CPT 90834 + ICD-10 F94.1: Reactive attachment disorder of childhood
Psychotherapy, 45 minutes billed with Reactive attachment disorder of childhood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F94.1
Reactive attachment disorder of childhood
Compatibility Notes
Used for 45-minute attachment-based therapy sessions for children with RAD. Caregiver involvement is typically integral to the treatment. F94.1 is a childhood-onset disorder; the identified patient must be a child. Pathogenic care history must be documented.
Documentation Required
- ✓Session start and stop times confirming 38–52 minutes
- ✓RAD diagnosis with pathogenic care history documented
- ✓Child age and developmental history
- ✓Attachment-based therapeutic approach
- ✓Caregiver participation in treatment plan
Common Denial Reasons
- ✗Adult patient coded with childhood-onset diagnosis
- ✗Pathogenic care history absent from record
- ✗No attachment-specific intervention documented
Applicable Modifiers
Reimbursement Notes
OON UCR $100–$165. RAD psychotherapy is covered under mental health parity. Provider credentials in attachment-based therapies strengthen claims.
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