2019 ICD-10-CM Diagnosis Code F54

Psychological and behavioral factors associated with disorders or diseases classified elsewhere

    2016 2017 2018 2019 Billable/Specific Code Manifestation Code
  • F54 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Psych & behavrl factors assoc w disord or dis classd elswhr
  • The 2019 edition of ICD-10-CM F54 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of F54 - other international versions of ICD-10 F54 may differ.
ICD-10-CM Coding Rules
  • F54 describes the manifestation of an underlying disease, not the disease itself.
Applicable To
  • Psychological factors affecting physical conditions
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, 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.
  • the associated physical disorder, such as:
  • asthma (
    ICD-10-CM Diagnosis Code J45
    • J45 Asthma
      • J45.2 Mild intermittent asthma
        • J45.20 …… uncomplicated
        • J45.21 Mild intermittent asthma with (acute) exacerb...
        • J45.22 Mild intermittent asthma with status asthmati...
      • J45.3 Mild persistent asthma
        • J45.30 …… uncomplicated
        • J45.31 Mild persistent asthma with (acute) exacerbat...
        • J45.32 Mild persistent asthma with status asthmaticu...
      • J45.4 Moderate persistent asthma
        • J45.40 …… uncomplicated
        • J45.41 Moderate persistent asthma with (acute) exace...
        • J45.42 Moderate persistent asthma with status asthma...
      • J45.5 Severe persistent asthma
        • J45.50 …… uncomplicated
        • J45.51 Severe persistent asthma with (acute) exacerb...
        • J45.52 Severe persistent asthma with status asthmati...
      • J45.9 Other and unspecified asthma
    J45.-
    )
  • dermatitis (
    ICD-10-CM Diagnosis Code L23

    Allergic contact dermatitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    • dermatitis due to substances taken internally (L27.-)
    • dermatitis of eyelid (H01.1-)
    • diaper dermatitis (L22)
    • eczema of external ear (H60.5-)
    • irritant contact dermatitis (L24.-)
    • perioral dermatitis (L71.0)
    • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
    L23
    -
    ICD-10-CM Diagnosis Code L25

