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Table 1 Definitions of SUD Diagnoses, Procedures, and VHA SUD Specialty Locations

From: Validation of the treatment identification strategy of the HEDIS addiction quality measures: concordance with medical record review

Code Type

Codes

SUD Diagnoses

(ICD-9 CM)

291-292, 303.00-303.02, 303.90-303.92, 304.00-304.02, 304.10-304.12, 304.20-304.22,304.30-304.32, 304.40-304.42, 304.50-304.52, 304.60-304.62, 304.70-304.72,304.80-304.82, 304.90-304.92, 305.00-305.02, 305.20-305.22, 305.30-305.32,305.40-305.42, 305.50-305.52, 305.60-305.62, 305.70-305.72, 305.80-305.82, 305.90-305.92, 535.3, 571.1

Mental Health Related Procedures (CPT)

90801-90802, 90804-90815, 90826-90829, 90845, 90847, 90849, 90853, 90857, 90862, 90870-90871, 90875-90876, 99201-99205, 99211-99215, 99217-99220, 99241-99245, 99341-99345, 99347-99350, 99384-99387, 99394-99397, 99401-99404, 99420

Clinic Stops

(Outpatient)

SUD Individual Session (513)

SUD Home Visit (514)

SUD/PTSD (519)

Intensive SUD Treatment (547)

SUD Group Session (560)

SUD Telephone (545)

Bed Sections

(Inpatient)

SUD Residential Rehabilitation (27)

High Intensity SUD Treatment Program (74)

SUD Domiciliary (86)