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ICD-10 Guide
ICD-10 CodesF84.8

F84.8

Billable

Other pervasive developmental disorders

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

Code Description

ICD-10 F84.8 is a billable code used to indicate a diagnosis of other pervasive developmental disorders.

Key Diagnostic Point:

F84.8 encompasses a variety of neurodevelopmental disorders that do not fit neatly into the more commonly recognized categories of autism spectrum disorder (ASD) or other specific developmental disorders. These conditions may include atypical autism, pervasive developmental disorder not otherwise specified (PDD-NOS), and other disorders characterized by significant impairments in social interaction, communication, and restricted or repetitive patterns of behavior. Patients may exhibit a range of symptoms, including difficulties in understanding social cues, challenges in verbal and non-verbal communication, and a tendency towards rigid routines or interests. The onset of symptoms typically occurs in early childhood, and while some individuals may show improvement over time, others may continue to experience significant challenges throughout their lives. Accurate diagnosis often requires a multidisciplinary approach, including psychological evaluation, developmental history, and observation of behavior in various settings. Treatment may involve behavioral therapies, educational interventions, and, in some cases, pharmacological management to address co-occurring symptoms such as anxiety or attention deficits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms and presentations that can complicate diagnosis.
  • Overlap with other neurodevelopmental disorders, making differentiation challenging.
  • Need for comprehensive documentation to support the diagnosis.
  • Potential for co-occurring conditions that require additional coding.

Audit Risk Factors

  • Inadequate documentation of symptoms and their impact on functioning.
  • Failure to specify the type of pervasive developmental disorder.
  • Lack of evidence for the duration of symptoms.
  • Inconsistent coding with other related diagnoses.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed developmental history, behavioral assessments, and observations from multiple settings.

Common Clinical Scenarios

Evaluating a child with social communication difficulties and restricted interests.

Billing Considerations

Consideration of age-appropriate developmental milestones and potential co-morbidities.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and family history.

Common Clinical Scenarios

Assessing an adolescent with social anxiety and atypical developmental history.

Billing Considerations

Differentiating from other mood or anxiety disorders that may present similarly.

Coding Guidelines

Inclusion Criteria

Use F84.8 When
  • According to ICD
  • 10 guidelines, F84
  • 8 should be used when a patient exhibits symptoms of a pervasive developmental disorder that do not meet the criteria for other specific disorders
  • Documentation must support the diagnosis, including symptom duration and impact on daily functioning

Exclusion Criteria

Do NOT use F84.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96110CPT Code

Developmental screening, with interpretation and report

Clinical Scenario

Used during the initial evaluation of a child suspected of having a pervasive developmental disorder.

Documentation Requirements

Documentation of screening results and any follow-up recommendations.

Specialty Considerations

Pediatricians should ensure comprehensive developmental assessments are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurodevelopmental disorders, enabling better tracking of prevalence and treatment outcomes. F84.8 provides a necessary classification for those who do not fit into more defined categories, ensuring that all patients receive appropriate care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurodevelopmental disorders, enabling better tracking of prevalence and treatment outcomes. F84.8 provides a necessary classification for those who do not fit into more defined categories, ensuring that all patients receive appropriate care.

Reimbursement & Billing Impact

impact on daily functioning, and any treatment plans. Providers should ensure that all relevant assessments and evaluations are included in the medical record.

Resources

Clinical References

  • •
    American Psychiatric Association - DSM-5
  • •
    Centers for Disease Control and Prevention - Autism Spectrum Disorder

Coding & Billing References

  • •
    American Psychiatric Association - DSM-5
  • •
    Centers for Disease Control and Prevention - Autism Spectrum Disorder

Frequently Asked Questions

What are the key symptoms of other pervasive developmental disorders?

Key symptoms include difficulties in social interaction, challenges with communication, and restricted or repetitive behaviors. These symptoms can vary widely among individuals.

How is F84.8 different from other autism spectrum codes?

F84.8 is used for disorders that do not meet the criteria for specific autism spectrum disorders, allowing for a broader classification of developmental challenges.