    Unspecified contact dermatitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • allergic contact dermatitis (L23.-)
    • allergy NOS (T78.40)
    • dermatitis NOS (L30.9)
    • irritant contact dermatitis (L24.-)
    Type 2 Excludes
    • dermatitis due to ingested substances (L27.-)
    • dermatitis of eyelid (H01.1-)
    • eczema of external ear (H60.5-)
    • perioral dermatitis (L71.0)
    • radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
    L25
    )
  • gastric ulcer (
    ICD-10-CM Diagnosis Code K25
    • K25 Gastric ulcer
      • K25.0 Acute gastric ulcer with hemorrhage
      • K25.1 Acute gastric ulcer with perforation
      • K25.2 Acute gastric ulcer with both hemorrhage and ...
      • K25.3 Acute gastric ulcer without hemorrhage or per...
      • K25.4 Chronic or unspecified gastric ulcer with hem...
      • K25.5 Chronic or unspecified gastric ulcer with per...
      • K25.6 Chronic or unspecified gastric ulcer with bot...
      • K25.7 Chronic gastric ulcer without hemorrhage or p...
      • K25.9 Gastric ulcer, unspecified as acute or chroni...
    K25.-
    )
  • mucous colitis (
    ICD-10-CM Diagnosis Code K58
    • K58 Irritable bowel syndrome
      • K58.0 Irritable bowel syndrome with diarrhea
      • K58.1 Irritable bowel syndrome with constipation
      • K58.2 Mixed irritable bowel syndrome
      • K58.8 Other irritable bowel syndrome
      • K58.9 Irritable bowel syndrome without diarrhea
    K58.-
    )
  • ulcerative colitis (
    ICD-10-CM Diagnosis Code K51
    • K51 Ulcerative colitis
      • K51.0 Ulcerative (chronic) pancolitis
        • K51.00 Ulcerative (chronic) pancolitis without compl...
        • K51.01 Ulcerative (chronic) pancolitis with complica...
          • K51.011 Ulcerative (chronic) pancolitis with rectal b...
          • K51.012 Ulcerative (chronic) pancolitis with intestin...
          • K51.013 Ulcerative (chronic) pancolitis with fistula
          • K51.014 Ulcerative (chronic) pancolitis with abscess
          • K51.018 Ulcerative (chronic) pancolitis with other co...
          • K51.019 Ulcerative (chronic) pancolitis with unspecif...
      • K51.2 Ulcerative (chronic) proctitis
        • K51.20 Ulcerative (chronic) proctitis without compli...
        • K51.21 Ulcerative (chronic) proctitis with complicat...
          • K51.211 Ulcerative (chronic) proctitis with rectal bl...
          • K51.212 Ulcerative (chronic) proctitis with intestina...
          • K51.213 Ulcerative (chronic) proctitis with fistula
          • K51.214 Ulcerative (chronic) proctitis with abscess
          • K51.218 Ulcerative (chronic) proctitis with other com...
          • K51.219 Ulcerative (chronic) proctitis with unspecifi...
      • K51.3 Ulcerative (chronic) rectosigmoiditis
        • K51.30 Ulcerative (chronic) rectosigmoiditis without...
        • K51.31 Ulcerative (chronic) rectosigmoiditis with co...
          • K51.311 Ulcerative (chronic) rectosigmoiditis with re...
          • K51.312 Ulcerative (chronic) rectosigmoiditis with in...
          • K51.313 Ulcerative (chronic) rectosigmoiditis with fi...
          • K51.314 Ulcerative (chronic) rectosigmoiditis with ab...
          • K51.318 Ulcerative (chronic) rectosigmoiditis with ot...
          • K51.319 Ulcerative (chronic) rectosigmoiditis with un...
      • K51.4 Inflammatory polyps of colon
        • K51.40 Inflammatory polyps of colon without complica...
        • K51.41 Inflammatory polyps of colon with complicatio...
          • K51.411 Inflammatory polyps of colon with rectal blee...
          • K51.412 Inflammatory polyps of colon with intestinal ...
          • K51.413 Inflammatory polyps of colon with fistula
          • K51.414 Inflammatory polyps of colon with abscess
          • K51.418 Inflammatory polyps of colon with other compl...
          • K51.419 Inflammatory polyps of colon with unspecified...
      • K51.5 Left sided colitis
        • K51.50 …… without complications
        • K51.51 Left sided colitis with complications
          • K51.511 Left sided colitis with rectal bleeding
          • K51.512 Left sided colitis with intestinal obstructio...
          • K51.513 Left sided colitis with fistula
          • K51.514 Left sided colitis with abscess
          • K51.518 Left sided colitis with other complication
          • K51.519 Left sided colitis with unspecified complicat...
      • K51.8 Other ulcerative colitis
        • K51.80 Other ulcerative colitis without complication...
        • K51.81 Other ulcerative colitis with complications
          • K51.811 Other ulcerative colitis with rectal bleeding...
          • K51.812 Other ulcerative colitis with intestinal obst...
          • K51.813 Other ulcerative colitis with fistula
          • K51.814 Other ulcerative colitis with abscess
          • K51.818 Other ulcerative colitis with other complicat...
          • K51.819 Other ulcerative colitis with unspecified com...
      • K51.9 Ulcerative colitis, unspecified
        • K51.90 Ulcerative colitis, unspecified, without comp...
        • K51.91 Ulcerative colitis, unspecified, with complic...
          • K51.911 Ulcerative colitis, unspecified with rectal b...
          • K51.912 Ulcerative colitis, unspecified with intestin...
          • K51.913 Ulcerative colitis, unspecified with fistula
          • K51.914 Ulcerative colitis, unspecified with abscess
          • K51.918 Ulcerative colitis, unspecified with other co...
          • K51.919 Ulcerative colitis, unspecified with unspecif...
    K51.-
    )
  • urticaria (
    ICD-10-CM Diagnosis Code L50
    • L50 Urticaria
      • L50.0 Allergic urticaria
      • L50.1 Idiopathic urticaria
      • L50.2 Urticaria due to cold and heat
      • L50.3 Dermatographic urticaria
      • L50.4 Vibratory urticaria
      • L50.5 Cholinergic urticaria
      • L50.6 Contact urticaria
      • L50.8 Other urticaria
      • L50.9 Urticaria, unspecified
    L50.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (F54) and the excluded code together.
  • tension-type headache (
    ICD-10-CM Diagnosis Code G44.2

    Tension-type headache

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    G44.2
    )
The following code(s) above F54 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 F54:
  • 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
  • Psychogenic skin disease
  • Psychological factors affecting medical condition
  • Psychosomatic factor in physical condition
  • Skin disease, psychogenic
ICD-10-CM F54 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 884 Organic disturbances and intellectual disability

