F94.8 — Other childhood disorders of social functioning
F94.8 is a billable, specific ICD-10-CM code for other childhood disorders of social functioning. It is valid for submission on a claim.
Risk adjustment
F94.8 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
F94.8 is named in 8 Medicare coverage policies — 7 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
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
- A57130Billing and Coding: Psychiatric Codes
How F94.8 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 F94.8.
- Disorder›social›functioning in childhood›specified NEC
Related codes at this level
Codes that share F94. If F94.8 is not quite right, the correct code is usually one of these.
Questions about F94.8
- Is F94.8 a billable ICD-10-CM code?
- Yes. F94.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F94.8 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).