F06.0 Psychotic disorder with hallucinations due to known physiological condition

✓ Billable ICD-10-CM 2026
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The ICD-10-CM code for Psychotic disorder with hallucinations due to known physiological condition is F06.0 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
F01-F09: Mental disorders due to known physiological conditions (F01-F09)
Category F06
15 codes (12 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to F06.0:

  • Hallucinosis (chronic) › organic
  • State (of) › organic › hallucinatory (nonalcoholic)
  • Syndrome › psycho-organic (nonpsychotic severity) › hallucinatory type
  • Syndrome › organic › hallucinosis
  • State (of) › transient organic psychotic NEC › hallucinatory type
  • State (of) › psychotic, organic › transient NEC › with › hallucinations
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)
  • schizophrenia (F20.-)

Inclusion Terms

  • Organic hallucinatory state (nonalcoholic)

U.S. Hospital Utilization

  • An estimated 435 U.S. inpatient stays in 2023 included F06.0 among the documented diagnoses.
  • 90 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

Related Codes

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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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