F07.89 — Other personality and behavioral disorders due to known physiological condition
F07.89 is a billable, specific ICD-10-CM code for other personality and behavioral disorders due to known physiological condition. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Postencephalitic syndrome
- Right hemispheric organic affective disorder
Other codes that can never be billed with F07.89
These codes carry an Excludes1 note pointing at F07.89. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F07.89 alone.
Risk adjustment
F07.89 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
F07.89 is named in 13 Medicare coverage policies — 12 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
- A53064Billing and Coding: Outpatient Occupational Therapy
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56612Billing and Coding: CT of the Head
How F07.89 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 F07.89.
- Postencephalitic syndrome
- Disorder›right hemisphere organic affective
- Porencephaly›traumatic(post)
- Syndrome›postencephalitic
- Disorder›mood›right hemisphere organic
- Syndrome›psycho-organic›specified NEC
- Disorder›mental›following organic brain damage›specified NEC
- Disorder›mood›organic›right hemisphere
Related codes at this level
Codes that share F07.8. If F07.89 is not quite right, the correct code is usually one of these.
Questions about F07.89
- Is F07.89 a billable ICD-10-CM code?
- Yes. F07.89 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F07.89 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).