CHAPTER 46:24:01
GENERAL PROVISIONS
Section
46:24:01:01 Definitions.
46:24:01:02 Responsibilities of department.
46:24:01:03 Functions of data collection system.
DEPARTMENT OF HUMAN SERVICES
DIVISION OF MENTAL HEALTH
LIST OF DIAGNOSES AND CODES
Chapter 46:24:01
APPENDIX A
SEE: §46:24:01:01
Source: 19 SDR 154, effective April 11, 1993.
NUMERIC LISTING OF DIAGNOSES AND CODES
DEPARTMENT OF HUMAN SERVICES
DIVISION OF MENTAL HEALTH
290.00 Primary degenerative dementia of the Alzheimer type, senile onset, uncomplicated;
290.00 Senile dementia NOS;
290.10 Presenile dementia NOS;
290.10 Primary degenerative dementia of the Alzheimer type, presenile onset, uncomplicated;
290.11 Primary degenerative dementia of the Alzheimer type, presenile onset, with delirium;
290.12 Primary degenerative dementia of the Alzheimer type, presenile onset, with delusions;
290.13 Primary degenerative dementia of the Alzheimer type, presenile onset, with depression;
290.20 Primary degenerative dementia of the Alzheimer type, senile onset, with delusions;
290.21 Primary degenerative dementia of the Alzheimer type, senile onset, with depression;
290.30 Primary degenerative dementia of the Alzheimer type, senile onset, with delirium;
290.40 Multi-infarct dementia, uncomplicated;
290.41 Multi-infarct dementia, with delirium;
290.42 Multi-infarct dementia, with delusions;
290.43 Multi-infarct dementia, with depression;
291.00 Alcohol withdrawal delirium;
291.10 Alcohol amnestic disorder;
291.20 Dementia associated with alcoholism;
291.30 Alcohol hallucinosis;
291.40 Alcohol idiosyncratic intoxication;
291.80 Uncomplicated alcohol withdrawal;
292.00 Amphetamine or similarly acting sympathomimetic withdrawal;
292.00 Cocaine withdrawal;
292.00 Nicotine withdrawal;
292.00 Opioid withdrawal;
292.00 Other or unspecified psychoactive substance withdrawal;
292.00 Sedative, hypnotic, or anxiolytic withdrawal delirium;
292.00 Uncomplicated sedative, hypnotic, or anxiolytic withdrawal;
292.11 Amphetamine or similarly acting sympathomimetic delusional disorder;
292.11 Cannabis delusional disorder;
292.11 Cocaine delusional disorder;
292.11 Hallucinogen delusional disorder;
292.11 Other or unspecified psychoactive substance delusional disorder;
292.11 Phencyclidine (PCP) or similarly acting arylcyclohexylamine delusional disorder;
292.12 Other or unspecified psychoactive substance hallucinosis;
292.81 Amphetamine or similarly acting sympathomimetic delirium;
292.81 Cocaine delirium;
292.81 Other or unspecified psychoactive substance delirium;
292.81 Phencyclidine (PCP) or similarly acting arylcyclohexylamine delirium;
292.82 Other or unspecified psychoactive substance dementia;
292.83 Other or unspecified psychoactive amnestic disorder;
292.83 Sedative, hypnotic, or anxiolytic amnestic disorder;
292.84 Hallucinogen mood disorder;
292.84 Other or unspecified psychoactive substance mood disorder;
292.84 Phencyclidine (PCP) or similarly acting arylcyclohexylamine organic mood disorder NOS;
292.89 Other or unspecified psychoactive substance anxiety disorder;
292.89 Other or unspecified psychoactive substance personality disorder;
292.89 Posthallucinogen perception disorder;
292.90 Other or unspecified psychoactive substance organic mental disorder NOS;
292.90 Phencyclidine (PCP) or similarly acting arylcyclohexylamine organic mental disorder NOS;
293.00 Delirium (etiology noted on Axis III or is unknown);
293.81 Organic delusional disorder (etiology noted on Axis III or is unknown);
293.82 Organic hallucinosis (etiology noted on Axis III or is unknown);
293.83 Organic mood disorder (etiology noted on Axis III or is unknown);
