2027 ICD-10-CM Diagnosis Code F34.1Dysthymic disorder

ICD-10-CM Codes›F01–F99›F30-F39›F34

ICD-10-CM F34.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F34.1 is a billable ICD-10-CM diagnosis code for dysthymic disorder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 881. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Depressive disorders.

F34.1 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 132 for payment year 2027.

Code Identity

ICD-10-CM Code
F34.1
Billable Status
Yes — Valid for Submission
Code Describes
Dysthymic disorder
Short Description
Dysthymic disorder
Same as the full description in the CMS dataset.
Parent Code
Persistent mood [affective] disorders

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF30-F39Mood [affective] disorders
CategoryF34Persistent mood [affective] disorders
This CodeF34.1Dysthymic disorder

Medicare Risk Adjustment (HCC)Billing

F34.1 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 132 — Depression
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Dysthymia
  • Early onset dysthymia
  • Hypomanic personality disorder
  • Late onset dysthymia
  • Lifelong depressive personality trait
  • Primary dysthymia
  • Primary dysthymia early onset
  • Primary dysthymia late onset
  • Secondary dysthymia
  • Secondary dysthymia early onset
  • Secondary dysthymia late onset

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F34.1: its own notes plus those printed at Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Depressive neurosis
  • Depressive personality disorder
  • Dysthymia
  • Neurotic depression
  • Persistent anxiety depression
  • Persistent depressive disorder

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On F34.1 itself
  • anxiety depression (mild or not persistent) (F41.8)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F34.1, its category, or a range that includes it.

Excludes2 4

These codes carry an Excludes2 note naming F34.1: its condition is not part of those codes, and both may be reported when the patient has both.

  • F06.3 Mood disorder due to known physiological condition
    mood disorders, not due to known physiological condition or unspecified (F30-F39) names F30-F39, which includes this code
  • F90 Attention-deficit hyperactivity disorders
    mood [affective] disorders (F30-F39) names F30-F39, which includes this code
  • F91 Conduct disorders
    mood [affective] disorders (F30-F39) names F30-F39, which includes this code
  • F93.0 Separation anxiety disorder of childhood
    mood [affective] disorders (F30-F39) names F30-F39, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD002
Depressive disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Dysthymic Disorder

    chronically depressed mood that occurs for most of the day more days than not for at least 2 years. the required minimum duration in children to make this diagnosis is 1 year. during periods of depressed mood, at least 2 of the following additional symptoms are present: poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, and feelings of hopelessness. (dsm-iv)

Patient EducationClinical

Depression

Depression is more than a feeling of being sad or irritable for a few days. It's a serious mood disorder. As one of the most common mental disorders in the United States, depression can affect how you think, feel, and your everyday life.

The full article covers:

  • What is depression?
  • What are the different types of depression?
  • What causes depression?
  • Who is at risk of depression?
  • What are the symptoms of depression?
  • How is depression diagnosed?
  • What are the treatments for depression?
  • Can depression be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F34.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
300.4 Dysthymic disorder
Approximate The match is approximate rather than exact.
ICD-9-CM
301.12 Chr depressive person
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F34.1Overview

What is the ICD-10 code for dysthymic disorder?

The ICD-10-CM code for dysthymic disorder is F34.1 (sometimes written as F341). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F34.1 (Persistent mood [affective] disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report dysthymic disorder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F34.1 group to?

When dysthymic disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 881 (depressive Neuroses), which carries a relative weight of 0.8963. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F34.1?

Under the General Equivalence Mappings, dysthymic disorder converts to ICD-9-CM 300.4 (dysthymic disorder) and 301.12 (chr depressive person). The mapping is approximate, so confirm the match fits the documentation.

Does F34.1 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: F34.1 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 132 (Depression).