ICD-10 F07.81
Billable / SpecificPostconcussional syndrome
About ICD-10-CM F07.81
ICD-10-CM code F07.81 represents Postconcussional syndrome. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F07). The 2026 edition of ICD-10-CM F07.81 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F07.81. Per CMS ICD-10-CM Tabular 2026.
- Postcontusional syndrome (encephalopathy)
- Post-traumatic brain syndrome, nonpsychotic
Type 1 Excludes
Pure excludes, these codes can never be coded together with F07.81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- current concussion (brain) (S06.0-)
- postencephalitic syndrome (F07.89)
Use Additional Code
When coding F07.81, also report these additional codes when applicable.
- code to identify associated post-traumatic headache, if applicable (G44.3-)
Medicare LCD Coverage for F07.81
Local Coverage Determinations (LCDs) from CMS MACs that list F07.81 as a covered diagnosis.
Showing top 10 of 292 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F07.81.
1 Cigna
5 Medicare
1 Aetna
CPT Codes Commonly Billed with F07.81
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 95857 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92512 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92617 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92520 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92630 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92612 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92606 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92618 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 92650 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
- 31579 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
Convert F07.81 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F07.81 | 3102 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F07.81
Other codes in section F01-F09 (Mental disorders due to known physiological conditions).
ICD-10 F07.81, Billing FAQ
Is ICD-10 code F07.81 billable? +
Yes, F07.81 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 F07.81? +
ICD-10 F07.81 includes: Postcontusional syndrome (encephalopathy); Post-traumatic brain syndrome, nonpsychotic.
What codes are Type 1 Excludes for F07.81? +
Type 1 Excludes (never code together with F07.81): current concussion (brain) (S06.0-); postencephalitic syndrome (F07.89)
What CPT codes are commonly billed with F07.81? +
Procedures frequently paired with F07.81 include: 95857, 92512, 92617, 92520, 92630.
What ICD-9 codes does F07.81 map to? +
Per CMS GEMs, F07.81 maps to ICD-9 codes: 3102. 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 July 16, 2026.
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