294.00 Amnestic disorder (etiology noted on Axis III or is unknown);
294.10 Dementia (etiology noted on Axis III or is unknown);
294.80 Organic anxiety disorder (etiology noted on Axis III or is unknown);
294.80 Organic mental disorder NOS (etiology noted on Axis III or is unknown);
295.10 Schizophrenia, disorganized type, unspecified;
295.11 Schizophrenia, disorganized type, subchronic;
295.12 Schizophrenia, disorganized type, chronic;
295.13 Schizophrenia, disorganized type, subchronic with acute exacerbation;
295.14 Schizophrenia, disorganized type, chronic with acute exacerbation;
295.15 Schizophrenia, disorganized type, in remission;
295.20 Schizophrenia, catatonic type, unspecified;
295.21 Schizophrenia, catatonic type, subchronic;
295.22 Schizophrenia, catatonic type, chronic;
295.23 Schizophrenia, catatonic type, subchronic with acute exacerbation;
295.24 Schizophrenia, catatonic type, chronic with acute exacerbation;
295.25 Schizophrenia, catatonic type, in remission;
295.30 Schizophrenia, paranoid type, unspecified;
295.31 Schizophrenia, paranoid type, subchronic;
295.32 Schizophrenia, paranoid type, chronic;
295.33 Schizophrenia, paranoid type, subchronic with acute exacerbation;
295.34 Schizophrenia, paranoid type, chronic with acute exacerbation;
295.35 Schizophrenia, paranoid type, in remission;
295.40 Schizophreniform disorder;
295.60 Schizophrenia, residual type, unspecified;
295.61 Schizophrenia, residual type, subchronic;
295.62 Schizophrenia, residual type, chronic;
295.70 Schizoaffective disorder;
295.90 Schizophrenia, undifferentiated type, unspecified;
295.91 Schizophrenia, undifferentiated type, subchronic;
295.92 Schizophrenia, undifferentiated type, chronic;
295.93 Schizophrenia, undifferentiated type, subchronic with acute exacerbation;
295.94 Schizophrenia, undifferentiated type, chronic with acute exacerbation;
295.95 Schizophrenia, undifferentiated type, in remission;
296.20 Major depression, single episode, unspecified;
296.21 Major depression, single episode, mild;
296.22 Major depression, single episode, moderate;
296.23 Major depression, single episode, severe, without psychotic features;
296.24 Major depression, single episode, with psychotic features;
296.25 Major depression, single episode, in partial remission;
296.26 Major depression, single episode, in full remission;
296.30 Major depression, recurrent, unspecified;
296.31 Major depression, recurrent, mild;
296.32 Major depression, recurrent, moderate;
296.33 Major depression, recurrent, severe, without psychotic features;
296.34 Major depression, recurrent, with psychotic features;
296.35 Major depression, recurrent, in partial remission;
296.36 Major depression, recurrent, in full remission;
296.40 Bipolar disorder, manic, unspecified;
296.41 Bipolar disorder, manic, mild;
296.42 Bipolar disorder, manic, moderate;
296.43 Bipolar disorder, manic, severe, without psychotic features;
296.44 Bipolar disorder, manic, with psychotic features;
296.45 Bipolar disorder, manic, in partial remission;
296.46 Bipolar disorder, manic, in full remission;
296.50 Bipolar disorder, depressed, unspecified;
296.51 Bipolar disorder, depressed, mild;
296.52 Bipolar disorder, depressed, moderate;
296.53 Bipolar disorder, depressed, severe, without psychotic features;
296.54 Bipolar disorder, depressed, with psychotic features;
296.55 Bipolar disorder, depressed, in partial remission;
296.56 Bipolar disorder, depressed, in full remission;
296.60 Bipolar disorder, mixed, unspecified;
296.61 Bipolar disorder, mixed, mild;
296.62 Bipolar disorder, mixed, moderate;
296.63 Bipolar disorder, mixed, severe, without psychotic features;
