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F91 ICD-10-CM Code: Conduct disorders

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)

F91

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Conduct disorders

Conduct disorders

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
F9Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-F98)
F91Conduct disorders

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F91 in this effective period.

Excludes 2

Official
  • conduct problems associated with attention-deficit hyperactivity disorder (F90.-)
  • mood [affective] disorders (F30-F39)
  • pervasive developmental disorders (F84.-)
  • schizophrenia (F20.-)

Related Child Codes

Official
F91.0Conduct disorder confined to family context
F91.1Conduct disorder, childhood-onset type
F91.2Conduct disorder, adolescent-onset type
F91.3Oppositional defiant disorder
F91.8Other conduct disorders

Includes

Official

ICD-10-CM does not list Includes notes for F91 in this effective period.

Excludes 1

Official
  • antisocial behavior (Z72.81-)
  • antisocial personality disorder (F60.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F91 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F91 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F91 in this effective period.

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.

Coder workflow notes

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What This Code Means

F91 is the ICD-10-CM diagnosis code for conduct disorders. F91 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering behavioral and emotional disorders with onset usually occurring in childhood and adolescence (f90-f98).

Header codes like F91 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F91's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F91 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • antisocial behavior (Z72.81-)
  • antisocial personality disorder (F60.2)

Excludes 2, Not included here, may code separately

  • conduct problems associated with attention-deficit hyperactivity disorder (F90.-)
  • mood [affective] disorders (F30-F39)
  • pervasive developmental disorders (F84.-)
  • schizophrenia (F20.-)

Child Codes

Code Hierarchy

F91Conduct disorders
F91Conduct disorders

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