F43.0
F43.0: Acute stress reaction
Billable / specific codeICD-10-CM
F43.0 is a billable, specific ICD-10-CM code for acute stress reaction. It is valid for submission on a claim.
Check F43.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acute crisis reaction
- Acute reaction to stress
- Combat and operational stress reaction
- Combat fatigue
- Crisis state
- Psychic shock
Other codes that can never be billed with F43.0
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
F43.0 is named in 15 Medicare coverage policies: 14 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
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
Alphabetic index entries that lead here
- Battle exhaustion
- Combat fatigue
- Shellshock(current)
- Crisis›acute reaction
- Crisis›state(acute reaction)
- Delirium, delirious›exhaustion
- Exhaustion, exhaustive›battle
- Exhaustion, exhaustive›delirium
- Exhaustion, exhaustive›psychosis
- Fatigue›combat
- Fugue›reaction to exceptional stress(transient)
- Panic›reaction to exceptional stress(transient)
Code history
Unchanged in every release from FY2024 to FY2027.