Is ICD-10-CM code F53 billable?

No, F53 (Mental and behavioral disorders associated with the puerperium, not elsewhere classified) 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 F53 belong to?

F53 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F53Not billable, use a more specific code below

Mental and behavioral disorders associated with the puerperium, not elsewhere classified

In Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

2 billable codes under F53: none are a CC or MCC; 1 map to HCC 152 (Psychosis, Except Schizophrenia).An HCC counts toward a Medicare Advantage patient's risk score.

Instructional notes

Excludes1: not coded here, use a different code

mood disorders with psychotic features (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
postpartum dysphoria (O90.6)
psychosis in schizophrenia, schizotypal, delusional, and other psychotic disorders (F20-F29)

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 F53

F53 can't be used on a claim. Pick a billable code below; grey headings group them.

F53 MS-DRGs

As the principal diagnosis, the billable codes under F53 group to MS-DRG 881 or 885 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 881 Depressive Neuroses (1 of 2 codes)
DRG 885 Psychoses (1 of 2 codes)

Other codes that refer to F53

Notes on these codes point to F53.

CH15 Excludes2: mental and behavioral disorders associated with the puerperium (F53.-)
O85-O92 Excludes2: mental and behavioral disorders associated with the puerperium (F53.-)

About the condition

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

Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges. : In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

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.

FY2019: Subcodes were added, so F53 is no longer billable on its own. Title changed. It was: Puerperal psychosis. New codes for cases coded here before: F53.0 (Postpartum depression), F53.1 (Puerperal psychosis).

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

293.89 Other specified transient mental disorders due to conditions classified elsewhere, other (approximate)

ICD-9 to ICD-10 converter