What does ICD-10 code F54 mean?

F54 is the ICD-10-CM diagnosis code for Psychological and behavioral factors associated with disorders or diseases classified elsewhere. Psychological and behavioral factors associated with disorders or diseases classified elsewhere

Is F54 a billable ICD-10 code?

Yes, F54 is a billable ICD-10-CM code that can be used on medical claims.

What chapter is F54 in?

F54 is classified under Chapter 5: Mental, Behavioral and Neurodevelopmental disorders (F01-F99), Section F50-F59: Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59).

What are the includes and excludes for F54?

Excludes2 (not included here): tension-type headache (G44.2).

F54 Psychological and behavioral factors associated with disorders or diseases classified elsewhere

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The ICD-10-CM code for Psychological and behavioral factors associated with disorders or diseases classified elsewhere is F54 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter: 5: Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
Section: F50-F59: Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
Category F54: 1 code (1 billable)
FY2026 Status: Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to F54:

Asthma, asthmatic (bronchial) (catarrh) (spasmodic) › psychogenic
Dermatitis (eczematous) › psychogenic
Psychogenic › factors associated with physical conditions
Dermatosis › psychogenic
Gastritis (simple) › nervous
Factor (s) › psychic, associated with diseases classified elsewhere
Psoriasis › psychogenic
Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic) › mucous › psychogenic

Excludes2

Not included here. These conditions are coded elsewhere but may be coded together if applicable.

tension-type headache (G44.2)

Code First

the associated physical disorder, such as:
asthma (J45.-)
dermatitis (L23-L25)
gastric ulcer (K25.-)
mucous colitis (K58.-)
ulcerative colitis (K51.-)
urticaria (L50.-)

Inclusion Terms

Psychological factors affecting physical conditions

U.S. Hospital Utilization

An estimated 1,140 U.S. inpatient stays in 2023 included F54 among the documented diagnoses.

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