F63.89 ICD-10-CM Code: Other impulse disorders
F63.89 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Disorders of adult personality and behavior (F60-F69)
F63.89
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther impulse disorders
Other specified impulse control disorders not classified elsewhere, involving difficulty resisting urges to perform harmful or socially unacceptable acts.
Buddy Insight
This code captures impulse control disorders that are specifically identified but do not have their own unique ICD-10-CM code, such as compulsive sexual behavior, compulsive shopping/buying disorder, or internet gaming disorder (when not coded elsewhere).
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
MappedHCC 133
Code-level coefficient reference
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for F63.89. Check the code and parent instructions in the Code Book.
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F63
- habitual excessive use of alcohol or psychoactive substances (F10-F19)Inherited from F01-F99, F63
- impulse disorders involving sexual behavior (F65.-)Inherited from F01-F99, F63
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
OfficialNo Excludes 1 notes are included in this display for F63.89. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for F63.89. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F63.89. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F63.89. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F63.89 an HCC code?
F63.89 has no mapping under the current CMS-HCC V28 community payment model. F63.89 has a separate mapping under the Part D RxHCC model (HCC 133 (Anxiety and Other Psychiatric Disorders)); the applicable result needs member context.
- Code
- F63.89
- Description
- Other impulse disorders
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work F63.89 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F63.89
For F63.89, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
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What This Code Means
F63.89 is the ICD-10-CM diagnosis code for other impulse disorders. Other specified impulse control disorders not classified elsewhere, involving difficulty resisting urges to perform harmful or socially unacceptable acts. F63.89 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering disorders of adult personality and behavior (f60-f69).
F63.89 has no mapping under the current CMS-HCC V28 community payment model. F63.89 has a separate mapping under the Part D RxHCC model (HCC 133 (Anxiety and Other Psychiatric Disorders)); the applicable result needs member context. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.
Use this code only when the impulse disorder does not fit other specific F63 categories.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F63.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the impulse disorder does not fit other specific F63 categories
- •Include detailed documentation of the specific impulse control problem in the medical record
Clinical Significance
This code captures impulse control disorders that are specifically identified but do not have their own unique ICD-10-CM code, such as compulsive sexual behavior, compulsive shopping/buying disorder, or internet gaming disorder (when not coded elsewhere). These conditions involve failure to resist impulses leading to acts harmful to the individual and are associated with significant functional impairment and comorbid psychiatric conditions.
Documentation Requirements
- ✓Provider documentation specifying the type of impulse control disorder
- ✓Evidence of recurrent failure to resist the impulse, drive, or temptation to perform a specific act
- ✓Documentation of tension or arousal before committing the act and pleasure, gratification, or relief afterward
- ✓Evidence of functional impairment or distress caused by the behavior
- ✓Exclusion of behaviors better explained by substance use disorders, mania, or other primary psychiatric conditions
Commonly Confused Codes
- •F63.0: Pathological gambling; gambling disorder has its own specific code and should not use F63.89
- •F63.81: Intermittent explosive disorder; IED has its own code and should not be coded as F63.89
- •F63.9: Impulse disorder, unspecified; F63.89 requires identification of a specific disorder type, while F63.9 is used when unspecified
- •F52.8: Other sexual dysfunction; compulsive sexual behavior is an impulse disorder, not a sexual dysfunction