified schizophrenia, chronic with acute exacerbation
295.95Unspecified schizophrenia, in remission
296.00Bipolar I disorder, single manic episode, unspecified
296.01Bipolar I disorder, single manic episode, mild
296.02Bipolar I disorder, single manic episode, moderate
296.03Bipolar I disorder, single manic episode, severe, without mention of psychotic behavior
296.04Bipolar I disorder, single manic episode, severe, specified as with psychotic behavior
296.05Bipolar I disorder, single manic episode, in partial or unspecified remission
296.06Bipolar I disorder, single manic episode, in full remission
296.10Manic affective disorder, recurrent episode, unspecified
296.11Manic affective disorder, recurrent episode, mild
296.12Manic affective disorder, recurrent episode, moderate
296.13Manic affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.14Manic affective disorder, recurrent episode, severe, specified as with psychotic behavior
296.15Manic affective disorder, recurrent episode, in partial or unspecified remission
296.16Manic affective disorder, recurrent episode, in full remission
296.20Major depressive affective disorder, single episode, unspecified
296.21Major depressive affective disorder, single episode, mild
296.22Major depressive affective disorder, single episode, moderate
296.23Major depressive affective disorder, single episode, severe, without mention of psychotic behavior
296.24Major depressive affective disorder, single episode, severe, specified as with psychotic behavior
296.25Major depressive affective disorder, single episode, in partial or unspecified remission
296.26Major depressive affective disorder, single episode, in full remission
296.30Major depressive affective disorder, recurrent episode, unspecified
296.31Major depressive affective disorder, recurrent episode, mild
296.32Major depressive affective disorder, recurrent episode, moderate
296.33Major depressive affective disorder, recurrent episode, severe, without mention of psychotic behavior
296.34Major depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior
296.35Major depressive affective disorder, recurrent episode, in partial or unspecified remission
296.36Major depressive affective disorder, recurrent episode, in full remission
296.40Bipolar I disorder, most recent episode (or current) manic, unspecified
296.41Bipolar I disorder, most recent episode (or current) manic, mild
296.42Bipolar I disorder, most recent episode (or current) manic, moderate
296.43Bipolar I disorder, most recent episode (or current) manic, severe, without mention of psychotic behavior
296.44Bipolar I disorder, most recent episode (or current) manic, severe, specified as with psychotic behavior
296.45Bipolar I disorder, most recent episode (or current) manic, in partial or unspecified remission
296.46Bipolar I disorder, most recent episode (or current) manic, in full remission
296.50Bipolar I disorder, most recent episode (or current) depressed, unspecified
296.51Bipolar I disorder, most recent episode (or current) depressed, mild
296.52Bipolar I disorder, most recent episode (or current) depressed, moderate
296.53Bipolar I disorder, most recent episode (or current) depressed, severe, without mention of psychotic behavior
296.54Bipolar I disorder, most recent episode (or current) depressed, severe, specified as with psychotic behavior
296.55Bipolar I disorder, most recent episode (or current) depressed, in partial or unspecified remission
296.56Bipolar I disorder, most recent episode (or current) depressed, in full remission
296.60Bipolar I disorder, most recent episode (or current) mixed, unspecified
296.61Bipolar I disorder, most recent episode (or current) mixed, mild
296.62Bipolar I disorder, most recent episode (or current) mixed, moderate
296.63Bipolar I disorder, most recent episode (or current) mixed, severe, without mention of psychotic behavior
296.64Bipolar I disorder, most recent episode (or current) mixed, severe, specified as with psychotic behavior
