Is ICD-10-CM code F25 billable?

No, F25 (Schizoaffective disorders) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code F25 belong to?

F25 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F25Not billable, use a more specific code below

Schizoaffective disorders

In Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

4 billable codes under F25: none are a CC or MCC; all map to HCC 151 (Schizophrenia).An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Excludes1: not coded here, use a different code

mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
schizophrenia (F20.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers psychological pain disorders, substance use, abuse, dependence and remission, factitious disorder including Munchausen by proxy, and dementia severity.

Pain disorders related to psychological factors (page 43)
Mental and behavioral disorders due to psychoactive substance use (page 43)
Factitious Disorder (page 44)
Dementia (page 45)

Read Section I.C.5 (page 43)

All codes under F25

F25 can't be used on a claim. Pick a billable code below; grey headings group them.

F25 MS-DRG

As the principal diagnosis, all 4 billable codes under F25 group to MS-DRG 885 (v44.0).

DRG 885 Psychoses

Other codes that refer to F25

Notes on these codes point to F25.

F20 Excludes1: schizoaffective disorder (F25.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Psychotic Disorders

Psychotic disorders are severe mental disorders that cause abnormal thinking and perceptions. People with psychoses lose touch with reality. Two of the main symptoms are delusions and hallucinations. Delusions are false beliefs, such as thinking that someone is plotting against you or that the TV is sending you secret messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that is not there.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.