BHI · Geriatrics
BHI Qualifying Diagnoses
for Geriatrics.
48 ICD-10-CM codes cover geriatrics patients for Behavioral Health Integration (BHI).
Qualifying Codes
ICD-10 codes for geriatrics.
Behavioral health and substance use
Depressive disorders
F32, F33, F34.120 codesbhiccmPHQ-9 at defined intervals, with the score trend recorded in the care plan.
Depressive disorders
F32, F33, F34.120 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Depressive Disorders · Devices: Patient-reported outcome app (RTM)
Read the depressive disorders monitoring guide
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F32.0 | Major depressive disorder, single episode, mild | bhiccm | not risk adjusted |
| F32.1 | Major depressive disorder, single episode, moderate | bhiccm | HCC 155 · Major Depression, Moderate or Severe, without Psychosis |
| F32.2 | Major depressive disorder, single episode, severe without psychotic features | bhiccm | HCC 155 · Major Depression, Moderate or Severe, without Psychosis |
| F32.3 | Major depressive disorder, single episode, severe with psychotic features | bhiccm | HCC 152 · Psychosis, Except Schizophrenia |
| F32.4 | Major depressive disorder, single episode, in partial remission | bhiccm | not risk adjusted |
| F32.5 | Major depressive disorder, single episode, in full remission | bhiccm | not risk adjusted |
| F32.81 | Premenstrual dysphoric disorder | bhiccm | not risk adjusted |
| F32.89 | Other specified depressive episodes | bhiccm | not risk adjusted |
| F32.9 | Major depressive disorder, single episode, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F32.A | Depression, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F33.0 | Major depressive disorder, recurrent, mild | bhiccm | not risk adjusted |
| F33.1 | Major depressive disorder, recurrent, moderate | bhiccm | HCC 155 · Major Depression, Moderate or Severe, without Psychosis |
| F33.2 | Major depressive disorder, recurrent severe without psychotic features | bhiccm | HCC 155 · Major Depression, Moderate or Severe, without Psychosis |
| F33.3 | Major depressive disorder, recurrent, severe with psychotic symptoms | bhiccm | HCC 152 · Psychosis, Except Schizophrenia |
| F33.40 | Major depressive disorder, recurrent, in remission, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F33.41 | Major depressive disorder, recurrent, in partial remission | bhiccm | not risk adjusted |
| F33.42 | Major depressive disorder, recurrent, in full remission | bhiccm | not risk adjusted |
| F33.8 | Other recurrent depressive disorders | bhiccm | not risk adjusted |
| F33.9 | Major depressive disorder, recurrent, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F34.1 | Dysthymic disorder | bhiccm | not risk adjusted |
Anxiety and fear-related disorders
F40, F4128 codesbhiccmGAD-7 at defined intervals.
Anxiety and fear-related disorders
F40, F4128 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Anxiety Disorders · Devices: Patient-reported outcome app (RTM)
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F40.00 | Agoraphobia, unspecified | bhiccm | not risk adjusted |
| F40.01 | Agoraphobia with panic disorder | bhiccm | not risk adjusted |
| F40.02 | Agoraphobia without panic disorder | bhiccm | not risk adjusted |
| F40.10 | Social phobia, unspecified | bhiccm | not risk adjusted |
| F40.11 | Social phobia, generalized | bhiccm | not risk adjusted |
| F40.210 | Arachnophobia | bhiccm | not risk adjusted |
| F40.218 | Other animal type phobia | bhiccm | not risk adjusted |
| F40.220 | Fear of thunderstorms | bhiccm | not risk adjusted |
| F40.228 | Other natural environment type phobia | bhiccm | not risk adjusted |
| F40.230 | Fear of blood | bhiccm | not risk adjusted |
| F40.231 | Fear of injections and transfusions | bhiccm | not risk adjusted |
| F40.232 | Fear of other medical care | bhiccm | not risk adjusted |
| F40.233 | Fear of injury | bhiccm | not risk adjusted |
| F40.240 | Claustrophobia | bhiccm | not risk adjusted |
| F40.241 | Acrophobia | bhiccm | not risk adjusted |
| F40.242 | Fear of bridges | bhiccm | not risk adjusted |