Convert F54 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
Code annotations containing back-references to F54:
  • Type 2 Excludes: F45
    ICD-10-CM Diagnosis Code F45

    Somatoform disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • dissociative and conversion disorders (F44.-)
    • factitious disorders (F68.1-, F68.A)
    • hair-plucking (F63.3)
    • lalling (F80.0)
    • lisping (F80.0)
    • malingering [conscious simulation] (Z76.5)
    • nail-biting (F98.8)
    • psychological or behavioral factors associated with disorders or diseases classified elsewhere (F54)
    • sexual dysfunction, not due to a substance or known physiological condition (F52.-)
    • thumb-sucking (F98.8)
    • tic disorders (in childhood and adolescence) (F95.-)
    • Tourette's syndrome (F95.2)
    • trichotillomania (F63.3)

Diagnosis Index entries containing back-references to F54:
  • Asthma, asthmatic (bronchial) (catarrh) (spasmodic) J45.909
    ICD-10-CM Diagnosis Code J45.909

    Unspecified asthma, uncomplicated

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Asthma NOS
    Type 2 Excludes
    • lung diseases due to external agents (J60-J70)
    • psychogenic F54
  • Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic) R10.83
    ICD-10-CM Diagnosis Code R10.83

    Colic

      2016 2017 2018 2019 Billable/Specific Code Pediatric Dx (0-17 years)
    Applicable To
    • Colic NOS
    • Infantile colic
    Type 1 Excludes
    • colic in adult and child over 12 months old (R10.84)
    • mucous K58.9
      ICD-10-CM Diagnosis Code K58.9

      Irritable bowel syndrome without diarrhea

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Irritable bowel syndrome NOS
      • psychogenic F54
  • Colitis (acute) (catarrhal) (chronic) (noninfective) (hemorrhagic) K52.9
    - see also Enteritis
    ICD-10-CM Diagnosis Code K52.9

    Noninfective gastroenteritis and colitis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Colitis NOS
    • Enteritis NOS
    • Gastroenteritis NOS
    • Ileitis NOS
    • Jejunitis NOS
    • Sigmoiditis NOS
    Type 1 Excludes
    • diarrhea NOS (R19.7)
    • functional diarrhea (K59.1)
    • infectious gastroenteritis and colitis NOS (A09)
    • neonatal diarrhea (noninfective) (P78.3)
    • psychogenic diarrhea (F45.8)
    • membranous
      • psychogenic F54
    • mucous - see Syndrome, irritable, bowel
      • psychogenic F54
    • spastic K58.9
      ICD-10-CM Diagnosis Code K58.9

      Irritable bowel syndrome without diarrhea

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Irritable bowel syndrome NOS
      • psychogenic F54
    • ulcerative (chronic) K51.90
      ICD-10-CM Diagnosis Code K51.90

      Ulcerative colitis, unspecified, without complications

        2016 2017 2018 2019 Billable/Specific Code
      • psychogenic F54
  • Dermatitis (eczematous) L30.9
    ICD-10-CM Diagnosis Code L30.9

    Dermatitis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Eczema NOS
    • artefacta L98.1
      ICD-10-CM Diagnosis Code L98.1

      Factitial dermatitis

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Neurotic excoriation
      Type 1 Excludes
      • Excoriation (skin-picking) disorder (F42.4)
      • psychogenic F54
    • atopic L20.9
      ICD-10-CM Diagnosis Code L20.9

      Atopic dermatitis, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • psychogenic F54
    • facta, factitia, factitial L98.1
      ICD-10-CM Diagnosis Code L98.1

      Factitial dermatitis

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Neurotic excoriation
      Type 1 Excludes
      • Excoriation (skin-picking) disorder (F42.4)
      • psychogenic F54
    • psychogenic F54
  • Dermatosis L98.9
    ICD-10-CM Diagnosis Code L98.9

    Disorder of the skin and subcutaneous tissue, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    • psychogenic F54
  • Disorder (of) - see also Disease
    • psychogenic NOS F45.9
      - see also condition
      ICD-10-CM Diagnosis Code F45.9

      Somatoform disorder, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Psychosomatic disorder NOS
      • cutaneous F54
      • endocrine F54 (system)
      • skin F54 (allergic) (eczematous)
    • psychological F99
      ICD-10-CM Diagnosis Code F99

