Is ICD-10-CM code F94 billable?

No, F94 (Disorders of social functioning with onset specific to childhood and adolescence) 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 F94 belong to?

F94 belongs to Chapter 5 of the ICD-10-CM tabular list: F01–F99 (Mental, Behavioral and Neurodevelopmental Disorders).

F94Not billable, use a more specific code below

Disorders of social functioning with onset specific to childhood and adolescence

In Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders

5 billable codes under F94: none are a CC or MCC; none map to an HCC.

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 F94

F94 can't be used on a claim. Pick a billable code below; grey headings group them.

F94 MS-DRG

As the principal diagnosis, all 5 billable codes under F94 group to MS-DRG 886 (v44.0).

DRG 886 Behavioral and Developmental Disorders

About the condition

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

Child Mental Health

It's important to recognize and treat mental illnesses in children early on. Once mental illness develops, it becomes a regular part of your child's behavior. This makes it more difficult to treat.

Code history

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