F06.1: Catatonic disorder due to known physiological condition
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.
Check F06.1 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Catatonia associated with another mental disorder
- Catatonia NOS
Excludes1 inherited from the categories above F06.1
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F06.1
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change 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 one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F06
- F06.0Psychotic disorder with hallucinations 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