F91.3
F91.3: Oppositional defiant disorder
Billable / specific codeICD-10-CM
F91.3 is a billable, specific ICD-10-CM code for oppositional defiant disorder. It is valid for submission on a claim.
Check F91.3 with the rest of the claim: free scrubberExcludes1 inherited from the categories above F91.3
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F91.3
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with F91.3
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
F91.3 is named in 9 Medicare coverage policies: 8 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
- A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Disorder›defiant oppositional
- Disorder›oppositional defiant
- Disorder›conduct›oppositional defiance
- Disturbance›emotions specific to childhood and adolescence›with›oppositional disorder
Code history
Unchanged in every release from FY2024 to FY2027.