F94.1 — Reactive attachment disorder of childhood
F94.1 is a billable, specific ICD-10-CM code for reactive attachment disorder of childhood. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- disinhibited attachment disorder of childhood (F94.2)
- normal variation in pattern of selective attachment
Excludes2 — 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.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify any associated failure to thrive or growth retardation
Other codes that can never be billed with F94.1
These codes carry an Excludes1 note pointing at F94.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F94.1 alone.
- F94.2Disinhibited attachment disorder of childhood
Risk adjustment
F94.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F94.1 is named in 10 Medicare coverage policies — 9 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How F94.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F94.1.
- Disorder›reactive attachment(childhood)
- Disorder›attachment›reactive
Related codes at this level
Codes that share F94. If F94.1 is not quite right, the correct code is usually one of these.
Questions about F94.1
- Is F94.1 a billable ICD-10-CM code?
- Yes. F94.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F94.1 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98).
- What cannot be coded together with F94.1?
- F94.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.