F06.31 — Mood disorder due to known physiological condition with depressive features
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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Depressive disorder due to known physiological condition, with depressive features
Risk adjustment
F06.31 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
F06.31 is named in 20 Medicare coverage policies — 19 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
- A56612Billing and Coding: CT of the Head
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56685Billing and Coding: Partial Hospitalization Programs
How F06.31 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 F06.31.
- 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
Related codes at this level
Codes that share F06.3. If F06.31 is not quite right, the correct code is usually one of these.
- 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
Questions about F06.31
- Is F06.31 a billable ICD-10-CM code?
- Yes. F06.31 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F06.31 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).