F42.4
F42.4: Excoriation (skin-picking) disorder
Billable / specific codeICD-10-CM
F42.4 is a billable, specific ICD-10-CM code for excoriation (skin-picking) disorder. It is valid for submission on a claim.
Check F42.4 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 inherited from the categories above F42.4
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with F42.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F42.4 is named in 16 Medicare coverage policies: 14 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56756Billing and Coding: Home Health - Psychiatric Care
Alphabetic index entries that lead here
- Excoriation›skin picking disorder
- Disorder›skin›picking
Code history
Unchanged in every release from FY2024 to FY2027.