296.64 Bipolar disorder, mixed, with psychotic features;
296.65 Bipolar disorder, mixed, in partial remission;
296.66 Bipolar disorder, mixed, in full remission;
296.70 Bipolar disorder NOS;
297.10 Delusional disorder;
297.30 Induced psychotic disorder;
298.80 Brief reactive psychosis;
298.90 Psychotic disorder NOS;
299.00 Autistic disorder;
299.80 Pervasive developmental disorder NOS;
300.00 Anxiety disorder NOS;
300.01 Panic disorder, without agoraphobia;
300.02 Generalized anxiety disorder;
300.11 Conversion disorder;
300.12 Psychogenic amnesia;
300.13 Psychogenic fugue;
300.14 Multiple personality disorder;
300.15 Dissociative disorder NOS;
300.16 Factitious disorder with psychological symptoms;
300.19 Factitious disorder NOS;
300.21 Panic disorder, with agoraphobia;
300.22 Agoraphobia without history of panic disorder;
300.23 Social phobia;
300.29 Simple phobia;
300.30 Obsessive compulsive disorder;
300.40 Dysthymia;
300.60 Depersonalization disorder;
300.70 Body dysmorphic disorder;
300.70 Hypochondriasis;
300.70 Somatoform disorder NOS;
300.70 Undifferentiated somatoform disorder;
300.81 Somatization disorder;
300.90 Unspecified mental disorder (nonpsychotic);
301.00 Paranoid personality disorder;
301.13 Cyclothymia;
301.20 Schizoid personality disorder;
301.22 Schizotypal personality disorder;
301.40 Obsessive compulsive personality disorder;
301.50 Histrionic personality disorder;
301.51 Factitious disorder with physical symptoms;
301.60 Dependent personality disorder;
301.70 Antisocial personality disorder;
301.81 Narcissistic personality disorder;
301.82 Avoidant personality disorder;
301.83 Borderline personality disorder;
301.84 Passive aggressive personality disorder;
301.90 Personality disorder NOS;
302.20 Pedophilia;
302.30 Transvestic fetishism;
302.40 Exhibitionism;
302.50 Transsexualism;
302.60 Gender identity disorder of childhood;
302.70 Sexual dysfunction NOS;
302.71 Hypoactive sexual desire disorder;
302.72 Female sexual arousal disorder;
302.72 Male erectile disorder;
302.73 Inhibited female orgasm;
302.74 Inhibited male orgasm;
302.75 Premature ejaculation;
302.76 Dyspareunia;
302.79 Sexual aversion disorder;
302.81 Fetishism;
302.82 Voyeurism;
302.83 Sexual masochism;
302.84 Sexual sadism;
302.85 Gender identity disorder NOS;
302.85 Gender identity disorder of adolescence or adulthood, nontranssexual type;
302.89 Frotteurism;
302.90 Sexual disorder NOS;
302.90 Paraphilia NOS;
303.00 Alcohol intoxication;
303.90 Alcohol dependence;
304.00 Opioid dependence;
304.10 Sedative, hypnotic, or anxiolytic dependence;
304.20 Cocaine dependence;
304.30 Cannabis dependence;
304.40 Amphetamine or similarly acting sympathomimetic dependence;
304.50 Hallucinogen dependence;
304.50 Phencyclidine (PCP) or similarly acting arylcyclohexylamine dependence;
304.60 Inhalant dependence;
304.90 Polysubstance dependence;
304.90 Psychoactive substance dependence NOS;
305.00 Alcohol abuse;
305.10 Nicotine dependence;
305.20 Cannabis abuse;
305.20 Cannabis intoxication;
305.30 Hallucinogen abuse;
305.30 Hallucinogen hallucinosis;
305.40 Sedative, hypnotic, or anxiolytic abuse;
305.40 Sedative, hypnotic, or anxiolytic intoxication;
305.50 Opioid abuse;
305.50 Opioid intoxication;
305.60 Cocaine abuse;
305.60 Cocaine intoxication;
305.70 Amphetamine or similarly acting sympathomimetic abuse;
305.70 Amphetamine or similarly acting sympathomimetic intoxication;
305.90 Caffeine intoxication;
305.90 Inhalant abuse;
305.90 Inhalant intoxication;
305.90 Other or unspecified psychoactive substance intoxication;
305.90 Phencyclidine (PCP) or similarly acting arylcyclohexylamine abuse;
