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ICD-10 Guide
ICD-10 CodesF07.8

F07.8

Billable

Other personality and behavioral disorders due to known physiological condition

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F07.8 is a billable code used to indicate a diagnosis of other personality and behavioral disorders due to known physiological condition.

Key Diagnostic Point:

F07.8 encompasses a range of personality and behavioral disorders that arise as a direct consequence of a known physiological condition. These disorders can manifest in various ways, including changes in mood, behavior, and personality traits. Common physiological conditions that may lead to these disorders include neurological diseases (such as Alzheimer's disease or traumatic brain injury), endocrine disorders (like Cushing's syndrome), and metabolic disturbances. Patients may exhibit symptoms such as irritability, impulsivity, emotional instability, and social withdrawal. The diagnosis requires a thorough assessment to differentiate these disorders from primary psychiatric conditions, ensuring that the underlying physiological cause is identified and addressed. Treatment often involves a multidisciplinary approach, including medical management of the physiological condition and psychological support to help the patient cope with personality changes. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary psychiatric disorders and secondary disorders due to physiological conditions.
  • Need for comprehensive documentation of the underlying physiological condition.
  • Variability in symptoms and their presentation across different patients.
  • Potential overlap with other ICD-10 codes related to personality disorders.

Audit Risk Factors

  • Inadequate documentation linking the physiological condition to the behavioral disorder.
  • Failure to specify the nature of the personality changes.
  • Misclassification of the disorder as a primary psychiatric condition.
  • Lack of follow-up documentation to support ongoing treatment.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation notes, including history of present illness and any relevant medical history.

Common Clinical Scenarios

Patients with neurological disorders presenting with personality changes, such as after a stroke or traumatic brain injury.

Billing Considerations

Psychiatrists must ensure that the physiological condition is clearly documented to support the diagnosis of F07.8.

Neurology

Documentation Requirements

Neurological assessments, imaging results, and detailed patient history.

Common Clinical Scenarios

Patients with dementia or other neurodegenerative diseases exhibiting behavioral changes.

Billing Considerations

Neurologists should collaborate with psychiatrists to provide a comprehensive view of the patient's condition.

Coding Guidelines

Inclusion Criteria

Use F07.8 When
  • According to ICD
  • 10 coding guidelines, F07
  • 8 should be used when a personality or behavioral disorder is directly attributable to a known physiological condition
  • Coders must ensure that the physiological condition is documented in the medical record and that the behavioral symptoms are clearly linked to it

Exclusion Criteria

Do NOT use F07.8 When
  • Exclusion criteria include primary personality disorders not related to physiological conditions

Related ICD-10 Codes

Related CPT Codes

90791CPT Code

Psychiatric diagnostic evaluation

Clinical Scenario

Used when evaluating a patient with personality changes due to a physiological condition.

Documentation Requirements

Comprehensive evaluation notes including history, mental status exam, and treatment plan.

Specialty Considerations

Psychiatrists should ensure that the evaluation includes a thorough review of the patient's medical history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of personality and behavioral disorders related to physiological conditions, improving the ability to track and manage these complex cases. It emphasizes the importance of documenting the physiological basis for behavioral changes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of personality and behavioral disorders related to physiological conditions, improving the ability to track and manage these complex cases. It emphasizes the importance of documenting the physiological basis for behavioral changes.

Reimbursement & Billing Impact

impact on the patient's behavior. Providers should ensure that all relevant clinical information is included in the medical record to support the diagnosis and treatment plan.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of physiological conditions can lead to F07.8?

F07.8 can be associated with a variety of physiological conditions, including neurological disorders (like dementia), endocrine disorders (such as Cushing's syndrome), and metabolic disorders that affect brain function.

How can I differentiate F07.8 from primary personality disorders?

To differentiate F07.8 from primary personality disorders, it is essential to establish a clear link between the behavioral changes and a known physiological condition, supported by thorough documentation.