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 guidanceOther mental disorders due to known physiological condition
Other mental disorders due to known physiological condition
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-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
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
OfficialICD-10-CM does not list Use Additional Code instructions for F06 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F06 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
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
Code First
- the underlying physiological condition