305.90 Phencyclidine (PCP) or similarly acting arylcyclohexylamine intoxication;
305.90 Polysubstance abuse;
305.90 Psychoactive substance abuse NOS;
306.51 Vaginismus;
307.00 Cluttering;
307.00 Stuttering;
307.10 Anorexia nervosa;
307.20 Tic disorder NOS;
307.21 Transient tic disorder;
307.22 Chronic motor or vocal tic disorder;
307.23 Tourette's disorder;
307.30 Stereotypy/habit disorder;
307.40 Dyssomnia NOS;
307.40 Parasomnia NOS;
307.42 Insomnia related to another mental disorder (nonorganic);
307.42 Primary insomnia;
307.44 Hypersomnia related to another mental disorder (nonorganic);
307.45 Sleep-wake schedule disorder;
307.46 Sleep terror disorder;
307.46 Sleepwalking disorder;
307.47 Dream anxiety disorder (nightmare disorder);
307.50 Eating disorder NOS;
307.51 Bulimia nervosa;
307.52 Pica;
307.53 Rumination disorder of infancy;
307.60 Functional enuresis;
307.70 Functional encopresis;
307.80 Somatoform pain disorder;
309.00 Adjustment disorder with depressed mood;
309.21 Separation anxiety disorder;
309.23 Adjustment disorder with work (or academic) inhibition;
309.24 Adjustment disorder with anxious mood;
309.28 Adjustment disorder with mixed emotional features;
309.30 Adjustment disorder with disturbance of conduct;
309.40 Adjustment disorder with mixed disturbance of emotions and conduct;
309.82 Adjustment disorder with physical complaints;
309.83 Adjustment disorder with withdrawal;
309.89 Post-traumatic stress disorder;
309.90 Adjustment disorder NOS;
310.10 Organic personality disorder (etiology noted on Axis III or is unknown);
311.00 Depressive disorder NOS;
312.00 Conduct disorder, solitary aggressive type;
312.20 Conduct disorder, group type;
312.31 Pathological gambling;
312.32 Kleptomania;
312.33 Pyromania;
312.34 Intermittent explosive disorder;
312.39 Impulse control disorder NOS;
312.39 Trichotillomania;
312.90 Conduct disorder, undifferentiated type;
313.00 Overanxious disorder;
313.21 Avoidant disorder of childhood or adolescence;
313.23 Elective mutism;
313.81 Oppositional defiant disorder;
313.82 Identify disorder;
313.89 Reactive attachment disorder of infancy or early childhood;
314.00 Undifferentiated attention-deficit disorder;
314.01 Attention-deficit hyperactivity disorder;
315.00 Developmental reading disorder;
315.10 Developmental arithmetic disorder;
315.31 Developmental expressive language disorder;
315.31 Developmental receptive language disorder;
315.39 Developmental articulation disorder;
315.40 Developmental coordination disorder;
315.80 Developmental expressive writing disorder;
315.90 Developmental disorder NOS;
315.90 Specific developmental disorder NOS;
316.00 Psychological factors affecting physical condition;
317.00 Mild mental retardation;
318.00 Moderate mental retardation;
318.10 Severe mental retardation;
318.20 Profound mental retardation;
319.00 Unspecified mental retardation;
780.50 Hypersomnia related to a known organic factor;
780.50 Insomnia related to a known organic factor;
780.54 Primary hypersomnia;
799.90 Diagnosis or condition deferred on Axis I;
799.90 Diagnosis or condition deferred on Axis II;
V15.81 Noncompliance with medical treatment;
V40.00 Borderline intellectual functioning;
V61.10 Marital problem;
V61.20 Parent-child problem;
V61.80 Other specified family circumstances;
V62.20 Occupational problem;
V62.30 Academic problem;
V62.81 Other interpersonal problem;
V62.82 Uncomplicated bereavement;
V62.89 Phase of life problem or other life circumstance problem;
V65.20 Malingering;
V71.01 Adult antisocial behavior;
V71.02 Childhood or adolescent antisocial behavior;
V71.09 No diagnosis or condition on Axis I; and
V71.09 No diagnosis or condition on Axis II.
