CPT 90834 + ICD-10 F94.2: Disinhibited social engagement disorder
Psychotherapy, 45 minutes billed with Disinhibited social engagement disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90834
Psychotherapy, 45 minutes
ICD-10 Code
F94.2
Disinhibited social engagement disorder
Compatibility Notes
Used for 45-minute therapy sessions for children with DSED. Treatment targets disinhibited social approach behaviors and attachment security. Caregiver-inclusive sessions are standard. Relatively uncommon in general outpatient practice; more common in early childhood and foster/adoption specialty settings.
Documentation Required
- ✓Session start and stop times confirming 38–52 minutes
- ✓DSED diagnosis with pathogenic care history and disinhibited behavior documented
- ✓Child age and developmental level
- ✓Caregiver involvement in treatment
- ✓Safety considerations for high-risk attachment behaviors
Common Denial Reasons
- ✗Adult patient coded with childhood-onset diagnosis
- ✗Pathogenic care history absent
- ✗Notes do not distinguish DSED from RAD clinically
Applicable Modifiers
Reimbursement Notes
OON UCR $100–$165. DSED is uncommon; expect documentation scrutiny. Specialist credentials in early childhood mental health support claims.
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