F05
Billable

Delirium due to known physiological condition

Billable / Specific Code

What is Delirium due to known physiological condition?

ICD-10-CM F05 is the diagnosis code for Delirium due to known physiological condition. This code falls under the section "Mental disorders due to known physiological conditions" within Chapter 5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for F05

✅ This Code Includes

  • 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

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as F05. They are mutually exclusive:

  • delirium NOS (R41.0)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in F05. If the patient has both, code each condition separately:

  • delirium tremens alcohol-induced or unspecified (F10.231, F10.921)

ICD-10-CM Code Hierarchy

Understanding where F05 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is F05 a billable ICD-10-CM code?

Yes, F05 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does F05 mean?

F05 is the ICD-10-CM diagnosis code for "Delirium due to known physiological condition". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is F05 in?

F05 is located in Section F01-F09 — "Mental disorders due to known physiological conditions" within Chapter 5 of the ICD-10-CM Tabular List.

When should I use F05?

Use F05 when the patients documented diagnosis matches "Delirium due to known physiological condition" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Delirium due to known physiological condition?

The ICD-10-CM code for Delirium due to known physiological condition is F05.

Can F05 be used for primary diagnosis?

Yes, F05 can be used as a primary diagnosis code since it is billable and specific.

What chapter is F05 in?

F05 is in Chapter 5 of the ICD-10-CM Tabular List.

What conditions are excluded from F05?

Type 1 Excludes for F05 include: delirium NOS (R41.0).

Is F05 valid for 2026?

Yes, F05 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousF04Amnestic disorder due to known physiological conditionNext →F06Other mental disorders due to known physiological condition
Code Details
F05
Delirium due to known physiological condition
Billable / Specific Code
5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
F01-F09 — Mental disorders due to known physiological conditions
2026 ICD-10-CM