| Part B/School eligibility codes |
Description (labels may vary by state) |
| varies by state |
Autism |
|
Intellectually disabled, mild/mild MR / Educable mentally handicapped |
|
Intellectually disabled, moderate/moderate MR/ Trainable mentally handicapped |
|
Intellectually disabled, severe/severe MR/ Severely mentally handicapped |
|
Intellectually disabled, profound/profound MR/ Profoundly mentally handicapped |
|
Hearing impaired/Deaf |
|
Hosp/homebound |
|
Orientation/mobility |
|
Orthopedic impaired |
|
Other health impaired |
|
Severe emotional disorder |
|
Significant developmental delay |
|
Traumatic brain injury |
|
Visually impaired/Blind/Deaf and blind |
| ICD code |
Description |
| 295.7 |
Schizo-Affective Type |
| 295.70-295.75 |
|
| 295.9 |
Schizophrenia NOS |
| 295.90-295.95 |
|
| 296.0 |
Manic Disorder, Single Episode |
| 296.00-296.06 |
|
| 296.4 |
Bipolar Affective Disorder, Manic |
| 296.40-296.46 |
|
| 296.5 |
Bipolar Affective Disorder, Depressed |
| 296.50-296.56 |
|
| 296.6 |
Bipolar Affective Disorder, Mixed |
| 296.60-296.66 |
|
| 296.7 |
Bipolar Affective Disorder NOS |
| 296.80 |
Manic-Depressive Psychosis NOS |
| 296.89 |
Manic-Depressive Psychosis, Other |
| 296.90 |
Affective Psychosis NOS |
| 298.9 |
Psychosis NOS |
| 299 |
Psychoses with Origin Specific to Childhood |
| 299.0 |
Infantile Autism |
| 299.00-299.01 |
|
| 299.1 |
Disintegrative Psychosis, CDD |
| 299.10-299.11 |
|
| 299.8 |
Asperger's Disorder, PDD NOS, Atypical Autism |
| 299.80-299.81 |
|
| 299.9 |
Child Psychosis NOS; Schizophrenia, childhood type |
| 299.90-299.91 |
|
| 300.0 |
Anxiety States |
| 300.00 |
Anxiety State NOS |
| 300.01 |
Panic Disorder |
| 300.02 |
Generalized Anxiety Disorder |
| 300.09 |
Anxiety State, Other |
| 300.22 |
Agoraphobia Without Mention of Panic Attacks |
| 300.23 |
Social Phobia |
| 300.3 |
Obsessive-Compulsive Disorder |
| 300.9 |
Neurotic Disorder NOS |
| 301.13 |
Cyclothymic Disorder |
| 301.20 |
Schizoid Personality Disorder NOS |
| 301.22 |
Schizotypal Personality Disorder |
| 301.4 |
Compulsive Personality Disorder |
| 301.9 |
Personality Disorder NOS |
| 307.2 |
Tics |
| 307.20 |
Tic Disorder NOS |
| 307.21 |
Transient Tic Disorder of Childhood |
| 307.22 |
Chronic Motor Tic Disorder |
| 307.23 |
Tourette's Disorder |
| 307.3 |
Stereotyped Repetitive Movements |
| 307.52 |
Pica |
| 307.53 |
Psychogenic Rumination |
| 309.21 |
Separation Anxiety Disorder |
| 312.0-312.2 |
Conduct Disorder, Socialized & Undersocialized |
| 312.00-312.03 |
|
| 312.10-312.13 |
|
| 312.20-312.23 |
|
| 312.34 |
Intermittent Explosive Disorder |
| 312.39 |
Disorder of Impulse Control, Other (Trichotillomania) |
| 312.4 |
Mixed Disturbance of Conduct and Emotions |
| 312.8 |
Other Specified Disturbances of Conduct NEC |
| 312.81 |
Conduct Disorder, Childhood Onset Type |
| 312.89 |
Conduct Disorder, Other |
| 312.9 |
Conduct Disorder NOS |
| 313.0 |
Overanxious Disorder |
| 313.23 |
Elective Mutism |
| 313.81 |
Oppositional Disorder |
| 313.89 |
Emotional Disturbance of Childhood, Other |
| 313.9 |
Emotional Disturbance of Childhood NOS |
| 314.0 |
ADD |
| 314.00 |
ADD without mention of hyperactivity |
| 314.01 |
ADD with hyperactivity |
| 314.1 |
Hyperkinesis with Developmental Delay |
| 314.9 |
Hyperkinetic Syndrome NOS |
| 315.3 |
Developmental Speech or Language Disorder |
| 315.31 |
Developmental Language Disorder |
| 315.32 |
Receptive Language Disorder (Mixed) |
| 315.4 |
Coordination Disorder |
| 315.5 |
Mixed Development Disorder |
| 315.8 |
Developmental Delay, Other |
| 315.9 |
Dev Disorder NOS, Dev Delay NOS |
| 317 |
MR, Mild |
| 317.00 |
|
| 318 |
MR, Other Specified |
| 318.0 |
MR, Moderate |
| 318.00 |
|
| 318.1 |
MR, Severe |
| 318.10 |
|
| 318.2 |
MR, Profound |
| 318.20 |
|
| 319 |
MR NOS |
| 330.8 |
Other Degenerations of Childhood (Rett's Syndrome) |
| 348.3 |
Encephalopathy NOS, Static Encephalopathy |
| 348.8 |
Condition of Brain, Other |
| 348.9 |
Condition of Brain NOS |
| 759.5 |
Tuberous Sclerosis |
| 759.83 |
Fragile X Syndrome |
| 771.0 |
Congenital Rubella |
| 783.42 |
Delayed Milestones |
| V79.2-V79.3 |
Screening for MR, DD |
| V79.8-V79.9 |
|
| 758.0 |
Down syndrome (code deviates from ADDM ASD only list; added specifically for CADDRE) |
|
Screening for Other & Unspecified Mental D/O, DD |