<?xml version="1.0" encoding="UTF-8"?>

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="BHAServiceIdentifierICD10CM"/>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap BHAServiceIdentifierICD10CM</b></p><a name="BHAServiceIdentifierICD10CM"> </a><a name="hcBHAServiceIdentifierICD10CM"> </a><p>Mapping from <a href="ValueSet-bha-service-identifier-vs.html">ValueSet for BHA Service Identifier Codes</a> to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href="CodeSystem-bha-service-identifier-cs.html">BHA Service Identifier Codes</a> to <a href="http://terminology.hl7.org/6.5.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a></p><table class="grid"><tr><td colspan="2"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td></tr><tr><td colspan="2"><b>Codes</b> from <a href="CodeSystem-bha-service-identifier-cs.html" title="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs">BHA Service Identifier Codes</a></td><td/><td colspan="2"><b>Codes</b> from <a href="http://terminology.hl7.org/6.5.0/CodeSystem-icd10CM.html" title="http://hl7.org/fhir/sid/icd-10-cm">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a></td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">00</td><td style="border-left-width: 0px; border-bottom-style: none">Differential Assessment (SUD) / Evaluation Only (MH)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Z13.30</td><td style="border-left-width: 0px">Encounter for screening examination for mental health and behavioral disorders, unspecified</td></tr><tr><td style="border-right-width: 0px; border-top-style: none; border-bottom-style: none"/><td style="border-left-width: 0px; border-top-style: none; border-bottom-style: none"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px">01</td><td style="border-left-width: 0px">Ambulatory Medical Withdrawal Management</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.239</td><td style="border-left-width: 0px">Other psychoactive substance dependence with withdrawal, unspecified</td></tr><tr><td style="border-right-width: 0px">02</td><td style="border-left-width: 0px">Residential (non-hospital) Withdrawal Management (RDX)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.239</td><td style="border-left-width: 0px">Other psychoactive substance dependence with withdrawal, unspecified</td></tr><tr><td style="border-right-width: 0px">03</td><td style="border-left-width: 0px">Therapeutic Community (TC)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">04</td><td style="border-left-width: 0px">Intensive Residential (IRT)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">05</td><td style="border-left-width: 0px">Transitional Residential (TRT</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">06</td><td style="border-left-width: 0px">Opioid Treatment Program (ORT/OTP)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F11.20</td><td style="border-left-width: 0px">Opioid dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">07</td><td style="border-left-width: 0px">SUD Traditional Outpatient (OP and EOP))</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">08</td><td style="border-left-width: 0px">STIRT</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">09</td><td style="border-left-width: 0px">SUD Intensive Outpatient (IOP)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">10</td><td style="border-left-width: 0px">Day Treatment (DAY)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">11</td><td style="border-left-width: 0px">Medically Managed Inpatient Other Than WM</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px">12</td><td style="border-left-width: 0px">Medically Managed Inpatient Withdrawal Management</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.239</td><td style="border-left-width: 0px">Other psychoactive substance dependence with withdrawal, unspecified</td></tr><tr><td style="border-right-width: 0px">13</td><td style="border-left-width: 0px">DUI Level I Education</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Z71.41</td><td style="border-left-width: 0px">Alcohol abuse counseling and surveillance of alcoholic</td></tr><tr><td style="border-right-width: 0px">14</td><td style="border-left-width: 0px">DUI Level II Education Only</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Z71.41</td><td style="border-left-width: 0px">Alcohol abuse counseling and surveillance of alcoholic</td></tr><tr><td style="border-right-width: 0px">15</td><td style="border-left-width: 0px">DUI Level II Therapy and Education</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Z71.41</td><td style="border-left-width: 0px">Alcohol abuse counseling and surveillance of alcoholic</td></tr><tr><td style="border-right-width: 0px">16</td><td style="border-left-width: 0px">Minors in Possession Treatment (MIP)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">Z71.41</td><td style="border-left-width: 0px">Alcohol abuse counseling and surveillance of alcoholic</td></tr><tr><td style="border-right-width: 0px">17</td><td style="border-left-width: 0px">Mental Health Outpatient</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px">18</td><td style="border-left-width: 0px">Mental Health Residential</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px">19</td><td style="border-left-width: 0px">Mental Health Inpatient</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px">20</td><td style="border-left-width: 0px">Crisis Stabilization</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px">21</td><td style="border-left-width: 0px">Crisis Respite</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px">22</td><td style="border-left-width: 0px">Psychiatric Hospitalization</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr><tr><td style="border-right-width: 0px; border-bottom-style: none">23</td><td style="border-left-width: 0px; border-bottom-style: none">Co-Occurring (CIRCLE)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F19.20</td><td style="border-left-width: 0px">Other psychoactive substance dependence, uncomplicated</td></tr><tr><td style="border-right-width: 0px; border-top-style: none"/><td style="border-top-style: none; border-left-width: 0px"/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td style="border-right-width: 0px">F99</td><td style="border-left-width: 0px">Mental disorder, not otherwise specified</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig"/>
