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

ICD-10 F06.31

Billable / Specific

Mood disorder due to known physiological condition with depressive features

F06
Block
1
Synonyms
386
LCDs
19
Payer Policies
36
Linked CPTs

About ICD-10-CM F06.31

ICD-10-CM code F06.31 represents Mood disorder due to known physiological condition with depressive features. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F06). The 2026 edition of ICD-10-CM F06.31 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F06.31. Per CMS ICD-10-CM Tabular 2026.

  • Depressive disorder due to known physiological condition, with depressive features

Medicare LCD Coverage for F06.31

Local Coverage Determinations (LCDs) from CMS MACs that list F06.31 as a covered diagnosis.

386 LCDs

Showing top 10 of 386 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0156 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0299 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0152 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0155 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90847 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0560 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0017 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90837 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F06.31.

19 policies

5 Medicare

Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Partial Hospitalization Programs
Policy ID: ART-56685
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-56850

CPT Codes Commonly Billed with F06.31

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

36 linkages
  • 96121 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 96137 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 96116 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 96132 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 90838 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • G0177 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 96146 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 90846 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • G0411 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD
  • 96112 CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs CMS LCD

Convert F06.31 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F06.31 29383 10000

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

Codes Adjacent To F06.31

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

ICD-10 F06.31, Billing FAQ

Is ICD-10 code F06.31 billable? +

Yes, F06.31 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 F06.31? +

ICD-10 F06.31 includes: Depressive disorder due to known physiological condition, with depressive features.

What CPT codes are commonly billed with F06.31? +

Procedures frequently paired with F06.31 include: 96121, 96137, 96116, 96132, 90838.

What ICD-9 codes does F06.31 map to? +

Per CMS GEMs, F06.31 maps to ICD-9 codes: 29383. 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 May 31, 2026.

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