F42.2 — Mixed obsessional thoughts and acts
F42.2 is a billable, specific ICD-10-CM code for mixed obsessional thoughts and acts. It is valid for submission on a claim.
Excludes2 inherited from the categories above F42.2
Also inherited, and the opposite of Excludes1: these conditions are not part of F42.2, but a patient can have both, so you may code both.
Other codes that can never be billed with F42.2
These codes carry an Excludes1 note pointing at F42.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F42.2 alone.
- R46.81Obsessive-compulsive behavior
Risk adjustment
F42.2 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
F42.2 is named in 19 Medicare coverage policies — 17 listing it as supporting medical necessity, and 2 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
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56756Billing and Coding: Home Health - Psychiatric Care
How F42.2 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 F42.2.
- Obsession, obsessional state›mixed thoughts and acts
- State›compulsive›mixed with obsessional thoughts
Code history
F42.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share F42. If F42.2 is not quite right, the correct code is usually one of these.
Questions about F42.2
- Is F42.2 a billable ICD-10-CM code?
- Yes. F42.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F42.2 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48).