CMS ACCESS Model API
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This page is part of the ACCESS Model IG v0.9.12 DRAFT (v0.9.12: Releases Draft) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

: ACCESS Behavioral Health (BH) Track Qualifying Diagnoses

Active as of 2026-06-10

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{
  "resourceType" : "ValueSet",
  "id" : "ACCESSBHDiagnosisVS",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet ACCESSBHDiagnosisVS</b></p><a name=\"ACCESSBHDiagnosisVS\"> </a><a name=\"hcACCESSBHDiagnosisVS\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.2.0/CodeSystem-icd10CM.html\"><code>http://hl7.org/fhir/sid/icd-10-cm</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>F06.30</td><td>Mood disorder due to known physiological condition, unspecified</td></tr><tr><td>F06.31</td><td>Mood disorder due to known physiological condition with depressive features</td></tr><tr><td>F06.4</td><td>Anxiety disorder due to known physiological condition</td></tr><tr><td>F32.0</td><td>Major depressive disorder, single episode, mild</td></tr><tr><td>F32.1</td><td>Major depressive disorder, single episode, moderate</td></tr><tr><td>F32.2</td><td>Major depressive disorder, single episode, severe without psychotic features</td></tr><tr><td>F32.3</td><td>Major depressive disorder, single episode, severe with psychotic features</td></tr><tr><td>F32.4</td><td>Major depressive disorder, single episode, in partial remission</td></tr><tr><td>F32.5</td><td>Major depressive disorder, single episode, in full remission</td></tr><tr><td>F32.81</td><td>Premenstrual dysphoric disorder</td></tr><tr><td>F32.89</td><td>Other specified depressive episodes</td></tr><tr><td>F32.9</td><td>Major depressive disorder, single episode, unspecified</td></tr><tr><td>F32.A</td><td>Depression, unspecified</td></tr><tr><td>F33.0</td><td>Major depressive disorder, recurrent, mild</td></tr><tr><td>F33.1</td><td>Major depressive disorder, recurrent, moderate</td></tr><tr><td>F33.2</td><td>Major depressive disorder, recurrent severe without psychotic features</td></tr><tr><td>F33.3</td><td>Major depressive disorder, recurrent, severe with psychotic symptoms</td></tr><tr><td>F33.40</td><td>Major depressive disorder, recurrent, in remission, unspecified</td></tr><tr><td>F33.41</td><td>Major depressive disorder, recurrent, in partial remission</td></tr><tr><td>F33.42</td><td>Major depressive disorder, recurrent, in full remission</td></tr><tr><td>F33.8</td><td>Other recurrent depressive disorders</td></tr><tr><td>F33.9</td><td>Major depressive disorder, recurrent, unspecified</td></tr><tr><td>F34.0</td><td>Cyclothymic disorder</td></tr><tr><td>F34.1</td><td>Dysthymic disorder</td></tr><tr><td>F34.81</td><td>Disruptive mood dysregulation disorder</td></tr><tr><td>F34.89</td><td>Other specified persistent mood disorders</td></tr><tr><td>F34.9</td><td>Persistent mood [affective] disorder, unspecified</td></tr><tr><td>F40.00</td><td>Agoraphobia, unspecified</td></tr><tr><td>F40.01</td><td>Agoraphobia with panic disorder</td></tr><tr><td>F40.02</td><td>Agoraphobia without panic disorder</td></tr><tr><td>F40.10</td><td>Social phobia, unspecified</td></tr><tr><td>F40.11</td><td>Social phobia, generalized</td></tr><tr><td>F40.210</td><td>Arachnophobia</td></tr><tr><td>F40.218</td><td>Other animal type phobia</td></tr><tr><td>F40.220</td><td>Fear of thunderstorms</td></tr><tr><td>F40.228</td><td>Other natural environment type phobia</td></tr><tr><td>F40.230</td><td>Fear of blood</td></tr><tr><td>F40.231</td><td>Fear of injections and transfusions</td></tr><tr><td>F40.232</td><td>Fear of other medical care</td></tr><tr><td>F40.233</td><td>Fear of injury</td></tr><tr><td>F40.240</td><td>Claustrophobia</td></tr><tr><td>F40.241</td><td>Acrophobia</td></tr><tr><td>F40.242</td><td>Fear of bridges</td></tr><tr><td>F40.243</td><td>Fear of flying</td></tr><tr><td>F40.248</td><td>Other situational type phobia</td></tr><tr><td>F40.290</td><td>Androphobia</td></tr><tr><td>F40.291</td><td>Gynephobia</td></tr><tr><td>F40.298</td><td>Other specified phobia</td></tr><tr><td>F40.8</td><td>Other phobic anxiety disorders</td></tr><tr><td>F40.9</td><td>Phobic anxiety disorder, unspecified</td></tr><tr><td>F41.0</td><td>Panic disorder [episodic paroxysmal anxiety]</td></tr><tr><td>F41.1</td><td>Generalized anxiety disorder</td></tr><tr><td>F41.3</td><td>Other mixed anxiety disorders</td></tr><tr><td>F41.8</td><td>Other specified anxiety disorders</td></tr><tr><td>F41.9</td><td>Anxiety disorder, unspecified</td></tr><tr><td>F43.0</td><td>Acute stress reaction</td></tr><tr><td>F43.10</td><td>Post-traumatic stress disorder, unspecified</td></tr><tr><td>F43.11</td><td>Post-traumatic stress disorder, acute</td></tr><tr><td>F43.12</td><td>Post-traumatic stress disorder, chronic</td></tr><tr><td>F43.20</td><td>Adjustment disorder, unspecified</td></tr><tr><td>F43.21</td><td>Adjustment disorder with depressed mood</td></tr><tr><td>F43.22</td><td>Adjustment disorder with anxiety</td></tr><tr><td>F43.23</td><td>Adjustment disorder with mixed anxiety and depressed mood</td></tr><tr><td>F43.24</td><td>Adjustment disorder with disturbance of conduct</td></tr><tr><td>F43.25</td><td>Adjustment disorder with mixed disturbance of emotions and conduct</td></tr><tr><td>F43.29</td><td>Adjustment disorder with other symptoms</td></tr><tr><td>F43.81</td><td>Prolonged grief disorder</td></tr><tr><td>F43.89</td><td>Other reactions to severe stress</td></tr><tr><td>F43.9</td><td>Reaction to severe stress, unspecified</td></tr></table></li></ul></div>"
