F48.9: Nonpsychotic mental disorder, unspecified
F48.9, nonpsychotic mental disorder, unspecified, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 10 HCPCS Level II codes, including G0152 (Services performed by a qualified occupational therapist…), G0155 (Services of clinical social worker in home health or…), G0156 (Services of home health/hospice aide in home health or…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with F48.9 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | Carrier judgment | — | 1 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | Carrier judgment | — | 1 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0410 | Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes | Carrier judgment | — | 1 |
| G0017 | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes | Carrier judgment | — | 1 |
| G0018 | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service) | Carrier judgment | — | 1 |
| G0411 | Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes | Carrier judgment | — | 1 |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | Carrier judgment | — | 1 |
Medicare policy articles listing F48.9
- A56756: Billing and Coding: Home Health - Psychiatric Care (Palmetto GBA (HHH MAC); 5 Level II codes). LCD with the same title: L34561
- A57480: Billing and Coding: Psychiatry and Psychology Services (WPS Insurance Corporation (MAC - Part A, MAC - Part B); 4 Level II codes). LCD with the same title: L33632, L34616
- A57780: Billing and Coding: Psychological and Neuropsychological Tests (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L34520
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other F48 diagnoses (Other nonpsychotic mental disorders)
- F48.1 — Depersonalization-derealization syndrome
- F48.2 — Pseudobulbar affect
- F48.8 — Other specified nonpsychotic mental disorders
Frequently asked questions
Does Medicare cover F48.9 (Nonpsychotic mental disorder, unspecified)?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list F48.9 as a covered diagnosis for 10 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 F48.9?
The Level II codes from the policies most specific to this diagnosis are G0152 (Services performed by a qualified occupational therapist…, 1 article); G0155 (Services of clinical social worker in home health or…, 1 article); G0156 (Services of home health/hospice aide in home health or…, 1 article); G0299 (Direct skilled nursing services of a registered nurse (rn)…, 1 article); G0300 (Direct skilled nursing services of a licensed practical…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list F48.9?
A56756 (Billing and Coding: Home Health - Psychiatric Care); A57480 (Billing and Coding: Psychiatry and Psychology Services); A57780 (Billing and Coding: Psychological and Neuropsychological Tests).
What is ICD-10-CM code F48.9?
F48.9 is the ICD-10-CM code for nonpsychotic mental disorder, unspecified, in category F48 (Other nonpsychotic mental disorders), chapter 5: Mental, behavioral and neurodevelopmental disorders.
Next steps
- Run a reimbursement report for a device billed under G0152
- Watch G0152 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0152
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 5: Mental, behavioral and neurodevelopmental disorders · All diagnoses · HCPCS lookup