Smi diagnosis list
Smi diagnosis list. 1 million adults had SMI in the past year. Download (5. How common is SPMI? Arizona SMI Benefits. SMI housing, when available. 1 Disorganized Schizophrenia F20. United Healthcare Community Plan. 3. SMI diagnosis groups and ICD 10 codes included in the study. persistent depressive disorder Nov 20, 2023 · SMI Adviser maintains unique, interactive communities around important topics such as clozapine, long-acting injectables, and digital health. F40-F48 Anxiety, dissociative, stress-related, somatoform and other Schizophrenia. Choices Psychotherapy, Ltd. These are vastly different from the typical moods most people experience and are difficult to Dec 1, 2021 · Seriously Mental Ill (SMI) Adults or Recipients in Residential Treatment Centers (RTCs) to be Enrolled in Managed Care Effective January 1, 2022, Seriously Mental Ill (SMI) adults or recipients in Residential Treatment Centers (RTCs) will be eligible for enrollment in Nevada Medicaid Managed Care Organizations (MCOs). (Refer to the Code of Federal Regulations (CFR) title 42, part 483, sections 483. Acceptance can take time, both for the diagnosed individual, for you, and for other family members and friends. 82 Psychotic Disorder Due to a General Medical Condition, with Hallucinations 293. 9%) have a SMI diagnosis. SMI-SED Category DSM-V ICD-9 DSM-V ICD-10 In order to designate an individual as SMI, all of the criteria in Sections 1, 2, 3 and 4 shall be met. Be patient with yourself and others. 81 Psychotic Disorder Due to a General Medical Condition, with Delusions 293. posted on 2019-12-05, 10:53 authored by Ramya Walsan, Darren J. When you have a strong foundation of knowledge and skills around SMI, you can provide person-centered care and help individuals and families find the best possible outcomes. To access the combo box on this page please perform the following steps. The aim of this systematic review was to explore the scope, quality and inclusivity of international clinical guidelines on mental health and/or substance abuse in relation to diagnosis and treatment of co-existing disorders and considerations for wider social and contextual A diagnosis is a gateway to good treatment, not a sentence to lifetime imprisonment. Genetics, environment and lifestyle influence whether someone develops a mental health condition. Nov 4, 2019 · Centers for Medicare & Medicaid Services Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED) Demonstration Opportunity Technical Assistance Questions and Answers. This resources can help guide them through the initial shock and move toward treatment, advocacy, and a better understanding of their diagnosis. ) The annual health check for people with schizophrenia, bipolar disorder or psychosis is not the same as the NHS Health Check for all adults aged 40 to 74. Desk Reference to the Diagnostic Criteria from DSM-5. 3(b) •Serious mental illness is a severe disabling condition which impairs behaviors, thoughts, and/or emotions. F30-F39 Mood [affective] disorders. Explore SMI Definitions: Discover the complete range of meanings for SMI, beyond just its connections to Diagnosis. Send it to your council's tax office. DSM–5 and Diagnoses for Children; Integrated Assessment; Mixed Features Specifier; Section III; About the DSM–5. SMI Adviser offers researched, vetted and verified guidance to the best resources on SMI. Serious Mental Illness (SMI) -Severe Emotional Disturbance (SED) Criteria Sources: SMI Criteria 8_19_2015 approved by the Collaborative document, SED Criteria 8_19_2015 approved by the Collaborative document, and . Feb 14, 2024 · Overview. If there is a history of (or current) substance use, explain whether there is evidence of periods of sustained sobriety and persistence of symptoms and functional impairment during those periods. CRN will decide if the person is eligible to be designated as having SMI. 50% of all lifetime mental illness begins by age 14, and 75% by age 24. Our providers have advanced training in Anxiety Therapy, Depression Therapy, Bipolar Disorder, and a wide spectrum of other mental Serious emotional disturbance (SED) and serious mental illness (SMI) are defined as having a diagnosable mental, behavioral, or emotional disorder that meets the Diagnostic and Statistical Manual of Mental Disorders (DSM -IV) criteria and results in functional impairment that substantially interferes In brief terms, AMH-TCM services are targeted for people who have at least one of the following: Reoccurring significant symptoms of their mental illness, and insufficient strengths and resources that result in psychiatric hospitalizations, residential treatment and/or interventions due to psychiatric crises. 