  },
  "url" : "https://dsacms.github.io/cmmi-access-model/ValueSet/ACCESSBHDiagnosisVS",
  "version" : "0.9.12",
  "name" : "ACCESSBHDiagnosisVS",
  "title" : "ACCESS Behavioral Health (BH) Track Qualifying Diagnoses",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-06-10T23:08:55-04:00",
  "publisher" : "Global Alliant, Inc.",
  "contact" : [
    {
      "name" : "Global Alliant, Inc.",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://globalalliantinc.com"
        },
        {
          "system" : "email",
          "value" : "david.h@globalalliantinc.org"
        }
      ]
    }
  ],
  "description" : "This value set contains ICD-10-CM diagnosis codes that qualify a patient for the ACCESS Model Behavioral Health (BH) track. Includes depression and anxiety disorder diagnoses.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "This value set includes content from ICD-10-CM, which is copyright World Health Organization (WHO). ICD-10-CM codes are freely available in the public domain.",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/sid/icd-10-cm",
        "concept" : [
          {
            "code" : "F06.30",
            "display" : "Mood disorder due to known physiological condition, unspecified"
          },
          {
            "code" : "F06.31",
            "display" : "Mood disorder due to known physiological condition with depressive features"
          },
          {
            "code" : "F06.4",
            "display" : "Anxiety disorder due to known physiological condition"
          },
          {
            "code" : "F32.0",
            "display" : "Major depressive disorder, single episode, mild"
          },
          {
            "code" : "F32.1",
            "display" : "Major depressive disorder, single episode, moderate"
          },
          {
            "code" : "F32.2",
            "display" : "Major depressive disorder, single episode, severe without psychotic features"
          },
          {
            "code" : "F32.3",
            "display" : "Major depressive disorder, single episode, severe with psychotic features"
          },
          {
            "code" : "F32.4",
            "display" : "Major depressive disorder, single episode, in partial remission"
          },
          {
            "code" : "F32.5",
            "display" : "Major depressive disorder, single episode, in full remission"
          },
          {
            "code" : "F32.81",
            "display" : "Premenstrual dysphoric disorder"
          },
          {
            "code" : "F32.89",
            "display" : "Other specified depressive episodes"
          },
          {
            "code" : "F32.9",
            "display" : "Major depressive disorder, single episode, unspecified"
          },
          {
            "code" : "F32.A",
            "display" : "Depression, unspecified"
          },
          {
            "code" : "F33.0",
            "display" : "Major depressive disorder, recurrent, mild"
          },
          {
            "code" : "F33.1",
            "display" : "Major depressive disorder, recurrent, moderate"
          },
          {
            "code" : "F33.2",
            "display" : "Major depressive disorder, recurrent severe without psychotic features"
          },
          {
            "code" : "F33.3",
            "display" : "Major depressive disorder, recurrent, severe with psychotic symptoms"
          },
          {
            "code" : "F33.40",
            "display" : "Major depressive disorder, recurrent, in remission, unspecified"
          },
          {
            "code" : "F33.41",
            "display" : "Major depressive disorder, recurrent, in partial remission"
          },
          {
            "code" : "F33.42",
            "display" : "Major depressive disorder, recurrent, in full remission"
          },
          {
            "code" : "F33.8",
            "display" : "Other recurrent depressive disorders"
          },
          {
            "code" : "F33.9",
            "display" : "Major depressive disorder, recurrent, unspecified"
          },
          {
            "code" : "F34.0",
            "display" : "Cyclothymic disorder"
          },
          {
            "code" : "F34.1",
            "display" : "Dysthymic disorder"
          },
          {
            "code" : "F34.81",
            "display" : "Disruptive mood dysregulation disorder"
