F05
Billable codeDelirium due to known physiological condition
The ICD-10 code for delirium due to known physiological condition is F05.
Clinical notes
Code first
This code represents a manifestation of an underlying disease. Coding convention requires the underlying (etiology) code to be sequenced first, with this code listed second.
- the underlying physiological condition, such as:
- dementia (F03.9-)
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- delirium NOS (R41.0)
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- 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
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •This code represents a manifestation. Documentation should identify the underlying condition, which must be coded first.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- F01Vascular dementianon-billable header
- F02Dementia in other diseases classified elsewherenon-billable header
- F03Unspecified dementianon-billable header
- F04Amnestic disorder due to known physiological condition
- F06Other mental disorders due to known physiological conditionnon-billable header
- F07Personality and behavioral disorders due to known physiological conditionnon-billable header
- F09Unspecified mental disorder due to known physiological condition
- F05Delirium due to known physiological condition
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 2930Approximate match
- 2931Approximate match
- 29012Approximate match
- 29020Approximate match
- 2903Approximate match
Associated MS-DRGs
F05 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.