F28
Billable

Other psychotic disorder not due to a substance or known physiological condition

Billable / Specific Code

What is Other psychotic disorder not due to a substance or known physiological condition?

ICD-10-CM F28 is the diagnosis code for Other psychotic disorder not due to a substance or known physiological condition. This code falls under the section "Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders" 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

Coding Guidelines for F28

✅ This Code Includes

  • Chronic hallucinatory psychosis
  • Other specified schizophrenia spectrum and other psychotic disorder

ICD-10-CM Code Hierarchy

Understanding where F28 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeF28 — Other psychotic disorder not due to a substance or known physiological condition
Related Codes

Frequently Asked Questions

Is F28 a billable ICD-10-CM code?

Yes, F28 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does F28 mean?

F28 is the ICD-10-CM diagnosis code for "Other psychotic disorder not due to a substance or known physiological condition". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is F28 in?

F28 is located in Section F20-F29 — "Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders" within Chapter 5 of the ICD-10-CM Tabular List.

When should I use F28?

Use F28 when the patients documented diagnosis matches "Other psychotic disorder not due to a substance or 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 Other psychotic disorder not due to a substance or known physiological condition?

The ICD-10-CM code for Other psychotic disorder not due to a substance or known physiological condition is F28.

Can F28 be used for primary diagnosis?

Yes, F28 can be used as a primary diagnosis code since it is billable and specific.

What chapter is F28 in?

F28 is in Chapter 5 of the ICD-10-CM Tabular List.

Is F28 valid for 2026?

Yes, F28 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousF25.9Schizoaffective disorder, unspecifiedNext →F29Unspecified psychosis not due to a substance or known physiological condition
Code Details
F28
Other psychotic disorder not due to a substance or known physiological condition
Billable / Specific Code
5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
F20-F29 — Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
2026 ICD-10-CM