| F40.243 | Fear of flying | bhiccm | not risk adjusted |
| F40.248 | Other situational type phobia | bhiccm | not risk adjusted |
| F40.290 | Androphobia | bhiccm | not risk adjusted |
| F40.291 | Gynephobia | bhiccm | not risk adjusted |
| F40.298 | Other specified phobia | bhiccm | not risk adjusted |
| F40.8 | Other phobic anxiety disorders | bhiccm | not risk adjusted |
| F40.9 | Phobic anxiety disorder, unspecified | bhiccm | not risk adjusted |
| F41.0 | Panic disorder [episodic paroxysmal anxiety] | bhiccm | not risk adjusted |
| F41.1 | Generalized anxiety disorder | bhiccm | not risk adjusted |
| F41.3 | Other mixed anxiety disorders | bhiccm | not risk adjusted |
| F41.8 | Other specified anxiety disorders | bhiccm | not risk adjusted |
| F41.9 | Anxiety disorder, unspecified | bhiccm | not risk adjusted |
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Clinical Context
Why geriatrics practices benefit from BHI.
Geriatrics practices can leverage BHI to improve patient outcomes through structured care management, generating $97–$220+ per patient per month in Medicare reimbursement while reducing avoidable hospitalizations.
Related Conditions
Condition monitoring guides.
FAQ
Common questions.
What ICD-10 codes qualify geriatrics patients for BHI?
CMS publishes no list of codes that qualify a patient for BHI: eligibility turns on the condition and on documented medical necessity. For geriatrics, 48 billable ICD-10-CM codes cover the conditions BHI manages, spanning 2 conditions including depressive disorders, anxiety and fear-related disorders.
How does CCN Health support geriatrics practices with BHI?
CCN Health provides turnkey BHI services for geriatrics practices, including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support.
What is the revenue potential for BHI in geriatrics?
Reimbursement varies by locality and payer contract, so see the BHI billing guide for current figures. Geriatrics practices with a high prevalence of these conditions generally see the most benefit, particularly when BHI is combined with CCM and RPM for patients whose needs are distinct enough to document separately.
Sources & Compliance
Code set. Every code on this page is drawn from the official ICD-10-CM ICD-10-CM FY2026 (valid 2025-10-01 through 2026-09-30) released by CDC/NCHS, and only codes flagged valid for submission are listed. ICD-10-CM is published by the federal government and is in the public domain, so the descriptions here are the official long descriptors reproduced verbatim rather than summarized. The next code set, ICD-10-CM FY2027 (valid from 2026-10-01), is already reflected in the change flags.
Eligibility is not a code list. CMS does not publish a list of ICD-10 codes that qualify a patient for RPM, CCM, PCM, BHI, or RTM. Eligibility turns on the condition and on documented medical necessity. The programs shown against each condition are CCN Health’s clinical assessment of which programs that condition can support, not a statement of CMS approval.
Risk adjustment. HCC labels and category assignments come from the CMS-HCC V28 model for the 2026 payment year. Risk adjustment depends on the full encounter record, not on a single code, and the flags here are a prompt to check specificity rather than a payment guarantee.
CPT® notice. CPT is a registered trademark of the American Medical Association. CPT codes, descriptions, and other data only are copyright 2026 American Medical Association. All rights reserved. CPT is provided “as is” without warranty of any kind.
Sources. ICD-10-CM files, CDC/NCHS (cdc.gov); CMS Chronic Conditions Data Warehouse condition categories (ccwdata.org); CMS-HCC risk adjustment model software and ICD-10 mappings (cms.gov); AHRQ Clinical Classifications Software Refined (ahrq.gov).
Disclaimer. This page is informational and does not constitute billing, clinical, or legal advice. Diagnosis coding must reflect the documentation in the medical record. Verify all codes against the official CMS and CDC/NCHS publications and your contracted payer agreements before billing.