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F98

Non-Billable (Header)

Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

F98 is the ICD-10-CM diagnosis code for other behavioral and emotional disorders with onset usually occurring in childhood and adolescence. F98 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 F98 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 F98'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 F98 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2 — Not included here, may code separately

  • breath-holding spells (R06.89)
  • gender identity disorder of childhood (F64.2)
  • Kleine-Levin syndrome (G47.13)
  • obsessive-compulsive disorder (F42.-)
  • sleep disorders not due to a substance or known physiological condition (F51.-)

Child Codes

Code Hierarchy

F98Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence
F98Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence

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