F06 — Other mental disorders due to known physiological condition
F06 is a non-billable header ICD-10-CM code for other mental disorders due to known physiological condition. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- unspecified dementia (F03.-)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Code first
The underlying condition must be sequenced before this code.
- the underlying physiological condition
Includes
Conditions this code covers.
- 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
Other codes that can never be billed with F06
These codes carry an Excludes1 note pointing at F06. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F06 alone.
- R41.3Other amnesia
- F01.AVascular dementia, mild
- F02Dementia in other diseases classified elsewhere
- F02.ADementia in other diseases classified elsewhere, mild
- F03.AUnspecified dementia, mild
- F09Unspecified mental disorder due to known physiological condition
- G31.84Mild cognitive impairment of uncertain or unknown etiology
Risk adjustment
F06 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F06
7 child codes. Green means billable.
- F06.0Psychotic disorder with hallucinations due to known physiological condition
- F06.1Catatonic disorder due to known physiological condition
- F06.2Psychotic disorder with delusions due to known physiological condition
- F06.3Mood disorder due to known physiological condition
- F06.4Anxiety disorder due to known physiological condition
- F06.7Mild neurocognitive disorder due to known physiological condition
- F06.8Other specified mental disorders due to known physiological condition
Questions about F06
- Is F06 a billable ICD-10-CM code?
- No. F06 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F06 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).
- What cannot be coded together with F06?
- F06 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.