2X9S S06. youth aged 6-17 experience a mental health disorder each year. FFS claim or LME/MCO encounter with a qualifying SMI/SED diagnosis code(s) as listed in Table 3 (SED) or Table 4 (SMI). Provide a list of names and numbers with steps they can Prevalence of Any Mental Illness (AMI) Figure 1 shows the past year prevalence of AMI among U. Note: Two mental health diagnosis from the Health Home chronic condition list would meet Health Home enrollment under to the two–chronic condition list. 0 Amnestic Disorder Due to a General Medical Condition SMI Adviser is a national initiative that serves clinicians and providers across all mental health practice settings. Age: Is a person aged 18 years or over (calculated at the time of service) AND YES NO 2. The purpose of this review was to provide a comprehensive qualitative content analysis of “SMI” empirical research, including study and sample characteristics Dec 19, 2023 · A Serious Mental Illness (SMI) designation can provide an adult with services and support to help improve their quality of life and their ability to live independently. Diagnosis (please circle applicable diagnosis) Mon -Thu 8 AM - 8 PM. It often includes the following conditions: Schizophrenia. SMI Adviser is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and administered by the American Psychiatric Association (APA). SMI Adviser is a national initiative that serves clinicians and providers across all mental health practice settings. org. offers a range of mental health therapy & psychiatry services to the Minneapolis, MN, Minnetonka, MN, Bloomington, MN and Chanhassen, MN areas. The symptoms of schizophrenia can make it difficult to participate in usual, everyday activities, but Print the application form from the Welsh Government website. Diagnoses that could qualify for the SMI designation can include, but are not limited to, depression, schizophrenia, bipolar disorder, obsessive compulsive disorder, panic Dec 7, 2021 · It provides data to help improve support, services and outcomes for people living with and recovering from severe mental illness. MHSP COVERED SDMI DIAGNOSES. 9 million (8. It also has resource hubs on SMI 101, AOT, and COVID. 7). Trichotillomania (hair-pulling disorder) URS Table 1: Number of Adults with Serious Mental Illness (SMI), age 18 and older, by State, 2021. To meet the functional criteria for SMI status, the Division shall require, as a result of a qualifying SMI diagnosis, dysfunction in at least one of the following four domains for most of the past 12 months or for most of the past six months with an expected Dec 19, 2023 · Obsessive-compulsive disorder (OCD) is the most common mental disorder in this category and is estimated to affect about 2% to 3% of people in the United States. Sep 27, 2018 · Source: The Health Improvement Network (THIN), Active patients in England; data extracted May 2018. This number represented 22. 1-928-338-4811. To ensure those individuals are placed appropriately, whether in the community or in a nursing facility (NF); and 3. Body dysmorphic disorder. Sep 4, 2022 · Serious mental illness (SMI) commonly refers to a diagnosis of psychotic disorders, bipolar disorder, and either major depression with psychotic symptoms or treatment-resistant depression; SMI can also include anxiety disorders, eating disorders, and personality disorders, if the degree of functional impairment is …. Guidance for : Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED) Page 1 of 3. . In 2021, there were an estimated 57. SMI Adviser also serves as a resource for families and communities. •Without treatment, support, and rehabilitation, serious mental illness may interfere with the ability to do any or all of the Dec 5, 2019 · SMI diagnosis groups and ICD 10 codes included in the study. Download the Guidance Document The Nursing Home Reform Act was passed as part of the Omnibus Budget Reconciliation Act of 1987 (OBRA-87), and amended by Public Law 100-203 and 101-508, creating the Prea dmission Screening and Resident Review (PASRR) process. ATTACHMENT B: Serious Mental Illness (SMI) In New York State, Medicaid recipients who are determined to have Serious Mental Illness (SMI) are eligible for participation in Health Homes. Apr 18, 2024 · Fax: 651-431-7566 (Attn: Behavioral Health Appeal Review) Mail: DHS Behavioral Health Division – Appeal Review P. 2 Catatonic Schizophrenia F20. The APA works closely on this project with a team of experts from 30 other mental health organizations. F20-F29 Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders. 1. Funded by SAMHSA and administered by the American Psychiatric Association, this initiative