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

ICD-10 F69

Billable / Specific

Unspecified disorder of adult personality and behavior

F69
Block
0
Synonyms
53
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM F69

ICD-10-CM code F69 represents Unspecified disorder of adult personality and behavior. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F69). The 2026 edition of ICD-10-CM F69 became effective on October 1, 2025.

Medicare LCD Coverage for F69

Local Coverage Determinations (LCDs) from CMS MACs that list F69 as a covered diagnosis.

53 LCDs

Showing top 10 of 53 total . Click a CPT for full coverage scope.

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 →
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 90834 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F69.

4 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

3 Medicare

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 F69

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

No procedure linkages on file for F69

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 F69 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F69 3019 10000

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

ICD-10 F69, Billing FAQ

Is ICD-10 code F69 billable? +

Yes, F69 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does F69 map to? +

Per CMS GEMs, F69 maps to ICD-9 codes: 3019. 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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