FY2025
Effective from
- Inherited rules changed
Psychotic disorder with hallucinations due to known physiological condition
Billable diagnosis code
CDC/NCHS · FY2025the underlying physiological condition
unspecified dementia (F03.-)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2025
Effective from
Psychotic disorder with hallucinations due to known physiological condition
Billable diagnosis code
CDC/NCHS · FY2025| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | Inherited rules changed |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
Organic hallucinatory state (nonalcoholic)
unspecified dementia (F03.-)
the underlying physiological condition
disorders of psychological development
This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| F06.1 | Catatonic disorder due to known physiological condition | Billable / specific |
| F06.2 | Psychotic disorder with delusions due to known physiological condition | Billable / specific |
| F06.3 | Mood disorder due to known physiological condition | Category · further specificity required |
| F06.4 | Anxiety disorder due to known physiological condition | Billable / specific |
| F06.7 | Mild neurocognitive disorder due to known physiological condition | Category · further specificity required |
| F06.8 | Other specified mental disorders due to known physiological condition | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