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

ICD-10 F48.2

Billable / Specific

Pseudobulbar affect

F48
Block
1
Synonyms
368
LCDs
15
Payer Policies
9
Linked CPTs

About ICD-10-CM F48.2

ICD-10-CM code F48.2 represents Pseudobulbar affect. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F48). The 2026 edition of ICD-10-CM F48.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F48.2. Per CMS ICD-10-CM Tabular 2026.

  • Involuntary emotional expression disorder

Coding Notes

Code First

  • underlying cause, if known, such as:
  • amyotrophic lateral sclerosis (G12.21)
  • multiple sclerosis (G35-)
  • sequelae of cerebrovascular disease (I69.-)
  • sequelae of traumatic intracranial injury (S06.-)

Medicare LCD Coverage for F48.2

Local Coverage Determinations (LCDs) from CMS MACs that list F48.2 as a covered diagnosis.

368 LCDs

Showing top 10 of 368 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 F48.2.

15 policies

2 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
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

CPT Codes Commonly Billed with F48.2

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

9 linkages
  • 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
  • 97165 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 92610 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 92526 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD
  • 97167 CMS LCD: Billing and Coding: Outpatient Occupational Therapy CMS LCD

Convert F48.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F48.2 31081 00000

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

ICD-10 F48.2, Billing FAQ

Is ICD-10 code F48.2 billable? +

Yes, F48.2 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 F48.2? +

ICD-10 F48.2 includes: Involuntary emotional expression disorder.

What CPT codes are commonly billed with F48.2? +

Procedures frequently paired with F48.2 include: 97168, 97166, 92626, 29086, 92627.

What ICD-9 codes does F48.2 map to? +

Per CMS GEMs, F48.2 maps to ICD-9 codes: 31081. 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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