aims to advance the use of a person-centered approach to care to ensure that people with serious mental illness (SMI) find the treatment and support they need. 0 Delirium Due to a General Medical Condition 293. (FN 4) SAMHSA puts Background. This change takes effect with Oct 5, 2021 · Serious Mental Illness (SMI) on the other hand, is defined more specifically as a diagnosable mental, behavior, or emotional disorder, found in patients 18 and older, that causes serious functional impairment that substantially interferes with one or more major life activities. Conditional logistic regressions compared the odds associated Aug 27, 2019 · Guilt, shame, disbelief, fear, anger, and grief are all common reactions. F10-F19 Mental and behavioral disorders due to psychoactive substance use. Assertive Community Treatment (ACT) if your care needs exceed the "standard". , 2011). The form must be completed by a licensed mental health professional. Research suggests multiple, linking causes. A mental health condition isn’t the result of one event. Box 64981 540 Cedar St. Our work helps reduce stigma and promote evidence-based treatment for all persons in need of care for Severe Disabling Mental Illness (SDMI) Level of Impairment (LOI) Worksheet. Page 3 of 5 HSD – March 2016. According to Link and Phelan, 1 stigma involves “elements of labeling, stereotyping, separation, status loss, and discrimination” that “co-occur in a power situation that allows the components of stigma to For assistance: For general information or for assistance, contact our Administrative office via phone at 602. The following requirements must be included as part of the SMI CCS packet: 1. Diagnosis (please circle applicable diagnosis) The term SMI is often used when talking about serious mental illness. Over this time, recorded rate of all SMI among those aged 16 to 94 years was 44. SMI refers to mental health conditions that can last a long time and impair function. adults. If dementia is also present (co-morbid with) MI, it cannot be the primary diagnosis. That is where SMI Adviser helps. 10. SMI Adviser offers educational materials, clinical consultations, and toolkits that promote culturally competent care for people who have SMI. DHS 1157 ‘Referral for Serious Mental Illness (SMI) CCS Program page 1, page 2 “Mental States” and page 3 “Functional Scales”; 2. Therefore total “severe” mental illness in adults by diagnosis: 5. 9 per 100,000 PYAR (95% CI 44. Download fact sheets that cover general information and development of the DSM–5. For the 50 states and the District of Columbia: Civilian Population: SC-EST2021-AGESEX-CIV: Annual Estimates of the Civilian Population by Single Year of Age and Sex for the United States and States: April 1, 2020 to July 1, 2021. Of the 1,051,127 patients aged 15 to 74 in THIN, 9,357 (0. There's a section for your doctor to fill in on the form. Table of Contents show. Diagnosis (please circle applicable diagnosis) Dec 5, 2019 · SMI diagnosis groups and ICD 10 codes included in the study. Here is a breakdown of SMI in specific age groups: Age 18 to 25 = 2. Disorder ICD-10-CM Code through September 30, 2022 ICD-10-CM Code beginning October 1, 2022. i. Get direct access to resources, education, consultations, and peer-to-peer discussion on these topics. With the new algorithm proposed for DSM-5, 44 percent to 69 percent of children in the same studies would be diagnosed with PTSD (Scheeringa et al. major depressive disorder. They can make it difficult for an adult to carry out one or more major life activities. According to the 2019 National Survey on Drug Use and Health, in 2019 an estimated 13. Types of obsessive-compulsive and related disorders include: OCD. Please check the following criteria for age, diagnoses, disability and duration. Explore these pages to learn about the mental health issues that Veterans may face and access VA clinical training and resources that can enhance Dec 12, 2013 · We present data on over 10,000 newly recorded SMI diagnoses (schizophrenia, bipolar disorder and other non-organic psychosis) in routine primary care settings across the UK between 2000 and 2010. The standard NHS Health Check is done every 5 years and checks your risk of heart disease, stroke, kidney disease, diabetes and dementia. Diffuse traumatic brain injury with loss of consciousness of unspecified duration, Sequela [Example under Major or Mild Neurocognitive Disorder Due to Traumatic Brain Injury] S06. The distinctions between these diagnoses in DSM-5 are based, in large part, on the frequency and severity of the manic and depressive episodes. Serious mental illness is one or more mental, behavioral or emotional conditions that significantly impairs a person’s ability to function in daily life. In order to designate an individual as SMI, all of the criteria in Sections 1, 2, 3 and 4 shall be met. An absence of dementia. 