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CMS137v5 Code List

Code List: CMS137v5, Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

MicroMD uses the following code lists to determine a patient’s inclusion in this measure.  To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

ItemCodes
Diagnosis Codes
Diagnosis: Alcohol and Drug Dependence: ICD-9303.00, 303.01, 303.02, 303.90, 303.91, 303.92, 304.00, 304.01, 304.02, 304.10, 304.11, 304.12, 304.20, 304.21, 304.22, 304.30, 304.31, 304.32, 304.40, 304.41, 304.42, 304.50, 304.51, 304.52, 304.60, 304.61, 304.62, 304.70, 304.71, 304.72, 304.80, 304.81, 304.82, 304.90, 304.91, 304.92, 305.00, 305.01, 305.02, 305.20, 305.21, 305.22, 305.30, 305.31, 305.32, 305.40, 305.41, 305.42, 305.50, 305.51, 305.52, 305.60, 305.61, 305.62, 305.70, 305.71, 305.72, 305.80, 305.81, 305.82, 305.90, 305.91, 305.92, 535.30, 535.31, 571.1
Diagnosis: Alcohol and Drug Dependence: ICD-10F10.10, F10.120, F10.121, F10.129, F10.14, F10.150, F10.151, F10.159, F10.180, F10.181, F10.182, F10.188, F10.19, F10.20, F10.220, F10.221, F10.229, F10.230, F10.231, F10.232, F10.239, F10.24, F10.250, F10.251, F10.259, F10.26, F10.27, F10.280, F10.281, F10.282, F10.288, F10.29, F10.920, F10.921, F10.929, F10.94, F10.950, F10.951, F10.959, F10.96, F10.97, F10.980, F10.981, F10.982, F10.988, F10.99, F11.10, F11.120, F11.121, F11.122, F11.129, F11.14, F11.150, F11.151, F11.159, F11.181, F11.182, F11.188, F11.19, F11.20, F11.220, F11.221, F11.222, F11.229, F11.23, F11.24, F11.250, F11.251, F11.259, F11.281, F11.282, F11.288, F11.29, F11.90, F11.920, F11.921, F11.922, F11.929, F11.93, F11.94, F11.950, F11.951, F11.959, F11.981, F11.982, F11.988, F11.99, F12.10, F12.120, F12.121, F12.122, F12.129, F12.150, F12.151, F12.159, F12.180, F12.188, F12.19, F12.20, F12.220, F12.221, F12.222, F12.229, F12.250, F12.251, F12.259, F12.280, F12.288, F12.29, F12.90, F12.920, F12.921, F12.922, F12.929, F12.950, F12.951, F12.959, F12.980, F12.988, F12.99, F13.10, F13.120, F13.121, F13.129, F13.14, F13.150, F13.151, F13.159, F13.180, F13.181, F13.182, F13.188, F13.19, F13.20, F13.220, F13.221, F13.229, F13.230, F13.231, F13.232, F13.239, F13.24, F13.250, F13.251, F13.259, F13.26, F13.27, F13.280, F13.281, F13.282, F13.288, F13.29, F13.90, F13.920, F13.921, F13.929, F13.930, F13.931, F13.932, F13.939, F13.94, F13.950, F13.951, F13.959, F13.96, F13.97, F13.980, F13.981, F13.982, F13.988, F13.99, F14.10, F14.120, F14.121, F14.122, F14.129, F14.14, F14.150, F14.151, F14.159, F14.180, F14.181, F14.182, F14.188, F14.19, F14.20, F14.220, F14.221, F14.222, F14.229, F14.23, F14.24, F14.250, F14.251, F14.259, F14.280, F14.281, F14.282, F14.288, F14.29, F14.90, F14.920, F14.921, F14.922, F14.929, F14.94, F14.950, F14.951, F14.959, F14.980, F14.981, F14.982, F14.988, F14.99, F15.10, F15.120, F15.121, F15.122, F15.129, F15.14, F15.150, F15.151, F15.159, F15.180, F15.181, F15.182, F15.188, F15.19, F15.20, F15.220, F15.221, F15.222, F15.229, F15.23, F15.24, F15.250, F15.251, F15.259, F15.280, F15.281, F15.282, F15.288, F15.29, F15.90, F15.920, F15.921, F15.922, F15.929, F15.93, F15.94, F15.950, F15.951, F15.959, F15.980, F15.981, F15.982, F15.988, F15.99, F16.10, F16.120, F16.121, F16.122, F16.129, F16.14, F16.150, F16.151, F16.159, F16.180, F16.183, F16.188, F16.19, F16.20, F16.220, F16.221, F16.229, F16.24, F16.250, F16.251, F16.259, F16.280, F16.283, F16.288, F16.29, F16.90, F16.920, F16.921, F16.929, F16.94, F16.950, F16.951, F16.959, F16.980, F16.983, F16.988, F16.99, F18.10, F18.120, F18.121, F18.129, F18.14, F18.150, F18.151, F18.159, F18.17, F18.180, F18.188, F18.19, F18.20, F18.220, F18.221, F18.229, F18.24, F18.250, F18.251, F18.259, F18.27, F18.280, F18.288, F18.29, F18.90, F18.920, F18.921, F18.929, F18.94, F18.950, F18.951, F18.959, F18.97, F18.980, F18.988, F18.99, F19.10, F19.120, F19.121, F19.122, F19.129, F19.14, F19.150, F19.151, F19.159, F19.16, F19.17, F19.180, F19.181, F19.182, F19.188, F19.19, F19.20, F19.220, F19.221, F19.222, F19.229, F19.230, F19.231, F19.232, F19.239, F19.24, F19.250, F19.251, F19.259, F19.26, F19.27, F19.280, F19.281, F19.282, F19.288, F19.29, F19.90, F19.920, F19.921, F19.922, F19.929, F19.930, F19.931, F19.932, F19.939, F19.94, F19.950, F19.951, F19.959, F19.96, F19.97, F19.980, F19.981, F19.982, F19.988, F19.99
