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Behavioral Health

General Documentation Considerations

Diagnoses

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
309.9 Unspecified adjustment reaction

Adjustment disorder
F43.20
unspecified
F43.21
with depressed mood
F43.22
with anxiety
F43.23
with mixed anxiety and depressed mood
F43.24
with disturbance of conduct
F43.25
with mixed disturbance of emotions and conduct
F43.29
with other symptoms
296.7 Bipolar 1 disorder, most recent episode (or current) unspecified

Bipolar disorder
F31.9
unspecified
F31.0
current episode hypomanic
F31.10
current episode manic without psychotic features, unspecified
F31.11
current episode manic without psychotic features, mild
F31.12
current episode manic without psychotic features, moderate
F31.13
current episode manic without psychotic features, severe
F31.30
current episode depressed, mild or moderate severity, unspecified
F31.31
current episode depressed, mild
F31.32
current episode depressed, moderate
F3 1.4
current episode depressed, severe, without psychotic features
F31.5
current episode depressed, severe, with psychotic features
F31.60
current episode mixed, unspecified
F31.61
current episode mixed, mild
F31.62
current episode mixed, moderate
F31.63
current episode mixed, severe, without psychotic features
F31.64
current episode mixed, severe, with psychotic features
F31.70
currently in remission most recent episode unspecified
F31.71
currently in partial remission, most recent episode hypomanic
F31.72
currently in full remission, most recent episode hypomanic
F31.73
currently in partial remission, most recent episode manic
F31.74
currently in full remission, most recent episode manic
F31.75
currently in partial remission, most recent episode depressed
F31.76
currently in full remission, most recent episode depressed
F31.77
currently in partial remission, most recent episode mixed
F31.78
currently in full remission, most recent episode mixed
296.36 Major depressive affective disorder recurrent episode in full remission 
F33.42
Major depressive disorder, recurrent, in full remission
300.00 Anxiety state unspecified
F41.9 Anxiety disorder, unspecified
F41.1 Generalized anxiety disorder
F41.8
Other specified anxiety disorders
296.32 Major depressive affective disorder recurrent episode moderate degree 
F33.1 Major depressive disorder, recurrent, moderate
311 Depressive disorder not elsewhere classified

Major depressive disorder, single episode
F32.9
unspecified
F32.0
mild
F32.1
moderate
F32.2
severe without psychotic features
F32.3
severe with psychotic features
F32.4
in partial remission
F32.5
in full remission
F32.8
Other depressive episodes
314.9 Unspecified hyperkinetic syndrome of children

Attention-deficit hyperactivity disorder
F90.0
predominantly inattentive type
F90.1
predominantly hyperactive type
F90.2
combined type
F90.8
other type
F90.9
unspecified type
296.31 Major depressive affective disorder recurrent episode mild degree
F33.0 Major depressive disorder, recurrent, mild
300.4 Dysthymic disorder
F34.1 Dysthymic disorder
300.3 Obsessive-compulsive disorder
F42 Obsessive-compulsive disorder
296.90 Unspecified episodic mood disorder
F39 Unspecified mood [affective] disorder
295.70 Schizoaffective type schizophrenia unspecified state 

Schizoaffective disorder
F25.9
unspecified
F25.0
bipolar type
F25.1
depressive type
F25.8 Other schizoaffective disorders
294.8 Other persistent mental disorders due to conditions classified elsewhere 
F06.8 Other specified mental disorders due to known physiological condition
296.35 Major depressive affective disorder recurrent episode in partial or unspecified remission
F33.41 Major depressive disorder, recurrent, in partial remission
309.28 Adjustment disorder with mixed anxiety and depressed mood
F43.23 Adjustment disorder with mixed anxiety and depressed mood
298.9 Unspecified psychosis 
F29 Unspecified psychosis not due to a substance or known physiological condition
294.9 Unspecified persistent mental disorders due to conditions classified elsewhere 
F06.8 Other specified mental disorders due to known physiological condition
309.24 Adjustment disorder with anxiety
F43.22 Adjustment disorder with anxiety
296.89 Bipolar disorder, other 
F31.81 Bipolar II disorder
F31.89 Other bipolar disorder
296.80 Bipolar disorder, unspecified 

