F05 Delirium due to known physiological condition

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Delirium due to known physiological condition is F05 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
F01-F09: Mental disorders due to known physiological conditions (F01-F09)
Category F05
1 code (1 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to F05:

  • Sundowning
  • Twilight state › epileptic
  • Epilepsy, epileptic, epilepsia (attack) (cerebral) (convulsion) (fit) (seizure) › twilight
  • Psychosis, psychotic › infective (acute) (subacute)
  • Delirium, delirious (acute or subacute) (not alcohol- or drug-induced) › postprocedural (postoperative)
  • Confusion, confused › epileptic
  • Delirium, delirious (acute or subacute) (not alcohol- or drug-induced) › puerperal
  • Puerperal, puerperium (complicated by, complications) › delirium NEC
Excludes1
Not coded here. These conditions should NOT be coded together with F05.
  • delirium NOS (R41.0)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • delirium tremens alcohol-induced or unspecified (F10.231, F10.921)
Code First
  • the underlying physiological condition, such as:
  • dementia (F03.9-)

Inclusion Terms

  • Acute or subacute brain syndrome
  • Acute or subacute confusional state (nonalcoholic)
  • Acute or subacute infective psychosis
  • Acute or subacute organic reaction
  • Acute or subacute psycho-organic syndrome
  • Delirium of mixed etiology
  • Delirium superimposed on dementia
  • Sundowning

U.S. Hospital Utilization

  • An estimated 381,900 U.S. inpatient stays in 2023 included F05 among the documented diagnoses.
  • 1,710 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Pain disorders related to psychological factors (TOC entry)

a. Pain disorders related to psychological factors ..................................................................... 43

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.5.a
Psychoactive substance use disorders (TOC entry)

b. Mental and behavioral disorders due to psychoactive substance use ................................... 43

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.5.b

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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