2027 ICD-10-CM Diagnosis Code F54Psychological and behavioral factors associated with disorders or diseases classified elsewhere
ICD-10-CM Codes›F01–F99›F50-F59›F54
- Billable — Valid for Submission
- Not Chronic
F54 is a billable ICD-10-CM diagnosis code for psychological and behavioral factors associated with disorders or diseases classified elsewhere. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 884. The code is a manifestation code that cannot be reported as the principal diagnosis. Coders also document this condition as gingivitis artefacta. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Miscellaneous mental and behavioral disorders/conditions.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for F54.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Gingivitis artefacta
- Hyposomnia co-occurrent and due to psychological disorder
- Interictal behavior disorder
- Not getting enough sleep
- Psychogenic endocrine malfunction
- Psychogenic factor
- Psychogenic sensory disturbance of skin
- Psychogenic skin disease
- Psychogenic skin symptoms
- Psychosomatic factor in physical condition
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F54: 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.
- 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.
- Psychological factors affecting physical conditions
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.
- tension-type headache (G44.2)
Code First
The underlying condition named in the note is sequenced before this code.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F54, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) See Also: Enteritis; K52.9
psychogenic F54
mucous See: Syndrome, irritable, bowel;
psychogenic F54
psychogenic F54
psychogenic F54
psychogenic F54
psychogenic F54
facta, factitia, factitial L98.1
psychogenic F54
psychogenic F54
Disorder (of) See Also: Disease;
psychogenic NOS See Also: condition; F45.9
cutaneous F54
Disturbance (s) See Also: Disease;
Psychogenic See Also: condition;
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 F54 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F54Overview
Is F54 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report psychological and behavioral factors associated with disorders or diseases classified elsewhere on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F54 group to?
On inpatient claims, psychological and behavioral factors associated with disorders or diseases classified elsewhere maps to MS-DRG 884 (organic Disturbances and Intellectual Disability), which carries a relative weight of 1.5998. Higher weights mean higher Medicare reimbursement.
Can F54 be a principal diagnosis?
No. This is a manifestation code: psychological and behavioral factors associated with disorders or diseases classified elsewhere describes the manifestation of an underlying disease rather than the disease itself, so the underlying condition is sequenced first.
What is coded first with F54?
The Code First note reads: the associated physical disorder, such as: asthma (J45.-); dermatitis (L23-L25); gastric ulcer (K25.-); mucous colitis (K58.-); ulcerative colitis (K51.-); and 1 more listed in the Instructional Notes section. When one of these applies, it is sequenced before F54.
What is the ICD-9 equivalent of F54?
Under the General Equivalence Mappings, psychological and behavioral factors associated with disorders or diseases classified elsewhere converts to ICD-9-CM 316 (psychic factor w oth dis). The mapping is a direct match.
