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ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF88

F88

Billable

Other disorders of psychological development

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

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

Code Description

ICD-10 F88 is a billable code used to indicate a diagnosis of other disorders of psychological development.

Key Diagnostic Point:

F88 encompasses a range of neurodevelopmental disorders that do not fit neatly into other specified categories. These disorders can manifest as atypical development in cognitive, emotional, and social domains. Conditions such as autism spectrum disorder (ASD), communication disorders, and learning disabilities may be included under this code when they do not meet the criteria for more specific diagnoses. Individuals with these disorders may experience challenges in social interactions, communication, and academic performance. The symptoms can vary widely, from mild to severe, and may include difficulties in understanding social cues, forming relationships, and processing information. Early diagnosis and intervention are crucial for improving outcomes, as these disorders can significantly impact an individual's quality of life and functioning. Treatment often involves a multidisciplinary approach, including behavioral therapies, educational support, and sometimes medication to manage associated symptoms. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation and severity
  • Overlap with other neurodevelopmental disorders
  • Need for comprehensive documentation to support diagnosis
  • Potential for misdiagnosis or underdiagnosis

Audit Risk Factors

  • Inadequate documentation of developmental history
  • Failure to specify the nature of the disorder
  • Lack of evidence for the diagnosis in clinical notes
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed developmental history, including milestones and behavioral observations.

Common Clinical Scenarios

Assessment of a child with delayed speech and social skills.

Billing Considerations

Consider the impact of co-occurring conditions such as ADHD or anxiety disorders.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including DSM-5 criteria.

Common Clinical Scenarios

Diagnosis of a child presenting with social withdrawal and communication difficulties.

Billing Considerations

Ensure to document any comorbid mental health conditions that may influence treatment.

Coding Guidelines

Inclusion Criteria

Use F88 When
  • According to ICD
  • 10 guidelines, F88 should be used when the disorder does not meet the criteria for more specific diagnoses
  • Coders must ensure that the documentation supports the diagnosis and that the symptoms are clearly outlined

Exclusion Criteria

Do NOT use F88 When
  • Exclusion criteria must also be adhered to

Related CPT Codes

96110CPT Code

Developmental screening, with interpretation and report

Clinical Scenario

Used when assessing a child for developmental disorders.

Documentation Requirements

Document the 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 specificity in coding developmental disorders, enabling better tracking of prevalence and treatment outcomes. F88 serves as a catch-all for disorders that do not fit into more defined categories, which can help in identifying trends in less common developmental issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding developmental disorders, enabling better tracking of prevalence and treatment outcomes. F88 serves as a catch-all for disorders that do not fit into more defined categories, which can help in identifying trends in less common developmental issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding developmental disorders, enabling better tracking of prevalence and treatment outcomes. F88 serves as a catch-all for disorders that do not fit into more defined categories, which can help in identifying trends in less common developmental issues.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of conditions are included under F88?

F88 includes various disorders of psychological development that do not fit into more specific categories, such as atypical developmental patterns in social, cognitive, and emotional domains.