F06.31
F06.31: Mood disorder due to known physiological condition with depressive features
Billable / specific codeICD-10-CM
F06.31 is a billable, specific ICD-10-CM code for mood disorder due to known physiological condition with depressive features. It is valid for submission on a claim.
Check F06.31 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Depressive disorder due to known physiological condition, with depressive features
Excludes1 inherited from the categories above F06.31
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F06.31
Not part of this code, but both may be coded when both are present.
Written on F06.3: Mood disorder due to known physiological condition
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F06.31 is named in 20 Medicare coverage policies: 19 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
- A56612Billing and Coding: CT of the Head
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56685Billing and Coding: Partial Hospitalization Programs
Alphabetic index entries that lead here
- Disorder›depressive›organic
- State›transient organic psychotic NEC›depressive type
- Syndrome›organic›depressive
- Syndrome›psycho-organic›depressive type
- Disorder›depressive›due to known physiological condition›with›depressive features
- State›psychotic, organic›transient NEC›with›depression
- Disorder›mood›due to›physiological condition›with›depressive features
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F06.3
- F06.30Mood disorder due to known physiological condition, unspecified
- 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