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F25.1 · Billable

2026 ICD-10-CM Diagnosis Code F25.1

Schizoaffective disorder, depressive type

About F25.1

Code

F25.1

Description

Schizoaffective disorder, depressive type

Billable

Yes — billable on its own

Parent code

F25 (Schizoaffective disorders)

Category

F20-F29 — Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders

Set

ICD-10-CM 2026

Clinical context

Inherited from F25 (Schizoaffective disorders)

F25 codes schizoaffective disorder — an uninterrupted period of illness during which there is a major mood episode (depressive or manic) concurrent with criterion-A symptoms of schizophrenia. Subtypes split on the mood pole: F25.0 (bipolar type) vs. F25.1 (depressive type). Document the relative timing of mood and psychotic features to support the diagnosis.

Code details

Code attributes

  • Non-billable/Non-specific code

Coding rules

  • Specify the leaf code — the parent code (e.g. F32) is a navigational header; billing requires a leaf code (F32.0, F32.1, etc.) that matches the documented presentation.
  • Document onset, course, and severity (mild / moderate / severe) plus functional impact. Payers use this combination when adjudicating medical necessity.
  • Attach a validated instrument score (PHQ-9, GAD-7, PCL-5, or equivalent) at intake and at follow-up where applicable. Objective measures support code selection and continued authorization.
  • Review at every visit and update if presentation changes — including remission and partial remission states.

Sources

  • Centers for Medicare & Medicaid Services — 2026 ICD-10-CM
  • AAPC — ICD-10-CM Code Lookup
  • CDC — ICD-10-CM Official Guidelines for Coding and Reporting

This reference is provided for billing and documentation guidance only. It is not medical advice. For clinical decision-making, consult the current CMS ICD-10-CM Official Guidelines for Coding and Reporting, and verify code applicability against the patient's documented clinical findings.

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