INITIATION AND ENGAGEMENT OF ALCOHOL AND OTHER DRUG ABUSE or DEPENDENCE TREATMENT (IET)

APPLICATIONS HEDIS® (Administrative) NCQA Accreditation

OBJECTIVE Purpose of Measure:

Initiation: To ensure adolescent and adult members with a new episode of alcohol or other drug (AOD) dependence received initiation of treatment within 14 days of diagnosis. Engagement: To ensure adolescent and adult members who initiated treatment had two or more additional services with a diagnosis of AOD within 34 days of the initiation visit.

ELIGIBLE POPULATION Which members are included?

Members age thirteen (13) years and older as of December 31st of the measurement year. Members in Hospice care are excluded.

STANDARD OF CARE

Treatment for AOD should be initiated within 14 days of diagnosis via: inpatient AOD admission, outpatient visit, intensive outpatient encounter, telehealth, medication assisted treatment (MAT) or partial hospitalization. Two or more additional services with a diagnosis of AOD are expected within 34 days of the initial visit.

NCQA ACCEPTED CODES Please see code table.

DOCUMENTATION REQUIREMENTS What documentation should be submitted?

The medical record should document the DOS and all aspects of the visit, including but not limited to: detailed assessment of past and current substance use and the effects of the substance use on the patient’s cognitive, psychological, behavioral, and physiological functioning, physical exam findings, thorough and diagnosis-appropriate mental health

assessment, medication list, medication side effects, compliance with prescribed treatment, questions/concerns member and/or caregiver may have, etc. MAT for Opioid Abuse or Dependence Medications Description Prescription Partial agonist Buprenorphine (sublingual

tablet and implant) Antagonist Naltrexone (oral and

injectable) MAT for Alcohol Abuse or Dependence Medications Description Prescription Aldehyde dehydrogenase inhibitor

Disulfiram

Antagonist Naltrexone (oral and injectable

Other Acamprosate (oral: delayed-release tablet)

REFERENCES For more information, please refer to Passport Health Plan’s Clinical Practice Guidelines. Beacon also has a Substance Abuse Clinical Practice Guideline and a Provider Toolkit available.

• The criteria above are based on standards established under NCQA’s HEDIS 2018 Technical Specifications. HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

• Behavioral health case management is available for Passport members. To make a referral, call the Behavioral Health Hotline at 1-855-834-5651. Our behavioral health case managers work with our medical case managers to coordinate care and communication between providers.

INITIATION AND ENGAGEMENT OF ALCOHOL AND OTHER DRUG DEPENDENCE TREATMENT

Meet Screening Criteria IET Stand Alone Visit Code System Code Definition CPT 98960 CPT 98961 CPT 98962 CPT 99078 CPT 99201 CPT 99202 CPT 99203 CPT 99204 CPT 99205 CPT 99211 CPT 99212 CPT 99213 CPT 99214 CPT 99215 CPT 99217 CPT 99218 CPT 99219 CPT 99220 CPT 99241 CPT 99242 CPT 99243 CPT 99244 CPT 99245 CPT 99341 CPT 99342 CPT 99343 CPT 99344 CPT 99345 CPT 99347 CPT 99348 CPT 99349 CPT 99350 CPT 99384 CPT 99385 CPT 99386 CPT 99387

CPT 99394 CPT 99395 CPT 99396 CPT 99397 CPT 99401 CPT 99402 CPT 99403 CPT 99404 CPT 99408 CPT 99409 CPT 99411 CPT 99412 CPT 99510 HCPCS G0155 Services of clinical social worker in home health or hospice settings, each 15

minutes (G0155) HCPCS G0176 Activity therapy, such as music, dance, art or play therapies not for recreation,

related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) (G0176)

HCPCS G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) (G0177)

HCPCS G0396 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes (G0396)

HCPCS G0397 Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes (G0397)

HCPCS G0409 Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf) (G0409)

HCPCS G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization setting, approximately 45 to 50 minutes (G0410)

HCPCS G0411 Interactive group psychotherapy, in a partial hospitalization setting, approximately 45 to 50 minutes (G0411)

HCPCS G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes (G0443) HCPCS G0463 Hospital outpatient clinic visit for assessment and management of a patient

(G0463) HCPCS H0001 Alcohol and/or drug assessment (H0001) HCPCS H0002 Behavioral health screening to determine eligibility for admission to treatment

program (H0002) HCPCS H0004 Behavioral health counseling and therapy, per 15 minutes (H0004) HCPCS H0005 Alcohol and/or drug services; group counseling by a clinician (H0005) HCPCS H0007 Alcohol and/or drug services; crisis intervention (outpatient) (H0007) HCPCS H0015 Alcohol and/or drug services; intensive outpatient (treatment program that

operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therap

HCPCS H0016 Alcohol and/or drug services; medical/somatic (medical intervention in

ambulatory setting) (H0016) HCPCS H0022 Alcohol and/or drug intervention service (planned facilitation) (H0022) HCPCS H0031 Mental health assessment, by non-physician (H0031) HCPCS H0034 Medication training and support, per 15 minutes (H0034) HCPCS H0035 Mental health partial hospitalization, treatment, less than 24 hours (H0035) HCPCS H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes

(H0036) HCPCS H0037 Community psychiatric supportive treatment program, per diem (H0037) HCPCS H0039 Assertive community treatment, face-to-face, per 15 minutes (H0039) HCPCS H0040 Assertive community treatment program, per diem (H0040) HCPCS H0047 Alcohol and/or other drug abuse services, not otherwise specified (H0047) HCPCS H2000 Comprehensive multidisciplinary evaluation (H2000) HCPCS H2001 Rehabilitation program, per 1/2 day (H2001) HCPCS H2010 Comprehensive medication services, per 15 minutes (H2010) HCPCS H2011 Crisis intervention service, per 15 minutes (H2011) HCPCS H2012 Behavioral health day treatment, per hour (H2012) HCPCS H2013 Psychiatric health facility service, per diem (H2013) HCPCS H2014 Skills training and development, per 15 minutes (H2014) HCPCS H2015 Comprehensive community support services, per 15 minutes (H2015) HCPCS H2016 Comprehensive community support services, per diem (H2016) HCPCS H2017 Psychosocial rehabilitation services, per 15 minutes (H2017) HCPCS H2018 Psychosocial rehabilitation services, per diem (H2018) HCPCS H2019 Therapeutic behavioral services, per 15 minutes (H2019) HCPCS H2020 Therapeutic behavioral services, per diem (H2020) HCPCS H2035 Alcohol and/or other drug treatment program, per hour (H2035) HCPCS H2036 Alcohol and/or other drug treatment program, per diem (H2036) HCPCS M0064 Brief office visit for the sole purpose of monitoring or changing drug

prescriptions used in the treatment of mental psychoneurotic and personality disorders (M0064)

HCPCS S0201 Partial hospitalization services, less than 24 hours, per diem (S0201) HCPCS S9480 Intensive outpatient psychiatric services, per diem (S9480) HCPCS S9484 Crisis intervention mental health services, per hour (S9484) HCPCS S9485 Crisis intervention mental health services, per diem (S9485) HCPCS T1006 Alcohol and/or substance abuse services, family/couple counseling (T1006) HCPCS T1012 Alcohol and/or substance abuse services, skills development (T1012) HCPCS T1015 Clinic visit/encounter, all-inclusive (T1015) UBREV 0510 UBREV 0513 UBREV 0515 UBREV 0516 UBREV 0517 UBREV 0519

