ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Pain Management | Top Mappings

Other Anxiety Disorders F41.9

Opioid Related Disorders F11.20 Opioid Dependence Uncomplicated

F11.220 Opioid Dependence w/ Intoxication

F11.221 Opioid Dependence w/ Intoxication Delirium

F11.222 Opioid Dependence w/ Intoxication w/ Perceptual Disturbance

F11.229 Opioid Dependence w/ Intoxication

F11.23 Opioid Dependence w/ Withdrawal

F11.24 Opioid Dependence w/ Opioid-Induced Mood Disorder

F11.250 Opioid Dependence w/ Induced Psychotic Disorder w/ Delusions

F11.251 Opioid Dependence w/ Induced Psychotic Disorder w/ Hallucinations

F11.259 Opioid Dependence w/ Opioid-Induced

F11.281 Opioid Dependence w/ Opioid-Induced Sexual Dysfunction

F11.282 Opioid Dependence w/ Opioid-Induced Sleep Disorder

F11.288 Opioid Dependence w/ Other Opioid-Induced Disorder

F11.29Opioid-Induced Disorder

Other Psychoactive Substance Related Disorders

F19.20 Other Psychoactive Substance Dependence Uncomplicated

Pain G89.28 Other Chronic Post Procedural Pain

G89.4 Chronic Pain Syndrome

Other Joint Disorders M25.511 Pain In Right Shoulder

M25.512 Pain In Left Shoulder

M25.519

M25.561 Pain In Right Knee

M25.562 Pain In Left Knee

M25.569

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CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Spondylosis M47.21 Other Spondylosis Radiculopathy OA-AX

M47.22 Other Spondylosis w/ Radiculopathy Cervical Region

M47.23 Other Spondylosis w/ Radiculopathy Cervicothoracic

M47.26 Other Spondylosis w/ Radiculopathy Lumbar Region

M47.27 Other Spondylosis w/ Radiculopathy Lumbosacral Region

M47.28 Other Spondylosis Radiculopathy Sacral & Sacrococcygeal

M47.811 Spondylosis w/o Myelopathy/ Radiculopathy OA-AX Region

M47.812 Spondylosis w/o Myelopathy/ Radiculopathy Cervical Region

M47.813 Spondylosis w/o Myelopathy/ Radiculopathy Cervicothoracic Region

M47.816 Spondylosis w/o Myelopathy/ Radiculopathy Lumbar Region

M47.817 Spondylosis w/o Myelopathy/Radiculopathy Lumbosacral Region

M47.818 Spondylosis w/o Myelopathy/Radiculopathy Sacral & Sacrococcygeal Region

M47.891 Other Spondylosis OA-AX Region

M47.892 Other Spondylosis Cervical Region

M47.893 Other Spondylosis Cervicothoracic Region

M47.896 Other Spondylosis Lumbar Region

M47.897 Other Spondylosis Lumbosacral Region

M47.898 Other Spondylosis Sacral & Sacrococcygeal Region

Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders

M51.14 Intervertebral Disc Disorder w/ Radiculopathy Thoracic

M51.15 IV Disc Disorder w/ Radiculopathy Thoracolumbar Region

M51.16 Intervertebral Disc Disorder w/ Radiculopathy Lumbar Region

M51.17 IV Disc Disorder w/ Radiculopathy Lumbosacral Region

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Pain Management | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Pain Management | Top Mappings

M51.26 Other Intervertebral Disc Displacement Lumbar Region

M51.27 Other Intervertebral Disc Displacement Lumbosacral Region

M51.36 Other Intervertebral Disc Degeneration Lumbar Region

M51.37 Other Intervertebral Disc Degeneration Lumbosacral Region

Cervical Disc Disorders M50.10 Cervical Disc Disorder w/

Region

M50.11 Cervical Disc Disorder w/ Radiculopathy OA-AX Region

M50.12 Cervical Disc Disorder w/ Radiculopathy Mid-Cervical Region

M50.13 Cervical Disc Disorder Radiculopathy Cervicothoracic Region

M50.30 Other Cervical Disc Degeneration

M50.31 Other Cervical Disc Degeneration OA-AX Region

M50.32 Other Cervical Disc Degeneration Mid-Cervical Region

M50.33 Other Cervical Disc Degeneration Cervicothoracic Region

Intraoperative and Postprocedural Complications and Disorders of Musculoskeletal System

M96.1 Postlaminectomy Syndrome NEC

Dorsalgia M54.11 Radiculopathy OA-AX Region

M54.12 Radiculopathy Cervical Region

M54.13 Radiculopathy Cervicothoracic Region

M54.14 Radiculopathy Thoracic Region

M54.15 Radiculopathy Thoracolumbar Region

M54.16 Radiculopathy Lumbar Region

M54.17 Radiculopathy Lumbosacral Region

M54.2 Cervicalgia

M54.5 Low Back Pain

M54.89 Other Dorsalgia

M54.9

Page 3 of 14

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Myositis M60.80

M60.811 Other Myositis Right Shoulder

M60.812 Other Myositis Left Shoulder

M60.819

M60.821 Other Myositis Right Upper Arm

M60.822 Other Myositis Left Upper Arm

M60.829

M60.831 Other Myositis Right Forearm

M60.832 Other Myositis Left Forearm

M60.839

M60.841 Other Myositis Right Hand

M60.842 Other Myositis Left Hand

M60.849

M60.851 Other Myositis Right Thigh

M60.852 Other Myositis Left Thigh

M60.859

M60.861 Other Myositis Right Lower Leg

M60.862 Other Myositis Left Lower Leg

M60.869

M60.871 Other Myositis Right Ankle And Foot

M60.872 Other Myositis Left Ankle And Foot

M60.879 And Foot

M60.88 Other Myositis Other Site

M60.89 Other Myositis Multiple Sites

M60.9

DisordersM79.1 Myalgia

M79.601 Pain In Right Arm

M79.602 Pain In Left Arm

M79.603

M79.604 Pain In Right Leg

M79.605 Pain In Left Leg

M79.606

M79.609

Page 4 of 14

Pain Management | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

M79.621 Pain In Right Upper Arm

M79.622 Pain In Left Upper Arm

M79.629

M79.631 Pain In Right Forearm

M79.632 Pain In Left Forearm

M79.639

M79.641 Pain In Right Hand

M79.642 Pain In Left Hand

M79.643

M79.644 Pain In Right Finger(s)

M79.645 Pain In Left Finger(s)

M79.646

M79.651 Pain In Right Thigh

M79.652 Pain In Left Thigh

M79.659

M79.661 Pain In Right Lower Leg

M79.662 Pain in Left Lower Leg

M79.669

M79.671 Pain In Right Foot

M79.672 Pain In Left Foot

M79.673

M79.674 Pain In Right Toe(s)

M79.675 Pain In Left Toe(s)

M79.676

M79.7 Fibromyalgia

Other Headache Syndromes G44.1 Vascular headache, not elsewhere

Headache R51 Headache

Dislocation and Sprain of Joints and Ligaments of Lumbar Spine and Pelvis

S33.5xxA Sprain Ligaments Lumbar Spine Initial Encounter

Long Term (Current) Drug Therapy Z79.3 Long-Term Current Use Of Hormonal Contraceptives

Z79.891 Long-Term Current Use Of Opiate Analgesic

Z79.899 Other Long-Term Current Drug Therapy

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CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Addiction Medicine | Top Mappings

Encounter for Other Aftercare Z51.81 Encounter For Therapeutic Drug Level Monitoring

Alcohol Related Disorders F10.10 Alcohol Abuse Uncomplicated

F10.120 Alcohol Abuse w/ Intoxication Uncomplicated

F10.19 Alcohol-Induced Disorder

F10.20 Alcohol Dependence Uncomplicated

F10.21 Alcohol Dependence In Remission

F10.220 Alcohol Dependence w/ Intoxication Uncomplicated

F10.229 Alcohol Dependence w/ Intoxication

F10.29Alcohol-Induced Disorder

Opioid Related Disorders F11.10 Opioid Abuse Uncomplicated

F11.120 Opioid Abuse w/ Intoxication Uncomplicated

F11.129 Opioid Abuse w/ Intoxication

F11.19 Opioid-Induced Disorder

F11.20 Opioid Dependence Uncomplicated

F11.21 Opioid Dependence In Remission

F11.221 Opioid Dependence w/ Intoxication Delirium

F11.222 Opioid Dependence w/ Intoxication w/ Perceptual Disturbance

F11.229 Opioid Dependence w/ Intoxication

F11.23 Opioid Dependence w/ Withdrawal

F11.24 Opioid Dependence w/ Opioid-Induced Mood Disorder

F11.250 Opioid Dependence w/ Induced Psychotic Disorder w/Delusions

F11.251 Opioid Dependence w/ Induced Psychotic Disorder w/ Hallucinations

Page 6 of 14

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Addiction Medicine | Top Mappings

F11.259 Opioid Dependence w/ Opioid-Induced

F11.281 Opioid Dependence w/ Opioid-Induced Sexual Dysfunction

F11.282 Opioid Dependence w/ Opioid-Induced Sleep Disorder

F11.288 Opioid Dependence w/ Other Opioid-Induced Disorder

F11.29 Opioid-Induced Disorder

F11.90

F11.99Opioid-Induced Disorder

Cannabis Related Disorders F12.10 Cannabis Abuse Uncomplicated

F12.19Cannabis-Induced Disorder

F12.20 Cannabis Dependence Uncomplicated

F12.220 Cannabis Dependence w/ Intoxication Uncomplicated

F12.221 Cannabis Dependence w/ Intoxication Delirium

F12.222 Cannabis Dependence w/ Intoxication w/ Perceptual Distance

F12.229 Cannabis Dependence w/ Intoxication

F12.250 Cannabis Dependence w/ Psychotic Disorder w/ Delusions

F12.251 Cannabis Dependence w/ Psychotic Disorder w/ Hallucinations

F12.259 Cannabis Dependence W/ Psychotic

F12.280 Cannabis Dependence w/ Cannabis-Induced Anxiety Disorder

F12.288 Cannabis Dependence w/ Other Cannabis-Induced Disorder

F12.29Cannabis-Induced Disorder

F12.99

Disorder

Page 7 of 14

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Sedative, Hypnotic, or Anxiolytic Related Disorders

F13.10 Sedative Hypnotic Or Anxiolytic Abuse Uncomplicated

F13.120 Sedative/Hypnotic/Anxiolytic Abuse w/ Intoxication Uncomplicated

F13.19 Sedative Hypnotic/Anxiolytic Abuse w/

F13.20 Sedative Hypnotic/Anxiolytic Dependence Uncomplicated

F13.220 Sedative Hypnotic/Anxiolytic Dependence w/ Intoxication Uncomplicated

F13.221 Sedative Hypnotic/Anxiolytic Dependence w/ Intoxication Delirium

F13.229 Sedative Hypnotic/Anxiolytic Dependence w/ Intoxication

F13.230 Sedative Hypnotic/Anxiolytic Dependence w/ Withdrawal Uncomplicated

F13.231 Sedative Hypnotic/Anxiolytic Dependence w/ Withdrawal Delirium

F13.232 Sedative Hypnotic/Anxiolytic Dependence w/ Withdrawal w/Perceptual Disturbance

F13.239 Sedative Hypnotic/Anxiolytic Dependence w/ Withdrawal

F13.24 Sedative Hypnotic/Anxiolytic Dependence w/ Induced Mood Disorder

F13.250 Sedative Hypnotic/Anxiolytic Dependence Induced Psychotic Disorder Delusions

F13.251 Sedative Hypnotic/Anxiolytic Dependence Induced Psychotic Disorder Hallucinations

F13.259 Sedative Hypnotic/Anxiolytic Dependence Induced Psychotic

F13.26 Sedative Hypnotic/Anxiolytic Dependence Induced Persisting Amnestic Disorder

