F06.0
BillablePsychotic disorder with hallucinations due to known physiological condition
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Hallucinations or false perceptions caused by a known medical condition, such as infection, neurological disease, or metabolic disorder, rather than a primary psychiatric illness.
Coding Tips
- •Clearly document the underlying physiological condition responsible for the psychotic symptoms
- •Distinguish from primary psychotic disorders by confirming the medical cause is documented
Excludes 2 — Not included here, may code separately
Code Hierarchy
└F06Other mental disorders due to known physiological condition└F06.0Psychotic disorder with hallucinations due to known physiological condition
└F06.0Psychotic disorder with hallucinations due to known physiological condition