F94.0
F94.0: Selective mutism
Billable / specific codeICD-10-CM
F94.0 is a billable, specific ICD-10-CM code for selective mutism. It is valid for submission on a claim.
Check F94.0 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Elective mutism
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F94.0 is named in 10 Medicare coverage policies: 9 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
- A56685Billing and Coding: Partial Hospitalization Programs
- A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
- A56937Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Mutism›elective(adjustment reaction) (childhood)
- Mutism›selective(childhood)
- Disturbance›emotions specific to childhood and adolescence›with›elective mutism
- Reaction›adjustment›with›mutism, elective(child) (adolescent)
Code history
Unchanged in every release from FY2024 to FY2027.