CPT 90791 + ICD-10 F94.1: Reactive attachment disorder of childhood
Psychiatric diagnostic evaluation billed with Reactive attachment disorder of childhood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90791
Psychiatric diagnostic evaluation
ICD-10 Code
F94.1
Reactive attachment disorder of childhood
Compatibility Notes
Initial evaluation for a child presenting with RAD. The evaluation must document pathogenic care history (neglect, institutional care, multiple caregiver changes) and current attachment pattern. This is an uncommon intake diagnosis; providers should have documented training in attachment disorders. F94.1 is a childhood-onset diagnosis.
Documentation Required
- ✓Comprehensive developmental and social history
- ✓Pathogenic care history documented (neglect, institutional care)
- ✓Current attachment pattern assessed
- ✓Child age confirmed
- ✓Treatment plan: attachment-based interventions with caregiver involvement
Common Denial Reasons
- ✗Adult patient coded with childhood-onset diagnosis
- ✗Pathogenic care history absent
- ✗Evaluation lacks the developmental focus required for RAD diagnosis
Applicable Modifiers
Reimbursement Notes
OON UCR $175–$350. RAD evaluations are uncommon; provider credentials in attachment-based assessment support claims. Bill 90791 for all intake evaluations including RAD.
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