2027 ICD-10-CM Diagnosis Code F34.9Persistent mood [affective] disorder, unspecified

ICD-10-CM Codes›F01–F99›F30-F39›F34

ICD-10-CM F34.9
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F34.9 is a billable ICD-10-CM diagnosis code for persistent mood [affective] disorder, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 885. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 293 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified mood disorders.

F34.9 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 59 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the PACE (CMS-HCC V22) category 58, ESRD (V21) category 58, ESRD (V24) category 59, and RxHCC Part D (V08) category 132 for payment year 2027.

Code Identity

ICD-10-CM Code
F34.9
Billable Status
Yes — Valid for Submission
Code Describes
Persistent mood [affective] disorder, unspecified
Short Description
Persistent mood [affective] disorder, unspecified
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 CodeF34.9Persistent mood [affective] disorder, unspecified

Medicare Risk Adjustment (HCC)Billing

F34.9 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 59
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
Other CMS Models
PACE (CMS-HCC V22): HCC 58 · ESRD (V21): HCC 58 · ESRD (V24): HCC 59
ESRD V21 weights: 0.091 dialysis, 0.217–0.260 functioning graft · ESRD V24 weights: 0.066 dialysis, 0.129–0.259 functioning graft
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.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F34.9: 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

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.

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 F34.9, its category, or a range that includes it.

Excludes2 4

These codes carry an Excludes2 note naming F34.9: 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

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR MBD004
Other specified and unspecified mood disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Mood Disorders

Most people feel sad or irritable from time to time. They may say they're in a bad mood. A mood disorder is different. It affects a person's everyday emotional state. Nearly one in ten people aged 18 and older have mood disorders. These include depression and bipolar disorder (also called manic depression).

Read the full article at MedlinePlus

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

Convert F34.9 to ICD-9-CMHistory

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

ICD-9-CM
296.99 Episodic mood disord NEC
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 F34.9Overview

What is the ICD-10 code for persistent mood [affective] disorder, unspecified?

The ICD-10-CM code for persistent mood [affective] disorder, unspecified is F34.9 (sometimes written as F349). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F34.9 (Persistent mood [affective] disorders) a billable code?

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

What MS-DRG does F34.9 group to?

When persistent mood [affective] disorder, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 885 (psychoses), which carries a relative weight of 1.3904. Higher weights mean higher Medicare reimbursement.

Is F34.9 a CC or MCC?

CMS lists F34.9 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 293 closely related codes in its exclusion list.

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

Under the General Equivalence Mappings, persistent mood [affective] disorder, unspecified converts to ICD-9-CM 296.99 (episodic mood disord NEC). The mapping is approximate, so confirm the match fits the documentation.

Does F34.9 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. F34.9 mapped to HCC 59 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the PACE (CMS-HCC V22) category 58 (Major Depressive/Bipolar/and Paranoid Disorders), ESRD (V21) category 58 (Major Depressive/Bipolar/and Paranoid Disorders), ESRD (V24) category 59 (Major Depressive/Bipolar/and Paranoid Disorders), and RxHCC Part D (V08) category 132 (Depression).