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

ICD-10 F06.71

Billable / Specific CC

Mild neurocognitive disorder due to known physiological condition with behavioral disturbance

F06
Block
0
Synonyms
134
LCDs
7
Payer Policies
9
Linked CPTs

About ICD-10-CM F06.71

ICD-10-CM code F06.71 represents Mild neurocognitive disorder due to known physiological condition with behavioral disturbance. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F06). The 2026 edition of ICD-10-CM F06.71 became effective on October 1, 2025.

Coding Tips for F06.71

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

F06.71 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, CC

codes Mild neurocognitive disorder due to known physiological condition with behavioral disturbance. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for F06.71

Local Coverage Determinations (LCDs) from CMS MACs that list F06.71 as a covered diagnosis.

134 LCDs

Showing top 10 of 134 total . Click a CPT for full coverage scope.

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: Outpatient Psychotherapy
Article ID: 59723, Effective: 2026-01-01 00:00:00, 427 covered, 0 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Outpatient Psychotherapy
Article ID: 59723, Effective: 2026-01-01 00:00:00, 427 covered, 0 non-covered
CPT 90839 →
CMS LCD: Billing and Coding: Outpatient Psychotherapy
Article ID: 59723, Effective: 2026-01-01 00:00:00, 427 covered, 0 non-covered
CPT G0018 →
CMS LCD: Billing and Coding: Outpatient Psychotherapy
Article ID: 59723, Effective: 2026-01-01 00:00:00, 427 covered, 0 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Outpatient Psychotherapy
Article ID: 59723, Effective: 2026-01-01 00:00:00, 427 covered, 0 non-covered
CPT 90785 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F06.71.

7 policies

1 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-57480
Billing and Coding: Cognitive Assessment and Care Plan Service
Policy ID: ART-59036

CPT Codes Commonly Billed with F06.71

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

Codes Adjacent To F06.71

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

ICD-10 F06.71, Billing FAQ

Is ICD-10 code F06.71 billable? +

Yes, F06.71 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is F06.71 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with F06.71? +

Procedures frequently paired with F06.71 include: XX000, G0156, G0299, G0152, G0155.

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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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