BHI · Internal Medicine
BHI Qualifying Diagnoses
for Internal Medicine.
264 ICD-10-CM codes cover internal medicine patients for Behavioral Health Integration (BHI).
Qualifying Codes
ICD-10 codes for internal medicine.
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 |
Bipolar and related disorders
F30, F31, F34.038 codesbhiccmMood tracking and medication adherence, with laboratory monitoring where a mood stabilizer requires it.
Bipolar and related disorders
F30, F31, F34.038 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Bipolar Disorder · Devices: Patient-reported outcome app (RTM)
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F30.10 | Manic episode without psychotic symptoms, unspecified | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F30.11 | Manic episode without psychotic symptoms, mild | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F30.12 | Manic episode without psychotic symptoms, moderate | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F30.13 | Manic episode, severe, without psychotic symptoms | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F30.2 | Manic episode, severe with psychotic symptoms | bhiccm | HCC 152 · Psychosis, Except Schizophrenia |
| F30.3 | Manic episode in partial remission | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F30.4 | Manic episode in full remission | bhiccm | not risk adjusted |
| F30.8 | Other manic episodes | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F30.9 | Manic episode, unspecified | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.0 | Bipolar disorder, current episode hypomanic | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.10 | Bipolar disorder, current episode manic without psychotic features, unspecified | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.11 | Bipolar disorder, current episode manic without psychotic features, mild | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.12 | Bipolar disorder, current episode manic without psychotic features, moderate | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.13 | Bipolar disorder, current episode manic without psychotic features, severe | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.2 | Bipolar disorder, current episode manic severe with psychotic features | bhiccm | HCC 152 · Psychosis, Except Schizophrenia |
| F31.30 | Bipolar disorder, current episode depressed, mild or moderate severity, unspecified | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.31 | Bipolar disorder, current episode depressed, mild | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.32 | Bipolar disorder, current episode depressed, moderate | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.4 | Bipolar disorder, current episode depressed, severe, without psychotic features | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.5 | Bipolar disorder, current episode depressed, severe, with psychotic features | bhiccm | HCC 152 · Psychosis, Except Schizophrenia |
| F31.60 | Bipolar disorder, current episode mixed, unspecified | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.61 | Bipolar disorder, current episode mixed, mild | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.62 | Bipolar disorder, current episode mixed, moderate | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.63 | Bipolar disorder, current episode mixed, severe, without psychotic features | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.64 | Bipolar disorder, current episode mixed, severe, with psychotic features | bhiccm | HCC 152 · Psychosis, Except Schizophrenia |
| F31.70 | Bipolar disorder, currently in remission, most recent episode unspecifiedlow specificity | bhiccm | not risk adjusted |
| F31.71 | Bipolar disorder, in partial remission, most recent episode hypomanic | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.72 | Bipolar disorder, in full remission, most recent episode hypomanic | bhiccm | not risk adjusted |
| F31.73 | Bipolar disorder, in partial remission, most recent episode manic | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.74 | Bipolar disorder, in full remission, most recent episode manic | bhiccm | not risk adjusted |
| F31.75 | Bipolar disorder, in partial remission, most recent episode depressed | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.76 | Bipolar disorder, in full remission, most recent episode depressed | bhiccm | not risk adjusted |
| F31.77 | Bipolar disorder, in partial remission, most recent episode mixed | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.78 | Bipolar disorder, in full remission, most recent episode mixed | bhiccm | not risk adjusted |
| F31.81 | Bipolar II disorder | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.89 | Other bipolar disorder | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F31.9 | Bipolar disorder, unspecified | bhiccm | HCC 154 · Bipolar Disorders without Psychosis |
| F34.0 | Cyclothymic 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 |
Trauma and stressor-related disorders
F4314 codesbhiccmPCL-5 or an equivalent validated instrument.