UBREV 0520 UBREV 0521 UBREV 0522 UBREV 0523 UBREV 0526 UBREV 0527 UBREV 0528 UBREV 0529 UBREV 0900 UBREV 0902 UBREV 0903 UBREV 0904 UBREV 0905 UBREV 0906 UBREV 0907 UBREV 0911 UBREV 0912 UBREV 0913 UBREV 0914 UBREV 0915 UBREV 0916 UBREV 0917 UBREV 0919 UBREV 0944 UBREV 0945 UBREV 0982 UBREV 0983 Alcohol Abuse and Dependence Code System Code Definition ICD10CM F10.10 [F10.10] Alcohol abuse, uncomplicated ICD10CM F10.120 [F10.120] Alcohol abuse with intoxication, uncomplicated ICD10CM F10.121 [F10.121] Alcohol abuse with intoxication delirium ICD10CM F10.129 [F10.129] Alcohol abuse with intoxication, unspecified ICD10CM F10.14 [F10.14] Alcohol abuse with alcohol-induced mood disorder ICD10CM F10.150 [F10.150] Alcohol abuse with alcohol-induced psychotic disorder with delusions ICD10CM F10.151 [F10.151] Alcohol abuse with alcohol-induced psychotic disorder with

hallucinations ICD10CM F10.159 [F10.159] Alcohol abuse with alcohol-induced psychotic disorder, unspecified ICD10CM F10.180 [F10.180] Alcohol abuse with alcohol-induced anxiety disorder ICD10CM F10.181 [F10.181] Alcohol abuse with alcohol-induced sexual dysfunction ICD10CM F10.182 [F10.182] Alcohol abuse with alcohol-induced sleep disorder ICD10CM F10.188 [F10.188] Alcohol abuse with other alcohol-induced disorder

ICD10CM F10.19 [F10.19] Alcohol abuse with unspecified alcohol-induced disorder ICD10CM F10.20 [F10.20] Alcohol dependence, uncomplicated ICD10CM F10.220 [F10.220] Alcohol dependence with intoxication, uncomplicated ICD10CM F10.221 [F10.221] Alcohol dependence with intoxication delirium ICD10CM F10.229 [F10.229] Alcohol dependence with intoxication, unspecified ICD10CM F10.230 [F10.230] Alcohol dependence with withdrawal, uncomplicated ICD10CM F10.231 [F10.231] Alcohol dependence with withdrawal delirium ICD10CM F10.232 [F10.232] Alcohol dependence with withdrawal with perceptual disturbance ICD10CM F10.239 [F10.239] Alcohol dependence with withdrawal, unspecified ICD10CM F10.24 [F10.24] Alcohol dependence with alcohol-induced mood disorder ICD10CM F10.250 [F10.250] Alcohol dependence with alcohol-induced psychotic disorder with

delusions ICD10CM F10.251 [F10.251] Alcohol dependence with alcohol-induced psychotic disorder with

hallucinations ICD10CM F10.259 [F10.259] Alcohol dependence with alcohol-induced psychotic disorder,

unspecified ICD10CM F10.26 [F10.26] Alcohol dependence with alcohol-induced persisting amnestic disorder ICD10CM F10.27 [F10.27] Alcohol dependence with alcohol-induced persisting dementia ICD10CM F10.280 [F10.280] Alcohol dependence with alcohol-induced anxiety disorder ICD10CM F10.281 [F10.281] Alcohol dependence with alcohol-induced sexual dysfunction ICD10CM F10.282 [F10.282] Alcohol dependence with alcohol-induced sleep disorder ICD10CM F10.288 [F10.288] Alcohol dependence with other alcohol-induced disorder ICD10CM F10.29 [F10.29] Alcohol dependence with unspecified alcohol-induced disorder Opioid Abuse an Dependence Code System Code Definition ICD10CM F11.10 [F11.10] Opioid abuse, uncomplicated ICD10CM F11.120 [F11.120] Opioid abuse with intoxication, uncomplicated ICD10CM F11.121 [F11.121] Opioid abuse with intoxication delirium ICD10CM F11.122 [F11.122] Opioid abuse with intoxication with perceptual disturbance ICD10CM F11.129 [F11.129] Opioid abuse with intoxication, unspecified ICD10CM F11.14 [F11.14] Opioid abuse with opioid-induced mood disorder ICD10CM F11.150 [F11.150] Opioid abuse with opioid-induced psychotic disorder with delusions ICD10CM F11.151 [F11.151] Opioid abuse with opioid-induced psychotic disorder with

hallucinations ICD10CM F11.159 [F11.159] Opioid abuse with opioid-induced psychotic disorder, unspecified ICD10CM F11.181 [F11.181] Opioid abuse with opioid-induced sexual dysfunction ICD10CM F11.182 [F11.182] Opioid abuse with opioid-induced sleep disorder ICD10CM F11.188 [F11.188] Opioid abuse with other opioid-induced disorder ICD10CM F11.19 [F11.19] Opioid abuse with unspecified opioid-induced disorder ICD10CM F11.20 [F11.20] Opioid dependence, uncomplicated ICD10CM F11.220 [F11.220] Opioid dependence with intoxication, uncomplicated ICD10CM F11.221 [F11.221] Opioid dependence with intoxication delirium ICD10CM F11.222 [F11.222] Opioid dependence with intoxication with perceptual disturbance

ICD10CM F11.229 [F11.229] Opioid dependence with intoxication, unspecified ICD10CM F11.23 [F11.23] Opioid dependence with withdrawal ICD10CM F11.24 [F11.24] Opioid dependence with opioid-induced mood disorder ICD10CM F11.250 [F11.250] Opioid dependence with opioid-induced psychotic disorder with

delusions ICD10CM F11.251 [F11.251] Opioid dependence with opioid-induced psychotic disorder with

hallucinations ICD10CM F11.259 [F11.259] Opioid dependence with opioid-induced psychotic disorder,

unspecified ICD10CM F11.281 [F11.281] Opioid dependence with opioid-induced sexual dysfunction ICD10CM F11.282 [F11.282] Opioid dependence with opioid-induced sleep disorder ICD10CM F11.288 [F11.288] Opioid dependence with other opioid-induced disorder ICD10CM F11.29 [F11.29] Opioid dependence with unspecified opioid-induced disorder Other Drug Abuse and Dependence Code System Code Definition ICD10CM F12.10 [F12.10] Cannabis abuse, uncomplicated ICD10CM F12.120 [F12.120] Cannabis abuse with intoxication, uncomplicated ICD10CM F12.121 [F12.121] Cannabis abuse with intoxication delirium ICD10CM F12.122 [F12.122] Cannabis abuse with intoxication with perceptual disturbance ICD10CM F12.129 [F12.129] Cannabis abuse with intoxication, unspecified ICD10CM F12.150 [F12.150] Cannabis abuse with psychotic disorder with delusions ICD10CM F12.151 [F12.151] Cannabis abuse with psychotic disorder with hallucinations ICD10CM F12.159 [F12.159] Cannabis abuse with psychotic disorder, unspecified ICD10CM F12.180 [F12.180] Cannabis abuse with cannabis-induced anxiety disorder ICD10CM F12.188 [F12.188] Cannabis abuse with other cannabis-induced disorder ICD10CM F12.19 [F12.19] Cannabis abuse with unspecified cannabis-induced disorder ICD10CM F12.20 [F12.20] Cannabis dependence, uncomplicated ICD10CM F12.220 [F12.220] Cannabis dependence with intoxication, uncomplicated ICD10CM F12.221 [F12.221] Cannabis dependence with intoxication delirium ICD10CM F12.222 [F12.222] Cannabis dependence with intoxication with perceptual disturbance ICD10CM F12.229 [F12.229] Cannabis dependence with intoxication, unspecified ICD10CM F12.250 [F12.250] Cannabis dependence with psychotic disorder with delusions ICD10CM F12.251 [F12.251] Cannabis dependence with psychotic disorder with hallucinations ICD10CM F12.259 [F12.259] Cannabis dependence with psychotic disorder, unspecified ICD10CM F12.280 [F12.280] Cannabis dependence with cannabis-induced anxiety disorder ICD10CM F12.288 [F12.288] Cannabis dependence with other cannabis-induced disorder ICD10CM F12.29 [F12.29] Cannabis dependence with unspecified cannabis-induced disorder ICD10CM F13.10 [F13.10] Sedative, hypnotic or anxiolytic abuse, uncomplicated ICD10CM F13.120 [F13.120] Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated ICD10CM F13.121 [F13.121] Sedative, hypnotic or anxiolytic abuse with intoxication delirium ICD10CM F13.129 [F13.129] Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified ICD10CM F13.14 [F13.14] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced mood disorder

