ICD-10 · PDGM grouping
F50-F59 — Behavioral syndromes associated with physiological disturbances and physical factors
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
66
No clinical group
5
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
61 of the 66 codes in F50-F59 group to Behavioral Health. A further 5 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in F50-F59
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- F50Eating disorders30 codes
- F51Sleep disorders not due to a substance or known physiological condition15 codes
- F52Sexual dysfunction not due to a substance or known physiological condition11 codes
- F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified2 codes
- F54Psychological and behavioral factors associated with disorders or diseases classified elsewhere1 code
- F55Abuse of non-psychoactive substances6 codes
- F59Unspecified behavioral syndromes associated with physiological disturbances and physical factors1 code
Every code in F50-F59
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| F5000 | Anorexia nervosa, unspecified | F | Can lead a claim |
| F50010 | Anorexia nervosa, restricting type, mild | F | Can lead a claim |
| F50011 | Anorexia nervosa, restricting type, moderate | F | Can lead a claim |
| F50012 | Anorexia nervosa, restricting type, severe | F | Can lead a claim |
| F50013 | Anorexia nervosa, restricting type, extreme | F | Can lead a claim |
| F50014 | Anorexia nervosa, restricting type, in remission | F | Can lead a claim |
| F50019 | Anorexia nervosa, restricting type, unspecified | None | Cannot lead a claim |
| F50020 | Anorexia nervosa, binge eating/purging type, mild | F | Can lead a claim |
| F50021 | Anorexia nervosa, binge eating/purging type, moderate | F | Can lead a claim |
| F50022 | Anorexia nervosa, binge eating/purging type, severe | F | Can lead a claim |
| F50023 | Anorexia nervosa, binge eating/purging type, extreme | F | Can lead a claim |
| F50024 | Anorexia nervosa, binge eating/purging type, in remission | F | Can lead a claim |
| F50029 | Anorexia nervosa, binge eating/purging type, unspecified | None | Cannot lead a claim |
| F5020 | Bulimia nervosa, unspecified | None | Cannot lead a claim |
| F5021 | Bulimia nervosa, mild | F | Can lead a claim |
| F5022 | Bulimia nervosa, moderate | F | Can lead a claim |
| F5023 | Bulimia nervosa, severe | F | Can lead a claim |
| F5024 | Bulimia nervosa, extreme | F | Can lead a claim |
| F5025 | Bulimia nervosa, in remission | F | Can lead a claim |
| F50810 | Binge eating disorder, mild | F | Can lead a claim |
| F50811 | Binge eating disorder, moderate | F | Can lead a claim |
| F50812 | Binge eating disorder, severe | F | Can lead a claim |
| F50813 | Binge eating disorder, extreme | F | Can lead a claim |
| F50814 | Binge eating disorder, in remission | F | Can lead a claim |
| F50819 | Binge eating disorder, unspecified | None | Cannot lead a claim |
| F5082 | Avoidant/restrictive food intake disorder | F | Can lead a claim |
| F5083 | Pica in adults | F | Can lead a claim |
| F5084 | Rumination disorder in adults | F | Can lead a claim |
| F5089 | Other specified eating disorder | F | Can lead a claim |
| F509 | Eating disorder, unspecified | F | Can lead a claim |
| F5101 | Primary insomnia | F | Can lead a claim |
| F5102 | Adjustment insomnia | F | Can lead a claim |
| F5103 | Paradoxical insomnia | F | Can lead a claim |
| F5104 | Psychophysiologic insomnia | F | Can lead a claim |
| F5105 | Insomnia due to other mental disorder | F | Can lead a claim |
| F5109 | Oth insomnia not due to a substance or known physiol cond | F | Can lead a claim |
| F5111 | Primary hypersomnia | F | Can lead a claim |
| F5112 | Insufficient sleep syndrome | F | Can lead a claim |
| F5113 | Hypersomnia due to other mental disorder | F | Can lead a claim |
| F5119 | Oth hypersomnia not due to a substance or known physiol cond | F | Can lead a claim |
| F513 | Sleepwalking [somnambulism] | F | Can lead a claim |
| F514 | Sleep terrors [night terrors] | F | Can lead a claim |
| F515 | Nightmare disorder | F | Can lead a claim |
| F518 | Oth sleep disord not due to a sub or known physiol cond | F | Can lead a claim |
| F519 | Sleep disorder not due to a sub or known physiol cond, unsp | F | Can lead a claim |
| F520 | Hypoactive sexual desire disorder | F | Can lead a claim |
| F521 | Sexual aversion disorder | F | Can lead a claim |
| F5221 | Male erectile disorder | F | Can lead a claim |
| F5222 | Female sexual arousal disorder | F | Can lead a claim |
| F5231 | Female orgasmic disorder | F | Can lead a claim |
| F5232 | Male orgasmic disorder | F | Can lead a claim |
| F524 | Premature ejaculation | F | Can lead a claim |
| F525 | Vaginismus not due to a substance or known physiol condition | F | Can lead a claim |
| F526 | Dyspareunia not due to a substance or known physiol cond | F | Can lead a claim |
| F528 | Oth sexual dysfnct not due to a sub or known physiol cond | F | Can lead a claim |
| F529 | Unsp sexual dysfnct not due to a sub or known physiol cond | F | Can lead a claim |
| F530 | Postpartum depression | F | Can lead a claim |
| F531 | Puerperal psychosis | F | Can lead a claim |
| F54 | Psych & behavrl factors assoc w disord or dis classd elswhr | None | Cannot lead a claim |
| F550 | Abuse of antacids | F | Can lead a claim |
| F551 | Abuse of herbal or folk remedies | F | Can lead a claim |
| F552 | Abuse of laxatives | F | Can lead a claim |
| F553 | Abuse of steroids or hormones | F | Can lead a claim |
| F554 | Abuse of vitamins | F | Can lead a claim |
| F558 | Abuse of other non-psychoactive substances | F | Can lead a claim |
| F59 | Unsp behavrl synd assoc w physiol disturb and physcl factors | F | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue