Home Health ICD-9/ICD-10 Alert

Table:

Tally Case Mix Points for Psych Diagnoses

Tally Case Mix Points for Psych Diagnoses

You can earn additional case mix points for patients with Psych 1 and Psych 2 diagnoses. The points you earn depend on the diagnosis, the episode timing, and therapy use. The following table and lists provide the case mix points and diagnosis code details.

Psych 1, Affective and other psychoses, depression

  • 295 -- 10 separate codes for Schizophrenia
  • 296.00-296.99 -- 49 separate codes related to a variety of bipolar disorders
  • 297 -- 6 codes for Delusional disorders
  • 298 -- 7 codes related to Other psychoses
  • 311 -- Depressive disorder, not elsewhere classified

Psych 2: Degenerative and other organic psychiatric disorders

Include, but are not limited to:

  • 290.0-290.43, 291.2, 292.82, 294.1x, 294.2x -- 18 specific codes for types of dementia
  • 291.1 -- Alcohol psychosis
  • 292.81 -- Drug induced delirium
  • 292.83 -- Drug induced persisting amnesic disorder
  • 292.84 -- Drug induced mood disorder
  • 292.85 -- Drug induced sleep disorders
  • 292.89 -- Other depressive state induced by drugs
  • 294.0 -- Amnesic disorder other disease
  • 294.20 -- Dementia NOS without behavioral disorder
  • 294.21 -- Dementia NOS with behavioral disorder
  • 294.8 -- Mental disorder, NEC other disease
  • 331.0- 331.89 -- Other cerebral degeneration -- 12 conditions.