F98.8 ICD-10-CM Code: Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence
F98.8 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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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)
F98.8
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence
Behavioral or emotional disorders with typical onset in childhood or adolescence that do not fit into other specific diagnostic categories, such as selective mutism or other conduct-related issues.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Excessive masturbation
- Nail-biting
- Nose-picking
- Thumb-sucking
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
Includes
OfficialICD-10-CM does not list Includes notes for F98.8 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F98.8 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F98.8 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F98.8 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F98.8 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F98.8 an HCC code?
No. F98.8 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- F98.8
- Description
- Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F98.8 is the ICD-10-CM diagnosis code for other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence. Behavioral or emotional disorders with typical onset in childhood or adolescence that do not fit into other specific diagnostic categories, such as selective mutism or other conduct-related issues. F98.8 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).
F98.8 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
This is a residual code; use only when a more specific F98 code cannot be applied.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F98.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a residual code; use only when a more specific F98 code cannot be applied
- •Clearly document the specific behavioral or emotional symptoms and their onset timeline in the medical record

