American Psychological Association Division 40 (Clinical Neuropsychology) Records

(Mss. 4745)

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International Classification of Diseases
(World Health Organization)
Potential Diagnostic Codes for Neuropsychological Procedures

Compiled by

Antonio E. Puente & Theophilius Lazarus
University of North Carolina at Wilmington

With the Permission of the World Health Organization

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    The following is a list of potential diagnostic codes which could be used in clinical and research activities to describe neuropsychological conditions.These codes are taken from the International Classification nof Diseases- 9th edition and with permission. They are not intended to be exhaustive but as an initial working document.Several earlier drafts have been circulated and comments from the NAN and Division 40 membership have been obtained. However, additional comments are welcomed and should submitted to the authors (Department of Psychology, University of North Carolina at Wilmington, Wilmington, NC 28403-3297). These codes should be used in conjunction with the neuropsychological procedures codes found in the Current Procedural Terminology of the American Medical Association and as outlined in a previous newsletter article by the senior author.Please note that these codes have been listed in alphabetical and not numerical order for ease.

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ICD CLASSIFICATION CODES
 
 
CODE NAME
785 Abnormal chromosome
.0 21 or 22
.1 13
.2 18
794.02 Abnormal EEG, nonspecific
794.04 Abnormal brain scan
781.0 Abnormal involuntary movements
796.1 Abnormal reflex
794.09 Abnormal results of functional study of brain & central nervous system, both nonspecific
781.2 Abnormality of gait
998.2 Accidental puncture or laceration during a procedure, NEC
308.3 Acute post traumatic stress disorder
742.2 Agenesis of the corpus callosum
958.0 Air embolism as an early complication of trauma
305.0 Alcohol abuse
303.9 alcohol dependence, oth, unspec
291.0 alcohol withdrawal delirium
571.2 alcoholic cirrhosis of liver
571.1 alcoholic hepatitis, acute
303.0 alcoholic intoxication, acute
291.8 alcoholic psychosis, oth spec
784.61  alexia and dyslexia
780.0 alteration of consciousness, oth
780.09 alteration of consciousness, oth
331.0 Alzheimer's disease
294.0 amnestic syndrome
740.0 Anencephalus
442.81 aneurysm of artery of neck
442.9 aneurysm of unspec site
413.9 angina pectoris, oth and unspec
348.1 anoxic brain damage
300.02 anxiety disorder, generalized
300.00 anxiety state, unspec
300.00 anxiety states
441 aortic aneurysm
441.9 aortic aneurysm Unspec site w/out mention of rupture
784.3 aphasia
447.6 arteritis, unspec
435.0 artery syndrome, basilar
435.1 artery, vertebral
799.0 asphyxia
994.7 asphyxiation and strangulation
314.01 attention deficit disorder of childhood w/hyperactivity
314.00 attention deficit disorder of childhood w/out mention of hyperactivity

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724.5 backache, unspec
320 bacterial meningitis
296.7 bipolar affective disorder, unspec
348.8 brain death
310.9 brain syndrome (acute, chronic, nonpsychotic, organic 
290.10  brain syndrome wit presenile brain disease 
294.9 brain syndrome with psychosis, psychotic reaction 
239.5 brain tumor unspecified
768.9  birth asphyxia

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427.5 cardiac arrest
347  cataplexy and narcolepsy
295.20 catatonic type schizophrenia, unspec state 
334.2 cerebellar ataxia
437.3 cerebral aneurysm, unruptured 
434.9 cerebral artery occlusion, unspec 
437.0 cerebral atherosclerosis 
348.0 cerebral cysts
331.8 cerebral degeneration, oth 
331.9 cerebral degeneration, unspec 
330.8 cerebral degenerations in childhood, oth spec
330 cerebral degenerations usu manifest in childhood 
348.5  cerebral edema
343.9 cerebral palsy
343 cerebral palsy, infantile 
434.0 cerebral thrombosis 
436 cerebrovascular disease, acute but ill defined 
438 cerebrovascular disease, late effects of 
437.8 cerebrovascular disease, oth ill defined 
437.9 cerebrovascular disease, unspec 
744.43 cervical auricle 
803.03 closed skull fracture without mention of intracranial injury,w/moderate (l-24 hours) loss of consciousness, oth 
803.00 closed skull fracture without mention of intracranial injury,w/state of consciousness Unspec, oth 
803.0 closed skull fracture w/out mention of intracranial injury, oth 
780.01 coma
348.4 compression of brain 
850.4 concussion w/prolonged loss of consciousness, without return to pre-existing conscious level 
850.9 concussion, unspec
850.1 concussion,with brief loss of consciosness (less than one hour)
348.9  condition of brain, unspec 
348.8 conditions of brain, oth
742.4 congenital anomalies of brain 
747.81 congenital anomalies of cerebrovascular system 
747.89 congenital anomalies of circulatory system, oth 
742.8 congenital anomalies of nervous system, oth spec 
742.9 congenital anomaly of brain, spinal cord & nervous system, unspec
742.3 congenital hydrocephalus 
742.2  congenital reduction deformities of brain 

