MCMedicalCodingSoftware
F94.9

F94.9: Childhood disorder of social functioning, unspecified

Billable / specific codeICD-10-CM

F94.9 is a billable, specific ICD-10-CM code for childhood disorder of social functioning, unspecified. It is valid for submission on a claim.

Check F94.9 with the rest of the claim: free scrubber

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F94.9 is named in 7 Medicare coverage policies: 6 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
  • A56937Billing and Coding: Psychiatry and Psychology Services
  • A57065Billing and Coding: Outpatient Psychiatry and Psychology Services

Alphabetic index entries that lead here

  • Disorder›social›functioning in childhood

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under F94

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.