Diagnosis: Alcohol and Drug Dependence: SNOMED10028000, 10327003, 105546006, 105549004, 1081000119105, 110281001, 11061003, 111479008, 111480006, 11387009, 12380008, 125851000119106, 1383008, 145101000119102, 145841000119107, 1461000119109, 1471000119103, 14784000, 15167005, 15277004, 153491000119103, 153501000119105, 1686006, 18653004, 18689007, 191471000, 191475009, 191476005, 191477001, 191478006, 191480000, 191483003, 191484009, 191485005, 191486006, 191492000, 191493005, 191494004, 191495003, 191496002, 191802004, 191804003, 191805002, 191811004, 191812006, 191813001, 191816009, 191819002, 191820008, 191825003, 191826002, 191829009, 191831000, 191832007, 191837001, 191838006, 191843004, 191844005, 191849000, 191850000, 191853003, 191855005, 191856006, 191865004, 191867007, 191868002, 191871005, 191873008, 191874002, 191877009, 191928000, 191939002, 19303008, 19445006, 1973000, 199252002, 199253007, 199254001, 199255000, 20385005, 20876004, 21000000, 21647008, 226034001, 228371004, 228372006, 228373001, 228375008, 228376009, 228377000, 228378005, 228379002, 228380004, 228381000, 228382007, 228383002, 228384008, 228386005, 228387001, 228388006, 228389003, 230334008, 230443000, 231451006, 231458000, 231459008, 231461004, 231462006, 231467000, 231468005, 231469002, 231470001, 231472009, 231473004, 231474005, 231475006, 231477003, 231478008, 231479000, 231480002, 231481003, 231482005, 236751006, 237228001, 2403008, 25508008, 26714005, 267206008, 268640002, 268641003, 268727002, 27956007, 280982009, 280983004, 280984005, 280986007, 281004, 28368009, 284591009, 288281000119100, 28864000, 29212009, 29733004, 301643003, 302507002, 30310000, 30491001, 307052004, 30871003, 309279000, 310202009, 311173003, 312098001, 312936002, 313915006, 31715000, 31956009, 32009006, 32358001, 32552001, 32875003, 33845003, 33871004, 34938008, 361049005, 361150008, 361151007, 363101005, 37331004, 37344009, 38247002, 39003006, 396344000, 39807006, 39951001, 403590001, 40571009, 41083005, 416073003, 416714005, 417143004, 417360004, 42344001, 425339005, 425885002, 426001001, 426095000, 426873000, 427205009, 427229002, 427327003, 427975003, 428219007, 428370001, 428406005, 428493006, 428495004, 428561000124100, 428623008, 428659002, 428819003, 428823006, 429001000124103, 429179002, 429299000, 429512006, 429672007, 429692000, 429782000, 43497001, 441681009, 442351006, 442406005, 445273005, 46721000, 46975003, 47664006, 4863002, 5002000, 50026000, 50320000, 50722006, 50933003, 50983008, 51339003, 51443000, 51493001, 52866005, 53050002, 53936005, 5444000, 55967005, 5602001, 56194001, 57588009, 58727001, 59651006, 61104008, 61144001, 6348008, 63649001, 63983005, 64386003, 6525002, 66590003, 69482004, 70328006, 70340006, 7052005, 70545002, 70655008, 7071007, 70932007, 71328000, 7200002, 73097000, 74851005, 74934004, 75122001, 75544000, 77355000, 78267003, 78358001, 78524005, 79578000, 80868005, 82339009, 83168008, 83367009, 84758004, 85005007, 85561006, 8635005, 87132004, 8837000, 89451009, 90755006, 90790003, 91388009, 95635002, 95661003, 95918004
Encounter Codes
Encounter, Performed: Office Visit: CPT99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Emergency Department Visit: CPT99281, 99282, 99283, 99284, 99285
Encounter, Performed: Detoxification Visit: SNOMED182969009, 20093000, 23915005, 266707007, 310653000, 414054004, 414056002, 56876005, 61480009, 64297001, 67516001, 87106005
Encounter, Performed: Hospital Observation Care – Initial: CPT99218, 99219, 99220
Encounter, Performed: Hospital Inpatient Visit – Initial: CPT99221, 99222, 99223
Encounter, Performed: Discharge Services – Hospital Inpatient Same Day Discharge: CPT99234, 99235, 99236
Encounter, Performed: Discharge Services – Hospital Inpatient: CPT99238, 99239
Encounter, Performed: Face-to-Face Interaction: SNOMED12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter Codes for Alcohol and Drug Dependence Treatment and Psychotherapy
Encounter, Performed: Alcohol and Drug Dependence Treatment: SNOMED23915005, 24165007, 56876005, 60112009, 171047005, 266707007, 310653000, 313071005, 370881007, 370884004, 385989002, 386448003, 386449006, 386450006, 386451005, 408933008, 408934002, 408935001, 408936000, 408941008, 408942001, 408943006, 408944000, 408945004, 408947007, 408948002, 410419007, 413473000, 423416000, 424148004, 424407005, 424589009, 426928008, 429291000124102
Encounter, Performed: Psych Visit – Psychotherapy: CPT90832, 90834, 90837