2021 ICD-10-CM Diagnosis Code F07.81

Postconcussional syndrome

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • F07.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM F07.81 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of F07.81 - other international versions of ICD-10 F07.81 may differ.
Applicable To
  • Postcontusional syndrome (encephalopathy)
  • Post-traumatic brain syndrome, nonpsychotic
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify associated post-traumatic headache, if applicable (
    ICD-10-CM Diagnosis Code G44.3

    Post-traumatic headache

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    G44.3-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as F07.81. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • current concussion (brain) (
    ICD-10-CM Diagnosis Code S06.0

    Concussion

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Commotio cerebri
    Type 1 Excludes
    • concussion with other intracranial injuries classified in subcategories S06.1- to S06.6- , S06.81- and S06.82- code to specified intracranial injury
    S06.0-
    )
  • postencephalitic syndrome (
    ICD-10-CM Diagnosis Code F07.89

    Other personality and behavioral disorders due to known physiological condition

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Postencephalitic syndrome
    • Right hemispheric organic affective disorder
    F07.89
    )
The following code(s) above F07.81 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to F07.81:
  • F01-F99
    2021 ICD-10-CM Range F01-F99

    Mental, Behavioral and Neurodevelopmental disorders

    Includes
    • disorders of psychological development
    Type 2 Excludes
    • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
    Mental, Behavioral and Neurodevelopmental disorders
  • F01-F09
    2021 ICD-10-CM Range F01-F09

    Mental disorders due to known physiological conditions

    Note
    • 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.
    Mental disorders due to known physiological conditions
  • F07
    ICD-10-CM Diagnosis Code F07

    Personality and behavioral disorders due to known physiological condition

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    • the underlying physiological condition
    Personality and behavioral disorders due to known physiological condition
Approximate Synonyms
  • Postconcussion syndrome
Clinical Information
  • The organic and psychogenic disturbances observed after closed head injuries (head injuries, closed). Post-concussion syndrome includes subjective physical complaints (i.e. Headache, dizziness), cognitive, emotional, and behavioral changes. These disturbances can be chronic, permanent, or late emerging.
ICD-10-CM F07.81 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 102 Headaches with mcc
  • 103 Headaches without mcc

Convert F07.81 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to F07.81:
  • Type 1 Excludes: F07.0
    ICD-10-CM Diagnosis Code F07.0

    Personality change due to known physiological condition

      2016 2017 2018 2019 2020 2021 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.-)

Diagnosis Index entries containing back-references to F07.81:
  • Concussion (brain) (cerebral) (current) S06.0X9
    ICD-10-CM Diagnosis Code S06.0X9

    Concussion with loss of consciousness of unspecified duration

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Concussion NOS
    • syndrome F07.81
  • Disorder (of) - see also Disease
    • mental (or behavioral) (nonpsychotic) F99
      ICD-10-CM Diagnosis Code F99

      Mental disorder, not otherwise specified

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Mental illness NOS
      Type 1 Excludes
      • unspecified mental disorder due to known physiological condition (F09)
      • following organic brain damage F07.9
        ICD-10-CM Diagnosis Code F07.9

        Unspecified personality and behavioral disorder due to known physiological condition

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Organic psychosyndrome
        • postconcussional syndrome F07.81
    • postconcussional F07.81
  • Encephalopathy (acute) G93.40
    ICD-10-CM Diagnosis Code G93.40

    Encephalopathy, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • Encephalosis, posttraumatic F07.81
  • Postconcussional syndrome F07.81
  • Postcontusional syndrome F07.81
  • Post-traumatic brain syndrome, nonpsychotic F07.81
  • Psychopathy, psychopathic
    • constitution, post-traumatic F07.81
  • Punch drunk F07.81
  • Status (post) - see also Presence (of)
    • postcommotio cerebri F07.81
  • Syndrome - see also Disease
    • brain (nonpsychotic) F09
      ICD-10-CM Diagnosis Code F09

      Unspecified mental disorder due to known physiological condition

        2016 2017 2018 2019 2020 2021 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)
      • organic F09
        ICD-10-CM Diagnosis Code F09

        Unspecified mental disorder due to known physiological condition

          2016 2017 2018 2019 2020 2021 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)
      • postcontusional F07.81
      • post-traumatic, nonpsychotic F07.81
    • concussion F07.81
    • postconcussional F07.81
    • postcontusional F07.81

ICD-10-CM Codes Adjacent To F07.81
F06.30 …… unspecified
F06.31 …… with depressive features
F06.32 …… with major depressive-like episode
F06.33 …… with manic features
F06.34 …… with mixed features
F06.4 Anxiety disorder due to known physiological condition
F06.8 Other specified mental disorders due to known physiological condition
F07 Personality and behavioral disorders due to known physiological condition
F07.0 Personality change due to known physiological condition
F07.8 Other personality and behavioral disorders due to known physiological condition
F07.81 Postconcussional syndrome
F07.89 Other personality and behavioral disorders due to known physiological condition
F07.9 Unspecified personality and behavioral disorder due to known physiological condition
F09 Unspecified mental disorder due to known physiological condition
F10 Alcohol related disorders
F10.1 Alcohol abuse
F10.10 …… uncomplicated
F10.11 …… in remission
F10.12 Alcohol abuse with intoxication
F10.120 …… uncomplicated
F10.121 …… delirium

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.