F06.8

F06.8: Other specified mental disorders due to known physiological condition

Billable / specific codeICD-10-CM

F06.8 is a billable, specific ICD-10-CM code for other specified mental disorders due to known physiological condition. It is valid for submission on a claim.

Check F06.8 with the rest of the claim: free scrubber

Inclusion terms

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

Epileptic psychosis NOS
Obsessive-compulsive and related disorder due to a known physiological condition
Organic dissociative disorder
Organic emotionally labile [asthenic] disorder

Excludes1 inherited from the categories above F06.8

A category’s note binds every code beneath it.

Written on F06: Other mental disorders due to known physiological condition

unspecified dementia (F03.-)

Excludes2 inherited from the categories above F06.8

Not part of this code, but both may be coded when both are present.

Written on F06: Other mental disorders due to known physiological condition

delirium due to known physiological condition (F05)
dementia as classified in F01-F02
other mental disorders associated with alcohol and other psychoactive substances (F10-F19)

Other codes that can never be billed with F06.8

Their own Excludes1 notes name this code, so the conflict is not listed above.

R41.3Other amnesia

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F06.8 is named in 19 Medicare coverage policies: 18 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

Psychotic episode due to or associated with physical condition
Deterioration›epileptic
Epilepsy, epileptic, epilepsia›deterioration(mental)
Memory disturbance, lack or loss›mild, following organic brain damage
Psychosis, psychotic›epileptic
State›affective and paranoid, mixed, organic psychotic
State›transient organic psychotic NEC
Disorder›dissociative›due to general medical condition(secondary to)
Disorder›dissociative›organic
Disorder›obsessive-compulsive›and related disorder due to a known physiological condition
Disorder›organic›dissociative
Disorder›organic›emotionally labile(asthenic)

Code history

Unchanged in every release from FY2024 to FY2027.