Valid for Submission
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 F54 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code F54 might also be used to specify conditions or terms like gingival recession, gingivitis artefacta, hyposomnia co-occurrent and due to psychological disorder, interictal behavior disorder, not getting enough sleep , psychogenic endocrine malfunction, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code F54:
Inclusion TermsInclusion 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 FirstCode 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 ExcludesType 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
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code F54 are found in the index:
- - Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic) - R10.83
- - Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) - See Also: Enteritis; - K52.9
- - Dermatitis (eczematous) - L30.9
- - Disorder (of) - See Also: Disease;
- - Disturbance (s) - See Also: Disease;
- - Factor (s)
- - Tachycardia - R00.0
- - paroxysmal (sustained) (nonsustained) - I47.9
- - ventricular (paroxysmal) (sustained) - I47.2
- - psychogenic - F54
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- 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
Convert F54 to ICD-9 Code
Information for Patients
What are mental disorders?
Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may be occasional or long-lasting (chronic). 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
- 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
- A mother's exposure to viruses or toxic chemicals while pregnant
- 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. More than half of all 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]