Is F06.1 a billable ICD-10-CM code?

Yes. F06.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does F06.1 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 F06.1?

F06.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

F06.1

F06.1 — Catatonic disorder due to known physiological condition

Billable / specific codeICD-10-CM

F06.1 is a billable, specific ICD-10-CM code for catatonic disorder due to known physiological condition. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

catatonic stupor (R40.1)
stupor NOS (R40.1)

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.

catatonic schizophrenia (F20.2)
dissociative stupor (F44.2)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Catatonia associated with another mental disorder
Catatonia NOS

Risk adjustment

F06.1 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.

Medicare coverage

F06.1 is named in 18 Medicare coverage policies — 17 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56612Billing and Coding: CT of the Head
A56614Billing and Coding: Psychiatric Inpatient Hospitalization

How F06.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F06.1.

Catatonic›disorder due to known physiologic condition
Disorder›catatonia(due to known physiological condition) (with another mental disorder)
Disorder›catatonic NOS
Disorder›catatonic NOS›due to known physiological condition(secondary to)
Disorder›catatonic NOS›organic NOS
Disorder›organic›catatonic NOS

Related codes at this level

Codes that share F06. If F06.1 is not quite right, the correct code is usually one of these.

Questions about F06.1

Is F06.1 a billable ICD-10-CM code?: Yes. F06.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F06.1 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 F06.1?: F06.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.