PRIMARY CARE HEALTH HOME DIAGNOSES - ICD-10 …

9/12/2023

PRIMARY CARE HEALTH HOME DIAGNOSES - ICD-10

July 1, 2023

Note: Codes without fourth or fifth digits includes all codes within that series.

Newly added codes are highlighted in yellow.

General Diagnosis

Anxiety

Asthma/COPD

Cyclothymic disorder

Dysthymic disorder

Other persistent mood (affective) disorders

Disruptive mood dysregulation disorder

Other specified persistent mood disorders

Panic disorder without agoraphobia

Generalized anxiety disorder

Other mixed anxiety disorders

Other specified anxiety disorders

Anxiety disorder-unspecified

Simple chronic bronchitis

Mucopurulent chronic bronchitis

Mixed simple and mucopurulent chronic bronchitis

Emphysema

Other chronic obstructive pulmonary disease

Asthma

Interstitial emphysema

Compensatory emphysema

Diseases of mediastinum, not elsewhere classified

Mediastinitis

Other diseases of mediastinum, not elsewhere classified

Disorders of diaphragm

Other specified respiratory disorders

Respiratory disorder, unspecified

F34.0

F34.1

F34.8

F34.81

F34.89

F41.0

F41.1

F41.3

F41.8

F41.9

J41.0

J41.1

J41.8

J43

J44

J45

J98.2

J98.3

J98.5

J98.51

J98.59

J98.6

J98.8

J98.9

9/12/2023

General Diagnosis

Pain disorder with related psychological factors

Chronic Pain

Phantom limb syndrome with pain

The definition of

Central pain syndrome

chronic pain for

PCHH enrollment is Chronic pain due to trauma

pain that has been Other chronic pain

present for a

Chronic pain syndrome

minimum of 12

Complex regional pain syndrome I (CRPS I)

months. Qualified Complex regional pain syndrome I, unspecified

participant eligibility Complex regional pain syndrome I of upper limb

shall be limited to Complex regional pain syndrome I of right upper limb

chronic non-cancer Complex regional pain syndrome I of left upper limb

neck and back pain Complex regional pain syndrome I of upper limb, bilateral

and any postComplex regional pain syndrome I of unspecified upper limb

trauma chronic pain Complex regional pain syndrome I of lower limb

(e.g. motor vehicle Complex regional pain syndrome I of right lower limb

accident). (MO

Complex regional pain syndrome I of left lower limb

Medicaid's Audit

Complex regional pain syndrome I of lower limb, bilateral

and Compliance unit Complex regional pain syndrome I of unspecified lower limb

[MMAC] may

Complex regional pain syndrome I of other specified site

conduct periodic

Ocular pain

audits to ensure

Ocular pain, unspecified eye

that patients

Ocular pain, right eye

enrolled in PCHH

Ocular pain, left eye

with chronic pain

Ocular pain, bilateral

are those that meet

Pain in hip

the above stated

Pain in right hip

criteria.)

Pain in left hip

Pain in knee

F45.42

G54.6

G89.0

G89.21

G89.29

G89.4

G90.5

G90.50

G90.51

G90.511

G90.512

G90.513

G90.519

G90.52

G90.521

G90.522

G90.523

G90.529

G90.59

H57.1

H57.10

H57.11

H57.12

H57.13

M25.55

M25.551

M25.552

M25.56

are those that meet

the above stated

criteria.)

9/12/2023

General Diagnosis

Pain in right knee

Pain in left knee

Pain in unspecified knee

Pain in ankle and joints of foot

Pain in right ankle and joints of right foot

Pain in left ankle and joints of left foot

Pain in unspecified ankle and joints of unspecified foot

Dorsalgia

Radiculopathy

Radiculopathy, site unspecified

Radiculopathy, occipito-atlanto-axial region

Radiculopathy, cervical region

Radiculopathy, cervicothoracic region

Radiculopathy, thoracic region

Radiculopathy, thoracolumbar region

Radiculopathy, lumbar region

Radiculopathy, lumbosacral region

Radiculopathy, sacral and sacrococcygeal region

Cervicalgia

Sciatica

Sciatica, unspecified site

Sciatica, right side

Sciatica, left side

Lumbago, with sciatica

Lumbago with sciatica, unspecified site

Lumbago with sciatica, right side

Lumbago with sciatica, left side

Low back pain

M25.561

M25.562

M25.569

M25.57

M25.571

M25.572

M25.579

M54

M54.1

M54.10

M54.11

M54.12

M54.13

M54.14

M54.15

M54.16

M54.17

M54.18

M54.2

M54.3

M54.30

M54.31

M54.32

M54.4

M54.40

M54.41

M54.42

M54.5

9/12/2023

General Diagnosis

Pain in thoracic spine

Other dorsalgia

Occipital neuralgia

Other dorsalgia

Dorsalgia, unspecified

Myalgia

Pain in limb, hand, foot, fingers and toes

Pain in limb, unspecified

Pain in right arm

Pain in left arm

Pain in right leg

Pain in left leg

Pain in leg, unspecified

Pain in unspecified limb

Pain in right upper arm

Pain in left upper arm

Pain in right forearm

Pain in left forearm

Pain in unspecified forearm

Pain in right hand

Pain in left hand

Pain in unspecified hand

Pain in right finger(s)

Pain in left finger(s)

Pain in unspecified finger(s)

Pain in right thigh

Pain in left thigh

Pain in unspecified thigh

M54.6

M54.8

M54.81

M54.89

M54.9

M79.1

M79.6

M79.60

M79.601

M79.602

M79.604

M79.605

M79.606

M79.609

M79.621

M79.622

M79.631

M79.632

M79.639

M79.641

M79.642

M79.643

M79.644

M79.645

M79.646

M79.651

M79.652

M79.659

9/12/2023

General Diagnosis

Depression

Diabetes

Pain in right lower leg

Pain in left lower leg

Pain in unspecified lower leg

Pain in right foot

Pain in left foot

Pain in unspecified foot

Pain in right toe(s)

Pain in left toe(s)

Pain in throat

Intercostal pain

Other chest pain

Jaw pain

Major depressive disorder, single episode, mild

Major depressive disorder, single episode, moderate

Major depressive disorder, single episode, severe without psych features

Major depressive disorder, single episode, severe with psych features

Major depressive disorder, single episode, in partial remission

Major depressive disorder, single episode, in full remission

Major depressive disorder, single episode, unspecified

Major depressive disorder, recurrent episode, mild

Major depressive disorder, recurrent episode, moderate

Major depressive disorder, recurrent, severe, without psych features

Major depressive disorder, recurrent, severe, with psych features

Major depressive disorder, recurrent, in remission, unspecified

Major depressive disorder, recurrent, in partial remission

Major depressive disorder, recurrent, in full remission

Major depressive disorder, recurrent, unspecified

Diabetes mellitus due to underlying condition

M79.661

M79.662

M79.669

M79.671

M79.672

M79.673

M79.674

M79.675

R07.0

R07.82

R07.89

R68.84

F32.0

F32.1

F32.2

F32.3

F32.4

F32.5

F32.9

F33.0

F33.1

F33.2

F33.3

F33.40

F33.41

F33.42

F33.9

E08

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