Is ICD-10-CM code F84 billable?

No, F84 (Pervasive developmental disorders) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code F84 belong to?

F84 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F84Not billable, use a more specific code below

Pervasive developmental disorders

In Pervasive and specific developmental disorders (F80-F89), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

6 billable codes under F84: all are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Code also: add a code for this too, order depends on the encounter

any associated medical condition and intellectual disabilities

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers psychological pain disorders, substance use, abuse, dependence and remission, factitious disorder including Munchausen by proxy, and dementia severity.

Pain disorders related to psychological factors (page 43)
Mental and behavioral disorders due to psychoactive substance use (page 43)
Factitious Disorder (page 44)
Dementia (page 45)

Read Section I.C.5 (page 43)

All codes under F84

F84 can't be used on a claim. Pick a billable code below; grey headings group them.

F84 MS-DRGs

As the principal diagnosis, the billable codes under F84 group to MS-DRG 885, 884, 056, or 057 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 885 Psychoses (3 of 6 codes)
DRG 884 Organic Disturbances and Intellectual Disability (2 of 6 codes)
DRG 056 Degenerative Nervous System Disorders with MCC (1 of 6 codes)
DRG 057 Degenerative Nervous System Disorders without MCC (1 of 6 codes)

Other codes that refer to F84

Notes on these codes point to F84.

F80.1 Excludes2: pervasive developmental disorders (F84.-)
F80.2 Excludes2: pervasive developmental disorders (F84.-)
F90 Excludes2: pervasive developmental disorders (F84.-)
F91 Excludes2: pervasive developmental disorders (F84.-)
F94.0 Excludes2: pervasive developmental disorders (F84.-)
G93.45 Code Also: pervasive developmental disorders (F84.-)
Q87.87 Use Additional Code: pervasive developmental disorders (F84.-)
QA0 Code Also: pervasive developmental disorders (F84.-)
Z15.1 Code Also: pervasive developmental disorders (F84.-)
Z91.83 Code First: autism or pervasive developmental disorder (F84.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurological and developmental disorder that begins early in childhood and lasts throughout a person's life. It affects how a person acts and interacts with others, communicates, and learns. It includes what used to be known as Asperger syndrome and pervasive developmental disorders.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.