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
- 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 2026 (October 1, 2025 through September 30, 2026) 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
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
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.
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.
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.
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, 2025 through September 30, 2026.
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 1.6089. 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 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.
