F84.3
F84.3: Other childhood disintegrative disorder
Billable / specific codeICD-10-CM
F84.3 is a billable, specific ICD-10-CM code for other childhood disintegrative disorder. It is valid for submission on a claim.
Check F84.3 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.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify any associated neurological condition.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Dementia infantilis
- Disintegrative psychosis
- Heller's syndrome
- Symbiotic psychosis
Other codes that can never be billed with F84.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F84.2Rett's syndrome
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F84.3 is named in 13 Medicare coverage policies: 12 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
- Heller's disease or syndrome
- Dementia›infantile, infantilis
- Disorder›childhood disintegrative NEC
- Disorder›disintegrative, childhood NEC
- Psychosis, psychotic›disintegrative(childhood)
- Psychosis, psychotic›symbiotic(childhood)
Code history
Unchanged in every release from FY2024 to FY2027.