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v1.0.0
ICD-10 Guide
ICD-10 CodesF90.0

F90.0

Billable

Attention-deficit hyperactivity disorder, predominantly inattentive type

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F90.0 is a billable code used to indicate a diagnosis of attention-deficit hyperactivity disorder, predominantly inattentive type.

Key Diagnostic Point:

Attention-deficit hyperactivity disorder (ADHD), predominantly inattentive type, is a neurodevelopmental disorder characterized by persistent patterns of inattention that interfere with functioning or development. Individuals with this subtype of ADHD may struggle with sustaining attention, following through on tasks, organizing activities, and may often appear forgetful or easily distracted. Unlike the hyperactive-impulsive type, individuals with predominantly inattentive ADHD do not exhibit significant hyperactivity or impulsive behaviors. This condition is typically diagnosed in childhood, with symptoms often becoming apparent in early school years. The diagnosis is based on a comprehensive evaluation, including clinical interviews, behavioral assessments, and standardized rating scales. Early intervention and appropriate management strategies, including behavioral therapy and educational support, are crucial for improving outcomes and helping affected individuals develop coping strategies and skills necessary for academic and social success.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among individuals
  • Need for comprehensive clinical evaluation for accurate diagnosis
  • Potential overlap with other behavioral disorders
  • Documentation requirements for educational and developmental interventions

Audit Risk Factors

  • Inadequate documentation of symptoms and their impact on functioning
  • Failure to provide evidence of comprehensive evaluation
  • Misdiagnosis or coding of related conditions
  • Lack of follow-up documentation on treatment efficacy

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed developmental history, behavioral assessments, and parental input.

Common Clinical Scenarios

Evaluating a child with academic difficulties and behavioral concerns in school.

Billing Considerations

Consideration of comorbid conditions such as learning disabilities or anxiety disorders.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and history of present illness.

Common Clinical Scenarios

Assessing an adolescent with reported inattention and social difficulties.

Billing Considerations

Differentiating ADHD from other psychiatric disorders such as mood disorders or conduct disorders.

Coding Guidelines

Inclusion Criteria

Use F90.0 When
  • According to ICD
  • 10 guidelines, F90
  • 0 should be used when the predominant symptoms are inattention without significant hyperactivity or impulsivity
  • Documentation must support the diagnosis, including evidence of symptoms persisting for at least six months and impacting social, academic, or occupational functioning

Exclusion Criteria

Do NOT use F90.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96127CPT Code

Brief emotional/behavioral assessment

Clinical Scenario

Used during the evaluation of a child suspected of having ADHD.

Documentation Requirements

Document the assessment results and any recommendations made.

Specialty Considerations

Pediatricians should ensure comprehensive developmental history is included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ADHD subtypes, improving the accuracy of diagnoses and treatment plans. This specificity aids in better understanding and management of the disorder.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ADHD subtypes, improving the accuracy of diagnoses and treatment plans. This specificity aids in better understanding and management of the disorder.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ADHD subtypes, improving the accuracy of diagnoses and treatment plans. This specificity aids in better understanding and management of the disorder.

Resources

Clinical References

  • •
    American Academy of Pediatrics ADHD Guidelines

Coding & Billing References

  • •
    American Academy of Pediatrics ADHD Guidelines

Frequently Asked Questions

What are the primary symptoms of ADHD, predominantly inattentive type?

The primary symptoms include difficulty sustaining attention, frequent careless mistakes, difficulty organizing tasks, and forgetfulness in daily activities. Unlike other types of ADHD, hyperactivity is not a prominent feature.