6E61

ICD-11 MMS 2026-01

Secondary psychotic syndrome

Description

A syndrome characterised by the presence of prominent hallucinations or delusions judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural disorders, based on evidence from the history, physical examination, or laboratory findings. The symptoms are not accounted for by delirium or by another mental and behavioural disorder, and are not a psychologically mediated response to a severe medical condition (e.g., an acute stress reaction in response to a life-threatening diagnosis). This category should be used in addition to the diagnosis for the presumed underlying disorder or disease when the psychotic symptoms are sufficiently severe to warrant specific clinical attention.

Index terms

  • Secondary psychotic syndrome
  • Psychotic syndrome due to health condition not classified under mental and behavioural disorders

Excludes

  • 6A23 – Acute and transient psychotic disorder
  • 6D70 – Delirium
  • http://id.who.int/icd/entity/76398729 – Mood disorders

Exclusions from above levels

  • 6C20 – Bodily distress disorder
  • MG30 – Chronic pain
  • MG31 – Acute pain
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  • QE62 – Uncomplicated bereavement
  • QE84 – Acute stress reaction

Child codes

  • 6E61.0 – Secondary psychotic syndrome, with hallucinations
  • 6E61.1 – Secondary psychotic syndrome, with delusions
  • 6E61.2 – Secondary psychotic syndrome, with hallucinations and delusions
  • 6E61.3 – Secondary psychotic syndrome, with unspecified symptoms

Sibling codes

  • 6E60 – Secondary neurodevelopmental syndrome
  • 6E62 – Secondary mood syndrome
  • 6E63 – Secondary anxiety syndrome
  • 6E64 – Secondary obsessive-compulsive or related syndrome
  • 6E65 – Secondary dissociative syndrome
  • 6E66 – Secondary impulse control syndrome
  • 6E67 – Secondary neurocognitive syndrome
  • 6E68 – Secondary personality change
  • 6E69 – Secondary catatonia syndrome
  • 6E6Y – Other specified secondary mental or behavioural syndrome
  • 6E6Z – Secondary mental or behavioural syndrome, unspecified

Foundation entity

Secondary psychotic syndrome – http://id.who.int/icd/entity/696956921

Allowed postcoordination axes

Part of: 06: Mental, behavioural or neurodevelopmental disorders