F63.1

F63.1: Pyromania

Billable / specific codeICD-10-CM

F63.1 is a billable, specific ICD-10-CM code for pyromania. It is valid for submission on a claim.

Check F63.1 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

fire-setting (by) (in):
adult with antisocial personality disorder (F60.2)
alcohol or psychoactive substance intoxication (F10-F19)
conduct disorders (F91.-)
mental disorders due to known physiological condition (F01-F09)
schizophrenia (F20.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Pathological fire-setting

Excludes2 inherited from the categories above F63.1

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

Written on F63: Impulse disorders

habitual excessive use of alcohol or psychoactive substances (F10-F19)
impulse disorders involving sexual behavior (F65.-)

Risk adjustment

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

Medicare coverage

F63.1 is named in 8 Medicare coverage policies: 7 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
A56937Billing and Coding: Psychiatry and Psychology Services
A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
A57130Billing and Coding: Psychiatric Codes