CMS ACCESS Model API
0.9.12 - draft
CMS ACCESS Model API
0.9.12 - draft
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
| Active as of 2026-06-10 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="ACCESSBHDiagnosisVS"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<url
value="https://dsacms.github.io/cmmi-access-model/ValueSet/ACCESSBHDiagnosisVS"/>
<version value="0.9.12"/>
<name value="ACCESSBHDiagnosisVS"/>
<title value="ACCESS Behavioral Health (BH) Track Qualifying Diagnoses"/>
<status value="active"/>
<experimental value="false"/>
<date value="2026-06-10T23:08:55-04:00"/>
<publisher value="Global Alliant, Inc."/>
<contact>
<name value="Global Alliant, Inc."/>
<telecom>
<system value="url"/>
<value value="https://globalalliantinc.com"/>
</telecom>
<telecom>
<system value="email"/>
<value value="david.h@globalalliantinc.org"/>
</telecom>
</contact>
<description
value="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 value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<copyright
value="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 value="http://hl7.org/fhir/sid/icd-10-cm"/>
<concept>
<code value="F06.30"/>
<display
value="Mood disorder due to known physiological condition, unspecified"/>
</concept>
<concept>
<code value="F06.31"/>
<display
value="Mood disorder due to known physiological condition with depressive features"/>
</concept>
<concept>
<code value="F06.4"/>
<display
value="Anxiety disorder due to known physiological condition"/>
</concept>
<concept>
<code value="F32.0"/>
<display value="Major depressive disorder, single episode, mild"/>
</concept>
<concept>
<code value="F32.1"/>
<display value="Major depressive disorder, single episode, moderate"/>
</concept>
<concept>
<code value="F32.2"/>
<display
value="Major depressive disorder, single episode, severe without psychotic features"/>
</concept>
<concept>
<code value="F32.3"/>
<display
value="Major depressive disorder, single episode, severe with psychotic features"/>
</concept>
<concept>
<code value="F32.4"/>
<display
value="Major depressive disorder, single episode, in partial remission"/>
</concept>
<concept>
<code value="F32.5"/>
<display
value="Major depressive disorder, single episode, in full remission"/>
</concept>
<concept>
<code value="F32.81"/>
<display value="Premenstrual dysphoric disorder"/>
</concept>
<concept>
<code value="F32.89"/>
<display value="Other specified depressive episodes"/>
</concept>
<concept>
<code value="F32.9"/>
<display
value="Major depressive disorder, single episode, unspecified"/>
</concept>
<concept>
<code value="F32.A"/>
<display value="Depression, unspecified"/>
</concept>
<concept>
<code value="F33.0"/>
<display value="Major depressive disorder, recurrent, mild"/>
</concept>
<concept>
<code value="F33.1"/>
<display value="Major depressive disorder, recurrent, moderate"/>
</concept>
<concept>
<code value="F33.2"/>
<display
value="Major depressive disorder, recurrent severe without psychotic features"/>
</concept>
<concept>
<code value="F33.3"/>
<display
value="Major depressive disorder, recurrent, severe with psychotic symptoms"/>
</concept>
<concept>
<code value="F33.40"/>
<display
value="Major depressive disorder, recurrent, in remission, unspecified"/>
</concept>
<concept>
<code value="F33.41"/>
<display
value="Major depressive disorder, recurrent, in partial remission"/>
</concept>
<concept>
<code value="F33.42"/>
<display
value="Major depressive disorder, recurrent, in full remission"/>
</concept>
<concept>
<code value="F33.8"/>
<display value="Other recurrent depressive disorders"/>
</concept>
<concept>
<code value="F33.9"/>
<display value="Major depressive disorder, recurrent, unspecified"/>
</concept>
<concept>
<code value="F34.0"/>
<display value="Cyclothymic disorder"/>
</concept>
<concept>
<code value="F34.1"/>
<display value="Dysthymic disorder"/>
</concept>
<concept>
<code value="F34.81"/>
<display value="Disruptive mood dysregulation disorder"/>
</concept>
<concept>
<code value="F34.89"/>
<display value="Other specified persistent mood disorders"/>
