Code First Notes in Chapter 5: Mental and behavioural disorders ICD-10-CM
A Code First note means the underlying condition named in the note is sequenced before this code. In Chapter 5 (F01-F99), notes printed in the chapter name other codes 45 times, and Code First Notes anywhere in the Tabular List name the chapter’s codes 10 times, covering 9 distinct codes, categories and ranges. Switch views to read the list either way.
Code First Notes by the code that carries the note
- Alzheimer's (G30.-)
- cerebral lipidosis (E75.4)
- Creutzfeldt-Jakob disease (A81.0-)
- epilepsy and recurrent seizures (G40.-)
- hepatolenticular degeneration (E83.01)
- human immunodeficiency virus [HIV] disease (B20)
- Huntington's disease (G10)
- hypercalcemia (E83.52)
- hypothyroidism, acquired (E00-E03.-)
- intoxications (T36-T65)
- Jakob-Creutzfeldt disease (A81.0-)
- multiple sclerosis (G35-)
- neurocognitive disorder with Lewy bodies (G31.83)
- neurosyphilis (A52.17)
- niacin deficiency [pellagra] (E52)
- other frontotemporal neurocognitive disorder (G31.09)
- Parkinson's disease (G20.-)
- Pick's disease (G31.01)
- polyarteritis nodosa (M30.0)
- prion disease (A81.9)
- systemic lupus erythematosus (M32.-)
- traumatic brain injury (S06.-)
- trypanosomiasis (B56.-, B57.-)
- vitamin B deficiency (E53.8)
- F05 Delirium due to known physiological condition
- dementia (F03.9-)
- Alzheimer's disease (G30.-)
- human immunodeficiency virus [HIV] disease (B20)
- Huntington's disease (G10)
- Neurocognitive disorder with Lewy bodies (G31.83)
- other frontotemporal neurocognitive disorder (G31.09)
- Parkinson's disease (G20.-)
- systemic lupus erythematosus (M32.-)
- traumatic brain injury (S06.-)
- vitamin B deficiency (E53.-)
- F48.2 Pseudobulbar affect
- F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere
- Z91.83 Wandering in diseases classified elsewhere: unspecified dementia with behavioral disturbance (F03.9-, F03.A-, F03.B-, F03.C-)
- Z91.83 Wandering in diseases classified elsewhere: unspecified dementia with behavioral disturbance (F03.9-, F03.A-, F03.B-, F03.C-)
- Z91.83 Wandering in diseases classified elsewhere: unspecified dementia with behavioral disturbance (F03.9-, F03.A-, F03.B-, F03.C-)
- Y90 Evidence of alcohol involvement determined by blood alcohol level: any associated alcohol related disorders (F10)
- R41.84 Other specified cognitive deficit: schizophrenia (F20.-)
- K31.84 Gastroparesis: anorexia nervosa (F50.0-)
- Z91.83 Wandering in diseases classified elsewhere: intellectual disabilities (F70-F79)
- Z91.83 Wandering in diseases classified elsewhere: autism or pervasive developmental disorder (F84.-)
The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Code First Notes anywhere in the Tabular List, including notes in other chapters.
Questions About Code First Notes
What does a Code First note mean?
A Code First note means the underlying condition named in the note is sequenced before the code that carries the note. Under the etiology/manifestation convention, a “code first” note appears at the manifestation code and a “use additional code” note at the etiology code (Section I.A.13). The FY 2027 Tabular List has 810 of them; 600 name other codes, with 736 references to 429 distinct codes, categories and ranges.
Can a code with a Code First note be the principal diagnosis?
Not when it is a manifestation code. Codes titled “in diseases classified elsewhere” are never permitted as the first-listed or principal diagnosis; they must follow the underlying condition. The etiology and manifestation page lists them all.
Related References
Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.