2027 ICD-10-CM Diagnosis Code F43.23Adjustment disorder with mixed anxiety and depressed mood
ICD-10-CM Codes›F01–F99›F40-F48›F43
- Billable — Valid for Submission
- Not Chronic
F43.23 is a billable ICD-10-CM diagnosis code for adjustment disorder with mixed anxiety and depressed mood. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 882. Coders also document this condition as adjustment disorder with anxious mood. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Trauma- and stressor-related disorders.
F43.23 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 for payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F43.23 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.
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.
- Adjustment disorder with anxious mood
- Adjustment disorder with depressed mood
- Adjustment disorder with mixed anxiety and depressed mood
- Adjustment disorder with mixed emotional features
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F43.23: its own notes plus those printed at F43.2 and 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.
- 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.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F43.23, its category, or a range that includes it.
Excludes2 4
These codes carry an Excludes2 note naming F43.23: its condition is not part of those codes, and both may be reported when the patient has both.
- F32 Depressive episodeadjustment disorder (F43.2) names F43.2, which includes this code
- F41 Other anxiety disorderstransient adjustment reaction (F43.2) names F43.2, which includes this code
- F94.2 Disinhibited attachment disorder of childhoodhospitalism in children (F43.2-) names F43.2-, which includes this code
- F93.0 Separation anxiety disorder of childhood
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Adjustment Disorders
maladaptive reactions to identifiable psychosocial stressors occurring within a short time after onset of the stressor. they are manifested by either impairment in social or occupational functioning or by symptoms (depression, anxiety, etc.) that are in excess of a normal and expected reaction to the stressor.
Patient EducationClinical
Mental Disorders
Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..
The full article covers:
- What are mental disorders?
- What are some types of mental disorders?
- What causes mental disorders?
- Who is at risk for mental disorders?
- How are mental disorders diagnosed?
- What are the treatments for mental disorders?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F43.23 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F43.23Overview
What is the ICD-10 code for adjustment disorder with mixed anxiety and depressed mood?
The ICD-10-CM code for adjustment disorder with mixed anxiety and depressed mood is F43.23 (sometimes written as F4323). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F43.23 (Adjustment disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report adjustment disorder with mixed anxiety and depressed mood on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F43.23 group to?
When adjustment disorder with mixed anxiety and depressed mood is the principal diagnosis on an inpatient stay, it groups to MS-DRG 882 (neuroses Except Depressive), which carries a relative weight of 0.9953. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of F43.23?
Under the General Equivalence Mappings, adjustment disorder with mixed anxiety and depressed mood converts to ICD-9-CM 309.28 (adjust dis w anxiety/dep). The mapping is a direct match.
Does F43.23 risk-adjust for Medicare Advantage payment?
Not for Medicare Advantage: F43.23 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 (Anxiety and Other Psychiatric Disorders).
