F07.0
F07.0: Personality change due to known physiological condition
Billable / specific codeICD-10-CM
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.
Check F07.0 with the rest of the claim: free scrubberExcludes1: 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
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F07.0 is named in 13 Medicare coverage policies: 12 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
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.