2026 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

ICD-10-CM F54
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

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 2026 (October 1, 2025 through September 30, 2026). 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

ICD-10-CM Code
F54
Billable Status
Yes — Valid for Submission
Code Describes
Psychological and behavioral factors associated with disorders or diseases classified elsewhere
Chapter
F50-F59
Behavioral syndromes associated with physiological disturbances and physical factors

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF50-F59Behavioral syndromes associated with physiological disturbances and physical factors
CategoryF54Psychological and behavioral factors associated with disorders or diseases classified elsewhere
This CodeF54Psychological and behavioral factors associated with disorders or diseases classified elsewhere

Code EditsBilling

Medicare Code Editor checks that affect claim validity for F54.

Manifestation diagnoses
Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.

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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Psychological factors affecting physical conditions

Code First

  • the associated physical disorder, such as:
  • asthma J45
  • dermatitis L23 L25
  • gastric ulcer K25
  • mucous colitis K58
  • ulcerative colitis K51
  • urticaria L50

Type 2 Excludes

  • tension-type headache G44.2

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Asthma, asthmatic(bronchial) (catarrh) (spasmodic)
      • psychogenic
    • Colic(bilious) (infantile) (intestinal) (recurrent) (spasmodic)
      • mucous
        • psychogenic
    • Colitis(acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
      • membranous
        • psychogenic
    • Colitis(acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
      • mucous
        • psychogenic
    • Colitis(acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
      • spastic
        • psychogenic
    • Colitis(acute) (catarrhal) (chronic) (noninfective) (hemorrhagic)
      • ulcerative (chronic)
        • psychogenic
    • Dermatitis(eczematous)
      • artefacta
        • psychogenic
    • Dermatitis(eczematous)
      • atopic
        • psychogenic
    • Dermatitis(eczematous)
      • facta, factitia, factitial
        • psychogenic
    • Dermatitis(eczematous)
      • psychogenic
    • Dermatosis
      • psychogenic
    • Disorder(of)
      • psychogenic NOS
        • cutaneous
    • Disorder(of)
      • psychogenic NOS
        • endocrine (system)
    • Disorder(of)
      • psychogenic NOS
        • skin (allergic) (eczematous)
    • Disorder(of)
      • psychological
        • associated with
          • disease classified elsewhere
    • Disorder(of)
      • skin
        • psychogenic (allergic) (eczematous)
    • Disturbance(s)
      • mental
        • associated with diseases classified elsewhere
    • Factor(s)
      • psychic, associated with diseases classified elsewhere
    • Factor(s)
      • psychological
        • affecting physical conditions
    • Factor(s)
      • psychological
        • or behavioral
          • affecting general medical condition
    • Factor(s)
      • psychological
        • or behavioral
          • associated with disorders or diseases classified elsewhere
    • Gastritis(simple)
      • nervous
    • Psoriasis
      • psychogenic
    • Psychogenic
      • factors associated with physical conditions
    • Tachycardia
      • paroxysmal (sustained) (nonsustained)
        • atrioventricular (AV) (re-entrant)
          • psychogenic
    • Tachycardia
      • paroxysmal (sustained) (nonsustained)
        • psychogenic (atrial) (supraventricular) (ventricular)
    • Tachycardia
      • paroxysmal (sustained) (nonsustained)
        • supraventricular (sustained)
          • psychogenic
    • Tachycardia
      • paroxysmal (sustained) (nonsustained)
        • ventricular
          • psychogenic
    • Tachycardia
      • ventricular (paroxysmal) (sustained)
        • psychogenic

Clinical ClassificationClinical

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

CCSR MBD013
Miscellaneous mental and behavioral disorders/conditions
Default principal diagnosis: inpatient No · outpatient No

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.

ICD-9-CM
316 Psychic factor w oth dis
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

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, 2025 through September 30, 2026.

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 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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.