296.65Bipolar I disorder, most recent episode (or current) mixed, in partial or unspecified remission
296.66Bipolar I disorder, most recent episode (or current) mixed, in full remission
296.70
296.80Bipolar disorder, unspecified
296.81Atypical manic disorder
296.82Atypical depressive disorder
296.89Other bipolar disorders
296.90Unspecified episodic mood disorder
296.99Other specified episodic mood disorder
297.0Paranoid state, simple
297.1Delusional disorder
297.2Paraphrenia
297.3Shared psychotic disorder
297.8Other specified paranoid states
297.9Unspecified paranoid state
298.0Depressive type psychosis
298.1Excitative type psychosis
298.2Reactive confusion
298.3Acute paranoid reaction
298.4Psychogenic paranoid psychosis
298.8Other and unspecified reactive psychosis
298.9Unspecified psychosis
299.00Autistic disorder, current or active state
299.01Autistic disorder, residual state
299.10Childhood disintegrative disorder, current or active state
299.11Childhood disintegrative disorder, residual state
299.80Other specified pervasive developmental disorders, current or active state
299.81Other specified pervasive developmental disorders, residual state
299.90Unspecified pervasive developmental disorder, current or active state
299.91Unspecified pervasive developmental disorder, residual state
300.3Obsessive-compulsive disorders
300.4Dysthymic disorder
301.0Paranoid personality disorder
301.10Affective personality disorder, unspecified
301.11Chronic hypomanic personality disorder
301.12Chronic depressive personality disorder
301.13Cyclothymic disorder
301.20Schizoid personality disorder, unspecified
301.21Introverted personality
301.22Schizotypal personality disorder
301.3Explosive personality disorder
301.4Obsessive-compulsive personality disorder
301.50Histrionic personality disorder, unspecified
301.51Chronic factitious illness with physical symptoms
301.59Other histrionic personality disorder
301.6Dependent personality disorder
301.7Antisocial personality disorder
301.81Narcissistic personality disorder
301.82Avoidant personality disorder
301.83Borderline personality disorder
301.84Passive-aggressive personality
301.89Other personality disorders
301.9Unspecified personality disorder
308.0Predominant disturbance of emotions
308.1Predominant disturbance of consciousness
308.2Predominant psychomotor disturbance
308.3Other acute reactions to stress
308.4Mixed disorders as reaction to stress
308.9Unspecified acute reaction to stress
309.0Adjustment disorder with depressed mood
309.1Prolonged depressive reaction
309.21Separation anxiety disorder
309.22Emancipation disorder of adolescence and early adult life
309.23Specific academic or work inhibition
309.24Adjustment disorder with anxiety
309.28Adjustment disorder with mixed anxiety and depressed mood
309.29Other adjustment reactions with predominant disturbance of other emotions
309.3Adjustment disorder with disturbance of conduct
309.4Adjustment disorder with mixed disturbance of emotions and conduct
309.81Posttraumatic stress disorder
309.82Adjustment reaction with physical symptoms
309.83Adjustment reaction with withdrawal
309.89Other specified adjustment reactions
309.9Unspecified adjustment reaction
311Depressive disorder, not elsewhere classified
312.00Undersocialized conduct disorder, aggressive type, unspecified
312.01Undersocialized conduct disorder, aggressive type, mild
312.02Undersocialized conduct disorder, aggressive type, moderate
312.03Undersocialized conduct disorder, aggressive type, severe
312.10Undersocialized conduct disorder, unaggressive type, unspecified
312.11Undersocialized conduct disorder, unaggressive type, mild
312.12Undersocialized conduct disorder, unaggressive type, moderate
312.13Undersocialized conduct disorder, unaggressive type, severe
312.20Socialized conduct disorder, unspecified
312.21Socialized conduct disorder, mild
312.22Socialized conduct disorder, moderate
312.23Socialized conduct disorder, severe
312.30Impulse control disorder, unspecified
312.31Pathological gambling
312.32Kleptomania
312.33Pyromania
312.34Intermittent explosive disorder
