Is F06.0 a mental health diagnosis?

Yes, code F06.0 is identified as a mental health diagnosis.

Is F06.0 an acceptable principal diagnosis?

No, code F06.0 is identified as an unacceptable principal diagnosis (Edit 113) due to OPPS coding requirements. However, this exclusion is ignored for specific bill types (12x, 22x, 81x, 82x).

F06.0 Billable Code

Psychotic disorder with hallucinations due to known physiological condition

Effective From: 10/01/2016

Chapter Classification

Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

Section Detail

F01-F09 Mental disorders due to known physiological conditions (F01-F09)

Code Hierarchy

This code is a child of F06.

Coding Guidelines & Notes

excludes2

hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)
schizophrenia (F20.-)

OPPS Editing Flags

External Cause No

Mental Health Yes

Manifestation (Edit 89) No

Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No

Unacceptable PDX (Edit 113) Yes

PDX Exclusion Logic

OPPS Required: Yes
Bill Type Override: Yes

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