F43.81
F43.81: Prolonged grief disorder
Billable / specific codeICD-10-CM
F43.81 is a billable, specific ICD-10-CM code for prolonged grief disorder. It is valid for submission on a claim.
Check F43.81 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Complicated grief
- Complicated grief disorder
- Persistent complex bereavement disorder
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F43.81 is named in 3 Medicare coverage policies: 2 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
- A56756Billing and Coding: Home Health - Psychiatric Care
Alphabetic index entries that lead here
- Disorder›bereavement, persistent complex
- Grief›complicated
- Grief›prolonged
- Disorder›grief›complicated
- Disorder›grief›prolonged
Code history
Unchanged in every release from FY2024 to FY2027.