102 (b)(1), a SMI is a schizophrenic, mood, paranoid, panic or other severe anxiety disorder; somatoform disorder; personality disorder; other psychotic disorder; or another mental disorder that may lead to a chronic disability; but not a primary diagnosis of dementia, including Alzheimer's disease or a related disorder, or a non Feb 19, 2019 · Attention A T users. 1-800-348-4058. The individual’s MI must be more serious than their dementia. To ensure that they receive the services they require for their SMI, ID, or RC (wherever they are placed). NAMI’s Peer-to-Peer classes and discussion groups can provide encouragement and advice from people who are living well with mental illnesses. CRN uses State guidelines and criteria. Bipolar disorder is a category that includes three main diagnoses: bipolar I, bipolar II, and cyclothymic disorder. Jul 27, 2022 · Objective: The term “serious mental illness” (SMI) is widely used across research, practice, and policy settings. 3% of the population without accounting for overlap. If you are already enrolled with Southwest Network, please contact the location where you are receiving services. These individuals have the highest contact need, with an average of 4 face-to-face visits a week. SMI/SED— The following logic was utilized to identify beneficiaries with an SMI or SED: a. S. SMI Adviser Individuals and Families website. Paul, MN 55164-0981 Jun 13, 2017 · Children with Severe Emotional Disturbance (SED) are persons who are under the age of 18, who have had a diagnosable mental, behavioral or emotional disorder of sufficient duration to meet diagnostic criteria specified within DSM-V, that resulted in functional impairment which substantially interferes with or limits the child’s role or functioning in family, school or community activities. One of the most important things you can do to support a family Jun 13, 2017 · Children with Severe Emotional Disturbance (SED) are persons who are under the age of 18, who have had a diagnosable mental, behavioral or emotional disorder of sufficient duration to meet diagnostic criteria specified within DSM-V, that resulted in functional impairment which substantially interferes with or limits the child’s role or functioning in family, school or community activities. 5 kB) dataset. This team includes individuals, families, clinical experts, peers, and policy makers. Case Management to help you coordinate your care so you can meet your recovery goals. This corresponds to 5. Submit UDS results if available. For clinicians, SMI Adviser case management for co-occurring Behavioral Health (SMI, SED, SUD) and a Chronic or Complex Physical Health and with the Physical Health diagnosis (documented and Aug 27, 2019 · Guilt, shame, disbelief, fear, anger, and grief are all common reactions. From Planning to Publication: Developing DSM-5; Making a Case for New Disorders; The Organization of DSM-5; The People Behind& DSM-5; Updated care has not yet achieved common standards for diagnosis and management, which are the key factors in deciding issues of referral. 1,2 SMIs May 31, 2022 · Bipolar disorders involve extreme mood shifts, such as between the highs of mania and the lows of depression. They are known as depressive episodes. 6 percent of people in this age group) Age 26 to 49 = 6. Having an SMI can directly impact your work life, concentration in Jul 10, 2023 · Promoting the health and well-being of Alabamians with mental illness, developmental disabilities and substance use disorders. Feb 17, 2022 · Definitive DSM-5 diagnosis list. This worksheet must be used to determine if a member has a SDMI. Press the alt key and then the down arrow. 1 in 6 U. F01-F09 Mental disorders due to known physiological conditions. That acceptance happens at a different pace for everyone. Districts with the highest morbidity have about twice the *For a comprehensive list of SED/SMI qualifying diagnoses, please refer to the respective SED/SMI Determination Form. Approximately 80 percent of members receive this level of care. 0 Paranoid Schizophrenia F20. 83 Mood Disorder Due to a Medical Condition. Our education catalog provides access to in-depth mental health courses. 293. 294. The proficiency in Assessment and Treatment of Serious Mental Illness (PDF, 261KB) is designed to provide professional psychologists with the specialized assessment and treatment expertise to help people who have serious mental illnesses (SMI) achieve their full functional capability and live productive, satisfying lives in the community. 