What is ICD-10 code F40.290?

F40.290 is the ICD-10-CM diagnosis code for Androphobia. An intense, irrational fear of men or male-dominated situations. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F40.290 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F40.290 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F40.290 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F40.290 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

What is the V28 vs V24 difference for F40.290?

F40.290 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards F40.290 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

What should coders know when reporting F40.290?

This is a rare diagnosis; ensure documentation clearly supports androphobia rather than social anxiety Document the impact on the patient's relationships and daily functioning

F40.290: Androphobia — ICD-10

ICD-10-CM Code View

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Code lookupF40.290Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)

F40.290

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Androphobia

An intense, irrational fear of men or male-dominated situations.

Buddy Insight

Androphobia is a specific phobia involving an intense, irrational fear of men.

CMS-HCC V28

Not risk-adjusted for this model/period.

RAF 0

CMS-HCC V24

Not risk-adjusted for this model/period.

RAF 0

ACA/HHS

Not risk-adjusted for this model/period.

RAF 0

ESRD/PACE

Not risk-adjusted for this model/period.

RAF 0

RXHCC

Mapped

HCC 133

Personality Disorders, Anxiet...

RAF 0.0

Code Trumping

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Code Book Path

Official

F40.2Specific (isolated) phobias

F40.29Other specified phobia

F40.290Androphobia

Inclusion Terms

Official

Fear of men

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F40.290 in this effective period.

Related Child Codes

Official

F40.291Gynephobia

F40.298Other specified phobia

Includes

Official

ICD-10-CM does not list Includes notes for F40.290 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F40.290 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F40.290 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F40.290 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F40.290 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Marked fear or anxiety specifically about men or male presence

Fear is disproportionate and not explained by actual threat

Consistent anxiety response in the presence of men

Avoidance behaviors and functional impact on social and occupational functioning

MEAT Support

HCC Buddy guidance

Marked fear or anxiety specifically about men or male presence

Fear is disproportionate and not explained by actual threat

Consistent anxiety response in the presence of men

Avoidance behaviors and functional impact on social and occupational functioning

Audit Caution

HCC Buddy guidance

Not evaluating for PTSD when androphobia may be a symptom of trauma — the underlying condition takes coding priority

Confusing androphobia with social phobia or generalized anxiety that is worse around men

Using F40.298 when the specific code F40.290 exists

Coding androphobia without assessing for domestic violence or sexual trauma history

Common Mistakes

HCC Buddy guidance

F43.10 (Post-traumatic stress disorder, unspecified) — If the fear stems from trauma with re-experiencing and hyperarousal symptoms, PTSD may be more appropriate

F40.10 (Social phobia, unspecified) — Social phobia involves fear of social evaluation generally; androphobia is specifically about men

F40.298 (Other specified phobia) — Use the specific code F40.290 for fear of men rather than the residual category

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is F40.290 an HCC code?

No. F40.290 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

HCC Category Mapping

RxHCCHCC 133, Personality Disorders, Anxiety, and Other Specified Mental Disorders

0.000

RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

MEAT Criteria for F40.290

For F40.290to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F40.290 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

F40.290 is the ICD-10-CM diagnosis code for androphobia. An intense, irrational fear of men or male-dominated situations. F40.290 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (f40-f48).

F40.290 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

F40.290 does not map to any HCC under V24 or V28. No ESRD mapping. RxHCC maps to RxHCC 133 at 0.0 weight. Non-risk-adjusting diagnosis. Coders reviewing F40.290 should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F40.290 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•This is a rare diagnosis; ensure documentation clearly supports androphobia rather than social anxiety
•Document the impact on the patient's relationships and daily functioning

Clinical Significance

Androphobia is a specific phobia involving an intense, irrational fear of men. This phobia can significantly impact social functioning, employment, and ability to access healthcare services from male providers. It may be associated with past traumatic experiences and should be differentiated from post-traumatic stress disorder.

Documentation Requirements

✓Marked fear or anxiety specifically about men or male presence
✓Fear is disproportionate and not explained by actual threat
✓Consistent anxiety response in the presence of men
✓Avoidance behaviors and functional impact on social and occupational functioning
✓Duration of 6+ months
✓Assessment for underlying trauma that may warrant a PTSD diagnosis instead

Commonly Confused Codes

•F43.10 (Post-traumatic stress disorder, unspecified): If the fear stems from trauma with re-experiencing and hyperarousal symptoms, PTSD may be more appropriate
•F40.10 (Social phobia, unspecified): Social phobia involves fear of social evaluation generally; androphobia is specifically about men
•F40.298 (Other specified phobia): Use the specific code F40.290 for fear of men rather than the residual category