F54 — Psychological and behavioral factors associated with disorders or diseases classified elsewhere
Is F54 billable?
Yes — F54 is billable for FY2027. F54 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F54 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F54 at a glance
| Code | F54 |
|---|---|
| Description | Psychological and behavioral factors associated with disorders or diseases classified elsewhere |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to F54?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name F54 directly.
This code describes a manifestation of an underlying disease. The underlying condition must be sequenced before it, so it can never be the principal or first-listed diagnosis.
Which MS-DRGs does F54 group to?
F54 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 F54 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F54. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Asthma, asthmatic › psychogenic (bronchial) (catarrh) (spasmodic)
- Dermatitis › psychogenic (eczematous)
- Dermatosis › psychogenic
- Factor › psychic, associated with diseases classified elsewhere (s)
- Gastritis › nervous (simple)
- Psoriasis › psychogenic
- Psychogenic › factors associated with physical conditions
- Colic › mucous › psychogenic (bilious) (infantile) (intestinal) (recurrent) (spasmodic)
- Colitis › membranous › psychogenic (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
- Colitis › mucous › psychogenic (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
- Colitis › spastic › psychogenic (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
- Colitis › ulcerative › psychogenic (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
Code first
The underlying condition below must be sequenced before F54. F54 describes a manifestation and cannot be the principal or first-listed diagnosis.
Excludes2 — not included here
The conditions below are not part of F54, but a patient may have both at the same time. When documentation supports it, F54 and the excluded code may both be reported.
- tension-type headache (G44.2)
Inclusion terms
Alternative wording in documentation that is classified to F54.
- Psychological factors affecting physical conditions
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F54, but a patient may have both at the same time. When documentation supports it, F54 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
How long has F54 existed?
F54 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.