Mental Health Condition

Mental Health Condition for the purposes of this Plan means those conditions listed in the “Diagnostic and Statistical Manual of Mental Disorders Fifth Edition” (DSM-5), or any successor volumes, except as stated herein, and no other conditions.  Mental health conditions include Severe Mental Illness and Serious Emotional Disturbances of a child but do not include any services related to the following:

  1. Diagnosis or treatment of conditions represented by V codes in the DSM-5 (i.e., diagnoses related to family problems, illegal behavior, low income, loneliness, abuse, neglect, deployment, imprisonment, discrimination, lifestyle, etc.,) or any successor volumes.
  2. Diagnosis or the treatment of any conditions with the following ICD-10 Classification of Mental and Behavioral Disorders codes: F06.0, F06.8, F60.9, F65.4, F65.1, F65.2, F64.2, R37, F52.0, F52.21, F528, F52.31, F552.32, F52.4, F52.6, F52.1, F65.0, F65.3, F65.51, F65.52, F64.1, F65.81, F66, F65.9, F98.4, F63.3, R45.1, F91.9, F63.9, F63.2, F63.81, F81.0, F81.2, F81.81, F81.89, F80.89, F54.