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

ICD-10 F07.0

Billable / Specific

Personality change due to known physiological condition

F07
Block
7
Synonyms
400
LCDs
14
Payer Policies
15
Linked CPTs

About ICD-10-CM F07.0

ICD-10-CM code F07.0 represents Personality change due to known physiological condition. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F07). The 2026 edition of ICD-10-CM F07.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F07.0. Per CMS ICD-10-CM Tabular 2026.

  • Frontal lobe syndrome
  • Limbic epilepsy personality syndrome
  • Lobotomy syndrome
  • Organic personality disorder
  • Organic pseudopsychopathic personality
  • Organic pseudoretarded personality
  • Postleucotomy syndrome

Type 1 Excludes

Pure excludes, these codes can never be coded together with F07.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • mild cognitive impairment (G31.84)
  • postconcussional syndrome (F07.81)
  • postencephalitic syndrome (F07.89)
  • signs and symptoms involving emotional state (R45.-)

Type 2 Excludes

Not included here, the excluded code is not part of F07.0, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • specific personality disorder (F60.-)

Medicare LCD Coverage for F07.0

Local Coverage Determinations (LCDs) from CMS MACs that list F07.0 as a covered diagnosis.

400 LCDs

Showing top 10 of 400 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 F07.0.

14 policies

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
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: Psychiatry and Psychology Services
Policy ID: ART-56937

2 Aetna

Neuropsychological and Psychological Testing
Policy ID: CPB-0158
Ocular Photoscreening
Policy ID: CPB-0689

CPT Codes Commonly Billed with F07.0

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

15 linkages
  • 97168 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 97166 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 92626 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 29086 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 92627 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 97165 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 92610 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 92526 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 97167 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • G2169 CMS LCD: Billing and Coding: Home Health Occupational Therapy CMS LCD

Convert F07.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F07.0 3100 10000
F07.0 3101 10000

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

Codes Adjacent To F07.0

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

ICD-10 F07.0, Billing FAQ

Is ICD-10 code F07.0 billable? +

Yes, F07.0 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 F07.0? +

ICD-10 F07.0 includes: Frontal lobe syndrome; Limbic epilepsy personality syndrome; Lobotomy syndrome, and 4 more clinical synonyms.

What codes are Type 1 Excludes for F07.0? +

Type 1 Excludes (never code together with F07.0): mild cognitive impairment (G31.84); postconcussional syndrome (F07.81); postencephalitic syndrome (F07.89)

What codes are Type 2 Excludes for F07.0? +

Type 2 Excludes (may be coded together when both conditions exist): specific personality disorder (F60.-)

What CPT codes are commonly billed with F07.0? +

Procedures frequently paired with F07.0 include: 97168, 97166, 92626, 29086, 92627.

What ICD-9 codes does F07.0 map to? +

Per CMS GEMs, F07.0 maps to ICD-9 codes: 3100, 3101. 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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