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

ICD-10 F40.01

Billable / Specific

Agoraphobia with panic disorder

F40
Block
1
Synonyms
446
LCDs
18
Payer Policies
0
Linked CPTs

About ICD-10-CM F40.01

ICD-10-CM code F40.01 represents Agoraphobia with panic disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F40). The 2026 edition of ICD-10-CM F40.01 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F40.01. Per CMS ICD-10-CM Tabular 2026.

  • Panic disorder with agoraphobia

Type 1 Excludes

Pure excludes, these codes can never be coded together with F40.01. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • panic disorder without agoraphobia (F41.0)

Medicare LCD Coverage for F40.01

Local Coverage Determinations (LCDs) from CMS MACs that list F40.01 as a covered diagnosis.

446 LCDs

Showing top 10 of 446 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0156 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0299 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0152 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0155 →
CMS LCD: Billing and Coding: Home Health - Psychiatric Care
Article ID: 56756, Effective: 2023-11-09 00:00:00, 595 covered, 0 non-covered
CPT G0300 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81227 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81328 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81335 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 0071U →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F40.01.

18 policies

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56614
Billing and Coding: Home Health - Psychiatric Care
Policy ID: ART-56756
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-56850
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-56865
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937

CPT Codes Commonly Billed with F40.01

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

No procedure linkages on file for F40.01

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.

Convert F40.01 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F40.01 30021 00000

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

ICD-10 F40.01, Billing FAQ

Is ICD-10 code F40.01 billable? +

Yes, F40.01 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 F40.01? +

ICD-10 F40.01 includes: Panic disorder with agoraphobia.

What codes are Type 1 Excludes for F40.01? +

Type 1 Excludes (never code together with F40.01): panic disorder without agoraphobia (F41.0)

What ICD-9 codes does F40.01 map to? +

Per CMS GEMs, F40.01 maps to ICD-9 codes: 30021. 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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