Trauma and stressor-related disorders
F4314 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Post-Traumatic Stress Disorder (PTSD) · Devices: Patient-reported outcome app (RTM)
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F43.0 | Acute stress reaction | bhiccm | not risk adjusted |
| F43.10 | Post-traumatic stress disorder, unspecified | bhiccm | not risk adjusted |
| F43.11 | Post-traumatic stress disorder, acute | bhiccm | not risk adjusted |
| F43.12 | Post-traumatic stress disorder, chronic | bhiccm | not risk adjusted |
| F43.20 | Adjustment disorder, unspecified | bhiccm | not risk adjusted |
| F43.21 | Adjustment disorder with depressed mood | bhiccm | not risk adjusted |
| F43.22 | Adjustment disorder with anxiety | bhiccm | not risk adjusted |
| F43.23 | Adjustment disorder with mixed anxiety and depressed mood | bhiccm | not risk adjusted |
| F43.24 | Adjustment disorder with disturbance of conduct | bhiccm | not risk adjusted |
| F43.25 | Adjustment disorder with mixed disturbance of emotions and conduct | bhiccm | not risk adjusted |
| F43.29 | Adjustment disorder with other symptoms | bhiccm | not risk adjusted |
| F43.81 | Prolonged grief disorder | bhiccm | not risk adjusted |
| F43.89 | Other reactions to severe stress | bhiccm | not risk adjusted |
| F43.9 | Reaction to severe stress, unspecified | bhiccm | not risk adjusted |
Feeding and eating disorders
F5030 codesbhiccmWeight monitoring under an explicit protocol, with behavioral follow-up.
Feeding and eating disorders
F5030 codesbhiccmAdded by CCN Health · Devices: Connected weight scale
F50.2 is no longer valid. Bulimia nervosa is now F50.20 through F50.25.
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F50.00 | Anorexia nervosa, unspecified | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.010 | Anorexia nervosa, restricting type, mild | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.011 | Anorexia nervosa, restricting type, moderate | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.012 | Anorexia nervosa, restricting type, severe | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.013 | Anorexia nervosa, restricting type, extreme | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.014 | Anorexia nervosa, restricting type, in remission | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.019 | Anorexia nervosa, restricting type, unspecified | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.020 | Anorexia nervosa, binge eating/purging type, mild | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.021 | Anorexia nervosa, binge eating/purging type, moderate | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.022 | Anorexia nervosa, binge eating/purging type, severe | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.023 | Anorexia nervosa, binge eating/purging type, extreme | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.024 | Anorexia nervosa, binge eating/purging type, in remission | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.029 | Anorexia nervosa, binge eating/purging type, unspecified | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.20 | Bulimia nervosa, unspecified | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.21 | Bulimia nervosa, mild | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.22 | Bulimia nervosa, moderate | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.23 | Bulimia nervosa, severe | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.24 | Bulimia nervosa, extreme | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.25 | Bulimia nervosa, in remission | bhiccm | HCC 153 · Personality Disorders; Anorexia/Bulimia Nervosa |
| F50.810 | Binge eating disorder, mild | bhiccm | not risk adjusted |
| F50.811 | Binge eating disorder, moderate | bhiccm | not risk adjusted |
| F50.812 | Binge eating disorder, severe | bhiccm | not risk adjusted |
| F50.813 | Binge eating disorder, extreme | bhiccm | not risk adjusted |
| F50.814 | Binge eating disorder, in remission | bhiccm | not risk adjusted |
| F50.819 | Binge eating disorder, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F50.82 | Avoidant/restrictive food intake disorder | bhiccm | not risk adjusted |
| F50.83 | Pica in adults | bhiccm | not risk adjusted |
| F50.84 | Rumination disorder in adults | bhiccm | not risk adjusted |
| F50.89 | Other specified eating disorder | bhiccm | not risk adjusted |
| F50.9 | Eating disorder, unspecifiedlow specificity | bhiccm | not risk adjusted |
Alcohol-related disorders
F1058 codesbhiccmAUDIT-C and structured relapse-risk follow-up.