ICD10CM F13.150 [F13.150] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced psychotic disorder with delusions ICD10CM F13.151 [F13.151] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced psychotic disorder with hallucinations ICD10CM F13.159 [F13.159] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced psychotic disorder, unspecified ICD10CM F13.180 [F13.180] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced anxiety disorder ICD10CM F13.181 [F13.181] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced sexual dysfunction ICD10CM F13.182 [F13.182] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced sleep disorder ICD10CM F13.188 [F13.188] Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or

anxiolytic-induced disorder ICD10CM F13.19 [F13.19] Sedative, hypnotic or anxiolytic abuse with unspecified sedative,

hypnotic or anxiolytic-induced disorder ICD10CM F13.20 [F13.20] Sedative, hypnotic or anxiolytic dependence, uncomplicated ICD10CM F13.220 [F13.220] Sedative, hypnotic or anxiolytic dependence with intoxication,

uncomplicated ICD10CM F13.221 [F13.221] Sedative, hypnotic or anxiolytic dependence with intoxication delirium ICD10CM F13.229 [F13.229] Sedative, hypnotic or anxiolytic dependence with intoxication,

unspecified ICD10CM F13.230 [F13.230] Sedative, hypnotic or anxiolytic dependence with withdrawal,

uncomplicated ICD10CM F13.231 [F13.231] Sedative, hypnotic or anxiolytic dependence with withdrawal delirium ICD10CM F13.232 [F13.232] Sedative, hypnotic or anxiolytic dependence with withdrawal with

perceptual disturbance ICD10CM F13.239 [F13.239] Sedative, hypnotic or anxiolytic dependence with withdrawal,

unspecified ICD10CM F13.24 [F13.24] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced mood disorder ICD10CM F13.250 [F13.250] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced psychotic disorder with delusions ICD10CM F13.251 [F13.251] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced psychotic disorder with hallucinations ICD10CM F13.259 [F13.259] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced psychotic disorder, unspecified ICD10CM F13.26 [F13.26] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced persisting amnestic disorder ICD10CM F13.27 [F13.27] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced persisting dementia ICD10CM F13.280 [F13.280] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced anxiety disorder ICD10CM F13.281 [F13.281] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced sexual dysfunction

ICD10CM F13.282 [F13.282] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced sleep disorder ICD10CM F13.288 [F13.288] Sedative, hypnotic or anxiolytic dependence with other sedative,

hypnotic or anxiolytic-induced disorder ICD10CM F13.29 [F13.29] Sedative, hypnotic or anxiolytic dependence with unspecified sedative,

hypnotic or anxiolytic-induced disorder ICD10CM F14.10 [F14.10] Cocaine abuse, uncomplicated ICD10CM F14.120 [F14.120] Cocaine abuse with intoxication, uncomplicated ICD10CM F14.121 [F14.121] Cocaine abuse with intoxication with delirium ICD10CM F14.122 [F14.122] Cocaine abuse with intoxication with perceptual disturbance ICD10CM F14.129 [F14.129] Cocaine abuse with intoxication, unspecified ICD10CM F14.14 [F14.14] Cocaine abuse with cocaine-induced mood disorder ICD10CM F14.150 [F14.150] Cocaine abuse with cocaine-induced psychotic disorder with delusions ICD10CM F14.151 [F14.151] Cocaine abuse with cocaine-induced psychotic disorder with

hallucinations ICD10CM F14.159 [F14.159] Cocaine abuse with cocaine-induced psychotic disorder, unspecified ICD10CM F14.180 [F14.180] Cocaine abuse with cocaine-induced anxiety disorder ICD10CM F14.181 [F14.181] Cocaine abuse with cocaine-induced sexual dysfunction ICD10CM F14.182 [F14.182] Cocaine abuse with cocaine-induced sleep disorder ICD10CM F14.188 [F14.188] Cocaine abuse with other cocaine-induced disorder ICD10CM F14.19 [F14.19] Cocaine abuse with unspecified cocaine-induced disorder ICD10CM F14.20 [F14.20] Cocaine dependence, uncomplicated ICD10CM F14.220 [F14.220] Cocaine dependence with intoxication, uncomplicated ICD10CM F14.221 [F14.221] Cocaine dependence with intoxication delirium ICD10CM F14.222 [F14.222] Cocaine dependence with intoxication with perceptual disturbance ICD10CM F14.229 [F14.229] Cocaine dependence with intoxication, unspecified ICD10CM F14.23 [F14.23] Cocaine dependence with withdrawal ICD10CM F14.24 [F14.24] Cocaine dependence with cocaine-induced mood disorder ICD10CM F14.250 [F14.250] Cocaine dependence with cocaine-induced psychotic disorder with

delusions ICD10CM F14.251 [F14.251] Cocaine dependence with cocaine-induced psychotic disorder with

hallucinations ICD10CM F14.259 [F14.259] Cocaine dependence with cocaine-induced psychotic disorder,

unspecified ICD10CM F14.280 [F14.280] Cocaine dependence with cocaine-induced anxiety disorder ICD10CM F14.281 [F14.281] Cocaine dependence with cocaine-induced sexual dysfunction ICD10CM F14.282 [F14.282] Cocaine dependence with cocaine-induced sleep disorder ICD10CM F14.288 [F14.288] Cocaine dependence with other cocaine-induced disorder ICD10CM F14.29 [F14.29] Cocaine dependence with unspecified cocaine-induced disorder ICD10CM F15.10 [F15.10] Other stimulant abuse, uncomplicated ICD10CM F15.120 [F15.120] Other stimulant abuse with intoxication, uncomplicated ICD10CM F15.121 [F15.121] Other stimulant abuse with intoxication delirium ICD10CM F15.122 [F15.122] Other stimulant abuse with intoxication with perceptual disturbance

ICD10CM F15.129 [F15.129] Other stimulant abuse with intoxication, unspecified ICD10CM F15.14 [F15.14] Other stimulant abuse with stimulant-induced mood disorder ICD10CM F15.150 [F15.150] Other stimulant abuse with stimulant-induced psychotic disorder with

delusions ICD10CM F15.151 [F15.151] Other stimulant abuse with stimulant-induced psychotic disorder with

hallucinations ICD10CM F15.159 [F15.159] Other stimulant abuse with stimulant-induced psychotic disorder,

unspecified ICD10CM F15.180 [F15.180] Other stimulant abuse with stimulant-induced anxiety disorder ICD10CM F15.181 [F15.181] Other stimulant abuse with stimulant-induced sexual dysfunction ICD10CM F15.182 [F15.182] Other stimulant abuse with stimulant-induced sleep disorder ICD10CM F15.188 [F15.188] Other stimulant abuse with other stimulant-induced disorder ICD10CM F15.19 [F15.19] Other stimulant abuse with unspecified stimulant-induced disorder ICD10CM F15.20 [F15.20] Other stimulant dependence, uncomplicated ICD10CM F15.220 [F15.220] Other stimulant dependence with intoxication, uncomplicated ICD10CM F15.221 [F15.221] Other stimulant dependence with intoxication delirium ICD10CM F15.222 [F15.222] Other stimulant dependence with intoxication with perceptual

