F59
F59: Unspecified behavioral syndromes associated with physiological disturbances and physical factors
Billable / specific codeICD-10-CM
F59 is a billable, specific ICD-10-CM code for unspecified behavioral syndromes associated with physiological disturbances and physical factors. It is valid for submission on a claim.
Check F59 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Psychogenic physiological dysfunction NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F59 is named in 6 Medicare coverage policies: 5 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
- A57052Billing and Coding: Psychiatric Inpatient Hospitalization
- A57053Billing and Coding: Psychiatric Partial Hospitalization Programs
- A57480Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Psychological and behavioral factors affecting medical condition
- Dysfunction›psychophysiologic
- Dysfunction›physiological NEC›psychogenic
Code history
Unchanged in every release from FY2024 to FY2027.