F06.2

F06.2

Billable

Psychotic disorder with delusions 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

Delusions or false beliefs that develop as a direct result of a known medical condition affecting the brain or body.

Coding Tips

•Identify and document the specific physiological cause (e.g., infection, metabolic disorder, neurological disease)
•Do not use this code if delusions are primary psychiatric symptoms; ensure medical causation is established

Excludes 2 — Not included here, may code separately

alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
brief psychotic disorder (F23)
delusional disorder (F22)
schizophrenia (F20.-)