ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F06.1

Billable / Specific

Catatonic disorder due to known physiological condition

F06
Block
2
Synonyms
346
LCDs
19
Payer Policies
9
Linked CPTs

About ICD-10-CM F06.1

ICD-10-CM code F06.1 represents Catatonic disorder due to known physiological condition. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F06). The 2026 edition of ICD-10-CM F06.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F06.1. Per CMS ICD-10-CM Tabular 2026.

  • Catatonia associated with another mental disorder
  • Catatonia NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with F06.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • catatonic stupor (R40.1)
  • stupor NOS (R40.1)

Type 2 Excludes

Not included here, the excluded code is not part of F06.1, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • catatonic schizophrenia (F20.2)
  • dissociative stupor (F44.2)

Medicare LCD Coverage for F06.1

Local Coverage Determinations (LCDs) from CMS MACs that list F06.1 as a covered diagnosis.

346 LCDs

Showing top 10 of 346 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F06.1.

19 policies

5 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56865

2 Aetna

Quantitative EEG (Brain Mapping)
Policy ID: CPB-0221
Electroconvulsive Therapy
Policy ID: CPB-0445

CPT Codes Commonly Billed with F06.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

9 linkages
  • XX000 CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization CMS LCD
  • G0156 CMS LCD: Billing and Coding: Home Health - Psychiatric Care CMS LCD
  • G0299 CMS LCD: Billing and Coding: Home Health - Psychiatric Care CMS LCD
  • G0152 CMS LCD: Billing and Coding: Home Health - Psychiatric Care CMS LCD
  • G0155 CMS LCD: Billing and Coding: Home Health - Psychiatric Care CMS LCD
  • G0300 CMS LCD: Billing and Coding: Home Health - Psychiatric Care CMS LCD
  • G0323 CMS LCD: Billing and Coding: Outpatient Psychotherapy CMS LCD
  • G0570 CMS LCD: Billing and Coding: Outpatient Psychotherapy CMS LCD
  • G0409 CMS LCD: Billing and Coding: Outpatient Psychotherapy CMS LCD

Convert F06.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F06.1 29389 10000
F06.1 2948 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To F06.1

Other codes in section F01-F09 (Mental disorders due to known physiological conditions).

ICD-10 F06.1, Billing FAQ

Is ICD-10 code F06.1 billable? +

Yes, F06.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to F06.1? +

ICD-10 F06.1 includes: Catatonia associated with another mental disorder; Catatonia NOS.

What codes are Type 1 Excludes for F06.1? +

Type 1 Excludes (never code together with F06.1): catatonic stupor (R40.1); stupor NOS (R40.1)

What codes are Type 2 Excludes for F06.1? +

Type 2 Excludes (may be coded together when both conditions exist): catatonic schizophrenia (F20.2); dissociative stupor (F44.2)

What CPT codes are commonly billed with F06.1? +

Procedures frequently paired with F06.1 include: XX000, G0156, G0299, G0152, G0155.

What ICD-9 codes does F06.1 map to? +

Per CMS GEMs, F06.1 maps to ICD-9 codes: 29389, 2948. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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