PRIMARY CARE HEALTH HOME DIAGNOSES - ICD-10 September 1, 2019
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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