disturbance ICD10CM F15.229 [F15.229] Other stimulant dependence with intoxication, unspecified ICD10CM F15.23 [F15.23] Other stimulant dependence with withdrawal ICD10CM F15.24 [F15.24] Other stimulant dependence with stimulant-induced mood disorder ICD10CM F15.250 [F15.250] Other stimulant dependence with stimulant-induced psychotic

disorder with delusions ICD10CM F15.251 [F15.251] Other stimulant dependence with stimulant-induced psychotic

disorder with hallucinations ICD10CM F15.259 [F15.259] Other stimulant dependence with stimulant-induced psychotic

disorder, unspecified ICD10CM F15.280 [F15.280] Other stimulant dependence with stimulant-induced anxiety disorder ICD10CM F15.281 [F15.281] Other stimulant dependence with stimulant-induced sexual

dysfunction ICD10CM F15.282 [F15.282] Other stimulant dependence with stimulant-induced sleep disorder ICD10CM F15.288 [F15.288] Other stimulant dependence with other stimulant-induced disorder ICD10CM F15.29 [F15.29] Other stimulant dependence with unspecified stimulant-induced

disorder ICD10CM F16.10 [F16.10] Hallucinogen abuse, uncomplicated ICD10CM F16.120 [F16.120] Hallucinogen abuse with intoxication, uncomplicated ICD10CM F16.121 [F16.121] Hallucinogen abuse with intoxication with delirium ICD10CM F16.122 [F16.122] Hallucinogen abuse with intoxication with perceptual disturbance ICD10CM F16.129 [F16.129] Hallucinogen abuse with intoxication, unspecified ICD10CM F16.14 [F16.14] Hallucinogen abuse with hallucinogen-induced mood disorder ICD10CM F16.150 [F16.150] Hallucinogen abuse with hallucinogen-induced psychotic disorder with

delusions ICD10CM F16.151 [F16.151] Hallucinogen abuse with hallucinogen-induced psychotic disorder with

hallucinations

ICD10CM F16.159 [F16.159] Hallucinogen abuse with hallucinogen-induced psychotic disorder,

unspecified ICD10CM F16.180 [F16.180] Hallucinogen abuse with hallucinogen-induced anxiety disorder ICD10CM F16.183 [F16.183] Hallucinogen abuse with hallucinogen persisting perception disorder

(flashbacks) ICD10CM F16.188 [F16.188] Hallucinogen abuse with other hallucinogen-induced disorder ICD10CM F16.19 [F16.19] Hallucinogen abuse with unspecified hallucinogen-induced disorder ICD10CM F16.20 [F16.20] Hallucinogen dependence, uncomplicated ICD10CM F16.220 [F16.220] Hallucinogen dependence with intoxication, uncomplicated ICD10CM F16.221 [F16.221] Hallucinogen dependence with intoxication with delirium ICD10CM F16.229 [F16.229] Hallucinogen dependence with intoxication, unspecified ICD10CM F16.24 [F16.24] Hallucinogen dependence with hallucinogen-induced mood disorder ICD10CM F16.250 [F16.250] Hallucinogen dependence with hallucinogen-induced psychotic

disorder with delusions ICD10CM F16.251 [F16.251] Hallucinogen dependence with hallucinogen-induced psychotic

disorder with hallucinations ICD10CM F16.259 [F16.259] Hallucinogen dependence with hallucinogen-induced psychotic

disorder, unspecified ICD10CM F16.280 [F16.280] Hallucinogen dependence with hallucinogen-induced anxiety disorder ICD10CM F16.283 [F16.283] Hallucinogen dependence with hallucinogen persisting perception

disorder (flashbacks) ICD10CM F16.288 [F16.288] Hallucinogen dependence with other hallucinogen-induced disorder ICD10CM F16.29 [F16.29] Hallucinogen dependence with unspecified hallucinogen-induced

disorder ICD10CM F18.10 [F18.10] Inhalant abuse, uncomplicated ICD10CM F18.120 [F18.120] Inhalant abuse with intoxication, uncomplicated ICD10CM F18.121 [F18.121] Inhalant abuse with intoxication delirium ICD10CM F18.129 [F18.129] Inhalant abuse with intoxication, unspecified ICD10CM F18.14 [F18.14] Inhalant abuse with inhalant-induced mood disorder ICD10CM F18.150 [F18.150] Inhalant abuse with inhalant-induced psychotic disorder with delusions ICD10CM F18.151 [F18.151] Inhalant abuse with inhalant-induced psychotic disorder with

hallucinations ICD10CM F18.159 [F18.159] Inhalant abuse with inhalant-induced psychotic disorder, unspecified ICD10CM F18.17 [F18.17] Inhalant abuse with inhalant-induced dementia ICD10CM F18.180 [F18.180] Inhalant abuse with inhalant-induced anxiety disorder ICD10CM F18.188 [F18.188] Inhalant abuse with other inhalant-induced disorder ICD10CM F18.19 [F18.19] Inhalant abuse with unspecified inhalant-induced disorder ICD10CM F18.20 [F18.20] Inhalant dependence, uncomplicated ICD10CM F18.220 [F18.220] Inhalant dependence with intoxication, uncomplicated ICD10CM F18.221 [F18.221] Inhalant dependence with intoxication delirium ICD10CM F18.229 [F18.229] Inhalant dependence with intoxication, unspecified ICD10CM F18.24 [F18.24] Inhalant dependence with inhalant-induced mood disorder ICD10CM F18.250 [F18.250] Inhalant dependence with inhalant-induced psychotic disorder with

delusions

ICD10CM F18.251 [F18.251] Inhalant dependence with inhalant-induced psychotic disorder with

hallucinations ICD10CM F18.259 [F18.259] Inhalant dependence with inhalant-induced psychotic disorder,

unspecified ICD10CM F18.27 [F18.27] Inhalant dependence with inhalant-induced dementia ICD10CM F18.280 [F18.280] Inhalant dependence with inhalant-induced anxiety disorder ICD10CM F18.288 [F18.288] Inhalant dependence with other inhalant-induced disorder ICD10CM F18.29 [F18.29] Inhalant dependence with unspecified inhalant-induced disorder ICD10CM F19.10 [F19.10] Other psychoactive substance abuse, uncomplicated ICD10CM F19.120 [F19.120] Other psychoactive substance abuse with intoxication, uncomplicated ICD10CM F19.121 [F19.121] Other psychoactive substance abuse with intoxication delirium ICD10CM F19.122 [F19.122] Other psychoactive substance abuse with intoxication with perceptual

disturbances ICD10CM F19.129 [F19.129] Other psychoactive substance abuse with intoxication, unspecified ICD10CM F19.14 [F19.14] Other psychoactive substance abuse with psychoactive substance-

induced mood disorder ICD10CM F19.150 [F19.150] Other psychoactive substance abuse with psychoactive substance-

induced psychotic disorder with delusions ICD10CM F19.151 [F19.151] Other psychoactive substance abuse with psychoactive substance-

induced psychotic disorder with hallucinations ICD10CM F19.159 [F19.159] Other psychoactive substance abuse with psychoactive substance-

induced psychotic disorder, unspecified ICD10CM F19.16 [F19.16] Other psychoactive substance abuse with psychoactive substance-

induced persisting amnestic disorder ICD10CM F19.17 [F19.17] Other psychoactive substance abuse with psychoactive substance-

induced persisting dementia ICD10CM F19.180 [F19.180] Other psychoactive substance abuse with psychoactive substance-

induced anxiety disorder ICD10CM F19.181 [F19.181] Other psychoactive substance abuse with psychoactive substance-

induced sexual dysfunction ICD10CM F19.182 [F19.182] Other psychoactive substance abuse with psychoactive substance-

induced sleep disorder ICD10CM F19.188 [F19.188] Other psychoactive substance abuse with other psychoactive

substance-induced disorder ICD10CM F19.19 [F19.19] Other psychoactive substance abuse with unspecified psychoactive

