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

ICD-10 F06.8

Billable / Specific

Other specified mental disorders due to known physiological condition

F06
Block
4
Synonyms
361
LCDs
21
Payer Policies
23
Linked CPTs

About ICD-10-CM F06.8

ICD-10-CM code F06.8 represents Other specified mental disorders 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 F06.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F06.8. Per CMS ICD-10-CM Tabular 2026.

  • Epileptic psychosis NOS
  • Obsessive-compulsive and related disorder due to a known physiological condition
  • Organic dissociative disorder
  • Organic emotionally labile [asthenic] disorder

Medicare LCD Coverage for F06.8

Local Coverage Determinations (LCDs) from CMS MACs that list F06.8 as a covered diagnosis.

361 LCDs

Showing top 10 of 361 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 F06.8.

21 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

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: Heavy Metal Testing
Policy ID: ART-56767

1 Aetna

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

CPT Codes Commonly Billed with F06.8

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

23 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
  • 83018 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
  • 82175 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
  • 82108 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD
  • 84630 CMS LCD: Billing and Coding: Heavy Metal Testing CMS LCD

Convert F06.8 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F06.8 2948 10000

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

Codes Adjacent To F06.8

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

ICD-10 F06.8, Billing FAQ

Is ICD-10 code F06.8 billable? +

Yes, F06.8 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 F06.8? +

ICD-10 F06.8 includes: Epileptic psychosis NOS; Obsessive-compulsive and related disorder due to a known physiological condition; Organic dissociative disorder, and 1 more clinical synonyms.

What CPT codes are commonly billed with F06.8? +

Procedures frequently paired with F06.8 include: XX000, G0156, G0299, G0152, G0155.

What ICD-9 codes does F06.8 map to? +

Per CMS GEMs, F06.8 maps to ICD-9 codes: 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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