46:24:01:01. Definitions. Terms used in this article mean:
(1) "Admission diagnosis," initial diagnosis or reason for admission to the inpatient psychiatric facility using the diagnostic codes listed in Appendix A at the end of this chapter;
(2) "Batched data," submission of a number of reports at the same time;
(3) "Inpatient psychiatric data collection system on minors," a centralized data base designed to collect and consolidate psychiatric inpatient data pertaining to minors;
(4) "Collateral contacts," inpatient psychiatric facility contacts with community mental health centers, schools, child protection services, court services, family, private providers, and local interagency teams;
(5) "Department," the South Dakota Department of Human Services;
(6) "Discharge diagnosis," diagnosis upon discharge of the minor, using the American Psychiatric Association DSM-III-R coding structure;
(7) "Minor," an individual less than 18 years of age;
(8) "Objection hearing," a hearing held at the request of the minor pursuant to SDCL 27A-15-15.1; and
(9) "Permanent residence," the minor's usual place of residence to include state, county, and city.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:01:02. Responsibilities of department. The department is the custodian of the inpatient psychiatric data collection system on minors and is responsible for the overall collection, analysis, and dissemination of data and information related to the system and for monitoring the accuracy of the data submitted.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:01:03. Functions of data collection system. The inpatient psychiatric data collection system on minors shall monitor the occurrence of minor inpatient psychiatric admissions and discharges in South Dakota and provide nonidentifying descriptive data on minor inpatient psychiatric admissions and discharges to federal, state, and local government entities, mental health professionals, and the general public.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
CHAPTER 46:24:02
REPORTING REQUIREMENTS
Section
46:24:02:01 Entities required to report.
46:24:02:02 Reportable event.
46:24:02:03 Reportable data elements.
46:24:02:04 Identification code.
46:24:02:05 Method of reporting.
