Coding and coverage · ICD-10-CM

F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere

BillableNo payment HCCChapter 5
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Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

This code

Excludes2Not included here: the patient may have both; report both when both are present.
  • tension-type headache (G44.2)
Code firstSequence the underlying condition first.
  • the associated physical disorder, such as:
  • asthma (J45.-)
  • dermatitis (L23-L25)
  • gastric ulcer (K25.-)
  • mucous colitis (K58.-)
  • ulcerative colitis (K51.-)
  • urticaria (L50.-)
Inclusion terms
  • Psychological factors affecting physical conditions

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F50-F59 Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.