F43.12
F43.12: Post-traumatic stress disorder, chronic
Billable / specific codeICD-10-CM
F43.12 is a billable, specific ICD-10-CM code for post-traumatic stress disorder, chronic. It is valid for submission on a claim.
Check F43.12 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F43.12 is named in 21 Medicare coverage policies: 20 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
- A56865Billing and Coding: Psychiatric Inpatient Hospitalization
Alphabetic index entries that lead here
- Disorder›post-traumatic stress›chronic
- Neurosis, neurotic›posttraumatic›chronic
- Neurosis, neurotic›traumatic›chronic
- Disorder›stress›post-traumatic›chronic
Code history
Unchanged in every release from FY2024 to FY2027.