| Attachement 4.b. |
|
Description (labels may vary by state) |
| Part B/School eligibility codes |
|
Autism |
| varies by state |
|
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 9 code |
ICD 10 code |
Description |
| 295.7 |
F25.9 |
Schizo-Affective Type |
| 295.70-295.75 |
|
|
| 295.9 |
F20.9 |
Schizophrenia NOS |
| 295.90-295.95 |
|
|
| 296.0 |
F30.10, F30.11, F30.12, F30.13, F30.2, F30.3, F30.4 |
Manic Disorder, Single Episode |
| 296.00-296.06 |
|
|
| 296.4 |
F31.10, F31.11. F31.12, F31.13, F31.2, F31.73, F31.74 |
Bipolar Affective Disorder, Manic |
| 296.40-296.46 |
|
|
| 296.5 |
F31.30, F31.31, F31.32, F31.4, F31.5, F31.75, F31.76 |
Bipolar Affective Disorder, Depressed |
| 296.50-296.56 |
|
|
| 296.6 |
F31.60, F31.61, F31.62, F31.63, F31.64, F31.77, F31.78 |
Bipolar Affective Disorder, Mixed |
| 296.60-296.66 |
|
|
| 296.7 |
F31.9 |
Bipolar Affective Disorder NOS |
| 296.80 |
F31.9 |
Manic-Depressive Psychosis NOS |
| 296.89 |
F31.81 |
Manic-Depressive Psychosis, Other |
| 296.90 |
F39 |
Affective Psychosis NOS |
| 298.9 |
F29 |
Psychosis NOS |
| 299 |
|
Psychoses with Origin Specific to Childhood |
| 299.0 |
F84.0 |
Infantile Autism |
| 299.00-299.01 |
|
|
| 299.1 |
F84.3 |
Disintegrative Psychosis, CDD |
| 299.10-299.11 |
|
|
| 299.8 |
F84.5, F84.8 |
Asperger's Disorder, PDD NOS, Atypical Autism |
| 299.80-299.81 |
|
|
| 299.9 |
F84.9 |
Child Psychosis NOS; Schizophrenia, childhood type |
| 299.90-299.91 |
|
|
| 300.0 |
|
Anxiety States |
| 300.00 |
F41.9 |
Anxiety State NOS |
| 300.01 |
F41.0 |
Panic Disorder |
| 300.02 |
F41.1 |
Generalized Anxiety Disorder |
| 300.09 |
F41.8 |
Anxiety State, Other |
| 300.22 |
F40.02 |
Agoraphobia Without Mention of Panic Attacks |
| 300.23 |
F40.10 |
Social Phobia |
| 300.3 |
F42 |
Obsessive-Compulsive Disorder |
| 300.9 |
F48.9, F99 |
Neurotic Disorder NOS |
| 301.13 |
F34.0 |
Cyclothymic Disorder |
| 301.20 |
F60.1 |
Schizoid Personality Disorder NOS |
| 301.22 |
F21 |
Schizotypal Personality Disorder |
| 301.4 |
F60.5 |
Compulsive Personality Disorder |
| 301.9 |
F60.9 |
Personality Disorder NOS |
| 307.2 |
|
Tics |
| 307.20 |
F95.9 |
Tic Disorder NOS |
| 307.21 |
F95.0 |
Transient Tic Disorder of Childhood |
| 307.22 |
F95.1 |
Chronic Motor Tic Disorder |
| 307.23 |
F95.2 |
Tourette's Disorder |
| 307.3 |
F98.4 |
Stereotyped Repetitive Movements |
| 307.52 |
F98.3 |
Pica |
| 307.53 |
F98.21 |
Psychogenic Rumination |
| 309.21 |
F93.0 |
Separation Anxiety Disorder |
| 312.0-312.2 |
|
Conduct Disorder, Socialized & Undersocialized |
| 312.00-312.03 |
F91.1 |
|
| 312.10-312.13 |
F91.8 |
|
| 312.20-312.23 |
F91.2 |
|
| 312.34 |
F63.81 |
Intermittent Explosive Disorder |
| 312.39 |
F63.3, F63.89 |
Disorder of Impulse Control, Other (Trichotillomania) |
| 312.4 |
F91.8 |
Mixed Disturbance of Conduct and Emotions |
| 312.8 |
|
Other Specified Disturbances of Conduct NEC |
| 312.81 |
F91.1 |
Conduct Disorder, Childhood Onset Type |
| 312.89 |
F91.8 |
Conduct Disorder, Other |
| 312.9 |
F91.9 |
Conduct Disorder NOS |
| 313.0 |
F93.8 |
Overanxious Disorder |
| 313.23 |
F94.0 |
Elective Mutism |
| 313.81 |
F91.3 |
Oppositional Disorder |
| 313.89 |
F93.8, F94.1, F98.8 |
Emotional Disturbance of Childhood, Other |
| 313.9 |
F93.9, F94.8, F98.9 |
Emotional Disturbance of Childhood NOS |
| 314.0 |
|
ADD |
| 314.00 |
F90.9 |
ADD without mention of hyperactivity |
| 314.01 |
F90.0, F90.1, F90.2, F90.9 |
ADD with hyperactivity |
| 314.1 |
F90.8 |
Hyperkinesis with Developmental Delay |
| 314.9 |
F90.9 |
Hyperkinetic Syndrome NOS |
| 315.3 |
|
Developmental Speech or Language Disorder |
| 315.31 |
F80.1 |
Developmental Language Disorder |
| 315.32 |
F80.2, H93.25 |
Receptive Language Disorder (Mixed) |
| 315.39 |
F80.0, F80.89 |
Social (Pragmatic) Communication Disorder |
| 315.4 |
F82 |
Coordination Disorder |
| 315.5 |
F82 |
Mixed Development Disorder |
| 315.8 |
F88 |
Developmental Delay, Other |
| 315.9 |
F81.9, F89 |
Dev Disorder NOS, Dev Delay NOS |
| 317 |
F70 |
MR, Mild |
| 317.00 |
|
|
| 318 |
|
MR, Other Specified |
| 318.0 |
F71 |
MR, Moderate |
| 318.00 |
|
|
| 318.1 |
F72 |
MR, Severe |
| 318.10 |
|
|
| 318.2 |
F73 |
MR, Profound |
| 318.20 |
|
|
| 319 |
F79 |
MR NOS |
| 330.8 |
F84.2, G31.81, G31.82 |
Other Degenerations of Childhood (Rett's Syndrome) |
| 348.3 |
G93.40 |
Encephalopathy NOS, Static Encephalopathy |
| 348.8 |
G93.81, G93.89 |
Condition of Brain, Other |
| 348.9 |
G93.9 |
Condition of Brain NOS |
| 759.5 |
Q85.1 |
Tuberous Sclerosis |
| 759.83 |
Q99.2 |
Fragile X Syndrome |
| 771.0 |
P35.0 |
Congenital Rubella |
| 783.42 |
R62.0 |
Delayed Milestones |
| V79.2-V79.3 |
Z13.4 |
Screening for MR, DD |
| V79.8-V79.9 |
Z13.89 |
Screening for Other & Unspecified Mental D/O, DD |
| 758.0 |
Q90.9 |
Down syndrome (code deviates from ADDM ASD only list; added specifically for CADDRE) |