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
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.
Generate a superbill with CPT 90837 and ICD-10 F94.1
Superbilled makes it easy to include the correct CPT and ICD-10 codes on every superbill. Create a compliant, insurance-ready document in minutes.
Generate superbill with 90837 + F94.1 free