312.35Isolated explosive disorder
312.39Other disorders of impulse control
312.4Mixed disturbance of conduct and emotions
312.81Conduct disorder, childhood onset type
312.82Conduct disorder, adolescent onset type
312.89Other conduct disorder
312.9Unspecified disturbance of conduct
313.0Overanxious disorder specific to childhood and adolescence
313.1Misery and unhappiness disorder specific to childhood and adolescence
313.21Shyness disorder of childhood
313.22Introverted disorder of childhood
313.23Selective mutism
313.3Relationship problems specific to childhood and adolescence
313.81Oppositional defiant disorder
313.82Identity disorder of childhood or adolescence
313.83Academic underachievement disorder of childhood or adolescence
313.89Other emotional disturbances of childhood or adolescence
313.9Unspecified emotional disturbance of childhood or adolescence
314.00Attention deficit disorder without mention of hyperactivity
314.01Attention deficit disorder with hyperactivity
314.1Hyperkinesis with developmental delay
314.2Hyperkinetic conduct disorder
314.8Other specified manifestations of hyperkinetic syndrome
314.9Unspecified hyperkinetic syndrome
648.44Mental disorders of mother, postpartum condition or complication

ICD10CM Codes

CodeModifierPOSDescription
F20.0Paranoid schizophrenia
F20.1Disorganized schizophrenia
F20.2Catatonic schizophrenia
F20.3Undifferentiated schizophrenia
F20.5Residual schizophrenia
F20.81Schizophreniform disorder
F20.89Other schizophrenia
F20.9Schizophrenia, unspecified
F21Schizotypal disorder
F22Delusional disorders
F23Brief psychotic disorder
F24Shared psychotic disorder
F25.0Schizoaffective disorder, bipolar type
F25.1Schizoaffective disorder, depressive type
F25.8Other schizoaffective disorders
F25.9Schizoaffective disorder, unspecified
F28Other psychotic disorder not due to a substance or known physiological condition
F29Unspecified psychosis not due to a substance or known physiological condition
F30.10Manic episode without psychotic symptoms, unspecified
F30.11Manic episode without psychotic symptoms, mild
F30.12Manic episode without psychotic symptoms, moderate
F30.13Manic episode, severe, without psychotic symptoms
F30.2Manic episode, severe with psychotic symptoms
F30.3Manic episode in partial remission
F30.4Manic episode in full remission
F30.8Other manic episodes
F30.9Manic episode, unspecified
F31.0Bipolar disorder, current episode hypomanic
F31.10Bipolar disorder, current episode manic without psychotic features, unspecified
F31.11Bipolar disorder, current episode manic without psychotic features, mild
F31.12Bipolar disorder, current episode manic without psychotic features, moderate
F31.13Bipolar disorder, current episode manic without psychotic features, severe
F31.2Bipolar disorder, current episode manic severe with psychotic features
F31.30Bipolar disorder, current episode depressed, mild or moderate severity, unspecified
F31.31Bipolar disorder, current episode depressed, mild
F31.32Bipolar disorder, current episode depressed, moderate
F31.4Bipolar disorder, current episode depressed, severe, without psychotic features
F31.5Bipolar disorder, current episode depressed, severe, with psychotic features
F31.60Bipolar disorder, current episode mixed, unspecified
F31.61Bipolar disorder, current episode mixed, mild
F31.62Bipolar disorder, current episode mixed, moderate
F31.63Bipolar disorder, current episode mixed, severe, without psychotic features
F31.64Bipolar disorder, current episode mixed, severe, with psychotic features
F31.70Bipolar disorder, currently in remission, most recent episode unspecified
F31.71Bipolar disorder, in partial remission, most recent episode hypomanic
F31.72Bipolar disorder, in full remission, most recent episode hypomanic
F31.73Bipolar disorder, in partial remission, most recent episode manic
F31.74Bipolar disorder, in full remission, most recent episode manic
F31.75Bipolar disorder, in partial remission, most recent episode depressed
F31.76Bipolar disorder, in full remission, most recent episode depressed
