F98.21
F98.21: Rumination disorder of infancy and childhood
Billable / specific codeICD-10-CM
F98.21 is a billable, specific ICD-10-CM code for rumination disorder of infancy and childhood. It is valid for submission on a claim.
Check F98.21 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- rumination disorder in adults (F50.84)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Rumination disorder in infancy or childhood, in remission
Other codes that can never be billed with F98.21
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F50.84Rumination disorder in adults
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F98.21 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
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Disorder›rumination(infant or child) (in remission)
- Rumination›disorder of infancy or childhood(in remission)
- Disorder›eating›child›rumination disorder(in remission)
- Disorder›eating›rumination›infancy or childhood(in remission)
Code history
- revisedFY2024-FY2027
Rumination disorder of infancy → Rumination disorder of infancy and childhood