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

ICD-10 F42.2

Billable / Specific

Mixed obsessional thoughts and acts

F42
Block
0
Synonyms
274
LCDs
16
Payer Policies
5
Linked CPTs

About ICD-10-CM F42.2

ICD-10-CM code F42.2 represents Mixed obsessional thoughts and acts. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F42). The 2026 edition of ICD-10-CM F42.2 became effective on October 1, 2025.

Medicare LCD Coverage for F42.2

Local Coverage Determinations (LCDs) from CMS MACs that list F42.2 as a covered diagnosis.

274 LCDs

Showing top 10 of 274 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: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90847 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0560 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT G0017 →
CMS LCD: Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Article ID: 57520, Effective: 2025-01-01 00:00:00, 582 covered, 1 non-covered
CPT 90837 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F42.2.

16 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

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: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052

CPT Codes Commonly Billed with F42.2

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

5 linkages
  • 90834 Psychotherapy 45 min — GAD, anxiety, MDD, recurrent depression, PTSD, adjustment disorder, BPD, OCD, bipolar, ADHD, autism, anorexia, bulimia Psychiatry
  • 90837 Psychotherapy 60 min — same as 90834 plus substance use disorders, severe depression Psychiatry
  • 90791 Psychiatric diagnostic evaluation — any mental health dx for initial assessment, suicidal ideation, hallucinations, antisocial behavior Psychiatry
  • 90833 Psychotherapy 30 min add-on to E/M — anxiety, depression, PTSD, bipolar, OCD, BPD, ADHD Psychiatry
  • 90836 Psychotherapy 45 min add-on to E/M — anxiety, depression, PTSD, bipolar, OCD, BPD, substance use Psychiatry

Convert F42.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F42.2 3003 10000

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

ICD-10 F42.2, Billing FAQ

Is ICD-10 code F42.2 billable? +

Yes, F42.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with F42.2? +

Procedures frequently paired with F42.2 include: 90834, 90837, 90791, 90833, 90836.

What ICD-9 codes does F42.2 map to? +

Per CMS GEMs, F42.2 maps to ICD-9 codes: 3003. 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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