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F98 ICD-10-CM Code: Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence

ICD-10-CM Code View

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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)

F98

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

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

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

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

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F98 in this effective period.

Excludes 2

Official
  • 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.-)

Related Child Codes

Official
F98.0Enuresis not due to a substance or known physiological condition
F98.1Encopresis not due to a substance or known physiological condition
F98.2Other feeding disorders of infancy and childhood
F98.3Pica of infancy and childhood
F98.4Stereotyped movement disorders

Includes

Official

ICD-10-CM does not list Includes notes for F98 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F98 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F98 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F98 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F98 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

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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