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F06 ICD-10-CM Code: Other mental disorders due to known physiological condition

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental disorders due to known physiological conditions (F01-F09)

F06

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other mental disorders due to known physiological condition

Other mental disorders due to known physiological condition

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
F0Mental disorders due to known physiological conditions (F01-F09)
F06Other mental disorders due to known physiological condition

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F06 in this effective period.

Excludes 2

Official
  • delirium due to known physiological condition (F05)
  • dementia as classified in F01-F02
  • other mental disorders associated with alcohol and other psychoactive substances (F10-F19)

Related Child Codes

Official
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 condition
F06.4Anxiety disorder due to known physiological condition

Includes

Official
  • mental disorders due to endocrine disorder
  • mental disorders due to exogenous hormone
  • mental disorders due to exogenous toxic substance
  • mental disorders due to primary cerebral disease
  • mental disorders due to somatic illness

Excludes 1

Official
  • unspecified dementia (F03.-)

Code First

Official
  • the underlying physiological condition

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F06 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F06 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
F06
Description
Other mental disorders due to known physiological condition
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

F06 is the ICD-10-CM diagnosis code for other mental disorders due to known physiological condition. F06 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental disorders due to known physiological conditions (f01-f09).

Header codes like F06 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F06's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F06 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • mental disorders due to endocrine disorder
  • mental disorders due to exogenous hormone
  • mental disorders due to exogenous toxic substance
  • mental disorders due to primary cerebral disease
  • mental disorders due to somatic illness
  • mental disorders due to systemic disease affecting the brain

Excludes 1, Do NOT code together

  • unspecified dementia (F03.-)

Excludes 2, Not included here, may code separately

  • delirium due to known physiological condition (F05)
  • dementia as classified in F01-F02
  • other mental disorders associated with alcohol and other psychoactive substances (F10-F19)

Code First

  • the underlying physiological condition

Child Codes

Code Hierarchy

F06Other mental disorders due to known physiological condition
F06Other mental disorders due to known physiological condition

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