F13.27 Sedative Hypnotic/Anxiolytic Dependence Induced Persisting Dementia

Page 8 of 14

Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

F13.280 Sedative Hypnotic/Anxiolytic Dependence Induced Anxiety Disorder

F13.281 Sedative Hypnotic/Anxiolytic Dependence w/ Induced Sexual Dysfunction

F13.282 Sedative Hypnotic/Anxiolytic Dependence w/ Induced Sleep Disorder

F13.288 Sedative Hypnotic/Anxiolytic Dependence w/ Other Induced Disorder

F13.29 Sedative Hypnotic/Anxiolytic

Disorder

F13.90 Sedative Hypnotic Or Anxiolytic Abuse

F13.90 Sedative Hypnotic/Anxiolytic Use

F13.99 Sedative Hypnotic/Anxiolytic Use

Disorder

Cocaine Related Disorders F14.10 Cocaine Abuse Uncomplicated

F14.120 Cocaine Abuse w/ Intoxication Uncomplicated

F14.19 Cocaine-Induced Disorder

F14.20 Cocaine Dependence Uncomplicated

F14.220 Cocaine Dependence w/ Intoxication Uncomplicated

F14.221 Cocaine Dependence w/ Intoxication Delirium

F14.222 Cocaine Dependence w/ Intoxication w/ Perceptual Disturbance

F14.229 Cocaine Dependence w/ Intoxication

F14.23 Cocaine Dependence w/ Withdrawal

F14.24 Cocaine Dependence w/ Cocaine-Induced Mood Disorder

F14.250 Cocaine Dependence w/ Induced Psychotic Disorder w/ Delusions

F14.251 Cocaine Dependence w/ Induced Psychotic Disorder w/ Hallucinations

F14.259 Cocaine Dependence w/ Cocaine-Induced Psychotic Disorder

Page 9 of 14

Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

F14.280 Cocaine Dependence w/ Cocaine-Induced Anxiety Disorder

F14.281 Cocaine Dependence w/ Cocaine-Induced Sexual Dysfunction

F14.282 Cocaine Dependence w/ Cocaine-Induced Sleep Disorder

F14.288 Cocaine Dependence w/ Other Cocaine-Induced Disorder

F14.29Cocaine-Induced Disorder

F14.90 Uncomplicated

F14.99

Other Stimulant Related Disorders F15.10 Other Stimulant Abuse Uncomplicated

F15.120 Other Stimulant Abuse w/ Intoxication Uncomplicated

F15.19Induced Disorder

F15.20 Other Stimulant Dependence Uncomplicated

F15.220 Other Stimulant Dependence w/ Intoxication Uncomplicated

F15.221 Other Stimulant Dependence w/ Intoxication Delirium

F15.222 Other Stimulant Dependence Intoxication w/ Perceptual Disturbance

F15.229 Other Stimulant Dependence w/

F15.23 Other Stimulant Dependence w/ Withdrawal

F15.24 Other Stimulant Dependence w/ Induced Mood Disorder

F15.250 Other Stimulant Dependence w/ Induced Psychotic Disorder w/ Delusions

F15.251 Other Stimulant Dependence Induced Psychotic Disorder w/ Hallucinations

F15.259 Other Stimulant Dependence w/ Induced Psychotic Disorder

F15.280 Other Stimulant Dependence w/ Induced Anxiety Disorder

Page 10 of 14

Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

F15.281 Other Stimulant Dependence w/ Induced Sexual Dysfunction

F15.282 Other Stimulant Dependence w/ Induced Sleep Disorder

F15.288 Other Stimulant Dependence w/ Other Induced Disorder

F15.29 Other Stimulant Dependence w/

F15.90Uncomplicated

F15.99Induced Disorder

Hallucinogen Related Disorders F16.19 Induced Disorder

F16.20 Hallucinogen Dependence Uncomplicated

F16.220 Hallucinogen Dependence w/ Intoxication Uncomplicated

F16.221 Hallucinogen Dependence w/ Intoxication w/ Delirium

F16.229 Hallucinogen Dependence w/

F16.24 Hallucinogen Dependence w/ Hallucinogen-Induced Mood Disorder

F16.250 Hallucinogen Dependence w/ Psychotic Disorder w/ Delusions

