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ICD-10 Guide
ICD-10 CodesF84.2

F84.2

Billable

Rett's syndrome

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

Code Description

ICD-10 F84.2 is a billable code used to indicate a diagnosis of rett's syndrome.

Key Diagnostic Point:

Rett's syndrome is a rare neurodevelopmental disorder that primarily affects females and is characterized by normal early growth followed by a period of regression in development. This condition typically manifests between 6 to 18 months of age, after which affected individuals experience a loss of purposeful hand skills, development of repetitive hand movements, and a decline in communication abilities. Patients may also exhibit gait abnormalities, seizures, and cognitive impairment. The disorder is caused by mutations in the MECP2 gene, which plays a crucial role in brain development and function. Diagnosis is primarily clinical, based on the presence of characteristic symptoms and developmental history. While there is no cure for Rett's syndrome, early intervention with therapies such as physical, occupational, and speech therapy can help improve quality of life and functional abilities. The complexity of managing Rett's syndrome lies in its varied presentation and the need for a multidisciplinary approach to care, including neurologists, geneticists, and therapists.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for comprehensive documentation of developmental history
  • Potential overlap with other neurodevelopmental disorders
  • Requirement for genetic testing and interpretation of results

Audit Risk Factors

  • Inadequate documentation of developmental milestones
  • Failure to document genetic testing results
  • Misclassification with other autism spectrum disorders
  • Lack of evidence for multidisciplinary care

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed developmental history, including milestones and regression patterns.

Common Clinical Scenarios

Diagnosis of Rett's syndrome in a child presenting with loss of skills and hand movements.

Billing Considerations

Documentation must clearly outline the timeline of developmental changes and any genetic testing performed.

Neurology

Documentation Requirements

Neurological assessments, seizure activity documentation, and cognitive evaluations.

Common Clinical Scenarios

Management of seizures in a patient with diagnosed Rett's syndrome.

Billing Considerations

Neurologists should document the impact of seizures on overall development and function.

Coding Guidelines

Inclusion Criteria

Use F84.2 When
  • According to ICD
  • 10 guidelines, F84
  • 2 should be used when the diagnosis of Rett's syndrome is confirmed
  • Coders should ensure that documentation supports the diagnosis and includes any relevant genetic testing results

Exclusion Criteria

Do NOT use F84.2 When
  • Exclusion criteria include other neurodevelopmental disorders that may present similarly

Related ICD-10 Codes

Related CPT Codes

96110CPT Code

Developmental screening

Clinical Scenario

Used during routine check-ups to assess developmental milestones in children suspected of having Rett's syndrome.

Documentation Requirements

Document the specific developmental concerns and results of the screening.

Specialty Considerations

Pediatricians should ensure comprehensive developmental assessments are performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Rett's syndrome, improving the accuracy of diagnosis and treatment tracking. It has also facilitated better data collection for research and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Rett's syndrome, improving the accuracy of diagnosis and treatment tracking. It has also facilitated better data collection for research and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Rett's syndrome, improving the accuracy of diagnosis and treatment tracking. It has also facilitated better data collection for research and epidemiological studies.

Resources

Clinical References

  • •
    Rett Syndrome Research Trust

Coding & Billing References

  • •
    Rett Syndrome Research Trust

Frequently Asked Questions

What are the key symptoms of Rett's syndrome?

Key symptoms include loss of purposeful hand skills, development of repetitive hand movements, gait abnormalities, and cognitive decline, typically observed after a period of normal development.