InnovaRx Innova Health Strategies

F05

Delirium due to known physiological condition

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 3 never code together
F05code
Excludes1
Excludes2
F01-F99chapter
Excludes2
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)R00-R99

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 12
F05code
Inclusion terms
  • 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
Code first
F01-F09block
Notes
  • This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.
F01-F99chapter
Includes
  • disorders of psychological development
Index entries leading here 12
  • State (of)
    • confusional (psychogenic) F44.89
      • acute — see also Delirium
        • with
          • senility or dementia F05
      • epileptic F05
    • twilight
      • epileptic F05
  • Senile, senility R41.81
    • with
      • acute confusional state F05
  • Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) F03.90
    • with
      • acute confusional state F05
  • Psychosis, psychotic F29
    • organic F09
      • due to or associated with
        • infection
          • brain (intracranial) F06.8
            • acute or subacute F05
        • trauma, brain (birth) (from electric current) (surgical) F06.8
          • acute or subacute F05
        • disease
          • endocrine or metabolic F06.8
            • acute or subacute F05
        • epilepsy transient (acute) F05
      • infective F06.8
        • acute or subacute F05
      • post-traumatic F06.8
        • acute or subacute F05
    • confusional F29
      • acute or subacute F05
    • infective (acute) (subacute) F05
  • Syndrome — see also Disease
    • psycho-organic (nonpsychotic severity) F07.9
      • acute or subacute F05
  • Insanity, insane — see also Psychosis
    • confusional F28
      • acute or subacute F05
  • Confusion, confused R41.0
    • epileptic F05
  • Delirium, delirious (acute or subacute) (not alcohol- or drug-induced) R41.0
    • due to (secondary to)
      • general medical condition F05
      • multiple etiologies F05
    • postprocedural (postoperative) F05
    • puerperal F05
    • with
  • Puerperal, puerperium (complicated by, complications)
    • delirium NEC F05
  • Epilepsy, epileptic, epilepsia (attack) (cerebral) (convulsion) (fit) (seizure) G40.909
  • Twilight state
    • epileptic F05
  • Sundowning F05
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Block
F01-F09

Present FY2024–FY2027.