F28BillableSave
F28 - Other psychotic disorder not due to a substance or known physiological condition
ICD-10-CM Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F20-F29 Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29) · Top-level category · FY2027
Applicable To
Inclusion terms listed under F28 in the ICD-10-CM tabular list.
- Chronic hallucinatory psychosis
- Other specified schizophrenia spectrum and other psychotic disorder
Includes, Excludes and Coding Notes
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 88541,876 discharges
Psychoses
Avg. Medicare Payment
$11,812
Total Payment$14,279
Patient Responsibility$2,468
Hospital Charge$44,040
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
Chapter Information
Other categories in this chapter
Codes at the same level as F28
- Vascular dementiaF01
- Dementia in other diseases classified elsewhereF02
- Unspecified dementiaF03
- Amnestic disorder due to known physiological conditionF04
- Delirium due to known physiological conditionF05
- Other mental disorders due to known physiological conditionF06
- Personality and behavioral disorders due to known physiological conditionF07
- Unspecified mental disorder due to known physiological conditionF09
- Alcohol related disordersF10
- Opioid related disordersF11
- Cannabis related disordersF12
- Sedative, hypnotic, or anxiolytic related disordersF13
- Cocaine related disordersF14
- Other stimulant related disordersF15
- Hallucinogen related disordersF16
- Nicotine dependenceF17
- Inhalant related disordersF18
- Other psychoactive substance related disordersF19
- SchizophreniaF20
- Schizotypal disorderF21
- Delusional disordersF22
- Brief psychotic disorderF23
- Shared psychotic disorderF24
- Schizoaffective disordersF25
- Unspecified psychosis not due to a substance or known physiological conditionF29
- Manic episodeF30
- Bipolar disorderF31
- Depressive episodeF32
- Major depressive disorder, recurrentF33
- Persistent mood [affective] disordersF34
- Unspecified mood [affective] disorderF39
- Phobic anxiety disordersF40
- Other anxiety disordersF41
- Obsessive-compulsive disorderF42
- Reaction to severe stress, and adjustment disordersF43
- Dissociative and conversion disordersF44
- Somatoform disordersF45
- Other nonpsychotic mental disordersF48
- Eating disordersF50
- Sleep disorders not due to a substance or known physiological conditionF51
31 more in this chapter.