F06.0 — Psychotic disorder with hallucinations due to known physiological condition
Is F06.0 billable?
Yes — F06.0 is billable for FY2027. F06.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F06.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F06.0 at a glance
| Code | F06.0 |
|---|---|
| Description | Psychotic disorder with hallucinations due to known physiological condition |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F06.0 group to?
F06.0 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 884Organic Disturbances and Intellectual Disabilitymedical
As a secondary diagnosis, F06.0 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is F06.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F06.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Hallucinosis › organic (chronic)
- State › organic › hallucinatory (of)
- State › transient organic psychotic NEC › hallucinatory type (of)
- Syndrome › organic › hallucinosis
- Syndrome › psycho-organic › hallucinatory type
- State › psychotic, organic › transient NEC › with › hallucinations (of)
Excludes2 — not included here
The conditions below are not part of F06.0, but a patient may have both at the same time. When documentation supports it, F06.0 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to F06.0.
- Organic hallucinatory state (nonalcoholic)
Excludes1 — never code together — inherited from F06
The conditions below can never be reported together with F06.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- unspecified dementia (F03.-)
Code first — inherited from F06
The underlying condition below must be sequenced before F06.0. F06.0 describes a manifestation and cannot be the principal or first-listed diagnosis.
- the underlying physiological condition
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F06.0, but a patient may have both at the same time. When documentation supports it, F06.0 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Excludes2 — not included here — inherited from F06
The conditions below are not part of F06.0, but a patient may have both at the same time. When documentation supports it, F06.0 and the excluded code may both be reported.
How long has F06.0 existed?
F06.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to F06.0?
What other codes are in the F06 family? (6)
- F06.1Catatonic disorder due to known physiological condition
- F06.2Psychotic disorder with delusions due to known physiological condition
- F06.3Mood disorder due to known physiological conditionnot billable
- F06.4Anxiety disorder due to known physiological condition
- F06.7Mild neurocognitive disorder due to known physiological conditionnot billable
- F06.8Other specified mental disorders due to known physiological condition