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ICD-10 Guide
ICD-10 CodesF07.89

F07.89

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 F07.89 is a billable code used to indicate a diagnosis of other personality and behavioral disorders due to known physiological condition.

Key Diagnostic Point:

F07.89 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, cognition, and behavior, often resulting from underlying medical issues such as neurological disorders, metabolic imbalances, or chronic illnesses. Patients may exhibit symptoms such as irritability, impulsivity, or emotional instability, which can significantly impact their daily functioning and interpersonal relationships. The diagnosis requires a thorough assessment to establish a clear link between the physiological condition and the behavioral changes. Common conditions associated with F07.89 include traumatic brain injury, dementia, and endocrine disorders. Clinicians must differentiate these disorders from primary psychiatric conditions to ensure accurate coding and appropriate treatment.

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 medical history and documentation of the physiological condition.
  • Variability in symptoms and their presentation based on the underlying medical condition.
  • Potential overlap with other ICD-10 codes related to personality and behavioral disorders.

Audit Risk Factors

  • Inadequate documentation linking the physiological condition to behavioral changes.
  • Misclassification of symptoms as primary psychiatric disorders.
  • Failure to document the severity and impact of symptoms on daily functioning.
  • Lack of interdisciplinary notes that support the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments and imaging results.

Common Clinical Scenarios

Patients with traumatic brain injuries exhibiting personality changes.

Billing Considerations

Ensure clear documentation of the neurological condition and its impact on behavior.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluations and history of present illness.

Common Clinical Scenarios

Patients with dementia showing behavioral disturbances.

Billing Considerations

Differentiate between primary psychiatric disorders and those secondary to medical conditions.

Coding Guidelines

Inclusion Criteria

Use F07.89 When
  • According to ICD
  • 10 coding guidelines, F07
  • 89 should be used when there is clear evidence of a physiological condition that has led to personality and behavioral changes
  • Coders must ensure that the documentation supports the diagnosis and that the physiological condition is well
  • documented

Exclusion Criteria

Do NOT use F07.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90791CPT Code

Psychiatric diagnostic evaluation

Clinical Scenario

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

Documentation Requirements

Comprehensive history and mental status examination.

Specialty Considerations

Psychiatrists should document the link between the physiological condition and behavioral changes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of personality and behavioral disorders related to physiological conditions, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of personality and behavioral disorders related to physiological conditions, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

impact on the patient's behavior, including treatment plans and follow-up assessments.

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 F07.89?

Conditions such as traumatic brain injury, dementia, metabolic disorders, and chronic illnesses can lead to personality and behavioral changes classified under F07.89.