F16.251 Hallucinogen Dependence w/ Psychotic Disorder w/ Hallucinations

F16.259 Hallucinogen Dependence w/

F16.280 Hallucinogen Dependence w/ Anxiety Disorder

F16.283 Hallucinogen Dependence w/ Hallucinogen Persisting Perception Disorder

F16.288 Hallucinogen Dependence w/ Other Hallucinogen-Induced Disorder

F16.29 Hallucinogen Dependence w/

Disorder

F16.90Uncomplicated

F16.99

Page 11 of 14

Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

Nicotine Dependence F17.200Uncomplicated

F17.201Remission

F17.209

Disorder

F17.210 Nicotine Dependence Cigarettes Uncomplicated

F17.211 Nicotine Dependence Cigarettes In Remission

F17.219 Nicotine Dependence Cigarettes

Disorder

F17.220 Nicotine Dependence Chewing Tobacco Uncomplicated

F17.221 Nicotine Dependence Chewing Tobacco In Remission

F17.229 Nicotine Dependence Chew Tobacco

Disorder

F17.290 Nicotine Dependence Other Tobacco Product Uncomplicated

F17.291 Nicotine Dependence Other Tobacco Product In Remission

F17.299 Nicotine Dependence Other Tobacco

Disorder

Inhalant Related Disorders F18.10 Inhalant Abuse Uncomplicated

F18.19Inhalant-Induced Disorder

F18.21 Inhalant Dependence In Remission

F18.29Inhalant-Induced Disorder

F18.99

Disorder

Other Psychoactive Substance Related Disorders

F19.19 Other Psychoactive Substance Abuse

F19.20 Other Psychoactive Substance Dependence Uncomplicated

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Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

F19.21 Other Psychoactive Substance Dependence In Remission

F19.29 Other Psychoactive Substance

Disorder

F19.90 Other Psychoactive Substance Use

F19.99 Other Psychoactive Substance Use

Disorder

Schizophrenia F20.0 Paranoid Schizophrenia

Schizoa�ective Disorders F25.0 Schizoa�ective Disorder Bipolar Type

F25.1 Schizoa�ective Disorder Depressive Type

F25.8 Other Schizoa�ective Disorders

F25.9

Major Depressive Disorder, Recurrent

F33.1 Major Depressive Disorder Recurrent Moderate

F33.2 Major Depressive Disorder Recurrent Severe w/o Pyschotic

Bipolar Disorder F31.9

DisorderF39

Other Anxiety Disorders F41.1 Generalized Anxiety Disorder

Abuse of Non-Psychoactive Substances

F55.0 Abuse Of Antacids

F55.1 Abuse Of Herbal Or Folk Remedies

F55.2 Abuse Of Laxatives

F55.3 Abuse Of Steroids Or Hormones

F55.4 Abuse Of Vitamins

F55.8 Abuse Of Other Non-Psychoactive Substances

Reaction to Severe Stress, and Adjustment Disorders

F43.10 Post-Traumatic Stress Disorder

F43.11 Post-Traumatic Stress Disorder Acute

F43.12 Post-Traumatic Stress Disorder Chronic

Major Depressive Disorder F32.9 Major Depressive Disorder Single

Page 13 of 14

Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION

ICD-10 Common Codesfor Prescription Drug Monitoring

TM

DisordersF90.0

Disorder Predominantly Inattentive Type

F90.1Disorder Predominantly Hyperactive Type

F90.2Disorder Combined Type

F90.8Disorder Other Type

F90.9

Encounter for Medical Observation for Suspected Diseases and Conditions Ruled Out

Z03.89 Encounter For Observation Other Suspected Diseases & Conditions Ruled Out

Encounter for Examination and Observation for Other Reasons

Z04.9 Encounter For Examination And

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0417

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Addiction Medicine | Top Mappings

CONDITION(S) ICD-10-CM DESCRIPTION