Appendix_L

Appendix L. ICD DSM Code List

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

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Appendix L