ICD-10 Coding for Reactive Attachment Disorder(F94.1)
Complete ICD-10-CM coding and documentation guide for Reactive Attachment Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Reactive Attachment Disorder
F90-F98Primary Range
Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
This range includes disorders like RAD that manifest in childhood with specific behavioral and emotional symptoms.
Key Information: ICD-10 code for reactive attachment disorder
Essential facts and insights about Reactive Attachment Disorder
Primary ICD-10-CM Code for reactive attachment disorder
Decision Criteria
clinical Criteria
- Child shows inhibited social behaviors and has a history of neglect.
documentation Criteria
- Documented evidence of severe neglect or multiple caregiver changes.
Applicable To
- Inhibited type
- Disinhibited type
Excludes
- Disinhibited attachment disorder (F94.2)
Clinical Validation Requirements
- Persistent failure to initiate or respond to social interactions
- History of grossly pathological care
Code-Specific Risks
- Confusing with disinhibited social engagement disorder
Coding Notes
- Ensure documentation includes specific behaviors and history of care to support the diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified protein-energy malnutrition
E43Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Reactive Attachment Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F94.1.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Fails to meet documentation standards for coding., Financial: May result in claim denials or reduced reimbursement.
Mitigation Strategy
Use specific language from DSM-5 criteria., Detail the child's caregiving history and specific behaviors.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify if the behavior is inhibited (RAD) or disinhibited (F94.2).
Impact
Lack of detailed care history can lead to audit failures.
Mitigation Strategy
Ensure comprehensive documentation of the child's caregiving history.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Reactive Attachment Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Reactive Attachment Disorder
Use these documentation templates to ensure complete and accurate documentation for Reactive Attachment Disorder. These templates include all required elements for proper coding and billing.
Child with inhibited social behaviors and history of neglect
Specialty: PediatricsRequired Elements
- Observed behaviors
- Caregiver interactions
- Assessment tool results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Reactive Attachment Disorder? Ask your questions below.