DRG 884

Organic disturbances and intellectual disability

ICD-10-CM F01.50

Vascular dementia without behavioral disturbance

    2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
  • Major neurocognitive disorder without behavioral disturbance
ICD-10-CM F01.51

Vascular dementia with behavioral disturbance

    2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
  • Major neurocognitive disorder due to vascular disease, with behavioral disturbance
  • Major neurocognitive disorder with aggressive behavior
  • Major neurocognitive disorder with combative behavior
  • Major neurocognitive disorder with violent behavior
  • Vascular dementia with aggressive behavior
  • Vascular dementia with combative behavior
  • Vascular dementia with violent behavior
Use Additional
  • code, if applicable, to identify wandering in vascular dementia (Z91.83)
ICD-10-CM F02.80

Dementia in other diseases classified elsewhere without behavioral disturbance

    2016 2017 2018 Billable/Specific Code Manifestation Code
Applicable To
  • Dementia in other diseases classified elsewhere NOS
  • Major neurocognitive disorder in other diseases classified elsewhere
ICD-10-CM F02.81

Dementia in other diseases classified elsewhere with behavioral disturbance

    2016 2017 2018 Billable/Specific Code Manifestation Code
Applicable To
  • Dementia in other diseases classified elsewhere with aggressive behavior
  • Dementia in other diseases classified elsewhere with combative behavior
  • Dementia in other diseases classified elsewhere with violent behavior
  • Major neurocognitive disorder in other diseases classified elsewhere with aggressive behavior
  • Major neurocognitive disorder in other diseases classified elsewhere with combative behavior
  • Major neurocognitive disorder in other diseases classified elsewhere with violent behavior
Use Additional
  • code, if applicable, to identify wandering in dementia in conditions classified elsewhere (Z91.83)
ICD-10-CM F03.90

Unspecified dementia without behavioral disturbance

    2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
  • Dementia NOS
ICD-10-CM F03.91

Unspecified dementia with behavioral disturbance

    2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
  • Unspecified dementia with aggressive behavior
  • Unspecified dementia with combative behavior
  • Unspecified dementia with violent behavior
Use Additional
  • code, if applicable, to identify wandering in unspecified dementia (Z91.83)
ICD-10-CM F04

Amnestic disorder due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Korsakov's psychosis or syndrome, nonalcoholic
Code First
  • the underlying physiological condition
Type 1 Excludes
  • amnesia NOS (R41.3)
  • anterograde amnesia (R41.1)
  • dissociative amnesia (F44.0)
  • retrograde amnesia (R41.2)
Type 2 Excludes
ICD-10-CM F06.0

Psychotic disorder with hallucinations due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Organic hallucinatory state (nonalcoholic)
Type 2 Excludes
  • hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)
  • schizophrenia (F20.-)
ICD-10-CM F06.1

Catatonic disorder due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Catatonia associated with another mental disorder
  • Catatonia NOS
Type 1 Excludes
Type 2 Excludes
  • catatonic schizophrenia (F20.2)
  • dissociative stupor (F44.2)
ICD-10-CM F06.2

Psychotic disorder with delusions due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Paranoid and paranoid-hallucinatory organic states
  • Schizophrenia-like psychosis in epilepsy
Type 2 Excludes
  • alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
  • brief psychotic disorder (F23)
  • delusional disorder (F22)
  • schizophrenia (F20.-)
ICD-10-CM F06.30

Mood disorder due to known physiological condition, unspecified

    2016 2017 2018 Billable/Specific Code
ICD-10-CM F06.31

Mood disorder due to known physiological condition with depressive features

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Depressive disorder due to known physiological condition, with depressive features
ICD-10-CM F06.32

Mood disorder due to known physiological condition with major depressive-like episode

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Depressive disorder due to known physiological condition, with major depressive-like episode
ICD-10-CM F06.33

Mood disorder due to known physiological condition with manic features

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Bipolar and related disorder due to a known physiological condition, with manic features
  • Bipolar and related disorder due to known physiological condition, with manic- or hypomanic-like episodes
ICD-10-CM F06.34

Mood disorder due to known physiological condition with mixed features

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Bipolar and related disorder due to known physiological condition, with mixed features
  • Depressive disorder due to known physiological condition, with mixed features
ICD-10-CM F06.4

Anxiety disorder due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Type 2 Excludes
  • anxiety disorders due to alcohol and other psychoactive substances (F10-F19 with .180, .280, .980)
  • anxiety disorders, not due to known physiological condition or unspecified (F40.-, F41.-)
ICD-10-CM F06.8

Other specified mental disorders due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Epileptic psychosis NOS
  • Obsessive-compulsive and related disorder due to a known physiological condition
  • Organic dissociative disorder
  • Organic emotionally labile [asthenic] disorder
ICD-10-CM F07.0

Personality change due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Frontal lobe syndrome
  • Limbic epilepsy personality syndrome
  • Lobotomy syndrome
  • Organic personality disorder
  • Organic pseudopsychopathic personality
  • Organic pseudoretarded personality
  • Postleucotomy syndrome
Code First
  • underlying physiological condition
Type 1 Excludes
  • mild cognitive impairment (G31.84)
  • postconcussional syndrome (F07.81)
  • postencephalitic syndrome (F07.89)
  • signs and symptoms involving emotional state (R45.-)
Type 2 Excludes
  • specific personality disorder (F60.-)
ICD-10-CM F07.9

Unspecified personality and behavioral disorder due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Organic psychosyndrome
ICD-10-CM F09