substance-induced disorder ICD10CM F19.20 [F19.20] Other psychoactive substance dependence, uncomplicated ICD10CM F19.220 [F19.220] Other psychoactive substance dependence with intoxication,

uncomplicated ICD10CM F19.221 [F19.221] Other psychoactive substance dependence with intoxication delirium ICD10CM F19.222 [F19.222] Other psychoactive substance dependence with intoxication with

perceptual disturbance ICD10CM F19.229 [F19.229] Other psychoactive substance dependence with intoxication,

unspecified

ICD10CM F19.230 [F19.230] Other psychoactive substance dependence with withdrawal,

uncomplicated ICD10CM F19.231 [F19.231] Other psychoactive substance dependence with withdrawal delirium ICD10CM F19.232 [F19.232] Other psychoactive substance dependence with withdrawal with

perceptual disturbance ICD10CM F19.239 [F19.239] Other psychoactive substance dependence with withdrawal,

unspecified ICD10CM F19.24 [F19.24] Other psychoactive substance dependence with psychoactive

substance-induced mood disorder ICD10CM F19.250 [F19.250] Other psychoactive substance dependence with psychoactive

substance-induced psychotic disorder with delusions ICD10CM F19.251 [F19.251] Other psychoactive substance dependence with psychoactive

substance-induced psychotic disorder with hallucinations ICD10CM F19.259 [F19.259] Other psychoactive substance dependence with psychoactive

substance-induced psychotic disorder, unspecified ICD10CM F19.26 [F19.26] Other psychoactive substance dependence with psychoactive

substance-induced persisting amnestic disorder ICD10CM F19.27 [F19.27] Other psychoactive substance dependence with psychoactive

substance-induced persisting dementia ICD10CM F19.280 [F19.280] Other psychoactive substance dependence with psychoactive

substance-induced anxiety disorder ICD10CM F19.281 [F19.281] Other psychoactive substance dependence with psychoactive

substance-induced sexual dysfunction ICD10CM F19.282 [F19.282] Other psychoactive substance dependence with psychoactive

substance-induced sleep disorder ICD10CM F19.288 [F19.288] Other psychoactive substance dependence with other psychoactive

substance-induced disorder ICD10CM F19.29 [F19.29] Other psychoactive substance dependence with unspecified

psychoactive substance-induced disorder IET Visits Group 1 Code System Code Definition CPT 90791 CPT 90792 CPT 90832 CPT 90833 CPT 90834 CPT 90836 CPT 90837 CPT 90838 CPT 90839 CPT 90840 CPT 90845 CPT 90847 CPT 90849 CPT 90853

CPT 90875 CPT 90876 IET POS Group 1 Code System Code Definition POS 02 Telehealth POS 03 School POS 05 Indian Health Service Free-standing Facility POS 07 Tribal 638 Free-standing Facility POS 09 Prison/Correctional Facility POS 11 Office POS 12 Home POS 13 Assisted Living Facility POS 14 Group Home POS 15 Mobile Unit POS 16 Temporary Lodging POS 17 Walk-in Retail Health Clinic POS 18 Place of Employment-Worksite POS 19 Off Campus-Outpatient Hospital POS 20 Urgent Care Facility POS 22 On Campus-Outpatient Hospital POS 33 Custodial Care Facility POS 49 Independent Clinic POS 50 Federally Qualified Health Center POS 52 Psychiatric Facility-Partial Hospitalization POS 53 Community Mental Health Center POS 57 Non-residential Substance Abuse Treatment Facility POS 71 Public Health Clinic POS 72 Rural Health Clinic IET Visits Group 2 Code System Code Definition CPT 99221 CPT 99222 CPT 99223 CPT 99231 CPT 99232 CPT 99233 CPT 99238 CPT 99239 CPT 99251 CPT 99252 CPT 99253 CPT 99254

CPT 99255 IET POS Group 2 Code System Code Definition POS 02 Telehealth POS 52 Psychiatric Facility-Partial Hospitalization POS 53 Community Mental Health Center Detoxification Code System Code Definition HCPCS H0008 Alcohol and/or drug services; sub-acute detoxification (hospital inpatient)

(H0008) HCPCS H0009 Alcohol and/or drug services; acute detoxification (hospital inpatient) (H0009) HCPCS H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction

program inpatient) (H0010) HCPCS H0011 Alcohol and/or drug services; acute detoxification (residential addiction program

inpatient) (H0011) HCPCS H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction

program outpatient) (H0012) HCPCS H0013 Alcohol and/or drug services; acute detoxification (residential addiction program

outpatient) (H0013) HCPCS H0014 Alcohol and/or drug services; ambulatory detoxification (H0014) ICD10PCS HZ2ZZZZ [HZ2ZZZZ] Detoxification Services for Substance Abuse Treatment UBREV 0116 UBREV 0126 UBREV 0136 UBREV 0146 UBREV 0156 ED Visit Code System Code Definition CPT 99281 CPT 99282 CPT 99283 CPT 99284 CPT 99285 UBREV 0450 UBREV 0451 UBREV 0452 UBREV 0456 UBREV 0459 UBREV 0981 Telephone Visits Code System Code Definition CPT 98966 CPT 98967

CPT 98968 CPT 99441 CPT 99442 CPT 99443 Online Assessments Code System Code Definition CPT 98969 CPT 99444 AOD Abuse and Dependence Code System Code Definition ICD10CM F10.10 [F10.10] Alcohol abuse, uncomplicated ICD10CM F10.120 [F10.120] Alcohol abuse with intoxication, uncomplicated ICD10CM F10.121 [F10.121] Alcohol abuse with intoxication delirium ICD10CM F10.129 [F10.129] Alcohol abuse with intoxication, unspecified ICD10CM F10.14 [F10.14] Alcohol abuse with alcohol-induced mood disorder ICD10CM F10.150 [F10.150] Alcohol abuse with alcohol-induced psychotic disorder with delusions ICD10CM F10.151 [F10.151] Alcohol abuse with alcohol-induced psychotic disorder with

hallucinations ICD10CM F10.159 [F10.159] Alcohol abuse with alcohol-induced psychotic disorder, unspecified ICD10CM F10.180 [F10.180] Alcohol abuse with alcohol-induced anxiety disorder ICD10CM F10.181 [F10.181] Alcohol abuse with alcohol-induced sexual dysfunction ICD10CM F10.182 [F10.182] Alcohol abuse with alcohol-induced sleep disorder ICD10CM F10.188 [F10.188] Alcohol abuse with other alcohol-induced disorder ICD10CM F10.19 [F10.19] Alcohol abuse with unspecified alcohol-induced disorder ICD10CM F10.20 [F10.20] Alcohol dependence, uncomplicated ICD10CM F10.220 [F10.220] Alcohol dependence with intoxication, uncomplicated ICD10CM F10.221 [F10.221] Alcohol dependence with intoxication delirium ICD10CM F10.229 [F10.229] Alcohol dependence with intoxication, unspecified ICD10CM F10.230 [F10.230] Alcohol dependence with withdrawal, uncomplicated ICD10CM F10.231 [F10.231] Alcohol dependence with withdrawal delirium ICD10CM F10.232 [F10.232] Alcohol dependence with withdrawal with perceptual disturbance ICD10CM F10.239 [F10.239] Alcohol dependence with withdrawal, unspecified ICD10CM F10.24 [F10.24] Alcohol dependence with alcohol-induced mood disorder ICD10CM F10.250 [F10.250] Alcohol dependence with alcohol-induced psychotic disorder with

delusions ICD10CM F10.251 [F10.251] Alcohol dependence with alcohol-induced psychotic disorder with

hallucinations ICD10CM F10.259 [F10.259] Alcohol dependence with alcohol-induced psychotic disorder,

unspecified ICD10CM F10.26 [F10.26] Alcohol dependence with alcohol-induced persisting amnestic disorder ICD10CM F10.27 [F10.27] Alcohol dependence with alcohol-induced persisting dementia ICD10CM F10.280 [F10.280] Alcohol dependence with alcohol-induced anxiety disorder ICD10CM F10.281 [F10.281] Alcohol dependence with alcohol-induced sexual dysfunction

