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    v1.0.28
    OpenPayerBilling CodesMental disorders due to known physiological conditionsICD-10-CM f05-delirium-due-to-physiological-condition
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    ICD-10-CM Code For Delirium Due To Known Physiological Condition: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group F05 includes acute delirium diagnoses attributable to an identifiable physiological cause, such as systemic infection, metabolic disturbance, or substance-induced states that impair attention and cognition. These ICD-10-CM diagnosis codes are used to document clinical scenarios where rapid cognitive change is linked to another medical condition, capturing severity, associated complications, and temporal relationship to the underlying cause. Accurate coding within the ICD-10-CM F05 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM F05: Delirium Due To Known Physiological Condition Overview

    The ICD-10-CM F05 group represents acute and transient disturbances in attention and awareness caused by an underlying physiological condition. These diagnoses target neurocognitive and systemic conditions that acutely impair brain function, such as infections, metabolic derangements, or drug effects. Accurate coding matters for documenting clinical complexity and impacts reimbursement through correct claim classification.

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    When to Use

    Use a code from this group when documentation indicates an acute confusional state or delirium explicitly linked to an identified physiological cause. Select the code that reflects the documented severity, associated features, and any specified underlying condition when available.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    F05Delirium due to known physiological condition

    DRG Codes

    1 rows

    DRG CodeDescription
    880Acute Adjustment Reaction and Psychosocial Dysfunction

    Typical Clinical Scenarios

    • An elderly patient is brought to the emergency department by family after acute onset of confusion, fluctuating attention, disorganized thinking, and an altered sleep–wake cycle following a urinary tract infection with fever and dehydration; the acute change from baseline and identification of an underlying medical trigger lead to assigning a delirium diagnosis due to a known physiological condition. Typical codes: F05.
    • A hospitalized middle-aged patient in the intensive care unit develops abrupt agitation, inattention, and perceptual disturbances after initiation of high-dose opioids and benzodiazepines for severe pain and sedation; because the cognitive disturbance is new, temporally related to identifiable medication effects, and not better explained by a primary psychiatric disorder, a diagnosis from this group is recorded. Typical codes: F05.
    • An older adult with advanced hepatic disease is admitted for management of liver failure and during the hospital stay exhibits acute fluctuating confusion, disorientation, and inappropriate behavior attributable to metabolic encephalopathy from the medical condition; the clinician assigns a delirium diagnosis linked to the known physiological cause as a comorbidity complicating care. Typical codes: F05.

    Related Codes

    F01-VASCULAR-DEMENTIA

    ICD-10-CM Code For Vascular Dementia: Group Overview

    F02-DEMENTIA-IN-OTHER-DISEASES

    ICD-10-CM Code For Dementia In Other Diseases Classified Elsewhere: Group Overview

    F03-UNSPECIFIED-DEMENTIA

    ICD-10-CM Code For Unspecified Dementia: Group Overview

    F04-AMNESTIC-DISORDER-DUE-TO-KNOWN-PHYSIOLOGICAL-CONDITION

    ICD-10-CM Code For Amnestic Disorder Due To Known Physiological Condition: Group Overview

    F06-OTHER-MENTAL-DISORDERS-SECONDARY

    ICD-10-CM Code For Other Mental Disorders Due To Known Physiological Condition: Group Overview

    F07-PERSONALITY-AND-BEHAVIORAL-DISORDERS

    ICD-10-CM Code For Personality And Behavioral Disorders Due To Known Physiological Condition: Group Overview

    F09-UNSPECIFIED-MENTAL-DISORDER

    ICD-10-CM Code For Unspecified Mental Disorder Due To Known Physiological Condition: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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