2XAS Hepatic encephalopathy [Examples under Catatonic Disorder Feb 14, 2024 · Overview. One of the most important things you can do to support a family Aug 2, 2019 · diagnosis positions) as listed in Table 2. 2 percent of adults. Revised April 10, 2023 1. It is estimated that up to 75% of patients with severe mental illness (SMI) also have substance use disorder (SUD). The QOF SMI Jul 6, 2020 · Keywords: severe and persistent mental illness, SPMI, palliative psychiatry, pragmatic utility concept analysis, systematic review. Everything that SMI Adviser offers is completely free. With DSM-IV criteria, even in severely traumatized young children, the frequencies of PTSD ranged only between 13 percent and 20 percent. Post-traumatic stress disorder. White Mountain Apache Behavioral Health Services. Serious mental illness includes schizophrenia; the subset of major depression called “severe, major depression”; the subset of bipolar disorder classified as “severe” and a few other disorders. 3 Undifferentiated schizophrenia F20. 100-483. O. All of SMI Adviser’s services are completely free. The aim of this systematic review was to explore the scope, quality and inclusivity of international clinical guidelines on mental health and/or substance abuse in relation to diagnosis and treatment of co-existing disorders and considerations for wider social and Jan 18, 2021 · Over the last two decades, attention has shifted towards the effects of stigma on individuals with Serious Mental Illness (SMI). St. 5 Residual schizophrenia Note: Two mental health diagnosis from the Health Home chronic condition list would meet Health Home enrollment under to the two–chronic condition list. 2%) than males (18. Codes. Paul, MN 55164-0981 In a secondary analysis of electronic health record data, this study identified 25,090 patients with an ICD-9 SMI diagnosis of bipolar disorder (n = 20,308) or schizophrenia (n = 4,782) and 25,090 controls who did not have a SMI, matched on age, gender, and medical home facility. Navajo Nation. Health care providers, both inside and outside of the VA health care system, can play an essential role in helping America’s Veterans access the mental health support they have earned. About 10 percent of the members receive this level of care. Website: SMI Adviser. To identify individuals with a serious mental illness (SMI) and/or an intellectual disability/related condition (ID/RC); 2. 8402 or email info@southwestnetwork. Oct 5, 2023 · Common SPMIs include schizophrenia, schizoaffective disorder, bipolar disorders, Major Depressive Disorder, and chronic PTSD. Get a diagnosis (or get a diagnosis for the resident you wish to claim for). The relative severities of mental health problems presented at primary, secondary and forensic service levels present an insight into questions of cost. 138 to view PASRR regulations. Apr 23, 2021 · Objective. Serious mental illness (SMI) commonly refers to a diagnosis of psychotic disorders, bipolar disorder, and either major depression with psychotic symptoms or treatment-resistant depression; SMI can also include anxiety disorders, eating disorders, and personality disorders, if the degree of functional impairment is severe. Census Bureau. 8 percent) Discover Diagnosis Abbreviations: Dive deeper into a comprehensive list of top-voted Diagnosis Acronyms and Abbreviations. Diagnosis of schizophrenia, bipolar F3161 Bipolar disorder, current episode mixed, mild SMI F3162 Bipolar disorder, current episode mixed, moderate SMI F3163 Bipolar disorder, current episode mixed, severe, without psychotic features SMI F3164 Bipolar disorder, current episode mixed, severe, with psychotic features SMI 2024 SMI DIAGNOSIS LIST EFFECTIVE 10/01/2023 TO 09/30/2024 May 31, 2023 · Per Title 42, Code of Federal Regulation (CFR), Section 483. The prevalence of AMI was higher among females (27. The mental health impaired functioning must tie back to mental health diagnosis for a period of at least 6 months or for a predicable SERIOUS MENTAL ILLNESS (SMI) AND SERIOUS EMOTIONAL - AHCCCS Apr 18, 2024 · Fax: 651-431-7566 (Attn: Behavioral Health Appeal Review) Mail: DHS Behavioral Health Division – Appeal Review P. Arizona Complete Health-Complete Care Plan encourages members to call our Member Services line with any questions at: 1-888-788-4408. However, there is no consistent operational definition, and its reliability has not been systematically evaluated. The scale of moods includes “down” moods. 