46:24:02:01. Entities required to report. All entities with inpatient psychiatric facilities providing inpatient psychiatric services to minors in the state, other than federal facilities, shall provide reports to the department using the procedures in this article.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:02:02. Reportable event. A reportable event is the discharge of a minor from a designated psychiatric unit of an inpatient psychiatric facility.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:02:03. Reportable data elements. Each inpatient psychiatric facility providing inpatient psychiatric care to minors must report the following data elements to the department for each case which meets the reporting criterion provided in § 46:24:02:02:
(1) The minor's identification code as prescribed in § 46:24:02:04;
(2) The minor's date of birth;
(3) The minor's sex;
(4) The minor's race;
(5) Admission diagnosis;
(6) Discharge diagnosis;
(7) Discharge to other hospital, home, residential facility, foster care, long-term psychiatric hospital, juvenile detention, inpatient chemical dependency, group home, elopement, or other;
(8) Preferred disposition, if applicable;
(9) Whether an objection hearing was held;
(10) The minor's date of admission to an inpatient psychiatric facility;
(11) The minor's date of discharge from an inpatient psychiatric facility;
(12) The minor's admission status either voluntary, involuntary, or court-ordered;
(13) The results of an objection hearing;
(14) The minor's evaluation status for emotional/behavioral disorder for special education prior to admission if one was completed;
(15) Whether or not the minor was enrolled in special education for an emotional or behavioral disorder;
(16) Where the minor was living prior to admission;
(17) The minor's prior mental health services;
(18) The admitting inpatient psychiatric facilities collateral contacts;
(19) The minor's permanent residence;
(20) The minor's payment source or sources for the inpatient psychiatric treatment; and
(21) The name of the admitting inpatient psychiatric facility.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:02:04. Identification code. The inpatient psychiatric hospital shall assign each minor an identification code consisting of six characters, as follows:
(1) The first character is the first letter of the minor's first name;
(2) The second and third characters are the total number of letters in the last name, disregarding any spaces within the name;
(3) The fourth character is the first letter of the minor's last name;
(4) The fifth character is the first letter of the minor's second or middle name. If there is none, it shall be left blank; and
(5) The sixth character is used for twins or triplets, with a 9 assigned to the first minor, an 8 to the second minor, and a 7 to the third minor.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:02:05. Method of reporting. Inpatient psychiatric facilities required under § 46:24:02:01 to report shall submit the data required in § 46:24:02:03. The department shall approve the method of data transmission for each inpatient psychiatric facility required to report. A monthly submission to the department shall include batched data of all reportable cases during the period from the first day to the last day, inclusive, of each month. Monthly submissions must reach the department within 60 days following the completion of the end of the month for which the data is being submitted. Submissions shall be addressed to: Division of Mental Health, South Dakota Department of Human Services, East Highway 34, c/o 500 E. Capitol, Pierre, South Dakota, 57501.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
CHAPTER 46:24:03
QUALITY ASSURANCE
Section
46:24:03:01 Correcting submitted data.
46:24:03:02 Validation of information.
46:24:03:03 Quality assurance edits.
46:24:03:01. Correcting submitted data. Upon discovering an error in a report or upon the request of the department, a reporting inpatient psychiatric facility shall supply corrected or missing information within 30 days after discovering the error or missing the information or within 30 days after receiving a request from the department for corrected or missing information.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:03:02. Validation of information. For the purpose of assuring the quality of submitted data, each reporting inpatient psychiatric facility shall allow the department to inspect the portions of a patient's medical records that are necessary to verify the accuracy of submitted data.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:03:03. Quality assurance edits. The department may perform quality assurance edits on data entered into the child and adolescent inpatient psychiatric data collection system to ensure that all data are complete and accurately recorded.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
CHAPTER 46:24:04
CONFIDENTIALITY
Section
46:24:04:01 Confidentiality of data.
46:24:04:02 Publication of data.
46:24:04:01. Confidentiality of data. Information contained in the child and adolescent inpatient psychiatric data collection system may be used for medical or other research. Confidentiality of identifying data shall be maintained in accordance with SDCL 27A-12-25 and 27A-12-32.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:04:02. Publication of data. Published information may not contain an identifying number, mark, or description which can be readily associated with an individual who is or was the subject of a report of an inpatient psychiatric discharge to the department. All published data must be presented in such a manner that no person may be identified. Data existing in cells of less than three individuals may not be published except on a statewide basis.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.
46:24:05:01. Annual statistical summary. The department shall publish annual, statewide statistical summaries of information contained in the child and adolescent inpatient psychiatric data collection system. Annual summaries of data may also be provided to inpatient psychiatric facilities, based on the data that they submitted, upon request of the reporting inpatient psychiatric facility. Reporting inpatient psychiatric facilities may not be provided source-specific reports for facilities other than their own.
Source: 19 SDR 154, effective April 11, 1993.
General Authority:SDCL 27A-15-6.1.
Law Implemented:SDCL 27A-15-6.1.