2019 ICD-10-CM Diagnosis Code F28

Other psychotic disorder not due to a substance or known physiological condition

    2016 2017 2018 2019 Billable/Specific Code
  • F28 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Oth psych disorder not due to a sub or known physiol cond
  • The 2019 edition of ICD-10-CM F28 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of F28 - other international versions of ICD-10 F28 may differ.
Applicable To
  • Chronic hallucinatory psychosis
  • Other specified schizophrenia spectrum and other psychotic disorder
The following code(s) above F28 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 F28:
  • F01-F99
    2019 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
Approximate Synonyms
  • Persistent auditory hallucinations
ICD-10-CM F28 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 885 Psychoses
  • 974 Hiv with major related condition with mcc
  • 975 Hiv with major related condition with cc
  • 976 Hiv with major related condition without cc/mcc

Convert F28 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

Diagnosis Index entries containing back-references to F28:
  • Disorder (of) - see also Disease
    • schizophrenia spectrum and other psychotic disorder F29
      ICD-10-CM Diagnosis Code F29

      Unspecified psychosis not due to a substance or known physiological condition

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Psychosis NOS
      • Unspecified schizophrenia spectrum and other psychotic disorder
      Type 1 Excludes
      • mental disorder NOS (F99)
      • unspecified mental disorder due to known physiological condition (F09)
      • specified NEC F28
  • Hallucinosis (chronic) F28
  • Insanity, insane - see also Psychosis
  • Menopause, menopausal (asymptomatic) (state) Z78.0
    ICD-10-CM Diagnosis Code Z78.0

    Asymptomatic menopausal state

      2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Female Dx POA Exempt
    Applicable To
    • Menopausal state NOS
    • Postmenopausal status NOS
    Type 2 Excludes
    • symptomatic menopausal state (N95.1)
    • psychosis NEC F28
  • Psychosis, psychotic F29
    ICD-10-CM Diagnosis Code F29

    Unspecified psychosis not due to a substance or known physiological condition

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Psychosis NOS
    • Unspecified schizophrenia spectrum and other psychotic disorder
    Type 1 Excludes
    • mental disorder NOS (F99)
    • unspecified mental disorder due to known physiological condition (F09)
    • involutional F28
    • nonorganic F29
      ICD-10-CM Diagnosis Code F29

      Unspecified psychosis not due to a substance or known physiological condition

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Psychosis NOS
      • Unspecified schizophrenia spectrum and other psychotic disorder
      Type 1 Excludes
      • mental disorder NOS (F99)
      • unspecified mental disorder due to known physiological condition (F09)
      • specified NEC F28
    • hallucinatory, chronic F28
  • Schizophrenia, schizophrenic F20.9
    ICD-10-CM Diagnosis Code F20.9

    Schizophrenia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    • spectrum and other psychotic disorder F29
      ICD-10-CM Diagnosis Code F29

      Unspecified psychosis not due to a substance or known physiological condition

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Psychosis NOS
      • Unspecified schizophrenia spectrum and other psychotic disorder
      Type 1 Excludes
      • mental disorder NOS (F99)
      • unspecified mental disorder due to known physiological condition (F09)
      • specified NEC F28

ICD-10-CM Codes Adjacent To F28
F20.9 Schizophrenia, unspecified
F21 Schizotypal disorder
F22 Delusional disorders
F23 Brief psychotic disorder
F24 Shared psychotic disorder
F25 Schizoaffective disorders
F25.0 Schizoaffective disorder, bipolar type
F25.1 Schizoaffective disorder, depressive type
F25.8 Other schizoaffective disorders
F25.9 Schizoaffective disorder, unspecified
F28 Other psychotic disorder not due to a substance or known physiological condition
F29 Unspecified psychosis not due to a substance or known physiological condition
F30 Manic episode
F30.1 Manic episode without psychotic symptoms
F30.10 …… unspecified
F30.11 …… mild
F30.12 …… moderate
F30.13 Manic episode, severe, without psychotic symptoms
F30.2 Manic episode, severe with psychotic symptoms
F30.3 Manic episode in partial remission
F30.4 Manic episode in full remission

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