F31.77Bipolar disorder, in partial remission, most recent episode mixed
F31.78Bipolar disorder, in full remission, most recent episode mixed
F31.81Bipolar II disorder
F31.89Other bipolar disorder
F31.9Bipolar disorder, unspecified
F32.0Major depressive disorder, single episode, mild
F32.1Major depressive disorder, single episode, moderate
F32.2Major depressive disorder, single episode, severe without psychotic features
F32.3Major depressive disorder, single episode, severe with psychotic features
F32.4Major depressive disorder, single episode, in partial remission
F32.5Major depressive disorder, single episode, in full remission
F32.8Other depressive episodes
F32.9Major depressive disorder, single episode, unspecified
F33.0Major depressive disorder, recurrent, mild
F33.1Major depressive disorder, recurrent, moderate
F33.2Major depressive disorder, recurrent severe without psychotic features
F33.3Major depressive disorder, recurrent, severe with psychotic symptoms
F33.40Major depressive disorder, recurrent, in remission, unspecified
F33.41Major depressive disorder, recurrent, in partial remission
F33.42Major depressive disorder, recurrent, in full remission
F33.8Other recurrent depressive disorders
F33.9Major depressive disorder, recurrent, unspecified
F34.0Cyclothymic disorder
F34.1Dysthymic disorder
F34.8Other persistent mood [affective] disorders
F34.9Persistent mood [affective] disorder, unspecified
F39Unspecified mood [affective] disorder
F42Obsessive-compulsive disorder
F43.0Acute stress reaction
F43.10Post-traumatic stress disorder, unspecified
F43.11Post-traumatic stress disorder, acute
F43.12Post-traumatic stress disorder, chronic
F43.20Adjustment disorder, unspecified
F43.21Adjustment disorder with depressed mood
F43.22Adjustment disorder with anxiety
F43.23Adjustment disorder with mixed anxiety and depressed mood
F43.24Adjustment disorder with disturbance of conduct
F43.25Adjustment disorder with mixed disturbance of emotions and conduct
F43.29Adjustment disorder with other symptoms
F43.8Other reactions to severe stress
F43.9Reaction to severe stress, unspecified
F44.89Other dissociative and conversion disorders
F53Puerperal psychosis
F60.0Paranoid personality disorder
F60.1Schizoid personality disorder
F60.2Antisocial personality disorder
F60.3Borderline personality disorder
F60.4Histrionic personality disorder
F60.5Obsessive-compulsive personality disorder
F60.6Avoidant personality disorder
F60.7Dependent personality disorder
F60.81Narcissistic personality disorder
F60.89Other specific personality disorders
F60.9Personality disorder, unspecified
F63.0Pathological gambling
F63.1Pyromania
F63.2Kleptomania
F63.3Trichotillomania
F63.81Intermittent explosive disorder
F63.89Other impulse disorders
F63.9Impulse disorder, unspecified
F68.10Factitious disorder imposed on self, unspecified
F68.11Factitious disorder imposed on self, with predominantly psychological signs and symptoms
F68.12Factitious disorder imposed on self, with predominantly physical signs and symptoms
F68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
F68.8Other specified disorders of adult personality and behavior
F84.0Autistic disorder
F84.2Rett's syndrome
F84.3Other childhood disintegrative disorder
F84.5Asperger's syndrome
F84.8Other pervasive developmental disorders
F84.9Pervasive developmental disorder, unspecified
F90.0Attention-deficit hyperactivity disorder, predominantly inattentive type
F90.1Attention-deficit hyperactivity disorder, predominantly hyperactive type
F90.2Attention-deficit hyperactivity disorder, combined type
F90.8Attention-deficit hyperactivity disorder, other type
F90.9Attention-deficit hyperactivity disorder, unspecified type
F91.0Conduct disorder confined to family context
F91.1Conduct disorder, childhood-onset type
F91.2Conduct disorder, adolescent-onset type
F91.3Oppositional defiant disorder
F91.8Other conduct disorders
F91.9Conduct disorder, unspecified
F93.0Separation anxiety disorder of childhood
F93.8Other childhood emotional disorders
