F54
BillablePsychological and behavioral factors associated with disorders or diseases classified elsewhere
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A condition where psychological stress, emotional factors, or behavioral patterns are contributing to or worsening a physical medical condition. The psychological factors play a significant role in the disease process.
Coding Tips
- •This code should be used in addition to the code for the underlying physical condition being affected
- •Ensure documentation clearly establishes the connection between the psychological/behavioral factors and the physical disorder
Excludes 2 — Not included here, may code separately
- tension-type headache (G44.2)
Code First
Code Hierarchy
└F54Psychological and behavioral factors associated with disorders or diseases classified elsewhere
└F54Psychological and behavioral factors associated with disorders or diseases classified elsewhere