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851.8 contusion (brain, cerebral, membrane Use the following fifth-digit subclassification with categories 851-854:
0  unspecified state of consciousness 
1 with no loss of consciousness
2 with brief (less than one hour) loss of consciousness
3 with moderate (l-24 hours) loss of consciousness 
4 with prolonged (more than 24 hours) 
5 with prolonged (more than 24 hours) loss of consciousness without returning to preexisting conscious level) 
6 with loss of consciousness of unspecified duration 
9 with concussion, unspecified
300.11 conversion disorder
780.3 convulsions
779.0 convulsions in newborn
414.0  coronary atherosclerosis
 851.3 cortex (cerebral) laceration w/open intracranial wound 
377.75 cortical blindness
255.0 Cushing's syndrome 

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331.2 degeneration of brain, senile
333.0 degenerative diseases of the basal ganglia, oth
291.2 dementia, alcoholic, oth
290.40 dementia arteriosclerotic, uncomplicated
290.41 dementia, arteriosclerotic, w/delirium
290.1 dementia, presenile
290.10 dementia, presenile, uncomplicated
290.12 dementia, presenile, w/delusional features
290.0 demntia, senile, w/depressive features
290.21 dementia, senile, w/depressive features
341.9 demyelinating disease of the central nervous system, unspec
341 demyelinating disease of the central nervous system, oth
341.8 demyelinating disease of the central nervous system, oth
311 depressive disorder, NEC
315.02 developmental dyslexia
315.31 developmental language disorder
315.39 developmental language disorder, oth
315.2 developmentla learning difficulties, oth spec
250.6 diabetes w/neurological manifestations
337.9 disorders of autonomic nervous system, unspec
349.89 disorders of nervous system, oth spec
349.9 disorders of nervous system, unspec
312.9 disturbance of conduct, unspec
312.8 disturbances of conduct, NEC, oth spec
781.1 disturbances of sensation of smell & taste
780.4 dizziness and giddiness
758.0 Down's syndrome
305.9 drug abuse, oth mixed, unspec
292.9 drug-induced mental disorder, unspec
966 drug toxicity to:
.3 mysoline
.2 zarontin
.1 dilantin
.0 oxazolidine
967.0 drug toxicity to phenobarbital
977.9 drug toxicity
655.5 drugs in pregnancy
333.6 dystonia
764.50 dysarthria

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307.50 eating disorders, unspec
782.3 edema
453.3 embolism
313.9 emotional disturbance of childhood/adoles, unspec
064 encephalitis (viral) transmitted by oth, unspec, arthropo
824.0 empyema
348.3 encephalopathy, unspec
345.7 epilepsia partialis continua
345 epilepsy
345.1 epilepsy, generalized convulsive
345.11 epilepsy, generalized convulsive, w/intractable epilepsy 
345.0 epilepsy, generalized nonconvulsive
345.01 epilepsy, generalized nonconvulsive w/intractable epilepsy 
345.00 epilepsy, generalized, nonconvulsive, w/out mention of intractable epilepsy 
345.10  epilepsy, generalized,nonconvulsive w/out mention of intractable epilepsy
345.4 epilepsy, partial,w/out impairment of consciousness 
345.41 epilepsy, partial,w/intractable epilepsy
345.5 epilepsy, partial,w/out mention of impairment of consciousness
345.9 epilepsy, unspec
345.3 epileptic,grand mal status
345.2 epileptic,petit mal status
401.9 essential hypertension, unspec
V70.4 examination for medicolegal reasons 
V70.7 examination for normal comparison/control in clinical research 
852.40 extradural hemorrhage fol injury w/out mention of open intracranial wound,w/out state of consciousness, unspec 
333 extrapyramidal disease and abnormal movement disorder, oth 
333.90 extrapyramidal disease and abnormal movement disorder, unspecified 
333.99 extrapyramidal diseases and abnormal movement disorder, oth 
333.9 extrapyramidal disease and abnormal movement disorder, oth unspec

 

