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CPT 90837 + ICD-10 F94.1: Reactive attachment disorder of childhood

Psychotherapy, 60 minutes billed with Reactive attachment disorder of childhood — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90837
Psychotherapy, 60 minutes
ICD-10 Code
F94.1
Reactive attachment disorder of childhood
Common Modifiers

Compatibility Notes

F94.1 is a childhood-onset disorder; the identified patient must be a child. Psychotherapy for RAD typically involves attachment-based interventions, dyadic therapy, and parent-child interaction therapy (PCIT). Most commercial payers cover this with appropriate documentation, but some may require the treating provider to have documented training in attachment-based therapies.

Documentation Required

  • Session start and stop times confirming 53+ minutes
  • RAD diagnosis with DSM-5 criteria: inhibited attachment patterns, history of pathogenic care
  • Child patient age and developmental history
  • Attachment-based therapeutic approach documented
  • Caregiver/parent involvement in treatment plan
  • Safety assessment including maltreatment history

Common Denial Reasons

  • Diagnosis applied to an adult patient — F94.1 is restricted to childhood onset
  • Notes lack documentation of pathogenic care history required for RAD diagnosis
  • No evidence of attachment-specific therapeutic approach

Applicable Modifiers

Reimbursement Notes

OON UCR $130–$210. RAD treatment is typically long-term; payers should authorize ongoing therapy under mental health parity. Providers with specialized training in attachment disorders may bill more confidently with documented credentials.

Related Billing Guides

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