F63.1 ICD-10-CM Code: Pyromania
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 1 inclusion term · 8 Excludes2
- Risk adjustment
- RxHCC V08 category 133
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 886 — BEHAVIORAL AND DEVELOPMENTAL DISORDERS (MDC 19)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F63.1 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on F63.1 itself; “inherited from” names the category or block whose note applies here.
Inclusion Terms
Alternative terms the tabular list files under this code.
- Pathological fire-setting
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- fire-setting (by) (in):
- adult with antisocial personality disorder (F60.2) Compare F63.1 vs F60.2 →
- alcohol or psychoactive substance intoxication (F10-F19) Compare F63.1 vs F10 →
- conduct disorders (F91.-) Compare F63.1 vs F91 →
- mental disorders due to known physiological condition (F01-F09) Compare F63.1 vs F01 →
- schizophrenia (F20.-) Compare F63.1 vs F20 →
- habitual excessive use of alcohol or psychoactive substances (F10-F19) inherited from F63Compare F63.1 vs F10 →
- impulse disorders involving sexual behavior (F65.-) inherited from F63Compare F63.1 vs F65 →
Coder workflow for F63.1
MedCoder structured workflow — derived from this code’s own official record
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes2 — not part of F63.1(8 notes)
Coding workflow: The conditions named in this note are not included in F63.1. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (3)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 1 MS-DRG: DRG 886 (MDC 19).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):MBD008 — Disruptive, impulse-control and conduct disorders (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Disruptive, impulse-control and conduct disorders).
F60.2 — Antisocial personality disorder, F63.2 — Kleptomania, F63.81 — Intermittent explosive disorder, F63.89 — Other impulse disorders, F63.9 — Impulse disorder, unspecified, F91.0 — Conduct disorder confined to family context, F91.1 — Conduct disorder, childhood-onset type, F91.2 — Conduct disorder, adolescent-onset type, F91.3 — Oppositional defiant disorder, F91.8 — Other conduct disorders, F91.9 — Conduct disorder, unspecified
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Pathologic, pathological”; these codes share that main term but sit in a different category of the Tabular List.
K03.3 — Pathological resorption of teeth (resorption, tooth), O02.0 — Blighted ovum and nonhydatidiform mole (ovum), R09.01 — Asphyxia (asphyxia)
Contextual Map
Every relationship of F63.1 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run F63.1 with these 8 related codes in Claim Check
Hierarchy
- F01-F99 — Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) (F01-F99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F60-F69 — Disorders of adult personality and behavior[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes2 (21)
- F01 — Vascular dementia[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F02 — Dementia in other diseases classified elsewhere[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F03 — Unspecified dementia[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F04 — Amnestic disorder due to known physiological condition[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F05 — Delirium due to known physiological condition[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F06 — Other mental disorders due to known physiological condition[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F07 — Personality and behavioral disorders due to known physiological condition[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F09 — Unspecified mental disorder due to known physiological condition[Excludes2]: “mental disorders due to known physiological condition (F01-F09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 13 more
Clinical classification (CCSR)
- MBD008 — Disruptive, impulse-control and conduct disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 886 — BEHAVIORAL AND DEVELOPMENTAL DISORDERS[MS-DRG]: “BEHAVIORAL AND DEVELOPMENTAL DISORDERS (MDC 19)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 19 — Mental Diseases and Disorders[MDC crossing]: “Mental Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Fire-setting, pathological (compulsive)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Pathologic, pathological, fire-setting[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
- Pyromania[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes
- F63 — Impulse disorders[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.0 — Pathological gambling[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.2 — Kleptomania[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.3 — Trichotillomania[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.8 — Other impulse disorders[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.81 — Intermittent explosive disorder[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.89 — Other impulse disorders[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- F63.9 — Impulse disorder, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPyromania
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to F63.1 in its code family, with their registry titles.