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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)

F53

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

Mental and behavioral disorders associated with the puerperium, not elsewhere classified

Mental and behavioral disorders associated with the puerperium, not elsewhere classified

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
F5Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F53 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F53 in this effective period.

Related Child Codes

Official
F53.0Postpartum depression
F53.1Puerperal psychosis

Includes

Official

ICD-10-CM does not list Includes notes for F53 in this effective period.

Excludes 1

Official
  • mood disorders with psychotic features (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  • postpartum dysphoria (O90.6)
  • psychosis in schizophrenia, schizotypal, delusional, and other psychotic disorders (F20-F29)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F53 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F53 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F53 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

F53 is the ICD-10-CM diagnosis code for mental and behavioral disorders associated with the puerperium, not elsewhere classified. F53 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering behavioral syndromes associated with physiological disturbances and physical factors (f50-f59).

Header codes like F53 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 F53'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 F53 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1 — Do NOT code together

Child Codes

Code Hierarchy

F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified
F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified

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