| Code | Display |
| 1 |
EARLY INTERVENTION |
| 2 |
EARLY INTERVENTION SERVICES |
| 3 |
OUTPATIENT SERVICES |
| 4 |
OUTPATIENT SERVICES - Co-occurring Enhanced |
| 5 |
AMBULATORY WITHDRAWAL MANAGEMENT WITHOUT EXTENDED ONSITE MONITORING |
| 6 |
INTENSIVE OUTPATIENT SERVICES |
| 7 |
INTENSIVE OUTPATIENT SERVICES -Co-occurring Enhanced |
| 8 |
PARTIAL HOSPITALIZATION SERVICES |
| 9 |
PARTIAL HOSPITALIZATION SERVICES-Co-occurring Enhanced |
| 10 |
AMBULATORY WITHDRAWAL MANAGEMENT WITH EXTENDED ON-SITE MONITORING |
| 11 |
CLINICALLY MANAGED LOW INTENSITY RESIDENTIAL |
| 12 |
CLINICALLY MANAGED LOW INTENSITY RESIDENTIAL SERVICES |
| 13 |
CLINICALLY MANAGED LOW INTENSITY RESIDENTIAL TREATMENT |
| 14 |
CLINICALLY MANAGED LOW INTENSITY RESIDENTIAL SERVICES-Co-occurring Enhanced |
| 15 |
CLINICALLY MANAGED LOW INTENSITY RESIDENTIAL TREATMENT-Co-occurring Enhanced |
| 16 |
CLINICALLY MANAGED RESIDENTIAL WITHDRAWAL MANAGEMENT |
| 17 |
CLINICALLY MANAGED POPULATION SPECIFIC HIGH-INTENSITY RESIDENTIAL SERVICES |
| 18 |
CLINICALLY MANAGED POPULATION SPECIFIC HIGH-INTENSITY RESIDENTIAL TREATMENT |
| 19 |
CLINICALLY MANAGED POPULATION SPECIFIC HIGH-INTENSITY RESIDENTIAL SERVICES-Co-occurring Enhanced |
| 20 |
CLINICALLY MANAGED POPULATION SPECIFIC HIGH-INTENSITY RESIDENTIAL TREATMENT-Co-occurring Enhanced |
| 21 |
CLINICALLY MANAGED HIGH INTENSITY RESIDENTIAL SERVICES |
| 22 |
CLINICALLY MANAGED HIGH INTENSITY RESIDENTIAL TREATMENT |
| 23 |
CLINICALLY MANAGED HIGH INTENSITY RESIDENTIAL SERVICES -Co-occurring Enhanced |
| 24 |
CLINICALLY MANAGED HIGH INTENSITY RESIDENTIAL TREATMENT-Co-occurring Enhanced |
| 25 |
MEDICALLY MONITORED INTENSIVE INPATIENT SERVICES |
| 26 |
MEDICALLY MONITORED INTENSIVE INPATIENT SERVICES-Co-occurring Enhanced |
| 27 |
MEDICALLY MONITORED INPATIENT WITHDRAWAL MANAGEMENT |
| 28 |
MEDICALLY MANAGED INPATIENT SERVICES |
| 29 |
MEDICALLY MANAGED INPATIENT TREATMENT |
| 30 |
MEDICALLY MANAGED INPATIENT SERVICES (Co-occurring Enhanced) |
| 31 |
MEDICALLY MANAGED INTENSIVE INPATIENT WITHDRAWAL MANAGEMENT |
| 32 |
ACUTE INTOXICATION / WITHDRAWAL POTENTIAL |
| 33 |
BIOMEDICAL CONDITIONS AND COMPLICATIONS |
| 34 |
EMOTIONAL, BEHAVIORAL, OR COGNITIVE CONDITIONS AND COMPLICATIONS |
| 35 |
READINESS TO CHANGE |
| 36 |
RELAPSE, CONTINUED USE, OR CONTINUED PROBLEM POTENTIAL |
| 37 |
RECOVERY/LIVING ENVIRONMENT |
| 500 |
No Level of Care is Indicated |