F53.1: Puerperal psychosis
F53.1 is a billable, specific ICD-10-CM code for puerperal psychosis. It is valid for submission on a claim.
Check F53.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Postpartum psychosis
- Puerperal psychosis, NOS
Excludes1 inherited from the categories above F53.1
A category’s note binds every code beneath it.
Written on F53: Mental and behavioral disorders associated with the puerperium, not elsewhere classified
Other codes that can never be billed with F53.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- O90.6Postpartum mood disturbance
Risk adjustment
F53.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 152 Psychosis, Except Schizophrenia0.484 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
F53.1 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56612Billing and Coding: CT of the Head
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56685Billing and Coding: Partial Hospitalization Programs
- A56756Billing and Coding: Home Health - Psychiatric Care
Alphabetic index entries that lead here
- Psychosis, psychotic›postpartum(NOS)
- Psychosis, psychotic›puerperal(NOS)
- Puerperal, puerperium›psychosis(NOS)
- Pregnancy›complicated by›psychosis or psychoneurosis(puerperal)
Code history
Unchanged in every release from FY2024 to FY2027.