F93.9Childhood emotional disorder, unspecified
F94.0Selective mutism
F94.1Reactive attachment disorder of childhood
F94.2Disinhibited attachment disorder of childhood
F94.8Other childhood disorders of social functioning
F94.9Childhood disorder of social functioning, unspecified
F20.0Paranoid schizophrenia
F20.1Disorganized schizophrenia
F20.2Catatonic schizophrenia
F20.3Undifferentiated schizophrenia
F20.5Residual schizophrenia
F20.81Schizophreniform disorder
F20.89Other schizophrenia
F20.9Schizophrenia, unspecified
F21Schizotypal disorder
F22Delusional disorders
F23Brief psychotic disorder
F24Shared psychotic disorder
F25.0Schizoaffective disorder, bipolar type
F25.1Schizoaffective disorder, depressive type
F25.8Other schizoaffective disorders
F25.9Schizoaffective disorder, unspecified
F28Other psychotic disorder not due to a substance or known physiological condition
F29Unspecified psychosis not due to a substance or known physiological condition
F30.10Manic episode without psychotic symptoms, unspecified
F30.11Manic episode without psychotic symptoms, mild
F30.12Manic episode without psychotic symptoms, moderate
F30.13Manic episode, severe, without psychotic symptoms
F30.2Manic episode, severe with psychotic symptoms
F30.3Manic episode in partial remission
F30.4Manic episode in full remission
F30.8Other manic episodes
F30.9Manic episode, unspecified
F31.0Bipolar disorder, current episode hypomanic
F31.10Bipolar disorder, current episode manic without psychotic features, unspecified
F31.11Bipolar disorder, current episode manic without psychotic features, mild
F31.12Bipolar disorder, current episode manic without psychotic features, moderate
F31.13Bipolar disorder, current episode manic without psychotic features, severe
F31.2Bipolar disorder, current episode manic severe with psychotic features
F31.30Bipolar disorder, current episode depressed, mild or moderate severity, unspecified
F31.31Bipolar disorder, current episode depressed, mild
F31.32Bipolar disorder, current episode depressed, moderate
F31.4Bipolar disorder, current episode depressed, severe, without psychotic features
F31.5Bipolar disorder, current episode depressed, severe, with psychotic features
F31.60Bipolar disorder, current episode mixed, unspecified
F31.61Bipolar disorder, current episode mixed, mild
F31.62Bipolar disorder, current episode mixed, moderate
F31.63Bipolar disorder, current episode mixed, severe, without psychotic features
F31.64Bipolar disorder, current episode mixed, severe, with psychotic features
F31.70Bipolar disorder, currently in remission, most recent episode unspecified
F31.71Bipolar disorder, in partial remission, most recent episode hypomanic
F31.72Bipolar disorder, in full remission, most recent episode hypomanic
F31.73Bipolar disorder, in partial remission, most recent episode manic
F31.74Bipolar disorder, in full remission, most recent episode manic
F31.75Bipolar disorder, in partial remission, most recent episode depressed
F31.76Bipolar disorder, in full remission, most recent episode depressed
F31.77Bipolar disorder, in partial remission, most recent episode mixed
F31.78Bipolar disorder, in full remission, most recent episode mixed
F31.81Bipolar II disorder
F31.89Other bipolar disorder
F31.9Bipolar disorder, unspecified
F32.0Major depressive disorder, single episode, mild
F32.1Major depressive disorder, single episode, moderate
F32.2Major depressive disorder, single episode, severe without psychotic features
F32.3Major depressive disorder, single episode, severe with psychotic features
F32.4Major depressive disorder, single episode, in partial remission
F32.5Major depressive disorder, single episode, in full remission
F32.8Other depressive episodes
F32.9Major depressive disorder, single episode, unspecified
F33.0Major depressive disorder, recurrent, mild
F33.1Major depressive disorder, recurrent, moderate
F33.2Major depressive disorder, recurrent severe without psychotic features
F33.3Major depressive disorder, recurrent, severe with psychotic symptoms