</concept>
<concept>
<code value="F34.9"/>
<display value="Persistent mood [affective] disorder, unspecified"/>
</concept>
<concept>
<code value="F40.00"/>
<display value="Agoraphobia, unspecified"/>
</concept>
<concept>
<code value="F40.01"/>
<display value="Agoraphobia with panic disorder"/>
</concept>
<concept>
<code value="F40.02"/>
<display value="Agoraphobia without panic disorder"/>
</concept>
<concept>
<code value="F40.10"/>
<display value="Social phobia, unspecified"/>
</concept>
<concept>
<code value="F40.11"/>
<display value="Social phobia, generalized"/>
</concept>
<concept>
<code value="F40.210"/>
<display value="Arachnophobia"/>
</concept>
<concept>
<code value="F40.218"/>
<display value="Other animal type phobia"/>
</concept>
<concept>
<code value="F40.220"/>
<display value="Fear of thunderstorms"/>
</concept>
<concept>
<code value="F40.228"/>
<display value="Other natural environment type phobia"/>
</concept>
<concept>
<code value="F40.230"/>
<display value="Fear of blood"/>
</concept>
<concept>
<code value="F40.231"/>
<display value="Fear of injections and transfusions"/>
</concept>
<concept>
<code value="F40.232"/>
<display value="Fear of other medical care"/>
</concept>
<concept>
<code value="F40.233"/>
<display value="Fear of injury"/>
</concept>
<concept>
<code value="F40.240"/>
<display value="Claustrophobia"/>
</concept>
<concept>
<code value="F40.241"/>
<display value="Acrophobia"/>
</concept>
<concept>
<code value="F40.242"/>
<display value="Fear of bridges"/>
</concept>
<concept>
<code value="F40.243"/>
<display value="Fear of flying"/>
</concept>
<concept>
<code value="F40.248"/>
<display value="Other situational type phobia"/>
</concept>
<concept>
<code value="F40.290"/>
<display value="Androphobia"/>
</concept>
<concept>
<code value="F40.291"/>
<display value="Gynephobia"/>
</concept>
<concept>
<code value="F40.298"/>
<display value="Other specified phobia"/>
</concept>
<concept>
<code value="F40.8"/>
<display value="Other phobic anxiety disorders"/>
</concept>
<concept>
<code value="F40.9"/>
<display value="Phobic anxiety disorder, unspecified"/>
</concept>
<concept>
<code value="F41.0"/>
<display value="Panic disorder [episodic paroxysmal anxiety]"/>
</concept>
<concept>
<code value="F41.1"/>
<display value="Generalized anxiety disorder"/>
</concept>
<concept>
<code value="F41.3"/>
<display value="Other mixed anxiety disorders"/>
</concept>
<concept>
<code value="F41.8"/>
<display value="Other specified anxiety disorders"/>
</concept>
<concept>
<code value="F41.9"/>
<display value="Anxiety disorder, unspecified"/>
</concept>
<concept>
<code value="F43.0"/>
<display value="Acute stress reaction"/>
</concept>
<concept>
<code value="F43.10"/>
<display value="Post-traumatic stress disorder, unspecified"/>
</concept>
<concept>
<code value="F43.11"/>
<display value="Post-traumatic stress disorder, acute"/>
</concept>
<concept>
<code value="F43.12"/>
<display value="Post-traumatic stress disorder, chronic"/>
</concept>
<concept>
<code value="F43.20"/>
<display value="Adjustment disorder, unspecified"/>
</concept>
<concept>
<code value="F43.21"/>
<display value="Adjustment disorder with depressed mood"/>
</concept>
<concept>
<code value="F43.22"/>
<display value="Adjustment disorder with anxiety"/>
</concept>
<concept>
<code value="F43.23"/>
<display
value="Adjustment disorder with mixed anxiety and depressed mood"/>
</concept>
<concept>
<code value="F43.24"/>
<display value="Adjustment disorder with disturbance of conduct"/>
</concept>
<concept>
<code value="F43.25"/>
<display
value="Adjustment disorder with mixed disturbance of emotions and conduct"/>
</concept>
<concept>
<code value="F43.29"/>
<display value="Adjustment disorder with other symptoms"/>
</concept>
<concept>
<code value="F43.81"/>
<display value="Prolonged grief disorder"/>
</concept>
<concept>
<code value="F43.89"/>
<display value="Other reactions to severe stress"/>
</concept>
<concept>
<code value="F43.9"/>
<display value="Reaction to severe stress, unspecified"/>
</concept>
</include>
</compose>
</ValueSet>