ICD10CM F10.282 [F10.282] Alcohol dependence with alcohol-induced sleep disorder ICD10CM F10.288 [F10.288] Alcohol dependence with other alcohol-induced disorder ICD10CM F10.29 [F10.29] Alcohol dependence with unspecified alcohol-induced disorder ICD10CM F11.10 [F11.10] Opioid abuse, uncomplicated ICD10CM F11.120 [F11.120] Opioid abuse with intoxication, uncomplicated ICD10CM F11.121 [F11.121] Opioid abuse with intoxication delirium ICD10CM F11.122 [F11.122] Opioid abuse with intoxication with perceptual disturbance ICD10CM F11.129 [F11.129] Opioid abuse with intoxication, unspecified ICD10CM F11.14 [F11.14] Opioid abuse with opioid-induced mood disorder ICD10CM F11.150 [F11.150] Opioid abuse with opioid-induced psychotic disorder with delusions ICD10CM F11.151 [F11.151] Opioid abuse with opioid-induced psychotic disorder with

hallucinations ICD10CM F11.159 [F11.159] Opioid abuse with opioid-induced psychotic disorder, unspecified ICD10CM F11.181 [F11.181] Opioid abuse with opioid-induced sexual dysfunction ICD10CM F11.182 [F11.182] Opioid abuse with opioid-induced sleep disorder ICD10CM F11.188 [F11.188] Opioid abuse with other opioid-induced disorder ICD10CM F11.19 [F11.19] Opioid abuse with unspecified opioid-induced disorder ICD10CM F11.20 [F11.20] Opioid dependence, uncomplicated ICD10CM F11.220 [F11.220] Opioid dependence with intoxication, uncomplicated ICD10CM F11.221 [F11.221] Opioid dependence with intoxication delirium ICD10CM F11.222 [F11.222] Opioid dependence with intoxication with perceptual disturbance ICD10CM F11.229 [F11.229] Opioid dependence with intoxication, unspecified ICD10CM F11.23 [F11.23] Opioid dependence with withdrawal ICD10CM F11.24 [F11.24] Opioid dependence with opioid-induced mood disorder ICD10CM F11.250 [F11.250] Opioid dependence with opioid-induced psychotic disorder with

delusions ICD10CM F11.251 [F11.251] Opioid dependence with opioid-induced psychotic disorder with

hallucinations ICD10CM F11.259 [F11.259] Opioid dependence with opioid-induced psychotic disorder,

unspecified ICD10CM F11.281 [F11.281] Opioid dependence with opioid-induced sexual dysfunction ICD10CM F11.282 [F11.282] Opioid dependence with opioid-induced sleep disorder ICD10CM F11.288 [F11.288] Opioid dependence with other opioid-induced disorder ICD10CM F11.29 [F11.29] Opioid dependence with unspecified opioid-induced disorder ICD10CM F12.10 [F12.10] Cannabis abuse, uncomplicated ICD10CM F12.120 [F12.120] Cannabis abuse with intoxication, uncomplicated ICD10CM F12.121 [F12.121] Cannabis abuse with intoxication delirium ICD10CM F12.122 [F12.122] Cannabis abuse with intoxication with perceptual disturbance ICD10CM F12.129 [F12.129] Cannabis abuse with intoxication, unspecified ICD10CM F12.150 [F12.150] Cannabis abuse with psychotic disorder with delusions ICD10CM F12.151 [F12.151] Cannabis abuse with psychotic disorder with hallucinations ICD10CM F12.159 [F12.159] Cannabis abuse with psychotic disorder, unspecified ICD10CM F12.180 [F12.180] Cannabis abuse with cannabis-induced anxiety disorder

ICD10CM F12.188 [F12.188] Cannabis abuse with other cannabis-induced disorder ICD10CM F12.19 [F12.19] Cannabis abuse with unspecified cannabis-induced disorder ICD10CM F12.20 [F12.20] Cannabis dependence, uncomplicated ICD10CM F12.220 [F12.220] Cannabis dependence with intoxication, uncomplicated ICD10CM F12.221 [F12.221] Cannabis dependence with intoxication delirium ICD10CM F12.222 [F12.222] Cannabis dependence with intoxication with perceptual disturbance ICD10CM F12.229 [F12.229] Cannabis dependence with intoxication, unspecified ICD10CM F12.250 [F12.250] Cannabis dependence with psychotic disorder with delusions ICD10CM F12.251 [F12.251] Cannabis dependence with psychotic disorder with hallucinations ICD10CM F12.259 [F12.259] Cannabis dependence with psychotic disorder, unspecified ICD10CM F12.280 [F12.280] Cannabis dependence with cannabis-induced anxiety disorder ICD10CM F12.288 [F12.288] Cannabis dependence with other cannabis-induced disorder ICD10CM F12.29 [F12.29] Cannabis dependence with unspecified cannabis-induced disorder ICD10CM F13.10 [F13.10] Sedative, hypnotic or anxiolytic abuse, uncomplicated ICD10CM F13.120 [F13.120] Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated ICD10CM F13.121 [F13.121] Sedative, hypnotic or anxiolytic abuse with intoxication delirium ICD10CM F13.129 [F13.129] Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified ICD10CM F13.14 [F13.14] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced mood disorder ICD10CM F13.150 [F13.150] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced psychotic disorder with delusions ICD10CM F13.151 [F13.151] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced psychotic disorder with hallucinations ICD10CM F13.159 [F13.159] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced psychotic disorder, unspecified ICD10CM F13.180 [F13.180] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced anxiety disorder ICD10CM F13.181 [F13.181] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced sexual dysfunction ICD10CM F13.182 [F13.182] Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or

anxiolytic-induced sleep disorder ICD10CM F13.188 [F13.188] Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or

anxiolytic-induced disorder ICD10CM F13.19 [F13.19] Sedative, hypnotic or anxiolytic abuse with unspecified sedative,

hypnotic or anxiolytic-induced disorder ICD10CM F13.20 [F13.20] Sedative, hypnotic or anxiolytic dependence, uncomplicated ICD10CM F13.220 [F13.220] Sedative, hypnotic or anxiolytic dependence with intoxication,

uncomplicated ICD10CM F13.221 [F13.221] Sedative, hypnotic or anxiolytic dependence with intoxication delirium ICD10CM F13.229 [F13.229] Sedative, hypnotic or anxiolytic dependence with intoxication,

unspecified ICD10CM F13.230 [F13.230] Sedative, hypnotic or anxiolytic dependence with withdrawal,

uncomplicated ICD10CM F13.231 [F13.231] Sedative, hypnotic or anxiolytic dependence with withdrawal delirium

