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  2. ICD-10-CM Codes List
  3. F01–F99
  4. F50-F59
  5. Psychological and behavioral factors associated with disorders or diseases classified elsewhere (F54)

Psychological and behavioral factors associated with disorders or diseases classified elsewhere (F54)

The ICD-10 code F54 is used to identify psychological and behavioral factors that affect diseases or disorders classified elsewhere in medical coding. It covers conditions where mental or emotional issues play a role in physical health problems.

This code includes a range of conditions often referred to by synonyms such as psychogenic factor, psychosomatic factor in physical condition, or specific manifestations like psychogenic skin disease and psychogenic sensory disturbance of skin. It applies when psychological causes influence symptoms such as sleep disturbances (e.g., hyposomnia co-occurrent due to psychological disorder) or behaviors leading to dental issues like gingivitis artefacta and gingival recession. The ICD-10 code for these conditions helps healthcare providers accurately document cases where mental health directly impacts physical disorders, ensuring precise classification for treatment and insurance purposes.

Instructional Notations

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

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

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

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

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).