F07.0 vs R45
F07.0 (Personality change due to known physiological condition) compared with R45 (Symptoms and signs involving emotional state), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. F07.0 carries an Excludes1 note covering R45: “signs and symptoms involving emotional state (R45.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F07.0Personality change due to known physiological condition | R45Symptoms and signs involving emotional state | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Personality change due to known physiological condition is a billable ICD-10-CM diagnosis code (F07.0). | Symptoms and signs involving emotional state is a non-billable ICD-10-CM category code (R45). |
| Includes | Frontal lobe syndrome Limbic epilepsy personality syndrome Lobotomy syndrome Organic personality disorder | — |
| Code first | the underlying physiological condition | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources