ICD10BillableValid for clinical use

ICD-10 Code F28: Other psychotic disorder not due to a substance or known physiological condition

F28 is a billable ICD-10 diagnosis code used to classify Other psychotic disorder not due to a substance or known physiological condition in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Mental, Behavioral and Neurodevelopmental disorders (F01-F99).

Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Mental, Behavioral and Neurodevelopmental disorders (F01-F99).

When is it used?

  • May be used when a clinician documents other psychotic disorder not due to a substance or known physiological condition in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
5Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
block
F20-F29Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
currentF20-F29

Official coding notes

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

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

PsychiatristClinical Psychologist

Coverage-related procedures and services

CPT 90847high
FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT PRESENT), 50 MINUTES
Source: CMS coverage guidance
CPT 90846high
FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT), 50 MINUTES
Source: CMS coverage guidance
CPT 90785high
INTERACTIVE COMPLEXITY (LIST SEPARATELY IN ADDITION TO THE CODE FOR PRIMARY PROCEDURE)
Source: CMS coverage guidance
CPT 90791high
PSYCHIATRIC DIAGNOSTIC EVALUATION
Source: CMS coverage guidance
CPT 90792high
PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES
Source: CMS coverage guidance
CPT 96137high
PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION AND SCORING BY PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, TWO OR MORE TESTS, ANY METHOD; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Source: CMS coverage guidance

Coding guidelines

Compatibility

Legacy and official ICD code match exactly.
Legacy codes
F28

Common synonyms

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

Frequently asked questions

Code details

CodeF28
SystemICD10
Display nameOther psychotic disorder not due to a substance or known physiological condition
ChapterMental, Behavioral and Neurodevelopmental disorders (F01-F99)
BlockSchizophrenia, schizotypal, delusional, and other non-mood psychotic disorders

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Disorder(of)Hallucinosis(chronic)Insanity, insaneMenopause, menopausal(asymptomatic) (state)Psychosis, psychoticPsychosis, psychoticPsychosis, psychoticSchizophrenia, schizophrenic

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

ICD-10 Code F28 for Other psychotic disorder not due to a substance or known physiological condition | HealthAssure