ICD-10-CM Codes > F01-F09 > F05

Delirium due to known physiological condition
2025 ICD-10-CM DIAGNOSIS CODE F05

Code Attributes

  • Billable/Specific Code


Applicable To

  • 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


Approximate Synonyms

  • Alzheimer's disease with behavioral disturbance and delerium
  • Alzheimer's disease with delerium
  • Alzheimers dementia w behavioral disturbance w delirium
  • Alzheimers dementia with delirium
  • Alzheimers dementia, early onset, w delirium
  • Alzheimers dementia, late onset, w delirium
  • Alzheimers dementia. With delirium
  • Delirium due to multiple etiologies
  • Delirium of mixed origin
  • Dementia alzheimers type, late onset with delirium
  • Dementia with behavioral disturbance and delerium
  • Dementia with behavioral disturbance with delirium
  • Dementia, presenile with delirium
  • Dementia, primary degenerative, alzheimer type
  • Dementia, senile with delirium
  • Multi infarct dementia with delirium
  • Presenile dementia with delirium
  • Primary degenerative dementia of the alzheimer type, presenile onset, with delirium
  • Primary degenerative dementia of the alzheimer type, senile onset, with delirium
  • Senile dementia with delirium
  • Vascular dementia w delirium


Type 1 Excludes:

  • Delirium NOS (R41.0)


Type 2 Excludes:

  • Delirium tremens alcohol-induced or unspecified (F10.231, F10.921)


Code First

  • The underlying physiological condition, such as:
  • Dementia (ICD-10-CM Diagnosis Code F03.9F03.9-)

Codes


  • F05 Delirium due to known physiological condition

ICD-10 Code F05 is designated for delirium, not induced by alcohol and other psychoactive substances. Delirium is a serious disturbance in mental abilities that results in confused thinking and reduced awareness of the environment. It's crucial to note that this code should be used when delirium is not directly caused by substances such as alcohol or drugs.


When you are documenting or billing for services related to a patient diagnosed with delirium (not substance-induced), F05 is the specific code that should be used to ensure that insurance claims are accurately processed and that you are appropriately reimbursed for your services.


Here's how to use this code:


1. Diagnosis entry 

When creating a diagnosis for a patient, ensure that you enter F05 as the primary diagnosis code if delirium is the main focus of your treatment.


2. Billing and insurance claims

When preparing billing documents or insurance claims for sessions related to the treatment of delirium, F05 should be included as the diagnosis code. This is crucial for claims acceptance by insurance companies. 


3. Documentation

In your session notes and any other relevant documentation, it's important to reference the diagnosis code F05 when discussing assessments, treatment plans, and progress notes related to delirium. This not only ensures continuity and clarity but also supports the diagnosis code used for billing and insurance purposes.


4. Insurance verification

Before submitting claims, verify with the patient's insurance provider that delirium (ICD-10 code F05) is covered under their policy. This can prevent potential denials and delays in reimbursement. 


5. Stay informed

Coding standards and insurance policies may change. Regularly update your knowledge on coding practices, especially for mental health diagnoses, to ensure compliance and accuracy in your billing processes.


Sources

  • "Coding for Behavioral Neurology - PMC". National Library of Medicine - National Center For Biotechnology Information. National Institute Of Health, n.d., https://pmc.ncbi.nlm.nih.gov/articles/PMC10564028/. Accessed 27 Jan 2025.
  • "2025 ICD-10-CM Diagnosis Code F05: Delirium due to known physiological condition". ICD10Data. ICD10Data, n.d., https://www.icd10data.com/ICD10CM/Codes/F01-F99/F01-F09/F05-/F05. Accessed 27 Jan 2025.
  • "ICD-10 Code for Delirium due to known physiological condition- F05- Codify by AAPC". Codify By AAPC. American Academy of Professional Coders, n.d., https://www.aapc.com/codes/icd-10-codes/F05?srsltid=AfmBOooQFMCKOnY6_IDxPT75LtjFu63BbxFI3ZeVoKtVIJk8Lf91Mzqq. Accessed 27 Jan 2025.
  • "ICD-10 Code for Delirium due to known physiological condition- F05- Codify by AAPC". Codify By AAPC. American Academy of Professional Coders, n.d., https://www.aapc.com/codes/icd-10-codes/F05?srsltid=AfmBOooQFMCKOnY6_IDxPT75LtjFu63BbxFI3ZeVoKtVIJk8Lf91Mzqq. Accessed 27 Jan 2025.
  • "2025 ICD-10-CM Diagnosis Code F05: Delirium due to known physiological condition". ICD10Data. ICD10Data, n.d., https://www.icd10data.com/ICD10CM/Codes/F01-F99/F01-F09/F05-/F05. Accessed 27 Jan 2025.

F04F06

Everything you need in one EHR