F06.8 — Other specified mental disorders due to known physiological condition
Is F06.8 billable?
Yes, but F06.8 is an unspecified code. F06.8 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, F06.8 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting F06.8 — the more specific alternatives are listed below.
More specific alternatives
- F06.0Psychotic disorder with hallucinations due to known physiological condition
- 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
F06.8 at a glance
| Code | F06.8 |
|---|---|
| Description | Other specified mental disorders 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 F06.8 group to?
F06.8 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
How is F06.8 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F06.8. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Psychotic episode due to or associated with physical condition
- Deterioration › epileptic
- Epilepsy, epileptic, epilepsia › deterioration (attack) (cerebral) (convulsion) (fit) (seizure)
- Memory disturbance, lack or loss › mild, following organic brain damage
- Psychosis, psychotic › epileptic
- State › affective and paranoid, mixed, organic psychotic (of)
- State › transient organic psychotic NEC (of)
- Disorder › dissociative › due togeneral medical condition (of)
- Disorder › dissociative › organic (of)
- Disorder › obsessive-compulsive › and related disorder due to a known physiological condition (of)
- Disorder › organic › dissociative (of)
- Disorder › organic › emotionally labile (of)
Inclusion terms
Alternative wording in documentation that is classified to F06.8.
- Epileptic psychosis NOS
- Obsessive-compulsive and related disorder due to a known physiological condition
- Organic dissociative disorder
- Organic emotionally labile [asthenic] disorder
Excludes1 — never code together — inherited from F06
The conditions below can never be reported together with F06.8 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 F06.8. F06.8 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 F06.8, but a patient may have both at the same time. When documentation supports it, F06.8 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 F06.8, but a patient may have both at the same time. When documentation supports it, F06.8 and the excluded code may both be reported.
How long has F06.8 existed?
F06.8 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 codes are confused with F06.8?
ICD-10-CM declares these codes mutually exclusive with F06.8 — exactly one of each pair can be correct for a given encounter.
Which conditions are coded to F06.8?
What other codes are in the F06 family? (6)
- F06.0Psychotic disorder with hallucinations due to known physiological condition
- 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