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Mental health professional conducting a psychiatric evaluation
ICD-10 F29
DSM-5 298.9

ICD-10 F29: Unspecified psychosis not due to a substance or known physiological condition

Formerly DSM-5 298.9Unspecified Schizophrenia Spectrum and Other Psychotic Disorder. Both codes describe the same diagnosis; ICD-10 F29 is the one an insurer expects on a superbill.

Category
Schizophrenia spectrum
Code Type
Mental health diagnosis

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Using ICD-10 F29 on a Superbill

ICD-10 code F29 (Unspecified psychosis not due to a substance or known physiological condition) is a schizophrenia spectrum code used on superbills for mental health therapy billing. Insurance companies require at least one ICD-10 code per superbill to process a reimbursement claim.

CPT Codes Commonly Used With F29

Common CPT codes paired with ICD-10 F29 include 90837 (60-min psychotherapy), 90834 (45-min psychotherapy), and 90791 (initial psychiatric evaluation). The CPT code reflects the service rendered, not the diagnosis.

Clinical Criteria

Clinically significant psychotic symptoms causing distress or impairment where the clinician does not specify the reason for not meeting full criteria for a named psychotic disorder. Not attributable to substances or medical conditions.

DSM-5 Cross-Reference

DSM-5 298.9 — Unspecified Schizophrenia Spectrum and Other Psychotic Disorder

Common CPT Pairings

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