ICD10CM F13.232 [F13.232] Sedative, hypnotic or anxiolytic dependence with withdrawal with

perceptual disturbance ICD10CM F13.239 [F13.239] Sedative, hypnotic or anxiolytic dependence with withdrawal,

unspecified ICD10CM F13.24 [F13.24] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced mood disorder ICD10CM F13.250 [F13.250] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced psychotic disorder with delusions ICD10CM F13.251 [F13.251] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced psychotic disorder with hallucinations ICD10CM F13.259 [F13.259] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced psychotic disorder, unspecified ICD10CM F13.26 [F13.26] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced persisting amnestic disorder ICD10CM F13.27 [F13.27] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced persisting dementia ICD10CM F13.280 [F13.280] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced anxiety disorder ICD10CM F13.281 [F13.281] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced sexual dysfunction ICD10CM F13.282 [F13.282] Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or

anxiolytic-induced sleep disorder ICD10CM F13.288 [F13.288] Sedative, hypnotic or anxiolytic dependence with other sedative,

hypnotic or anxiolytic-induced disorder ICD10CM F13.29 [F13.29] Sedative, hypnotic or anxiolytic dependence with unspecified sedative,

hypnotic or anxiolytic-induced disorder ICD10CM F14.10 [F14.10] Cocaine abuse, uncomplicated ICD10CM F14.120 [F14.120] Cocaine abuse with intoxication, uncomplicated ICD10CM F14.121 [F14.121] Cocaine abuse with intoxication with delirium ICD10CM F14.122 [F14.122] Cocaine abuse with intoxication with perceptual disturbance ICD10CM F14.129 [F14.129] Cocaine abuse with intoxication, unspecified ICD10CM F14.14 [F14.14] Cocaine abuse with cocaine-induced mood disorder ICD10CM F14.150 [F14.150] Cocaine abuse with cocaine-induced psychotic disorder with delusions ICD10CM F14.151 [F14.151] Cocaine abuse with cocaine-induced psychotic disorder with

hallucinations ICD10CM F14.159 [F14.159] Cocaine abuse with cocaine-induced psychotic disorder, unspecified ICD10CM F14.180 [F14.180] Cocaine abuse with cocaine-induced anxiety disorder ICD10CM F14.181 [F14.181] Cocaine abuse with cocaine-induced sexual dysfunction ICD10CM F14.182 [F14.182] Cocaine abuse with cocaine-induced sleep disorder ICD10CM F14.188 [F14.188] Cocaine abuse with other cocaine-induced disorder ICD10CM F14.19 [F14.19] Cocaine abuse with unspecified cocaine-induced disorder ICD10CM F14.20 [F14.20] Cocaine dependence, uncomplicated ICD10CM F14.220 [F14.220] Cocaine dependence with intoxication, uncomplicated ICD10CM F14.221 [F14.221] Cocaine dependence with intoxication delirium ICD10CM F14.222 [F14.222] Cocaine dependence with intoxication with perceptual disturbance

ICD10CM F14.229 [F14.229] Cocaine dependence with intoxication, unspecified ICD10CM F14.23 [F14.23] Cocaine dependence with withdrawal ICD10CM F14.24 [F14.24] Cocaine dependence with cocaine-induced mood disorder ICD10CM F14.250 [F14.250] Cocaine dependence with cocaine-induced psychotic disorder with

delusions ICD10CM F14.251 [F14.251] Cocaine dependence with cocaine-induced psychotic disorder with

hallucinations ICD10CM F14.259 [F14.259] Cocaine dependence with cocaine-induced psychotic disorder,

unspecified ICD10CM F14.280 [F14.280] Cocaine dependence with cocaine-induced anxiety disorder ICD10CM F14.281 [F14.281] Cocaine dependence with cocaine-induced sexual dysfunction ICD10CM F14.282 [F14.282] Cocaine dependence with cocaine-induced sleep disorder ICD10CM F14.288 [F14.288] Cocaine dependence with other cocaine-induced disorder ICD10CM F14.29 [F14.29] Cocaine dependence with unspecified cocaine-induced disorder ICD10CM F15.10 [F15.10] Other stimulant abuse, uncomplicated ICD10CM F15.120 [F15.120] Other stimulant abuse with intoxication, uncomplicated ICD10CM F15.121 [F15.121] Other stimulant abuse with intoxication delirium ICD10CM F15.122 [F15.122] Other stimulant abuse with intoxication with perceptual disturbance ICD10CM F15.129 [F15.129] Other stimulant abuse with intoxication, unspecified ICD10CM F15.14 [F15.14] Other stimulant abuse with stimulant-induced mood disorder ICD10CM F15.150 [F15.150] Other stimulant abuse with stimulant-induced psychotic disorder with

delusions ICD10CM F15.151 [F15.151] Other stimulant abuse with stimulant-induced psychotic disorder with

hallucinations ICD10CM F15.159 [F15.159] Other stimulant abuse with stimulant-induced psychotic disorder,

unspecified ICD10CM F15.180 [F15.180] Other stimulant abuse with stimulant-induced anxiety disorder ICD10CM F15.181 [F15.181] Other stimulant abuse with stimulant-induced sexual dysfunction ICD10CM F15.182 [F15.182] Other stimulant abuse with stimulant-induced sleep disorder ICD10CM F15.188 [F15.188] Other stimulant abuse with other stimulant-induced disorder ICD10CM F15.19 [F15.19] Other stimulant abuse with unspecified stimulant-induced disorder ICD10CM F15.20 [F15.20] Other stimulant dependence, uncomplicated ICD10CM F15.220 [F15.220] Other stimulant dependence with intoxication, uncomplicated ICD10CM F15.221 [F15.221] Other stimulant dependence with intoxication delirium ICD10CM F15.222 [F15.222] Other stimulant dependence with intoxication with perceptual

disturbance ICD10CM F15.229 [F15.229] Other stimulant dependence with intoxication, unspecified ICD10CM F15.23 [F15.23] Other stimulant dependence with withdrawal ICD10CM F15.24 [F15.24] Other stimulant dependence with stimulant-induced mood disorder ICD10CM F15.250 [F15.250] Other stimulant dependence with stimulant-induced psychotic

disorder with delusions ICD10CM F15.251 [F15.251] Other stimulant dependence with stimulant-induced psychotic

disorder with hallucinations

ICD10CM F15.259 [F15.259] Other stimulant dependence with stimulant-induced psychotic

disorder, unspecified ICD10CM F15.280 [F15.280] Other stimulant dependence with stimulant-induced anxiety disorder ICD10CM F15.281 [F15.281] Other stimulant dependence with stimulant-induced sexual

dysfunction ICD10CM F15.282 [F15.282] Other stimulant dependence with stimulant-induced sleep disorder ICD10CM F15.288 [F15.288] Other stimulant dependence with other stimulant-induced disorder ICD10CM F15.29 [F15.29] Other stimulant dependence with unspecified stimulant-induced

disorder ICD10CM F16.10 [F16.10] Hallucinogen abuse, uncomplicated ICD10CM F16.120 [F16.120] Hallucinogen abuse with intoxication, uncomplicated ICD10CM F16.121 [F16.121] Hallucinogen abuse with intoxication with delirium ICD10CM F16.122 [F16.122] Hallucinogen abuse with intoxication with perceptual disturbance ICD10CM F16.129 [F16.129] Hallucinogen abuse with intoxication, unspecified ICD10CM F16.14 [F16.14] Hallucinogen abuse with hallucinogen-induced mood disorder ICD10CM F16.150 [F16.150] Hallucinogen abuse with hallucinogen-induced psychotic disorder with

delusions ICD10CM F16.151 [F16.151] Hallucinogen abuse with hallucinogen-induced psychotic disorder with

hallucinations ICD10CM F16.159 [F16.159] Hallucinogen abuse with hallucinogen-induced psychotic disorder,

unspecified ICD10CM F16.180 [F16.180] Hallucinogen abuse with hallucinogen-induced anxiety disorder ICD10CM F16.183 [F16.183] Hallucinogen abuse with hallucinogen persisting perception disorder

