InnovaRx Innova Health Strategies

F28

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

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 1 never code together
F01-F99chapter
Excludes2
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)R00-R99

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

Instructional notes 3
F28code
Inclusion terms
  • Chronic hallucinatory psychosis
  • Other specified schizophrenia spectrum and other psychotic disorder
F01-F99chapter
Includes
  • disorders of psychological development
Index entries leading here 6
  • Insanity, insane — see also Psychosis
    • confusional F28
  • Disorder (of) — see also Disease
    • schizophrenia spectrum and other psychotic disorder F29
      • specified NEC F28
  • Psychosis, psychotic F29
    • hallucinatory, chronic F28
    • involutional F28
    • nonorganic F29
      • specified NEC F28
  • Hallucinosis (chronic) F28
  • Menopause, menopausal (asymptomatic) (state) Z78.0
    • psychosis NEC F28
  • Schizophrenia, schizophrenic F20.9
    • spectrum and other psychotic disorder F29
      • specified NEC F28
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

CMS28HCC152 ESRD24HCC58 RX08HCC130

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This code

Billable
yes
Code set
FY2026
Block
F20-F29

Present FY2024–FY2027.