Category · FY2027
F06 Other mental disorders due to known physiological condition
- Header · not billable
F06 is not billable. The category heads 12 billable codes in FY2027, grouped under 7 subdivisions.
Index → code
Where it sits
- Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- F01-F09 Mental disorders due to known physiological conditions (F01-F09)
- F06 Other mental disorders due to known physiological condition
- Billable codes
- 12
- Subdivisions
- 7
- CC / MCC codes
- 3 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 76
Codes in F06
- F06.0Psychotic disorder with hallucinations due to known physiological conditionBillableCC
- F06.1Catatonic disorder due to known physiological conditionBillable
- F06.2Psychotic disorder with delusions due to known physiological conditionBillableCC
Inclusion terms 2, Excludes2 4
- F06.3
- F06.30Mood disorder due to known physiological condition, unspecifiedBillable
- F06.31Mood disorder due to known physiological condition with depressive featuresBillable
Inclusion terms 1
Inclusion terms
- Depressive disorder due to known physiological condition, with depressive features
- F06.32Mood disorder due to known physiological condition with major depressive-like episodeBillable
Inclusion terms 1
Inclusion terms
- Depressive disorder due to known physiological condition, with major depressive-like episode
- F06.33Mood disorder due to known physiological condition with manic featuresBillable
Inclusion terms 2
Inclusion terms
- Bipolar and related disorder due to a known physiological condition, with manic features
- Bipolar and related disorder due to known physiological condition, with manic- or hypomanic-like episodes
- F06.34Mood disorder due to known physiological condition with mixed featuresBillable
Inclusion terms 2
Inclusion terms
- Bipolar and related disorder due to known physiological condition, with mixed features
- Depressive disorder due to known physiological condition, with mixed features
- F06.4
- F06.7Mild neurocognitive disorder due to known physiological conditionHeader
Inclusion terms 1, Excludes1 9, Code first 10
Inclusion terms
- Mild neurocognitive impairment due to a known physiological condition
Excludes1
- age related cognitive decline (R41.81) R41.81
- altered mental status (R41.82) R41.82
- cerebral degeneration (G31.9) G31.9
- change in mental status (R41.82) R41.82
- cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-) I69.01 I69.11 I69.21 I69.31 I69.81 I69.91
- dementia (F01.-, F02.-, F03.-) F01 F02 F03
- mild cognitive impairment due to unknown or unspecified etiology (G31.84) G31.84
- neurologic neglect syndrome (R41.4) R41.4
- personality change, nonpsychotic (F68.8) F68.8
Code first
- the underlying physiological condition, such as:
- Alzheimer's disease (G30.-) G30
- human immunodeficiency virus [HIV] disease (B20) B20
- Huntington's disease (G10) G10
- Neurocognitive disorder with Lewy bodies (G31.83) G31.83
- other frontotemporal neurocognitive disorder (G31.09) G31.09
- Parkinson's disease (G20.-) G20
- systemic lupus erythematosus (M32.-) M32
- traumatic brain injury (S06.-) S06
- vitamin B deficiency (E53.-) E53
- F06.70Mild neurocognitive disorder due to known physiological condition without behavioral disturbanceBillable
Inclusion terms 1
Inclusion terms
- Mild neurocognitive disorder due to known physiological condition, NOS
- F06.71Mild neurocognitive disorder due to known physiological condition with behavioral disturbanceBillableCC
- F06.8Other specified mental disorders due to known physiological conditionBillable
Inclusion terms 4
Inclusion terms
- Epileptic psychosis NOS
- Obsessive-compulsive and related disorder due to a known physiological condition
- Organic dissociative disorder
- Organic emotionally labile [asthenic] disorder
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Instructions
At F06
Includes
- mental disorders due to endocrine disorder
- mental disorders due to exogenous hormone
- mental disorders due to exogenous toxic substance
- mental disorders due to primary cerebral disease
- mental disorders due to somatic illness
- mental disorders due to systemic disease affecting the brain
Excludes1
- unspecified dementia (F03.-) F03
Excludes2
Code first
- the underlying physiological condition
Notes that also apply
Block F01-F09 instructions (Notes 1): printed on the block page.
Chapter 5 instructions (Includes 1, Excludes2 1): printed on the chapter 5 page.
Index entries
- Psychotic episode due to or associated with physical condition → F06.8
- Hallucinosis (chronic)›organic → F06.0
- Catatonic›disorder due to known physiologic condition → F06.1
- Disorder (of)›catatonia (due to known physiological condition) (with another mental disorder) → F06.1
- Disorder (of)›catatonic NOS → F06.1
- Psychosis, psychotic›schizophrenia-like, in epilepsy → F06.2
- Deterioration›epileptic → F06.8
- Epilepsy, epileptic, epilepsia (attack) (cerebral) (convulsion) (fit) (seizure)›deterioration (mental) → F06.8
- Memory disturbance, lack or loss›mild, following organic brain damage → F06.8
- Psychosis, psychotic›epileptic → F06.8
- State (of)›affective and paranoid, mixed, organic psychotic → F06.8
- State (of)›transient organic psychotic NEC → F06.8
- State (of)›organic›hallucinatory (nonalcoholic) → F06.0
- State (of)›transient organic psychotic NEC›hallucinatory type → F06.0
- Syndrome›organic›hallucinosis → F06.0
- Syndrome›psycho-organic (nonpsychotic severity)›hallucinatory type → F06.0
- Disorder (of)›catatonic NOS›due to (secondary to) known physiological condition → F06.1
- Disorder (of)›catatonic NOS›organic NOS → F06.1
- Disorder (of)›organic›catatonic NOS → F06.1
- Disorder (of)›organic›delusional → F06.2
- Disorder (of)›organic›schizophrenia-like → F06.2
- State (of)›organic›paranoid (-hallucinatory) → F06.2
- State (of)›paranoid›organic → F06.2
- Disorder (of)›bipolar (I) (seasonal) (type 1)›organic → F06.30
- Disorder (of)›mood›organic → F06.30
- Disorder (of)›organic›mood (affective) → F06.30
- Syndrome›organic›affective → F06.30
- Disorder (of)›depressive›organic → F06.31
- State (of)›transient organic psychotic NEC›depressive type → F06.31
- Syndrome›organic›depressive → F06.31
- Syndrome›psycho-organic (nonpsychotic severity)›depressive type → F06.31
- Disorder (of)›manic›organic → F06.33
- Disorder (of)›anxiety›organic → F06.4
- Disorder (of)›organic›anxiety → F06.4
- Disorder (of)›mild neurocognitive›due to known physiological condition (without behavioral disturbance) → F06.70
- Impaired, impairment (function)›mild neurocognitive›due to known physiological condition (without behavioral disturbance) → F06.70
- Disorder (of)›dissociative›due to (secondary to) general medical condition → F06.8
- Disorder (of)›dissociative›organic → F06.8
- Disorder (of)›obsessive-compulsive›and related disorder due to a known physiological condition → F06.8
- Disorder (of)›organic›dissociative → F06.8
36 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.