F69 — Unspecified disorder of adult personality and behavior
F69 is a billable, specific ICD-10-CM code for unspecified disorder of adult personality and behavior. It is valid for submission on a claim.
Risk adjustment
F69 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F69 is named in 4 Medicare coverage policies — 3 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A57480Billing and Coding: Psychiatry and Psychology Services
- A57520Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
- A57780Billing and Coding: Psychological and Neuropsychological Tests
How F69 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F69.
- Disorder›adult personality(and behavior)
- Problem›behavioral(adult)
- Problem›personality
Questions about F69
- Is F69 a billable ICD-10-CM code?
- Yes. F69 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F69 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Disorders of adult personality and behavior (F60-F69).