(flashbacks) ICD10CM F16.188 [F16.188] Hallucinogen abuse with other hallucinogen-induced disorder ICD10CM F16.19 [F16.19] Hallucinogen abuse with unspecified hallucinogen-induced disorder ICD10CM F16.20 [F16.20] Hallucinogen dependence, uncomplicated ICD10CM F16.220 [F16.220] Hallucinogen dependence with intoxication, uncomplicated ICD10CM F16.221 [F16.221] Hallucinogen dependence with intoxication with delirium ICD10CM F16.229 [F16.229] Hallucinogen dependence with intoxication, unspecified ICD10CM F16.24 [F16.24] Hallucinogen dependence with hallucinogen-induced mood disorder ICD10CM F16.250 [F16.250] Hallucinogen dependence with hallucinogen-induced psychotic

disorder with delusions ICD10CM F16.251 [F16.251] Hallucinogen dependence with hallucinogen-induced psychotic

disorder with hallucinations ICD10CM F16.259 [F16.259] Hallucinogen dependence with hallucinogen-induced psychotic

disorder, unspecified ICD10CM F16.280 [F16.280] Hallucinogen dependence with hallucinogen-induced anxiety disorder ICD10CM F16.283 [F16.283] Hallucinogen dependence with hallucinogen persisting perception

disorder (flashbacks) ICD10CM F16.288 [F16.288] Hallucinogen dependence with other hallucinogen-induced disorder ICD10CM F16.29 [F16.29] Hallucinogen dependence with unspecified hallucinogen-induced

disorder ICD10CM F18.10 [F18.10] Inhalant abuse, uncomplicated

ICD10CM F18.120 [F18.120] Inhalant abuse with intoxication, uncomplicated ICD10CM F18.121 [F18.121] Inhalant abuse with intoxication delirium ICD10CM F18.129 [F18.129] Inhalant abuse with intoxication, unspecified ICD10CM F18.14 [F18.14] Inhalant abuse with inhalant-induced mood disorder ICD10CM F18.150 [F18.150] Inhalant abuse with inhalant-induced psychotic disorder with delusions ICD10CM F18.151 [F18.151] Inhalant abuse with inhalant-induced psychotic disorder with

hallucinations ICD10CM F18.159 [F18.159] Inhalant abuse with inhalant-induced psychotic disorder, unspecified ICD10CM F18.17 [F18.17] Inhalant abuse with inhalant-induced dementia ICD10CM F18.180 [F18.180] Inhalant abuse with inhalant-induced anxiety disorder ICD10CM F18.188 [F18.188] Inhalant abuse with other inhalant-induced disorder ICD10CM F18.19 [F18.19] Inhalant abuse with unspecified inhalant-induced disorder ICD10CM F18.20 [F18.20] Inhalant dependence, uncomplicated ICD10CM F18.220 [F18.220] Inhalant dependence with intoxication, uncomplicated ICD10CM F18.221 [F18.221] Inhalant dependence with intoxication delirium ICD10CM F18.229 [F18.229] Inhalant dependence with intoxication, unspecified ICD10CM F18.24 [F18.24] Inhalant dependence with inhalant-induced mood disorder ICD10CM F18.250 [F18.250] Inhalant dependence with inhalant-induced psychotic disorder with

delusions ICD10CM F18.251 [F18.251] Inhalant dependence with inhalant-induced psychotic disorder with

hallucinations ICD10CM F18.259 [F18.259] Inhalant dependence with inhalant-induced psychotic disorder,

unspecified ICD10CM F18.27 [F18.27] Inhalant dependence with inhalant-induced dementia ICD10CM F18.280 [F18.280] Inhalant dependence with inhalant-induced anxiety disorder ICD10CM F18.288 [F18.288] Inhalant dependence with other inhalant-induced disorder ICD10CM F18.29 [F18.29] Inhalant dependence with unspecified inhalant-induced disorder ICD10CM F19.10 [F19.10] Other psychoactive substance abuse, uncomplicated ICD10CM F19.120 [F19.120] Other psychoactive substance abuse with intoxication, uncomplicated ICD10CM F19.121 [F19.121] Other psychoactive substance abuse with intoxication delirium ICD10CM F19.122 [F19.122] Other psychoactive substance abuse with intoxication with perceptual

disturbances ICD10CM F19.129 [F19.129] Other psychoactive substance abuse with intoxication, unspecified ICD10CM F19.14 [F19.14] Other psychoactive substance abuse with psychoactive substance-

induced mood disorder ICD10CM F19.150 [F19.150] Other psychoactive substance abuse with psychoactive substance-

induced psychotic disorder with delusions ICD10CM F19.151 [F19.151] Other psychoactive substance abuse with psychoactive substance-

induced psychotic disorder with hallucinations ICD10CM F19.159 [F19.159] Other psychoactive substance abuse with psychoactive substance-

induced psychotic disorder, unspecified ICD10CM F19.16 [F19.16] Other psychoactive substance abuse with psychoactive substance-

induced persisting amnestic disorder

ICD10CM F19.17 [F19.17] Other psychoactive substance abuse with psychoactive substance-

induced persisting dementia ICD10CM F19.180 [F19.180] Other psychoactive substance abuse with psychoactive substance-

induced anxiety disorder ICD10CM F19.181 [F19.181] Other psychoactive substance abuse with psychoactive substance-

induced sexual dysfunction ICD10CM F19.182 [F19.182] Other psychoactive substance abuse with psychoactive substance-

induced sleep disorder ICD10CM F19.188 [F19.188] Other psychoactive substance abuse with other psychoactive

substance-induced disorder ICD10CM F19.19 [F19.19] Other psychoactive substance abuse with unspecified psychoactive

substance-induced disorder ICD10CM F19.20 [F19.20] Other psychoactive substance dependence, uncomplicated ICD10CM F19.220 [F19.220] Other psychoactive substance dependence with intoxication,

uncomplicated ICD10CM F19.221 [F19.221] Other psychoactive substance dependence with intoxication delirium ICD10CM F19.222 [F19.222] Other psychoactive substance dependence with intoxication with

perceptual disturbance ICD10CM F19.229 [F19.229] Other psychoactive substance dependence with intoxication,

unspecified ICD10CM F19.230 [F19.230] Other psychoactive substance dependence with withdrawal,

uncomplicated ICD10CM F19.231 [F19.231] Other psychoactive substance dependence with withdrawal delirium ICD10CM F19.232 [F19.232] Other psychoactive substance dependence with withdrawal with

perceptual disturbance ICD10CM F19.239 [F19.239] Other psychoactive substance dependence with withdrawal,

unspecified ICD10CM F19.24 [F19.24] Other psychoactive substance dependence with psychoactive

substance-induced mood disorder ICD10CM F19.250 [F19.250] Other psychoactive substance dependence with psychoactive

substance-induced psychotic disorder with delusions ICD10CM F19.251 [F19.251] Other psychoactive substance dependence with psychoactive

substance-induced psychotic disorder with hallucinations ICD10CM F19.259 [F19.259] Other psychoactive substance dependence with psychoactive

substance-induced psychotic disorder, unspecified ICD10CM F19.26 [F19.26] Other psychoactive substance dependence with psychoactive

substance-induced persisting amnestic disorder ICD10CM F19.27 [F19.27] Other psychoactive substance dependence with psychoactive

substance-induced persisting dementia ICD10CM F19.280 [F19.280] Other psychoactive substance dependence with psychoactive

substance-induced anxiety disorder ICD10CM F19.281 [F19.281] Other psychoactive substance dependence with psychoactive

substance-induced sexual dysfunction ICD10CM F19.282 [F19.282] Other psychoactive substance dependence with psychoactive

substance-induced sleep disorder

ICD10CM F19.288 [F19.288] Other psychoactive substance dependence with other psychoactive

substance-induced disorder ICD10CM F19.29 [F19.29] Other psychoactive substance dependence with unspecified

psychoactive substance-induced disorder Medication Assisted Treatment Code System Code Definition HCPCS H0020 Alcohol and/or drug services; methadone administration and/or service

(provision of the drug by a licensed program) (H0020) HCPCS H0033 Oral medication administration, direct observation (H0033) HCPCS J0571 Buprenorphine, oral, 1 mg (J0571) HCPCS J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine (J0572) HCPCS J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg

buprenorphine (J0573) HCPCS J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10

mg buprenorphine (J0574) HCPCS J0575 Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine (J0575) HCPCS J2315 Injection, naltrexone, depot form, 1 mg (J2315) HCPCS S0109 Methadone, oral, 5 mg (S0109)