Is ICD-10-CM code F48 billable?

No, F48 (Other nonpsychotic mental 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 F48 belong to?

F48 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F48Not billable, use a more specific code below

Other nonpsychotic mental disorders

In Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

4 billable codes under F48: none are a CC or MCC; 1 map to HCC 153 (Personality Disorders; Anorexia/Bulimia Nervosa).An HCC counts toward a Medicare Advantage patient's risk score.

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 F48

F48 can't be used on a claim. Pick a billable code below; grey headings group them.

F48 MS-DRGs

As the principal diagnosis, the billable codes under F48 group to MS-DRG 882, 056, 057, or 880 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 882 Neuroses Except Depressive (2 of 4 codes)
DRG 056 Degenerative Nervous System Disorders with MCC (1 of 4 codes)
DRG 057 Degenerative Nervous System Disorders without MCC (1 of 4 codes)
DRG 880 Acute Adjustment Reaction and Psychosocial Dysfunction (1 of 4 codes)

Other codes that refer to F48

Notes on these codes point to F48.

F93.0 Excludes2: nonpsychotic mental disorders (F40-F48)

About the condition

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

Mental Disorders

Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..

Code history

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