Alcohol-related disorders
F1058 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Alcohol Use Disorders · Devices: Patient-reported outcome app (RTM)
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F10.10 | Alcohol abuse, uncomplicated | bhiccm | not risk adjusted |
| F10.11 | Alcohol abuse, in remission | bhiccm | not risk adjusted |
| F10.120 | Alcohol abuse with intoxication, uncomplicated | bhiccm | not risk adjusted |
| F10.121 | Alcohol abuse with intoxication delirium | bhiccm | not risk adjusted |
| F10.129 | Alcohol abuse with intoxication, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F10.130 | Alcohol abuse with withdrawal, uncomplicated | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.131 | Alcohol abuse with withdrawal delirium | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.132 | Alcohol abuse with withdrawal with perceptual disturbance | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.139 | Alcohol abuse with withdrawal, unspecified | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.14 | Alcohol abuse with alcohol-induced mood disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.150 | Alcohol abuse with alcohol-induced psychotic disorder with delusions | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.151 | Alcohol abuse with alcohol-induced psychotic disorder with hallucinations | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.159 | Alcohol abuse with alcohol-induced psychotic disorder, unspecified | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.180 | Alcohol abuse with alcohol-induced anxiety disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.181 | Alcohol abuse with alcohol-induced sexual dysfunction | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.182 | Alcohol abuse with alcohol-induced sleep disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.188 | Alcohol abuse with other alcohol-induced disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.19 | Alcohol abuse with unspecified alcohol-induced disorderlow specificity | bhiccm | not risk adjusted |
| F10.20 | Alcohol dependence, uncomplicated | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.21 | Alcohol dependence, in remission | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.220 | Alcohol dependence with intoxication, uncomplicated | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.221 | Alcohol dependence with intoxication delirium | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.229 | Alcohol dependence with intoxication, unspecified | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.230 | Alcohol dependence with withdrawal, uncomplicated | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.231 | Alcohol dependence with withdrawal delirium | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.232 | Alcohol dependence with withdrawal with perceptual disturbance | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.239 | Alcohol dependence with withdrawal, unspecified | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.24 | Alcohol dependence with alcohol-induced mood disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.250 | Alcohol dependence with alcohol-induced psychotic disorder with delusions | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.251 | Alcohol dependence with alcohol-induced psychotic disorder with hallucinations | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.259 | Alcohol dependence with alcohol-induced psychotic disorder, unspecified | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.26 | Alcohol dependence with alcohol-induced persisting amnestic disorder | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.27 | Alcohol dependence with alcohol-induced persisting dementia | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.280 | Alcohol dependence with alcohol-induced anxiety disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.281 | Alcohol dependence with alcohol-induced sexual dysfunction | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.282 | Alcohol dependence with alcohol-induced sleep disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.288 | Alcohol dependence with other alcohol-induced disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.29 | Alcohol dependence with unspecified alcohol-induced disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.90 | Alcohol use, unspecified, uncomplicatedlow specificity | bhiccm | not risk adjusted |
| F10.91 | Alcohol use, unspecified, in remissionlow specificity | bhiccm | not risk adjusted |
| F10.920 | Alcohol use, unspecified with intoxication, uncomplicatedlow specificity | bhiccm | not risk adjusted |
| F10.921 | Alcohol use, unspecified with intoxication deliriumlow specificity | bhiccm | not risk adjusted |
| F10.929 | Alcohol use, unspecified with intoxication, unspecifiedlow specificity | bhiccm | not risk adjusted |
| F10.930 | Alcohol use, unspecified with withdrawal, uncomplicated | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.931 | Alcohol use, unspecified with withdrawal delirium | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.932 | Alcohol use, unspecified with withdrawal with perceptual disturbance | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.939 | Alcohol use, unspecified with withdrawal, unspecified | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.94 | Alcohol use, unspecified with alcohol-induced mood disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.950 | Alcohol use, unspecified with alcohol-induced psychotic disorder with delusions | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.951 | Alcohol use, unspecified with alcohol-induced psychotic disorder with hallucinations | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.959 | Alcohol use, unspecified with alcohol-induced psychotic disorder, unspecified | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.96 | Alcohol use, unspecified with alcohol-induced persisting amnestic disorder | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.97 | Alcohol use, unspecified with alcohol-induced persisting dementia | bhiccm | HCC 136 · Alcohol Use with Psychotic Complications |
| F10.980 | Alcohol use, unspecified with alcohol-induced anxiety disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.981 | Alcohol use, unspecified with alcohol-induced sexual dysfunction | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.982 | Alcohol use, unspecified with alcohol-induced sleep disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.988 | Alcohol use, unspecified with other alcohol-induced disorder | bhiccm | HCC 139 · Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications |
| F10.99 | Alcohol use, unspecified with unspecified alcohol-induced disorderlow specificity | bhiccm | not risk adjusted |
Opioid-related disorders
F1145 codesbhiccmMedication-assisted therapy adherence and structured follow-up.
