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

ICD-10 F07.89

Billable / Specific

Other personality and behavioral disorders due to known physiological condition

F07
Block
2
Synonyms
342
LCDs
14
Payer Policies
14
Linked CPTs

About ICD-10-CM F07.89

ICD-10-CM code F07.89 represents Other personality and behavioral disorders 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 F07.89 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F07.89. Per CMS ICD-10-CM Tabular 2026.

  • Postencephalitic syndrome
  • Right hemispheric organic affective disorder

Medicare LCD Coverage for F07.89

Local Coverage Determinations (LCDs) from CMS MACs that list F07.89 as a covered diagnosis.

342 LCDs

Showing top 10 of 342 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 F07.89.

14 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

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: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Magnetic Resonance Angiography
Policy ID: ART-56775

1 Aetna

Neuropsychological and Psychological Testing
Policy ID: CPB-0158

CPT Codes Commonly Billed with F07.89

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

14 linkages
  • 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
  • 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

Convert F07.89 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F07.89 31089 10000

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

Codes Adjacent To F07.89

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

ICD-10 F07.89, Billing FAQ

Is ICD-10 code F07.89 billable? +

Yes, F07.89 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 F07.89? +

ICD-10 F07.89 includes: Postencephalitic syndrome; Right hemispheric organic affective disorder.

What CPT codes are commonly billed with F07.89? +

Procedures frequently paired with F07.89 include: G0156, G0299, G0152, G0155, G0300.

What ICD-9 codes does F07.89 map to? +

Per CMS GEMs, F07.89 maps to ICD-9 codes: 31089. 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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