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780.6 fever
758.8 fragile X
310.0 Frontal lobe syndrome
429.4 functional disturbances following cardiac surgery
315.4 gait disorder
530.1 gastroesophageal reflux
784.0 headache
854.0 head injury, closed (see intracranial)
854.1 head injury, open (see intracranial)
780.1 hallucinations
342.9 hemiplegia, unspec
431 hemorrhage, intracerebral
432.0 hemorrhage, nontraumatic extradural
430 hemorrhage, subarachnoid
432.1 hemorrhage, subdural
459.0 hemorrhage, unspec intracranial
572.2 hepatic coma
356.0 hereditary peripheral neuropathy
356.2 hereditary sensory neuropathy
053.19 herpes zoster w/out neurons systems complications
201.9 Hodgkin's; disease, unspec type
368.46 homonymous bilateral field defects
333.4 Huntington's chorea
331.3 hydrocephalus, communicating
331.4 hydrocephalus, obstructive
314.9 hyperkinetic syndrome of childhood, unspec
437.2 hypertensive encephalopathy
402.0 hypertensive heart disease, (M)
786.01 hyperventilation
251.2 hypoglycemia, unspec
252.1 hypoparathyroidism
458.9 hypotension, unspec
244.9 hypothyroidism, unspec acquired

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312.31 impulse control disorder, unspecified
348.2 increased intracranial pressure
299.00 infantile autism, current/active state
343.9 infantile cerebral palsy, unspec
345.6 infantile spasms
357.8  inflammatory and toxic neuropathies, oth
357.9 inflammatory and toxic neuropathies, unspec
357 inflammatory and toxic neuropathy
767.1 injuries to scalp due to birth trauma
324.0 intracranial abscess
324 intracranial and intraspinal abscess
853.1  intracranial hemorrhage fol injury w/open intracranial wound
853.0 intracranial hemorrhage fol injury, w/out mention of open intracranial wound oth unspec
348.2 intracranial hypertension, (B)
854.1 intracranial injury of oth, unspec nature w/open intracranial wound
854.10 intracranial injury of oth, unspec nature, w/open intracranial wound, w/state of consciousness, unspec
854.01 intracranial injury of oth, unspec nature, w/out of intracranial wound w/no loss of consciousness
854.00 intracranial injury of oth, unspec nature, w/out mention of open intracranial wound w/out state of consciousness, unspec
431 intraventricular hemorrhage
046.1 Jackob-Creutzfeldt disease

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315.39 Language/speech delay-developmental articulation disorder
315.2 learning disabilities
V62.3 learning problems
296.30 Major depressive affective disorder, recurrent episodes, unspec degree
296.20 major depressive affective disorder, single episode, unspec degree
780.7 malaise and fatigue
296.00 manic affective disorder, single episode, unspec
320.9 meningitis due to unspec bacterium
322  meningitis of unspec cause
322.2 meningitis, chronic
322.0 meningitis, nonpyogenic
322.9 meningitis, unspec
047.9 meningitis, unspec viral
036.2 meningococcemia
319 mental retardation, unspec
346 migraine
346.0 migraine, classical
346.1 migraine, common
346.8 migraine, oth forms of
346.9 migraine, unspec
346.2 migraine, variants of
396.0  mitral valve stenosis & aortic valve stenosis
358.0 myasthenia gravis
333.2 myoclonus
225 neoplasm of brain and opth parts of nervous system, (B)
198.3 neoplasm of brain and spinal cord, 2nd (M)
191.7 neoplasm of brain stem, (M)
225.0 neoplasm of brain, (B)
191 neoplasm of brain, (M)
191.9 neoplasm of brain, unspec, (M)
191.0 neoplasm of cerebru, except lobes & ventricles, (M)
225.2 neoplasm of cerebral meninges, (B)
192.1 neoplasm of cerebral meninges, (M)
191.1 neoplasm of frontal lobe, (M)
225.9 neoplasm of nervous system, part unspec, (B)
192.9 neoplasm of nervous system, part unspec, (M)
191.3 neoplasm of parietal lobe, (M)
090.49 neurosyphilis, oth juvenile
094.9 neuropsyphilis, unspec
300.4 neurotic depression
300.9 neurotic disorder, unspec
300.89 neurotic disorders, oth
770.8 newborn respiratory problems, oth
V65.5 normal child, worried well. feared complaint not found

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433.0 occlusion & stenosis of basilar artery
433.1 occlusion & stenosis of carotid artery
433.2 occlusion & stenosis of vertebral artery of intracranial injury
801.5 open frac, base skull w/out mention of intracranial injury
800.81 open frac, vault of skull w/oth & unspec intracranial hemorrhage, w/no loss of consciousness
800.5 open frac, vault of skull w/out mention of intracranial injury
310.1 organic personality syndrome
290 organic psychotic conditions, senile and presnile
348 oth conditions of the brain
300.01 panic disorder
344.1 paraplegia
094.1 paresis, general
332 Parkinson's disease
332.1 Parkinsonism, secondary
301.9 Personality disorder, unspec
331.1 Pick's Disease
310.2 Postconcussion syndrome
335.22 Progressive bulbar palsy
333.2 progressive myoclonic epilepsy
306.52 psychogenic dysmenorrhea
300.12 psychogenic amnesia
299.81 psychoses, early childhood, residual state, oth spec
302.72 psychosexual dysfunction with inhibited sexual excitement
296.90 Psychosis, w/affective, unspec
296.80 Psychosis, manic-depressive, unspec
298.9 psychosis, unspec

