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

ICD-10 R46.81

Billable / Specific

Obsessive-compulsive behavior

R46
Block
0
Synonyms
38
LCDs
1
Payer Policies
1
Linked CPTs

About ICD-10-CM R46.81

ICD-10-CM code R46.81 represents Obsessive-compulsive behavior. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R46). The 2026 edition of ICD-10-CM R46.81 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with R46.81. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • obsessive-compulsive disorder (F42.-)

Medicare LCD Coverage for R46.81

Local Coverage Determinations (LCDs) from CMS MACs that list R46.81 as a covered diagnosis.

38 LCDs

Showing top 10 of 38 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96146 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90839 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90870 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90865 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT G0018 →
CMS LCD: Billing and Coding: Psychiatric Codes
Article ID: 57130, Effective: 2025-10-01 00:00:00, 1673 covered, 1 non-covered
CPT 90837 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R46.81.

1 policies

1 Medicare

Billing and Coding: Psychiatric Codes
Policy ID: ART-57130

CPT Codes Commonly Billed with R46.81

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

1 linkages
  • 90791 Psychiatric diagnostic evaluation — any mental health dx for initial assessment, suicidal ideation, hallucinations, antisocial behavior Psychiatry

Convert R46.81 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R46.81 79989 10000
R46.81 V4039 10000

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

ICD-10 R46.81, Billing FAQ

Is ICD-10 code R46.81 billable? +

Yes, R46.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for R46.81? +

Type 1 Excludes (never code together with R46.81): obsessive-compulsive disorder (F42.-)

What CPT codes are commonly billed with R46.81? +

Procedures frequently paired with R46.81 include: 90791.

What ICD-9 codes does R46.81 map to? +

Per CMS GEMs, R46.81 maps to ICD-9 codes: 79989, V4039. 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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