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  6. 2025 ICD-10-CM Code F54

2025 ICD-10-CM Diagnosis Code F54

Psychological and behavioral factors associated with disorders or diseases classified elsewhere

ICD-10-CM Code:
F54
ICD-10 Code for:
Psych & behavrl factors assoc w disord or dis classd elswhr
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

F54 is a billable diagnosis code used to specify a medical diagnosis of psychological and behavioral factors associated with disorders or diseases classified elsewhere. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025.

Code Classification

  • Mental and behavioural disorders
    F01–F99
    • Behavioral syndromes associated with physiological disturbances and physical factors
      F50-F59
      • Psychological and behavioral factors associated with disorders or diseases classified elsewhere
        F54

Approximate Synonyms

The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.

  • Gingival recession
  • 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

Clinical Classification

Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.

They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.

Miscellaneous mental and behavioral disorders/conditions

CCSR Code: MBD013

Inpatient Default: X - Not applicable.

Outpatient Default: X - Not applicable.

Clinical Information

  • Gingival Recession

    exposure of the root surface when the edge of the gum (gingiva) moves apically away from the crown of the tooth. this is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the periodontal ligament and the supporting bone (alveolar process).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Psychological factors affecting physical conditions

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • 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

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • tension-type headache G44.2

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Code Edits

The Medicare Code Editor (MCE) detects errors and inconsistencies in ICD-10-CM diagnosis coding that can affect Medicare claim validity. These Medicare code edits help medical coders and billing professionals determine when a diagnosis code is not appropriate as a principal diagnosis, does not meet coverage criteria. Use this list to verify whether a code is valid for Medicare billing and to avoid claim rejections or denials due to diagnosis coding issues.

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.

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Convert F54 to ICD-9-CM

Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

Psychic factor w oth dis

ICD-9-CM: 316

This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.

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Patient Education


Mental Disorders

What are 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..

What are some types of mental disorders?

There are many different types of mental disorders. Some common ones include:

  • Anxiety disorders, including panic disorder, obsessive-compulsive disorder, and phobias
  • Depression, bipolar disorder, and other mood disorders
  • Eating disorders
  • Personality disorders
  • Post-traumatic stress disorder (PTSD)
  • Psychotic disorders, including schizophrenia

What causes mental disorders?

There is no single cause for mental illness. A number of factors can contribute to risk for mental illness, such as:

  • Your genes and family history
  • Your life experiences, such as stress or a history of abuse, especially if they happen in childhood
  • Biological factors such as chemical imbalances in the brain
  • A traumatic brain injury (TBI)
  • Prenatal (before birth) exposure to viruses, toxic chemicals, or other substances such as alcohol and drugs.
  • Use of alcohol or recreational drugs
  • Having a serious medical condition like cancer
  • Having few friends, and feeling lonely or isolated

Mental disorders are not caused by character flaws. They have nothing to do with being lazy or weak.

Who is at risk for mental disorders?

Mental disorders are common. Many Americans will be diagnosed with a mental disorder at some time in their life.

How are mental disorders diagnosed?

The steps to getting a diagnosis include:

  • A medical history
  • A physical exam and possibly lab tests, if your provider thinks that other medical conditions could be causing your symptoms
  • A psychological evaluation. You will answer questions about your thinking, feelings, and behaviors.

What are the treatments for mental disorders?

Treatment depends on which mental disorder you have and how serious it is. You and your provider will work on a treatment plan just for you. It usually involves some type of therapy. You may also take medicines. Some people also need social support and education on managing their condition.

In some cases, you may need more intensive treatment. You may need to go to a psychiatric hospital. This could be because your mental illness is severe. Or it could be because you are at risk of hurting yourself or someone else. In the hospital, you will get counseling, group discussions, and activities with mental health professionals and other patients.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.