F98.3

F98.3: Pica of infancy and childhood

Billable / specific codeICD-10-CM

F98.3 is a billable, specific ICD-10-CM code for pica of infancy and childhood. It is valid for submission on a claim.

Check F98.3 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

pica in adults (F50.83)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Pica in infancy or childhood, in remission

Excludes2 inherited from the categories above F98.3

Not part of this code, but both may be coded when both are present.

Written on F98: Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence

breath-holding spells (R06.89)
gender identity disorder of childhood (F64.2)
Kleine-Levin syndrome (G47.13)
obsessive-compulsive disorder (F42.-)
sleep disorders not due to a substance or known physiological condition (F51.-)

Other codes that can never be billed with F98.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z72.4Inappropriate diet and eating habits
F50.83Pica in adults

Risk adjustment

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

Medicare coverage

F98.3 is named in 13 Medicare coverage policies: 12 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
A56865Billing and Coding: Psychiatric Inpatient Hospitalization
A56937Billing and Coding: Psychiatry and Psychology Services
A57052Billing and Coding: Psychiatric Inpatient Hospitalization