8 million adults aged 18 or older in the United States with AMI. Clinical notes within the past year outlining current plan of care and treatment; 3. Fri 8 AM - 4 PM. depressive disorders. Schizophrenia is a serious mental illness that affects how a person thinks, feels, and behaves. Levels of Care. Three of the most common SMI diagnoses are schizophrenia, bipolar disorder and major depressive disorder. People with schizophrenia may seem like they have lost touch with reality, which can be distressing for them and for their family and friends. Our national experts answer questions directly from mental health clinicians. A diagnosis or suspicion of a major mental illness such as schizophrenia, bipolar disorder, major depression, or an anxiety disorder such as OCD. YES NO CRITERIA. To be eligible, the person claiming the discount must be diagnosed as SMI by a doctor. Mood disorders, such as bipolar and major depressive. Mayne, Nagesh Pai, Xiaoqi Feng, Andrew Bonney. 1-888-484-8526. 1%). Mental disorders are connected with distress and/or impairment in functioning, whether that be socially, occupationally, or in some other dimension of life. Individuals with a Serious Mental Illness (SMI) designation have access to additional support and resources. People who struggle with this disorder experience extreme high and low moods, known as mania and depression. In November of 2021, AHCCCS awarded select ACC health plans expanded contracts effective People with SMI seek medical services for a variety of non-mental health conditions, including diabetes, coronary artery disease, congestive heart failure, urinary conditions, pneumonia, chronic obstructive pulmonary disease, thyroid disease, digestive conditions and cancer. AHCCCS website for a list of qualifying diagnoses. If you are a provider, you may submit applications through this website on the Provider Submission Portal page. 8 million (6. If you haven’t already found a support group, this is a good time to reach out to others with your condition. Mental disorders (aka mental illnesses) are health conditions that involve changes in thinking, emotion, or behavior—or some combination of the three. We accept insurance coverage through the Arizona Health Care Cost Containment Codes. 8% of all U. Aug 23, 2023 · SMI adviser: A clinical support system for serious mental illness. The following table illustrates the criteria that shall be met for an individual to be designated as SMI. 1-928-871-6235. SMI diagnosis list is applied to the primary diagnosis position only for DEFINITION FROM STEPPING UP INITIATIVE Based on California Welfare and Institutions Code § 5600. τ Help them connect to licensed mental health professionals for behavioral therapy options. Our services offer evidence-based answers that support your clinical decisions for individuals who have bipolar disorder, recurrent major depression, and schizophrenia. The term SPMI was introduced by a workgroup convened by the NIMH in 1987 ( 6) and defined SPMI as a function of the three “Ds”, namely, diagnosis, disability, and duration. Serious and Persistent Mental Illness (SPMI means an individual has any of the following diagnoses: schizophrenia, borderline personality disorder, bipolar disorder, and/or major depressive disorder, and is receiving services billed to the following codes: 90804 – 90857, 740 – 760, 90882, H0018, H0019, H0031, H0034, H0035, H0040, H2011, H2012, H2017, S9484. YES NO CRITERIA 1. SMI PRIORITY POPULATION DEFINITION - ADULTS (SMI) Revised 9/1/03, 3/10/14, 7/8/14, 8/26/20, 1/12/21 Reviewed 05/10/07, 1/25/10 INCLUDED DIAGNOSES ICD-10 diagnosis codes: F20. Anxiety disorders. U. When it comes to serious mental illness (SMI) it is crucial to find information you can trust. 0 to 45. 266. • Evidenced-based practice focusing on service delivery versus case management. Apr 23, 2021 · It is estimated that up to 75% of patients with severe mental illness (SMI) also have substance use disorder (SUD). Hoarding disorder. On October 1, 2022, AHCCCS updated its contracts with ACC health plans for health insurance coverage for individuals with a Serious Mental Illness (SMI) designation. Find out more about the NHS Health Check. Resources that you can access here include: The Serious Mental Illness 101 Resource Center is led by Benjamin Druss ACC-Regional Behavioral Health Agreements (ACC-RBHA) Contracts and Service Delivery. must be adequate and complete. The profile also provides planners, providers and stakeholders Bipolar disorder is a serious mental illness (SMI) that causes dramatic shifts in a person’s mood, energy, and ability to think clearly. It’s important to note that a diagnosis alone does not equate to impairment, rather the condition’s unmanaged symptoms are a barrier to wellness and community participation. Gila River Behavioral Health Services. ak zc ev vs oq ab gu uo wv wx