Bipolar disorder,
F31.9
unspecified
F31.0
current episode hypomanic
F31.10
current episode manic without psychotic features, unspecified
F31.11
current episode manic without psychotic features, mild
F31.12
current episode manic without psychotic features, moderate
F31.13
current episode manic without psychotic features, severe
F31.30
current episode depressed, mild or moderate severity, unspecified
F31.31
current episode depressed, mild
F31.32
current episode depressed, moderate
F31.4
current episode depressed, severe, without psychotic features
F31.5
current episode depressed, severe, with psychotic features
F31.60
current episode mixed, unspecified
F31.61
current episode mixed, mild
F31.62
current episode mixed, moderate
F31.63
current episode mixed, severe, without psychotic features
F31.64
current episode mixed, severe, with psychotic features
F31.70
currently in remission most recent episode unspecified
F31.71
currently in partial remission, most recent episode hypomanic
F31.72
currently in full remission, most recent episode hypomanic
F31.73
currently in partial remission, most recent episode manic
F31.74
currently in full remission, most recent episode manic
F31.75
currently in partial remission, most recent episode depressed
F31.76
currently in full remission, most recent episode depressed
F31.77
currently in partial remission, most recent episode mixed
F31.78
currently in full remission, most recent episode mixed
296.33 Major depressive affective disorder recurrent episode severe degree without psychotic behavior 
F33.2 Major depressive disorder, recurrent severe without psychotic features
296.66 Bipolar 1 disorder, most recent episode (or current) mixed in full remission 
F31.78 Bipolar disorder, in full remission, most recent episode mixed
302.6 Gender identity disorder in children 
F64.2 Gender identity disorder of childhood
300.02 Generalized anxiety disorder
F41 .1 Generalized anxiety disorder
309.81 Posttraumatic stress disorder

Posttraumatic stress disorder.
F43.10
unspecified
F43.11
acute
F43.12
chronic
300.01 Panic disorder without agoraphobia 
F41.0 Panic disorder [episodic paroxysmal anxiety] with· out agoraphobia
296.34 Major depressive affective disorder recurrent episode severe degree specified as with psychotic behavior
F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms
331.0 Alzheimer's disease 
G30.0 Alzheimer's disease with early onset
G30.1
Alzheimer's disease with late onset
G30.8
Other Alzheimer's disease
G30.9
Alzheimer's disease, unspecified
301.83 Borderline personality disorder
F60.3 Borderline personality disorder
296.52 Bipolar 1 disorder, most recent episode (or current) depressed moderate degree
F31.32
Bipolar disorder, current episode depressed, moderate
309.89 Other specified adjustment reactions 
F34.8 Other reactions to severe stress
314.01 Attention-deficit disorder of childhood with hyperactivity 

Attention-deficit hyperactivity disorder,
F90.0
 predominantly inattentive type
F90.1
predominantly hyperactive type
F90.2
combined type
F90.8
other type
F90.9
unspecified type
304.03 Opioid type dependence in remission 
F11.21 Opioid dependence, in remission
296.62 Bipolar 1 disorder, most recent episode (or current) mixed moderate degree
F31.62 Bipolar disorder, current episode mixed, moderate
293.83 Mood disorder in conditions classified elsewhere 

Mood disorder due to known physiological condition
F06.30
unspecified
F06.31
with depressive features
F06.32
with major depressive-like episode
F06.33
with manic features
F06.34
with mixed features
304.00 Opioid type dependence unspecified use

Opioid dependence
F11.20
uncomplicated
F11.21
in remission
F11.220
with intoxication, uncomplicat1d
F11.221
with intoxication delirium
F11.222
with intoxication with perceptual disturbance
F11.229
with intoxication, unspecified
F11.23
with withdrawal
F11.24
with opioid-induced mood disorder
F11.250
with opioid-induced psychotic disorder with delusions
F11.251
with opioid-induced psychotic disorder with hallucinations
F11.259
with opioid-induced psychotic disorder, unspecified
F11.281
with opioid-induced sexual dysfunction
F11.282
with opioid-induced sleep disorder
F11.288
with other opioid-induced disorder
F11.29
with unspecified opioid·induced disorder
296.60 Bipolar 1 disorder, most recent episode (or current) mixed unspecified degree 