          },
          {
            "code" : "F34.89",
            "display" : "Other specified persistent mood disorders"
          },
          {
            "code" : "F34.9",
            "display" : "Persistent mood [affective] disorder, unspecified"
          },
          {
            "code" : "F40.00",
            "display" : "Agoraphobia, unspecified"
          },
          {
            "code" : "F40.01",
            "display" : "Agoraphobia with panic disorder"
          },
          {
            "code" : "F40.02",
            "display" : "Agoraphobia without panic disorder"
          },
          {
            "code" : "F40.10",
            "display" : "Social phobia, unspecified"
          },
          {
            "code" : "F40.11",
            "display" : "Social phobia, generalized"
          },
          {
            "code" : "F40.210",
            "display" : "Arachnophobia"
          },
          {
            "code" : "F40.218",
            "display" : "Other animal type phobia"
          },
          {
            "code" : "F40.220",
            "display" : "Fear of thunderstorms"
          },
          {
            "code" : "F40.228",
            "display" : "Other natural environment type phobia"
          },
          {
            "code" : "F40.230",
            "display" : "Fear of blood"
          },
          {
            "code" : "F40.231",
            "display" : "Fear of injections and transfusions"
          },
          {
            "code" : "F40.232",
            "display" : "Fear of other medical care"
          },
          {
            "code" : "F40.233",
            "display" : "Fear of injury"
          },
          {
            "code" : "F40.240",
            "display" : "Claustrophobia"
          },
          {
            "code" : "F40.241",
            "display" : "Acrophobia"
          },
          {
            "code" : "F40.242",
            "display" : "Fear of bridges"
          },
          {
            "code" : "F40.243",
            "display" : "Fear of flying"
          },
          {
            "code" : "F40.248",
            "display" : "Other situational type phobia"
          },
          {
            "code" : "F40.290",
            "display" : "Androphobia"
          },
          {
            "code" : "F40.291",
            "display" : "Gynephobia"
          },
          {
            "code" : "F40.298",
            "display" : "Other specified phobia"
          },
          {
            "code" : "F40.8",
            "display" : "Other phobic anxiety disorders"
          },
          {
            "code" : "F40.9",
            "display" : "Phobic anxiety disorder, unspecified"
          },
          {
            "code" : "F41.0",
            "display" : "Panic disorder [episodic paroxysmal anxiety]"
          },
          {
            "code" : "F41.1",
            "display" : "Generalized anxiety disorder"
          },
          {
            "code" : "F41.3",
            "display" : "Other mixed anxiety disorders"
          },
          {
            "code" : "F41.8",
            "display" : "Other specified anxiety disorders"
          },
          {
            "code" : "F41.9",
            "display" : "Anxiety disorder, unspecified"
          },
          {
            "code" : "F43.0",
            "display" : "Acute stress reaction"
          },
          {
            "code" : "F43.10",
            "display" : "Post-traumatic stress disorder, unspecified"
          },
          {
            "code" : "F43.11",
            "display" : "Post-traumatic stress disorder, acute"
          },
          {
            "code" : "F43.12",
            "display" : "Post-traumatic stress disorder, chronic"
          },
          {
            "code" : "F43.20",
            "display" : "Adjustment disorder, unspecified"
          },
          {
            "code" : "F43.21",
            "display" : "Adjustment disorder with depressed mood"
          },
          {
            "code" : "F43.22",
            "display" : "Adjustment disorder with anxiety"
          },
          {
            "code" : "F43.23",
            "display" : "Adjustment disorder with mixed anxiety and depressed mood"
          },
          {
            "code" : "F43.24",
            "display" : "Adjustment disorder with disturbance of conduct"
          },
          {
            "code" : "F43.25",
            "display" : "Adjustment disorder with mixed disturbance of emotions and conduct"
          },
          {
            "code" : "F43.29",
            "display" : "Adjustment disorder with other symptoms"
          },
          {
            "code" : "F43.81",
            "display" : "Prolonged grief disorder"
          },
          {
            "code" : "F43.89",
            "display" : "Other reactions to severe stress"
          },
          {
            "code" : "F43.9",
            "display" : "Reaction to severe stress, unspecified"
          }
        ]
      }
    ]
  }
}