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ICD-10-CM 2027 diagnosis code

F54Psychological and behavioral factors associated with disorders or diseases classified elsewhere

✓ Billable / specificManifestation — not principal

F54 is a valid, billable ICD-10-CM code for psychological and behavioral factors associated with disorders or diseases classified elsewhere. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Psych & behavrl factors assoc w disord or dis classd elswhr

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About F54

F54 is the ICD-10-CM diagnosis code for psychological and behavioral factors associated with disorders or diseases classified elsewhere. It belongs to block F50-F59 (behavioral syndromes associated with physiological disturbances and physical factors) and chapter 5 (mental, Behavioral and Neurodevelopmental disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The conditions in its Excludes2 note aren't part of F54, but may be coded alongside it if the patient has both: tension-type headache (G44.2).

Code first the associated physical disorder, such as: asthma (J45.-), dermatitis (L23-L25), gastric ulcer (K25.-), mucous colitis (K58.-) and 2 more.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 884 (Organic Disturbances and Intellectual Disability, relative weight 1.6001), in MDC 19 (Mental Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is a manifestation code, so it describes the effect of an underlying disease and can't be the principal diagnosis. Code the underlying condition first.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 316 (Psychic factors associated with diseases classified elsewhere).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Psychological factors affecting physical conditions
Excludes2Not included here — may be reported together if both conditions exist
  • tension-type headache (G44.2)
Code firstSequence the underlying condition first
  • the associated physical disorder, such as:
  • asthma (J45.-)
  • dermatitis (L23-L25)
  • gastric ulcer (K25.-)
  • mucous colitis (K58.-)
  • ulcerative colitis (K51.-)
  • urticaria (L50.-)

Notes that apply from higher levels

Instructions written at a parent level also apply to F54.

Alphabetic index entries

29 entries

Terms in the official ICD-10-CM index that lead to F54.

Codes whose notes reference F54

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 316Psychic factors associated with diseases classified elsewhereexact

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about F54

Is F54 billable?

Yes. F54 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can F54 be used as a principal diagnosis?

No. It is a manifestation code, so it describes the effect of an underlying disease and can't be the principal diagnosis. Code the underlying condition first.

Is F54 a CC or MCC?

No. F54 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does F54 group to?

F54 is used in the MS-DRG v44.0 logic for MS-DRG 884 (Organic Disturbances and Intellectual Disability). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for F54?

The CMS General Equivalence Mappings map F54 to ICD-9-CM 316.