F06.3
F06.3 — Mood disorder due to known physiological condition
Non-billable headerICD-10-CM
F06.3 is a non-billable header ICD-10-CM code for mood disorder due to known physiological condition. It cannot be billed on its own: choose one of the more specific child codes below.
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.
Risk adjustment
F06.3 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 F06.3
5 child codes. Green means billable.
- F06.30Mood disorder due to known physiological condition, unspecified
- F06.31Mood disorder due to known physiological condition with depressive features
- F06.32Mood disorder due to known physiological condition with major depressive-like episode
- F06.33Mood disorder due to known physiological condition with manic features
- F06.34Mood disorder due to known physiological condition with mixed features
Related codes at this level
Codes that share F06. If F06.3 is not quite right, the correct code is usually one of these.
- 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
- F06.4Anxiety 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 F06.3
- Is F06.3 a billable ICD-10-CM code?
- No. F06.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F06.3 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).