Is F06.2 a mental health diagnosis?

Yes, code F06.2 is identified as a mental health diagnosis.

Is F06.2 an acceptable principal diagnosis?

No, code F06.2 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).

F06.2 Billable Code

Psychotic disorder with delusions 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

alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
brief psychotic disorder (F23)
delusional disorder (F22)
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

Stop wrestling with ICD-10 lookup tables.

Bedrock Billing automatically validates diagnosis codes.

Start Pricing Claims