F07.0 — Personality change due to known physiological condition
F07.0 is a billable, specific ICD-10-CM code for personality change due to known physiological condition. It is valid for submission on a claim.
Excludes1 — 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.
- specific personality disorder (F60.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Frontal lobe syndrome
- Limbic epilepsy personality syndrome
- Lobotomy syndrome
- Organic personality disorder
- Organic pseudopsychopathic personality
- Organic pseudoretarded personality
- Postleucotomy syndrome
Risk adjustment
F07.0 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
F07.0 is named in 15 Medicare coverage policies — 14 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
How F07.0 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 F07.0.
- Limbic epilepsy personality syndrome
- Lobotomy syndrome
- Moria
- Postleukotomy syndrome
- Witzelsucht
- Frontal›lobe syndrome
- Personality›change due to organic condition(enduring)
- Personality›organic
- Personality›pseudopsychopathic(organic)
- Personality›pseudoretarded(organic)
- State›postleukotomy
- Syndrome›frontal lobe
Related codes at this level
Codes that share F07. If F07.0 is not quite right, the correct code is usually one of these.
Questions about F07.0
- Is F07.0 a billable ICD-10-CM code?
- Yes. F07.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F07.0 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).
- What cannot be coded together with F07.0?
- F07.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.