 

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331.81 Reye's syndrome
298.2 reactive confusion
780.3 seizures
295.50 schizophrenia, latent, unspec state
295.9 schizophrenia, unspec
295.90 schizophrenia, unspec type, unspec state
800.4 skull fracture
803.2 skull fracture with subdural hemorrhage
780.5 sleep disturbances
780.50 sleep disturbances, unspec
307.46 somnabulism of night terrors
309.81 Stress disorder, prolonged posttraumatic 
436 stroke
430 subarachnoid hemorrhage
432.1 subdural hematome, traumatic
767.0 subdural and cerebral hemorrhage due to birth trauma
852.2 subdural hemorrhage fol injury w/out mention of intracranial wound
852.21 subdural hemorrhage fol injury, w/out mention of intracranial wound, w/no loss of consciousness
852.3 subdural hemorrhage following injury, w/open intracranial wound
780.2 syncope and collapse
307.81 tension headache
307.20 Tic disorder, unspec
307.2 Tics
349.82 Toxic encephalopathy
435 Transient cerebral ischemia
435.9 Transient cerebral ischemia, unspec
437.7 Transient global amnesia
781.4 Transient paralysis of limb
312.0 Undersocialized conduct disorder, Aggressive type
368.14 Visual distortions of shape and size
368.8 Visual disturbances, oth spec
368.9 Visual disturbances, unspec
369.9 Visual loss
794.13 Visual abnormality
759.89 William syndrome
758.6 XO
758.8 XXX
758.7 XXY
758.8 XYY

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CPT Changes for 1996

Antonio E. Puente
University of North Carolina at Wilmington

(Dr. Puente represents the American Psychological Association on the American Medical Association's Current Procedural Terminology's Health Care Professional Advisory Panel)

    Reimbursement for neuropsychological services hinges on three requirements. One, a provider must be approved by the carrier that is reimbursing for the service provided. Next, a diagnosis must be used (preferably an International Classification of Diseases diagnosis, Vs. a DSM one). Finally, a code which describes the service provided must be used. The most commonly accepted coding system and one approved by contract by the federal government's Health Care Financing Administration is the Current Procedural Terminology (CPT) of the American Medical Association.

    Traditionally, neuropsychological services were coded similar for psychological and psychiatric services in the psychiatric section of the CPT system. Recently, neuropsychological assessment codes were created and inserted in the Neurology section of the CPT system. Due to the ongoing discussions with AMA and the evolution of our field, it appeared appropriate to create a separate section for these codes. That section has been created with the numerical values of 96100 series and is found between the sections on Neurology and Physical Medicine. A cognitive rehabilitation codes (97770) is found in the Physical Medicine section. The following summarizes these changes as is described in the AMA's publication's The CPT Assistant, Winter 1995, pages 25-26.

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Central Nervous System Assessments/Test (e.g., New-o-Cognitive, Mental Status, Speech Testing)

The following codes are used to report the services provided during testing of the cognitive function of the central nervous system.The testing of cognitive processes, visual motor responses, and abstractive abilities is accomplished by the combination of several types of testing procedures.It is expected that the administration of these tests will generate material that will be formulated into a report.

(For development of cognitive skills, see 97770)

"96100 Psychological testing (includes psychodiagnostic assessment of personality, psychopathology, emotionality, intellectual abilities, eg, WAIS-R, Rorschach, MMPI) with interpretation and report, per hour

*96105 Assessment of aphasia (includes assessment of expressive and receptive speech and language function language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour

"96110 Developmental testing; limited (eg, Developmental Screening Test II, Early Language Milestone Screen), with interpretation and report

"96111 extended (includes assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments, eg, Bayley Scales of Infant Development) with interpretation and report, per hour

*96115 Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgement, eg, acquired knowledge, attention, memory, visual spatial abilities, language functions, planning) with interpretation and report, per hour

"96117 Neuropsychological testing battery (eg, Halstead-Reitan, Luria, WAIS-R) with interpretation and report, per hour

A new section has been added to CPT for Central Nervous System Assessments/Tests (eg, neuro-cognitive, mental status, speech testing) resulting in the relocation and renumbering of the developmental testing and measurement codes 90830,95880,95881,95882,95883, and 99178 into this section. This new section/area has been established as a general testing section. Code 96110 (formerly code 99 178) has been revised to differentiate its services apart from 96 111 (formerly 95881).Code 96117 (formerly code 95883) has been revised for consistency with other codes to include interpretation” as well as report and to better define the test listed as URIA” to LURIA.”
 
 

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