F84.0
F84.0: Autistic disorder
Billable / specific codeICD-10-CM
F84.0 is a billable, specific ICD-10-CM code for autistic disorder. It is valid for submission on a claim.
Check F84.0 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.
- Asperger's syndrome (F84.5)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Autism spectrum disorder
- Infantile autism
- Infantile psychosis
- Kanner's syndrome
Other codes that can never be billed with F84.0
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
F84.0 is named in 17 Medicare coverage policies: 16 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56756Billing and Coding: Home Health - Psychiatric Care
- A56865Billing and Coding: Psychiatric Inpatient Hospitalization
Alphabetic index entries that lead here
- Autism, autistic(childhood) (infantile)
- Autism, autistic›spectrum disorder
- Disorder›autism spectrum
- Disorder›autistic
- Psychosis, psychotic›childhood
- Psychosis, psychotic›infantile
- Syndrome›Kanner's(autism)
- Disorder›semantic pragmatic›with autism
Code history
Unchanged in every release from FY2024 to FY2027.