Opioid-related disorders
F1145 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Opioid Use Disorder (OUD) · Devices: Patient-reported outcome app (RTM)
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F11.10 | Opioid abuse, uncomplicated | bhiccm | HCC 138 · Drug Use Disorder, Mild, Uncomplicated, Except Cannabis |
| F11.11 | Opioid abuse, in remission | bhiccm | HCC 138 · Drug Use Disorder, Mild, Uncomplicated, Except Cannabis |
| F11.120 | Opioid abuse with intoxication, uncomplicated | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.121 | Opioid abuse with intoxication delirium | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.122 | Opioid abuse with intoxication with perceptual disturbance | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.129 | Opioid abuse with intoxication, unspecified | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.13 | Opioid abuse with withdrawal | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.14 | Opioid abuse with opioid-induced mood disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.150 | Opioid abuse with opioid-induced psychotic disorder with delusions | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.151 | Opioid abuse with opioid-induced psychotic disorder with hallucinations | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.159 | Opioid abuse with opioid-induced psychotic disorder, unspecified | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.181 | Opioid abuse with opioid-induced sexual dysfunction | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.182 | Opioid abuse with opioid-induced sleep disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.188 | Opioid abuse with other opioid-induced disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.19 | Opioid abuse with unspecified opioid-induced disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.20 | Opioid dependence, uncomplicated | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.21 | Opioid dependence, in remission | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.220 | Opioid dependence with intoxication, uncomplicated | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.221 | Opioid dependence with intoxication delirium | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.222 | Opioid dependence with intoxication with perceptual disturbance | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.229 | Opioid dependence with intoxication, unspecified | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.23 | Opioid dependence with withdrawal | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.24 | Opioid dependence with opioid-induced mood disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.250 | Opioid dependence with opioid-induced psychotic disorder with delusions | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.251 | Opioid dependence with opioid-induced psychotic disorder with hallucinations | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.259 | Opioid dependence with opioid-induced psychotic disorder, unspecified | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.281 | Opioid dependence with opioid-induced sexual dysfunction | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.282 | Opioid dependence with opioid-induced sleep disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.288 | Opioid dependence with other opioid-induced disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.29 | Opioid dependence with unspecified opioid-induced disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.90 | Opioid use, unspecified, uncomplicatedlow specificity | bhiccm | not risk adjusted |
| F11.91 | Opioid use, unspecified, in remissionlow specificity | bhiccm | not risk adjusted |
| F11.920 | Opioid use, unspecified with intoxication, uncomplicated | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.921 | Opioid use, unspecified with intoxication delirium | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.922 | Opioid use, unspecified with intoxication with perceptual disturbance | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.929 | Opioid use, unspecified with intoxication, unspecified | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.93 | Opioid use, unspecified with withdrawal | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.94 | Opioid use, unspecified with opioid-induced mood disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.950 | Opioid use, unspecified with opioid-induced psychotic disorder with delusions | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.951 | Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.959 | Opioid use, unspecified with opioid-induced psychotic disorder, unspecified | bhiccm | HCC 135 · Drug Use with Psychotic Complications |
| F11.981 | Opioid use, unspecified with opioid-induced sexual dysfunction | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.982 | Opioid use, unspecified with opioid-induced sleep disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.988 | Opioid use, unspecified with other opioid-induced disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
| F11.99 | Opioid use, unspecified with unspecified opioid-induced disorder | bhiccm | HCC 137 · Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications |
Other substance-related disorders
F12, F13, F14, F15, F16, F18, F19335 codes in familybhiccmStructured follow-up and relapse-risk assessment.
Other substance-related disorders
F12, F13, F14, F15, F16, F18, F19335 codes in familybhiccmCMS other chronic or potentially disabling condition · CCW category: Drug Use Disorders · Devices: Patient-reported outcome app (RTM)
This family runs to 335 codes that differ mainly by anatomic site and laterality, which does not change whether the condition supports care management. The codes are not listed one by one here. Code to the site and side documented in the record, within F12, F13, F14, F15, F16, F18, F19.
Tobacco-related disorders
F17, Z87.89121 codesbhiccmCessation counselling and relapse follow-up.
