F09BillableSave

F09 - Unspecified mental disorder due to known physiological condition

ICD-10-CM Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F01-F09 Mental disorders due to known physiological conditions (F01-F09) · Top-level category · FY2027

Applicable To

Inclusion terms listed under F09 in the ICD-10-CM tabular list.

  • Mental disorder NOS due to known physiological condition
  • Organic brain syndrome NOS
  • Organic mental disorder NOS
  • Organic psychosis NOS
  • Symptomatic psychosis NOS

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom F09

Mutually exclusive: these conditions are never reported together with this code.

  • mild neurocognitive disorder due to known physiological condition (F06.7-)
  • psychosis NOS (F29)
Code FirstFrom F09

Sequence the underlying condition before this code.

  • the underlying physiological condition
NotesFrom F01-F09 Mental disorders due to known physiological conditions (F01-F09)

Instructional notes from the ICD-10-CM tabular list.

  • This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.
IncludesFrom Chapter F01-F99

Conditions this code covers.

  • disorders of psychological development
Excludes 2 — Not Included HereFrom Chapter F01-F99

Not part of this code; report both codes when the patient has both conditions.

  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Inpatient DRG Payments

DRG 88423,315 discharges

Organic Disturbances And Intellectual Disability

Avg. Medicare Payment

$13,375

Total Payment$16,059
Patient Responsibility$2,684
Hospital Charge$62,403
DRG 9742,609 discharges

Hiv With Major Related Condition With Mcc

Avg. Medicare Payment

$29,027

Total Payment$33,402
Patient Responsibility$4,375
Hospital Charge$149,750
DRG 975954 discharges

Hiv With Major Related Condition With Cc

Avg. Medicare Payment

$13,978

Total Payment$17,230
Patient Responsibility$3,252
Hospital Charge$68,377