F43.25

F43.25: Adjustment disorder with mixed disturbance of emotions and conduct

Billable / specific codeICD-10-CM

F43.25 is a billable, specific ICD-10-CM code for adjustment disorder with mixed disturbance of emotions and conduct. It is valid for submission on a claim.

Check F43.25 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above F43.25

Not part of this code, but both may be coded when both are present.

Written on F43.2: Adjustment disorders

separation anxiety disorder of childhood (F93.0)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F43.25 is named in 14 Medicare coverage policies: 13 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›adjustment›with›conduct disturbance›with emotional disturbance

Code history

Unchanged in every release from FY2024 to FY2027.