F07.81

Postconcussional syndrome

FY2027Chapter 5: Mental, Behavioral and Neurodevelopmental disorders/F01–F09 Mental disorders due to known physiological conditions

BillableComplete code, valid to report
Care settingsIRF 60% Rule

F07.81 (also written F0781) is a billable ICD-10-CM diagnosis code for postconcussional syndrome. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category F07 (Personality and behavioral disorders due to known physiological condition). The Alphabetic Index lists it under 19 entries. Its coding notes include a Code first instruction, a Use additional code instruction, a Code also instruction, 2 Excludes1 entries and 1 Excludes2 entry.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from F07 Personality and behavioral disorders due to known physiological condition
  • the underlying physiological condition

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code to identify associated post-traumatic headache, if applicable (G44.3-)

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

This code
  • , if applicable, sequela of concussion (S06.0X- with seventh character S)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • current concussion (brain) (S06.0X- with seventh character A)
  • postencephalitic syndrome (F07.89)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

IRF 60% Rule

On the CMS list of diagnoses used to determine presumptive compliance with the IRF 60 percent rule.

Source: CMS IRF Presumptive Compliance-3, FY 2027 IRF PPS final rule files, effective for discharges on or after October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (1 note)
Inherited from Chapter 5 Mental, Behavioral and Neurodevelopmental disorders
  • disorders of psychological development

Inclusion terms

Conditions classified to this code.

This code
  • Postcontusional syndrome (encephalopathy)
  • Post-traumatic brain syndrome, nonpsychotic

Notes

Also from chapter/block level (1 note)
Inherited from F01–F09 Mental disorders due to known physiological conditions
  • This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 19 entries

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