---
title: "ICD-10-CM F42.2: Mixed obsessional thoughts and acts | BillingBrief"
description: "F42.2 is obsessive-compulsive disorder (OCD) where the record documents both obsessive thoughts and compulsive acts. If the provider documents OCD without…"
canonical: "https://billingbrief.com/icd10/f42.2/"
language: "en"
---

# F42.2 Mixed obsessional thoughts and acts

ICD-10-CM · [CMS code reference](#source)

F42.2 is obsessive-compulsive disorder (OCD) where the record documents both obsessive thoughts and compulsive acts. If the provider documents OCD without naming the kind, use F42.9.

## Coding notes

From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.

### Excludes2

Not part of this code, but both can be coded when both are documented.

-   obsessive-compulsive personality (disorder) (F60.5)
-   obsessive-compulsive symptoms occurring in depression (F32.-, F33.-)
-   obsessive-compulsive symptoms occurring in schizophrenia (F20.-)

## Related codes

-   [`F42.3` Hoarding disorder ICD-10-CM](https://billingbrief.com/icd10/f42.3/)
-   [`F42.4` Excoriation (skin-picking) disorder ICD-10-CM](https://billingbrief.com/icd10/f42.4/)
-   [`F42.8` Other obsessive-compulsive disorder ICD-10-CM](https://billingbrief.com/icd10/f42.8/)
-   [`F42.9` Obsessive-compulsive disorder, unspecified ICD-10-CM](https://billingbrief.com/icd10/f42.9/)

## Common questions

### Is F42.2 a billable code?

Yes. F42.2 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.

## From the source

Official description from [CMS](https://www.cms.gov/medicare/coding-billing/icd-10-codes).
ICD-10-CM FY2027 (effective October 1, 2026).

Code set

ICD-10-CM

Category

F42 Obsessive-compulsive disorder

Chapter

Mental, behavioral and neurodevelopmental disorders

Billable

Yes

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).