ICD-10 F06.7
Non-Billable HeaderMild neurocognitive disorder due to known physiological condition
About ICD-10-CM F06.7
ICD-10-CM code F06.7 represents Mild neurocognitive disorder due to known physiological condition. This is a non-billable header code in the Mental, Behavioral, and Neurodevelopmental chapter (block F06). The 2026 edition of ICD-10-CM F06.7 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F06.7. Per CMS ICD-10-CM Tabular 2026.
- Mild neurocognitive impairment due to a known physiological condition
Type 1 Excludes
Pure excludes, these codes can never be coded together with F06.7. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- age related cognitive decline (R41.81)
- altered mental status (R41.82)
- cerebral degeneration (G31.9)
- change in mental status (R41.82)
- cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)
- dementia (F01.-, F02.-, F03.-)
- mild cognitive impairment due to unknown or unspecified etiology (G31.84)
- neurologic neglect syndrome (R41.4)
- personality change, nonpsychotic (F68.8)
Coding Notes
Code First
- the underlying physiological condition, such as:
- 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.-)
Medicare LCD Coverage for F06.7
Local Coverage Determinations (LCDs) from CMS MACs that list F06.7 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F06.7.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but F06.7 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with F06.7
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To F06.7
Other codes in section F01-F09 (Mental disorders due to known physiological conditions).
ICD-10 F06.7, Billing FAQ
Is ICD-10 code F06.7 billable? +
No, F06.7 is a non-billable header code. Use a more specific child code from block F06 when submitting claims.
What other names or terms map to F06.7? +
ICD-10 F06.7 includes: Mild neurocognitive impairment due to a known physiological condition.
What codes are Type 1 Excludes for F06.7? +
Type 1 Excludes (never code together with F06.7): age related cognitive decline (R41.81); altered mental status (R41.82); cerebral degeneration (G31.9)
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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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