F94.1

Billable

Reactive attachment disorder of childhood

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A disorder in young children characterized by minimal emotional responsiveness, limited social interaction, and reduced comfort-seeking behavior toward caregivers, typically resulting from severe neglect or deprivation.

Coding Tips

•Document evidence of inadequate care, neglect, or deprivation in the child's history
•Differentiate from disinhibited attachment disorder (F94.2) by noting the child's withdrawn and unresponsive behavior

Excludes 1 — Do NOT code together

disinhibited attachment disorder of childhood (F94.2)
normal variation in pattern of selective attachment

Excludes 2 — Not included here, may code separately

Asperger's syndrome (F84.5)
maltreatment syndromes (T74.-)
sexual or physical abuse in childhood, resulting in psychosocial problems (Z62.81-)

Use Additional Code

code to identify any associated failure to thrive or growth retardation

Code Hierarchy

└F94Disorders of social functioning with onset specific to childhood and adolescence └F94.1Reactive attachment disorder of childhood

└F94.1Reactive attachment disorder of childhood