ICD-10 · PDGM grouping
F59 Unspecified behavioral syndromes associated with physiological disturbances and physical factors
The one code in the F59 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
1
Can lead a claim
1
Cannot lead a claim
0
What CMS assigns to F59
This code groups to Behavioral Health. It is assigned no comorbidity subgroup. It can lead a claim.
The F59 code
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F59 | Unspecified behavioral syndromes associated with physiological disturbances and physical factorsCMS: Unsp behavrl synd assoc w physiol disturb and physcl factors | Can lead a claim | F | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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