      Mental disorder, not otherwise specified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Mental illness NOS
      Type 1 Excludes
      • unspecified mental disorder due to known physiological condition (F09)
    • skin L98.9
      ICD-10-CM Diagnosis Code L98.9

      Disorder of the skin and subcutaneous tissue, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • psychogenic F54 (allergic) (eczematous)
  • Disturbance(s) - see also Disease
    • mental F99
      ICD-10-CM Diagnosis Code F99

      Mental disorder, not otherwise specified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Mental illness NOS
      Type 1 Excludes
      • unspecified mental disorder due to known physiological condition (F09)
      • associated with diseases classified elsewhere F54
  • Factor(s)
    • psychological
      • or behavioral
        • affecting general medical condition F54
        • associated with disorders or diseases classified elsewhere F54
      • affecting physical conditions F54
    • psychic, associated with diseases classified elsewhere F54
  • Gastritis (simple) K29.70
    ICD-10-CM Diagnosis Code K29.70

    Gastritis, unspecified, without bleeding

      2016 2017 2018 2019 Billable/Specific Code
    • nervous F54
  • Psoriasis L40.9
    ICD-10-CM Diagnosis Code L40.9

    Psoriasis, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    • psychogenic F54
  • Psychogenic - see also condition
    • factors associated with physical conditions F54
  • Tachycardia R00.0
    ICD-10-CM Diagnosis Code R00.0

    Tachycardia, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Rapid heart beat
    • Sinoauricular tachycardia NOS
    • Sinus [sinusal] tachycardia NOS
    Type 1 Excludes
    • neonatal tachycardia (P29.11)
    • paroxysmal tachycardia (I47.-)
    • paroxysmal (sustained) (nonsustained) I47.9
      ICD-10-CM Diagnosis Code I47.9

      Paroxysmal tachycardia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Bouveret (-Hoffman) syndrome
      • atrioventricular (AV) (re-entrant) I47.1
        ICD-10-CM Diagnosis Code I47.1

        Supraventricular tachycardia

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Atrial (paroxysmal) tachycardia
        • Atrioventricular [AV] (paroxysmal) tachycardia
        • Atrioventricular re-entrant (nodal) tachycardia [AVNRT] [AVRT]
        • Junctional (paroxysmal) tachycardia
        • Nodal (paroxysmal) tachycardia
        • psychogenic F54
      • supraventricular (sustained) I47.1
        ICD-10-CM Diagnosis Code I47.1

        Supraventricular tachycardia

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Atrial (paroxysmal) tachycardia
        • Atrioventricular [AV] (paroxysmal) tachycardia
        • Atrioventricular re-entrant (nodal) tachycardia [AVNRT] [AVRT]
        • Junctional (paroxysmal) tachycardia
        • Nodal (paroxysmal) tachycardia
        • psychogenic F54
      • ventricular I47.2
        ICD-10-CM Diagnosis Code I47.2

        Ventricular tachycardia

          2016 2017 2018 2019 Billable/Specific Code
        • psychogenic F54
      • psychogenic F54 (atrial) (supraventricular) (ventricular)
    • ventricular (paroxysmal) (sustained) I47.2
      ICD-10-CM Diagnosis Code I47.2

      Ventricular tachycardia

        2016 2017 2018 2019 Billable/Specific Code
      • psychogenic F54

ICD-10-CM Codes Adjacent To F54
F52.31 Female orgasmic disorder
F52.32 Male orgasmic disorder
F52.4 Premature ejaculation
F52.5 Vaginismus not due to a substance or known physiological condition
F52.6 Dyspareunia not due to a substance or known physiological condition
F52.8 Other sexual dysfunction not due to a substance or known physiological condition
F52.9 Unspecified sexual dysfunction not due to a substance or known physiological condition
F53 Mental and behavioral disorders associated with the puerperium, not elsewhere classified
F53.0 Postpartum depression
F53.1 Puerperal psychosis
F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere
F55 Abuse of non-psychoactive substances
F55.0 Abuse of antacids
F55.1 Abuse of herbal or folk remedies
F55.2 Abuse of laxatives
F55.3 Abuse of steroids or hormones
F55.4 Abuse of vitamins
F55.8 Abuse of other non-psychoactive substances
F59 Unspecified behavioral syndromes associated with physiological disturbances and physical factors
F60 Specific personality disorders
F60.0 Paranoid personality disorder

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