F07.89
F07.89: Other personality and behavioral disorders due to known physiological condition
Billable / specific codeICD-10-CM
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.
Check F07.89 with the rest of the claim: free scrubberInclusion 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
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change 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 one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.