ICD-10 F07
Non-Billable HeaderPersonality and behavioral disorders due to known physiological condition
About ICD-10-CM F07
ICD-10-CM code F07 represents Personality and behavioral disorders due to known physiological condition. This is a non-billable header code in the Mental, Behavioral, and Neurodevelopmental chapter (block F07). The 2026 edition of ICD-10-CM F07 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.
Coding Notes
Code First
- the underlying physiological condition
Medicare LCD Coverage for F07
Local Coverage Determinations (LCDs) from CMS MACs that list F07 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 F07.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but F07 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with F07
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 F07
Other codes in section F01-F09 (Mental disorders due to known physiological conditions).
ICD-10 F07, Billing FAQ
Is ICD-10 code F07 billable? +
No, F07 is a non-billable header code. Use a more specific child code from block F07 when submitting claims.
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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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