F07.9
F07.9: Unspecified personality and behavioral disorder due to known physiological condition
Billable / specific codeICD-10-CM
F07.9 is a billable, specific ICD-10-CM code for unspecified personality and behavioral disorder due to known physiological condition. It is valid for submission on a claim.
Check F07.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Organic psychosyndrome
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F07.9 is named in 9 Medicare coverage policies: 8 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
- A56612Billing and Coding: CT of the Head
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Psychosyndrome, organic
- Disease, diseased›behavioral, organic
- Syndrome›psycho-organic(nonpsychotic severity)
- Disorder›mental›following organic brain damage
- Disorder›personality›following organic brain damage
- Disorder›personality›organic
- Disturbance›personality›following organic brain damage
Code history
Unchanged in every release from FY2024 to FY2027.