Unspecified mental disorder due to known physiological condition

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Mental disorder NOS due to known physiological condition
  • Organic brain syndrome NOS
  • Organic mental disorder NOS
  • Organic psychosis NOS
  • Symptomatic psychosis NOS
Code First
  • the underlying physiological condition
Type 1 Excludes
  • psychosis NOS (F29)
ICD-10-CM F53

Puerperal psychosis

    2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
Applicable To
  • Postpartum depression
Type 1 Excludes
ICD-10-CM F54

Psychological and behavioral factors associated with disorders or diseases classified elsewhere

    2016 2017 2018 Billable/Specific Code Manifestation Code
Applicable To
  • Psychological factors affecting physical conditions
Code First
  • the associated physical disorder, such as:
  • asthma (J45.-)
  • dermatitis (L23-L25)
  • gastric ulcer (K25.-)
  • mucous colitis (K58.-)
  • ulcerative colitis (K51.-)
  • urticaria (L50.-)
Type 2 Excludes
  • tension-type headache (G44.2)
ICD-10-CM F63.3

Trichotillomania

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Hair plucking
Type 2 Excludes
  • other stereotyped movement disorder (F98.4)
ICD-10-CM F70

Mild intellectual disabilities

    2016 2017 2018 Billable/Specific Code
Applicable To
  • IQ level 50-55 to approximately 70
  • Mild mental subnormality
ICD-10-CM F71

Moderate intellectual disabilities

    2016 2017 2018 Billable/Specific Code
Applicable To
  • IQ level 35-40 to 50-55
  • Moderate mental subnormality
ICD-10-CM F72

Severe intellectual disabilities

    2016 2017 2018 Billable/Specific Code
Applicable To
  • IQ 20-25 to 35-40
  • Severe mental subnormality
ICD-10-CM F73

Profound intellectual disabilities

    2016 2017 2018 Billable/Specific Code
Applicable To
  • IQ level below 20-25
  • Profound mental subnormality
ICD-10-CM F78

Other intellectual disabilities

    2016 2017 2018 Billable/Specific Code
ICD-10-CM F79

Unspecified intellectual disabilities

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Mental deficiency NOS
  • Mental subnormality NOS
ICD-10-CM F84.0

Autistic disorder

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Autism spectrum disorder
  • Infantile autism
  • Infantile psychosis
  • Kanner's syndrome
Type 1 Excludes
  • Asperger's syndrome (F84.5)
ICD-10-CM F84.3

Other childhood disintegrative disorder

    2016 2017 2018 Billable/Specific Code Pediatric Dx (0-17 years)
Applicable To
  • Dementia infantilis
  • Disintegrative psychosis
  • Heller's syndrome
  • Symbiotic psychosis
Type 1 Excludes
  • Asperger's syndrome (F84.5)
  • Autistic disorder (F84.0)
  • Rett's syndrome (F84.2)
Use Additional
  • code to identify any associated neurological condition.
ICD-10-CM Q90.0

Trisomy 21, nonmosaicism (meiotic nondisjunction)

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q90.1

Trisomy 21, mosaicism (mitotic nondisjunction)

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q90.2

Trisomy 21, translocation

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q90.9

Down syndrome, unspecified

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Trisomy 21 NOS
ICD-10-CM Q91.0

Trisomy 18, nonmosaicism (meiotic nondisjunction)

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.1

Trisomy 18, mosaicism (mitotic nondisjunction)

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.2

Trisomy 18, translocation

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.3

Trisomy 18, unspecified

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.4

Trisomy 13, nonmosaicism (meiotic nondisjunction)

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.5

Trisomy 13, mosaicism (mitotic nondisjunction)

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.6

Trisomy 13, translocation

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q91.7

Trisomy 13, unspecified

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q93.3

Deletion of short arm of chromosome 4

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Wolff-Hirschorn syndrome
ICD-10-CM Q93.4

Deletion of short arm of chromosome 5

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Cri-du-chat syndrome
ICD-10-CM Q93.5

Other deletions of part of a chromosome

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Angelman syndrome
ICD-10-CM Q93.7

Deletions with other complex rearrangements

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Deletions due to unbalanced translocations, inversions and insertions
Code Also
  • any associated duplications due to unbalanced translocations, inversions and insertions (Q92.5)
ICD-10-CM Q93.81

Velo-cardio-facial syndrome

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Deletion 22q11.2
ICD-10-CM Q93.88

Other microdeletions

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Miller-Dieker syndrome
  • Smith-Magenis syndrome
ICD-10-CM Q93.89

Other deletions from the autosomes

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Deletions identified by fluorescence in situ hybridization (FISH)
  • Deletions identified by in situ hybridization (ISH)
  • Deletions seen only at prometaphase
ICD-10-CM Q93.9

Deletion from autosomes, unspecified

    2016 2017 2018 Billable/Specific Code POA Exempt
ICD-10-CM Q99.2

Fragile X chromosome

    2016 2017 2018 Billable/Specific Code POA Exempt
Applicable To
  • Fragile X syndrome
ICD-10-CM R40.4

Transient alteration of awareness

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R41.81

Age-related cognitive decline

    2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
  • Senility NOS
ICD-10-CM R41.841

Cognitive communication deficit

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R41.843

Psychomotor deficit

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R41.844

Frontal lobe and executive function deficit

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R41.89

Other symptoms and signs involving cognitive functions and awareness

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Anosognosia
ICD-10-CM R45.1

Restlessness and agitation

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R45.81

Low self-esteem

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R45.82

Worries

    2016 2017 2018 Billable/Specific Code
ICD-10-CM R54

Age-related physical debility

    2016 2017 2018 Billable/Specific Code Adult Dx (15-124 years)
Applicable To
  • Frailty
  • Old age
  • Senescence
  • Senile asthenia
  • Senile debility
Type 1 Excludes