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ICD-10 Guide
ICD-10 CodesF07.0

F07.0

Billable

Personality change due to known physiological condition

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

Code Description

ICD-10 F07.0 is a billable code used to indicate a diagnosis of personality change due to known physiological condition.

Key Diagnostic Point:

F07.0 refers to personality changes that arise as a direct consequence of a known physiological condition. This can include changes in behavior, mood, and interpersonal relationships that are attributable to underlying medical issues such as neurological disorders, traumatic brain injuries, or metabolic disturbances. Patients may exhibit symptoms such as impulsivity, emotional instability, or social withdrawal, which can significantly impact their daily functioning and quality of life. The diagnosis requires a thorough assessment to establish a clear link between the physiological condition and the observed personality changes. Clinicians must consider the patient's medical history, neurological evaluations, and psychological assessments to accurately diagnose and document these changes. Treatment may involve addressing the underlying physiological condition, along with psychological support and therapy to help the patient cope with their altered personality traits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires comprehensive documentation linking personality changes to a specific physiological condition.
  • Differentiation from other mental health disorders that may present with similar symptoms.
  • Need for interdisciplinary collaboration between medical and mental health professionals.
  • Potential for overlapping symptoms with other ICD-10 codes, necessitating careful coding.

Audit Risk Factors

  • Inadequate documentation linking personality changes to the physiological condition.
  • Failure to include relevant medical history or neurological evaluations.
  • Misdiagnosis due to overlapping symptoms with other mental health disorders.
  • Lack of interdisciplinary notes from both medical and psychological evaluations.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, imaging results, and history of the physiological condition.

Common Clinical Scenarios

Patients with traumatic brain injuries exhibiting personality changes.

Billing Considerations

Ensure that neurological evaluations are comprehensive and clearly documented to support the diagnosis.

Psychiatry

Documentation Requirements

Psychiatric evaluations, treatment plans, and progress notes detailing personality changes.

Common Clinical Scenarios

Patients with dementia or other neurodegenerative diseases showing personality alterations.

Billing Considerations

Document the timeline of personality changes in relation to the onset of the physiological condition.

Coding Guidelines

Inclusion Criteria

Use F07.0 When
  • According to ICD
  • 10 coding guidelines, F07
  • 0 should be used when personality changes are directly linked to a known physiological condition
  • Coders must ensure that the documentation supports this link and that other potential causes are ruled out

Exclusion Criteria

Do NOT use F07.0 When
  • Exclusion criteria include personality changes not attributable to a physiological condition

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 history and mental status examination.

Specialty Considerations

Psychiatrists should document the link between the physiological condition and personality 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 changes related to physiological conditions, improving the accuracy of diagnoses and treatment plans. This specificity aids in better understanding the prevalence and impact of these changes in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of personality changes related to physiological conditions, improving the accuracy of diagnoses and treatment plans. This specificity aids in better understanding the prevalence and impact of these changes in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of personality changes related to physiological conditions, improving the accuracy of diagnoses and treatment plans. This specificity aids in better understanding the prevalence and impact of these changes in clinical practice.

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 F07.0?

Conditions such as traumatic brain injury, stroke, neurodegenerative diseases, and metabolic disorders can lead to personality changes classified under F07.0.