F69
BillableUnspecified disorder of adult personality and behavior
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F69 an HCC code?
No. F69 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F69 is the ICD-10-CM diagnosis code for unspecified disorder of adult personality and behavior. A diagnosis used when an adult has a personality or behavioral disorder that cannot be more specifically identified or classified. F69 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).
F69 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use only when insufficient information exists to assign a more specific personality or behavioral disorder code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use only when insufficient information exists to assign a more specific personality or behavioral disorder code
- •Encourage providers to document additional details to allow for more specific coding in future encounters