      </extension>
    </valueInteger>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://bha.colorado.gov/fhir/bha-ig/ImplementationGuide/bha-ig"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://bha.colorado.gov/fhir/bha-ig/ConceptMap/BHAServiceIdentifierICD10CM"/>
  <version value="0.3.0-current"/>
  <name value="BHAServiceIdentifierICD10CM"/>
  <title value="CO BHA Service Identifier to ICD-10-CM ConceptMap"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-05-28T21:04:48+00:00"/>
  <publisher value="Colorado Behavioral Health Administration"/>
  <contact>
    <name value="Colorado Behavioral Health Administration"/>
    <telecom>
      <system value="url"/>
      <value value="https://bha.colorado.gov"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="FHIRFeedback@state.co.us"/>
    </telecom>
  </contact>
  <description value="Informative (Colorado): Maps CO BHA service identifier codes to related ICD-10-CM diagnosis concepts used in Colorado implementation workflows."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="USA"/>
    </coding>
  </jurisdiction>
  <sourceUri value="http://bha.colorado.gov/fhir/bha-ig/ValueSet/bha-service-identifier-vs"/>
  <group>
    <source value="http://bha.colorado.gov/fhir/bha-ig/CodeSystem/bha-service-identifier-cs"/>
    <target value="http://hl7.org/fhir/sid/icd-10-cm"/>
    <element>
      <code value="00"/>
      <display value="Differential Assessment (SUD) / Evaluation Only (MH)"/>
      <target>
        <code value="Z13.30"/>
        <display value="Encounter for screening examination for mental health and behavioral disorders, unspecified"/>
        <equivalence value="relatedto"/>
      </target>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="01"/>
      <display value="Ambulatory Medical Withdrawal Management"/>
      <target>
        <code value="F19.239"/>
        <display value="Other psychoactive substance dependence with withdrawal, unspecified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="02"/>
      <display value="Residential (non-hospital) Withdrawal Management (RDX)"/>
      <target>
        <code value="F19.239"/>
        <display value="Other psychoactive substance dependence with withdrawal, unspecified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="03"/>
      <display value="Therapeutic Community (TC)"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="04"/>
      <display value="Intensive Residential (IRT)"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="05"/>
      <display value="Transitional Residential (TRT"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="06"/>
      <display value="Opioid Treatment Program (ORT/OTP)"/>
      <target>
        <code value="F11.20"/>
        <display value="Opioid dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="07"/>
      <display value="SUD Traditional Outpatient (OP and EOP))"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="08"/>
      <display value="STIRT"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="09"/>
      <display value="SUD Intensive Outpatient (IOP)"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="10"/>
      <display value="Day Treatment (DAY)"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="11"/>
      <display value="Medically Managed Inpatient Other Than WM"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="12"/>
      <display value="Medically Managed Inpatient Withdrawal Management"/>
      <target>
        <code value="F19.239"/>
        <display value="Other psychoactive substance dependence with withdrawal, unspecified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="13"/>
      <display value="DUI Level I Education"/>
      <target>
        <code value="Z71.41"/>
        <display value="Alcohol abuse counseling and surveillance of alcoholic"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="14"/>
      <display value="DUI Level II Education Only"/>
      <target>
        <code value="Z71.41"/>
        <display value="Alcohol abuse counseling and surveillance of alcoholic"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="15"/>
      <display value="DUI Level II Therapy and Education"/>
      <target>
        <code value="Z71.41"/>
        <display value="Alcohol abuse counseling and surveillance of alcoholic"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="16"/>
      <display value="Minors in Possession Treatment (MIP)"/>
      <target>
        <code value="Z71.41"/>
        <display value="Alcohol abuse counseling and surveillance of alcoholic"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="17"/>
      <display value="Mental Health Outpatient"/>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="18"/>
      <display value="Mental Health Residential"/>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="19"/>
      <display value="Mental Health Inpatient"/>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="20"/>
      <display value="Crisis Stabilization"/>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="21"/>
      <display value="Crisis Respite"/>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="22"/>
      <display value="Psychiatric Hospitalization"/>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
    <element>
      <code value="23"/>
      <display value="Co-Occurring (CIRCLE)"/>
      <target>
        <code value="F19.20"/>
        <display value="Other psychoactive substance dependence, uncomplicated"/>
        <equivalence value="relatedto"/>
      </target>
      <target>
        <code value="F99"/>
        <display value="Mental disorder, not otherwise specified"/>
        <equivalence value="relatedto"/>
      </target>
    </element>
  </group>
</ConceptMap>