Bipolar disorder, current episode mixed
F31.60
unspecified
F31.61
mild
F31.62
moderate
F31.63
severe, without psychotic features
F31.64
severe, with psychotic features
314.8 Other specified manifestations of hyperkinetic syndrome 
F90.8 Attention-deficit hyperactivity disorder, other type
309.0 Adjustment reaction with adjustment disorder with depressed mood 
F43.21 Adjustment disorder with depressed mood
307.42 Persistent disorder of initiating or maintaining sleep 
F51.01 Primary insomnia
F51.02 Adjustment insomnia
F51.03
Paradoxical insomnia
F51.04
Psychophysiologic insomnia
F51.05
Insomnia due to other mental disorder
F51.09
Other insomnia not due to a substance of known physiological condition
296.54 Bipolar 1 disorder, most recent episode (or current) depressed severe degree specified as with psychotic behavior 
F31.5 Bipolar disorder, current episode depressed, severe, with psychotic features
300.23 Social phobia
F40.10 Social phobia, unspecified
F40.11 Social phobia, generalized
296.30 Major depressive affective disorder recurrent episode unspecified degree 

Major depressive disorder, recurrent.
F33.9
unspecified
F33.0
mild
F33.1
moderate
F33.2
severe without psychotic features
F33.3
severe with psychotic features
F33.40
in remission, unspecified
F33.41
in partial remission
F33.42
in full remission
F33.8
Other recurrent depressive disorders
309.3 Adjustment disorder with disturbance of conduct 
F43.24 Adjustment disorder with disturbance of conduct
296.22 Major depressive affective disorder single episode moderate degree 
F32.1 Major depressive disorder, single episode, moderate
300.21 Agoraphobic with panic disorder
F40.01 Agoraphobia with panic disorder
296.53 Bipolar 1 disorder, most recent episode (or current) depressive severe degree, without mention of psychotic behavior 
F31.4 Bipolar disorder, current episode depressed, severe without psychotic features
293.0 Delirium due to condition classified elsewhere 
FO5 Delirium due to known physiological condition
301.3 Explosive personality disorder
F60.3
Borderline personality disorder
300.11 Conversion disorder

Conversion disorder with
F44.4
 motor symptom or deficit
F44.5
seizures or convulsions
F44.6
sensory symptom or deficit
F44.7
mixed symptom presentation
F44.89
Other dissociative and conversion disorders
F44.9
Dissociative and conversion disorder, unspecified
V69.2 High-risk sexual behavior
Z72.52 High risk homosexual behavior
Z72.53 High risk bisexual behavior
Z72.51
High risk heterosexual behavior
784.0 Headache

With non-migranous or tension headache, note if cause is vascular or simple headache:
G44.1 Vascular headache, not elsewhere classified
R51 Headache
V40.9 Unspecified mental or behavioral problem

It is important to note the nature of the mental or behavioral problem if known. Document if disorder is of adult personality and behavior or nonpsychotic nature.
F48.9 Nonpsychotic mental disorder, unspecified
F69
Unspecified disorder of adult personality and behavior
783.21 Loss of weight

Under ICD-10 it is necessary to note if weight loss is abnormal. ICD-10 options include the following:
R63.4 Abnormal weight loss
296.32 Major depressive affective disorder, recurrent episode, moderate
F33.1 Major depressive disorder, recurrent, moderate
295.90 Unspecified type schizophrenia unspecified state
F20.9 Schizophrenia, unspecified
F20.3 Undifferentiated schizophrenia
295.30 Paranoid type schizophrenia unspecified state
F20.0 Paranoid schizophrenia
296.50 Bipolar I disorder, most recent episode (or current) depressed, unspecified
F31.30 Bipolar disorder, current episode depressed, mild or moderate severity, unspecified
303.90 Other and unspecified alcohol dependence unspecified drinking behavior
F10.20 Alcohol dependence, uncomplicated
296.23 Major depressive affective disorder single episode severe degree without psychotic behavior
F32.2 Major depressive disorder, single episode, severe without psychotic features
305.00 Nondependent alcohol abuse unspecified drinking behavior

Previously important to note continuous, episodic, or in remission. Now maps to a more general ICD-10 codes.
F10.10 Alcohol abuse, uncomplicated
F10.120
Alcohol abuse with intoxication, uncomplicated
F10.129
Alcohol abuse with intoxication, unspecified
296.99 Other specified episodic mood disorder
F34.8 Other persistent mood [affective] disorders
F33.8 Other recurrent depressive disorders
F34.9 Persistent mood [affective] disorder, unspecified