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

ICD-10 F59

Billable / Specific

Unspecified behavioral syndromes associated with physiological disturbances and physical factors

F59
Block
1
Synonyms
81
LCDs
6
Payer Policies
0
Linked CPTs

About ICD-10-CM F59

ICD-10-CM code F59 represents Unspecified behavioral syndromes associated with physiological disturbances and physical factors. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F59). The 2026 edition of ICD-10-CM F59 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F59. Per CMS ICD-10-CM Tabular 2026.

  • Psychogenic physiological dysfunction NOS

Medicare LCD Coverage for F59

Local Coverage Determinations (LCDs) from CMS MACs that list F59 as a covered diagnosis.

81 LCDs

Showing top 10 of 81 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: 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 →
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 90792 →
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 90791 →
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 90833 →
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 90845 →
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 90840 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F59.

6 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-57053
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-57480
Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy Services
Policy ID: ART-57520
Billing and Coding: Psychological and Neuropsychological Tests
Policy ID: ART-57780

CPT Codes Commonly Billed with F59

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

No procedure linkages on file for F59

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 F59 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F59 3068 10000

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

ICD-10 F59, Billing FAQ

Is ICD-10 code F59 billable? +

Yes, F59 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 F59? +

ICD-10 F59 includes: Psychogenic physiological dysfunction NOS.

What ICD-9 codes does F59 map to? +

Per CMS GEMs, F59 maps to ICD-9 codes: 3068. 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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