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

ICD-10 F43.9

Billable / Specific

Reaction to severe stress, unspecified

F43
Block
2
Synonyms
81
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM F43.9

ICD-10-CM code F43.9 represents Reaction to severe stress, unspecified. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F43). The 2026 edition of ICD-10-CM F43.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F43.9. Per CMS ICD-10-CM Tabular 2026.

  • Trauma and stressor-related disorder, NOS
  • Unspecified trauma and stressor-related disorder

Medicare LCD Coverage for F43.9

Local Coverage Determinations (LCDs) from CMS MACs that list F43.9 as a covered diagnosis.

81 LCDs

Showing top 10 of 81 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT 80306 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96130 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F43.9.

5 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

4 Medicare

Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-57480
Billing and Coding: Psychological and Neuropsychological Tests
Policy ID: ART-57780

CPT Codes Commonly Billed with F43.9

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

No procedure linkages on file for F43.9

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 F43.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F43.9 3099 10000

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

ICD-10 F43.9, Billing FAQ

Is ICD-10 code F43.9 billable? +

Yes, F43.9 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 F43.9? +

ICD-10 F43.9 includes: Trauma and stressor-related disorder, NOS; Unspecified trauma and stressor-related disorder.

What ICD-9 codes does F43.9 map to? +

Per CMS GEMs, F43.9 maps to ICD-9 codes: 3099. 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 May 31, 2026.

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