F33.40Major depressive disorder, recurrent, in remission, unspecified
F33.41Major depressive disorder, recurrent, in partial remission
F33.42Major depressive disorder, recurrent, in full remission
F33.8Other recurrent depressive disorders
F33.9Major depressive disorder, recurrent, unspecified
F34.0Cyclothymic disorder
F34.1Dysthymic disorder
F34.8Other persistent mood [affective] disorders
F34.9Persistent mood [affective] disorder, unspecified
F39Unspecified mood [affective] disorder
F42Obsessive-compulsive disorder
F43.0Acute stress reaction
F43.10Post-traumatic stress disorder, unspecified
F43.11Post-traumatic stress disorder, acute
F43.12Post-traumatic stress disorder, chronic
F43.20Adjustment disorder, unspecified
F43.21Adjustment disorder with depressed mood
F43.22Adjustment disorder with anxiety
F43.23Adjustment disorder with mixed anxiety and depressed mood
F43.24Adjustment disorder with disturbance of conduct
F43.25Adjustment disorder with mixed disturbance of emotions and conduct
F43.29Adjustment disorder with other symptoms
F43.8Other reactions to severe stress
F43.9Reaction to severe stress, unspecified
F44.89Other dissociative and conversion disorders
F53Puerperal psychosis
F60.0Paranoid personality disorder
F60.1Schizoid personality disorder
F60.2Antisocial personality disorder
F60.3Borderline personality disorder
F60.4Histrionic personality disorder
F60.5Obsessive-compulsive personality disorder
F60.6Avoidant personality disorder
F60.7Dependent personality disorder
F60.81Narcissistic personality disorder
F60.89Other specific personality disorders
F60.9Personality disorder, unspecified
F63.0Pathological gambling
F63.1Pyromania
F63.2Kleptomania
F63.3Trichotillomania
F63.81Intermittent explosive disorder
F63.89Other impulse disorders
F63.9Impulse disorder, unspecified
F68.10Factitious disorder imposed on self, unspecified
F68.11Factitious disorder imposed on self, with predominantly psychological signs and symptoms
F68.12Factitious disorder imposed on self, with predominantly physical signs and symptoms
F68.13Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
F68.8Other specified disorders of adult personality and behavior
F84.0Autistic disorder
F84.2Rett's syndrome
F84.3Other childhood disintegrative disorder
F84.5Asperger's syndrome
F84.8Other pervasive developmental disorders
F84.9Pervasive developmental disorder, unspecified
F90.0Attention-deficit hyperactivity disorder, predominantly inattentive type
F90.1Attention-deficit hyperactivity disorder, predominantly hyperactive type
F90.2Attention-deficit hyperactivity disorder, combined type
F90.8Attention-deficit hyperactivity disorder, other type
F90.9Attention-deficit hyperactivity disorder, unspecified type
F91.0Conduct disorder confined to family context
F91.1Conduct disorder, childhood-onset type
F91.2Conduct disorder, adolescent-onset type
F91.3Oppositional defiant disorder
F91.8Other conduct disorders
F91.9Conduct disorder, unspecified
F93.0Separation anxiety disorder of childhood
F93.8Other childhood emotional disorders
F93.9Childhood emotional disorder, unspecified
F94.0Selective mutism
F94.1Reactive attachment disorder of childhood
F94.2Disinhibited attachment disorder of childhood
F94.8Other childhood disorders of social functioning
F94.9Childhood disorder of social functioning, unspecified
Legend:
ClaimThis measure can be submitted via claim. Use the 'Data Collection' pdf associated with the measure.
GroupThis measure can be submitted through one or more groups. Click on the group name to view the group information.
RegistryThis measure can be submitted through registry.
EHRThis measure can be submitted via Electronic Health Record (EHR).
GPROThis measure can be submitted via Group Practice Reporting Option, or GPRO Web Interface.
SurveyThis measure can be submitted/collected via a Certified Survey Vendor.

More information on these alternative reporting mechanisms is available at:
    http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp.
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