F40.00
F40.00: Agoraphobia, unspecified
Billable / specific codeICD-10-CM
F40.00 is a billable, specific ICD-10-CM code for agoraphobia, unspecified. It is valid for submission on a claim.
Check F40.00 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F40.00 is named in 7 Medicare coverage policies: 6 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
- A56756Billing and Coding: Home Health - Psychiatric Care
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Agoraphobia
Code history
Unchanged in every release from FY2024 to FY2027.