Tobacco-related disorders
F17, Z87.89121 codesbhiccmCMS other chronic or potentially disabling condition · CCW category: Tobacco Use Disorders
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| F17.200 | Nicotine dependence, unspecified, uncomplicated | bhiccm | not risk adjusted |
| F17.201 | Nicotine dependence, unspecified, in remission | bhiccm | not risk adjusted |
| F17.203 | Nicotine dependence unspecified, with withdrawal | bhiccm | not risk adjusted |
| F17.208 | Nicotine dependence, unspecified, with other nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.209 | Nicotine dependence, unspecified, with unspecified nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.210 | Nicotine dependence, cigarettes, uncomplicated | bhiccm | not risk adjusted |
| F17.211 | Nicotine dependence, cigarettes, in remission | bhiccm | not risk adjusted |
| F17.213 | Nicotine dependence, cigarettes, with withdrawal | bhiccm | not risk adjusted |
| F17.218 | Nicotine dependence, cigarettes, with other nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.219 | Nicotine dependence, cigarettes, with unspecified nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.220 | Nicotine dependence, chewing tobacco, uncomplicated | bhiccm | not risk adjusted |
| F17.221 | Nicotine dependence, chewing tobacco, in remission | bhiccm | not risk adjusted |
| F17.223 | Nicotine dependence, chewing tobacco, with withdrawal | bhiccm | not risk adjusted |
| F17.228 | Nicotine dependence, chewing tobacco, with other nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.229 | Nicotine dependence, chewing tobacco, with unspecified nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.290 | Nicotine dependence, other tobacco product, uncomplicated | bhiccm | not risk adjusted |
| F17.291 | Nicotine dependence, other tobacco product, in remission | bhiccm | not risk adjusted |
| F17.293 | Nicotine dependence, other tobacco product, with withdrawal | bhiccm | not risk adjusted |
| F17.298 | Nicotine dependence, other tobacco product, with other nicotine-induced disorders | bhiccm | not risk adjusted |
| F17.299 | Nicotine dependence, other tobacco product, with unspecified nicotine-induced disorders | bhiccm | not risk adjusted |
| Z87.891 | Personal history of nicotine dependence | bhiccm | not risk adjusted |
Neurologic and cognitive
Traumatic brain injury sequelae
F06, F07, G93.1, G93.424 codes in familyccmbhipcmCognitive and behavioural follow-up with structured instruments.
Traumatic brain injury sequelae
F06, F07, G93.1, G93.424 codes in familyccmbhipcmCMS other chronic or potentially disabling condition · CCW category: Traumatic Brain Injury and Nonpsychotic Mental Disorders due to Brain Damage · Devices: Patient-reported outcome app (RTM)
This family runs to 24 codes that differ mainly by anatomic site and laterality, which does not change whether the condition supports care management. The codes are not listed one by one here. Code to the site and side documented in the record, within F06, F07, G93.1, G93.4.
Musculoskeletal and pain
Chronic pain and fibromyalgia
M79.7, G89.2, G89.4, R52, G93.310 codesrtmccmbhiPain scores, sleep and function, with behavioural support where indicated.
Chronic pain and fibromyalgia
M79.7, G89.2, G89.4, R52, G93.310 codesrtmccmbhiCMS other chronic or potentially disabling condition · CCW category: Fibromyalgia, Chronic Pain and Fatigue · Devices: Patient-reported outcome app (RTM)
G89.4 (chronic pain syndrome) and G89.29 (other chronic pain) are secondary codes. Code the underlying condition alongside.
| Code | Official ICD-10-CM description | Programs | Risk adjustment |
|---|---|---|---|
| G89.21 | Chronic pain due to trauma | rtmccmbhi | not risk adjusted |
| G89.22 | Chronic post-thoracotomy pain | rtmccmbhi | not risk adjusted |
| G89.28 | Other chronic postprocedural pain | rtmccmbhi | not risk adjusted |
| G89.29 | Other chronic pain | rtmccmbhi | not risk adjusted |
| G89.4 | Chronic pain syndrome | rtmccmbhi | not risk adjusted |
| G93.31 | Postviral fatigue syndrome | rtmccmbhi | not risk adjusted |
| G93.32 | Myalgic encephalomyelitis/chronic fatigue syndrome | rtmccmbhi | not risk adjusted |
| G93.39 | Other post infection and related fatigue syndromes | rtmccmbhi | not risk adjusted |
| M79.7 | Fibromyalgia | rtmccmbhi | not risk adjusted |
| R52 | Pain, unspecified | rtmccmbhi | not risk adjusted |
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Clinical Context
Why internal medicine practices benefit from BHI.
Internal Medicine 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.
01
What ICD-10 codes qualify internal medicine 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 internal medicine, 264 billable ICD-10-CM codes cover the conditions BHI manages, spanning 11 conditions including depressive disorders, bipolar and related disorders, anxiety and fear-related disorders, trauma and stressor-related disorders, feeding and eating disorders, alcohol-related disorders.
02
How does CCN Health support internal medicine practices with BHI?
CCN Health provides turnkey BHI services for internal medicine practices, including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support.
03
What is the revenue potential for BHI in internal medicine?
Reimbursement varies by locality and payer contract, so see the BHI billing guide for current figures. Internal Medicine 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.