CPT 90837 + ICD-10 F94.2: Disinhibited social engagement disorder
Psychotherapy, 60 minutes billed with Disinhibited social engagement disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90837
Psychotherapy, 60 minutes
ICD-10 Code
F94.2
Disinhibited social engagement disorder
Compatibility Notes
DSED is a childhood disorder related to RAD but characterized by disinhibited social approach behaviors. The identified patient must be a child. Psychotherapy targets attachment security, social skills, and caregiver-child relationship repair. This is an uncommon billing code in private practice but valid for clinicians specializing in early childhood mental health and trauma.
Documentation Required
- ✓Session start and stop times confirming 53+ minutes
- ✓DSED diagnosis with documented history of social neglect or institutional care
- ✓Child age and developmental status
- ✓Evidence of disinhibited social behavior across contexts
- ✓Caregiver-inclusive treatment plan
Common Denial Reasons
- ✗Diagnosis applied to adult patient — F94.2 is onset in childhood
- ✗Insufficient documentation of pathogenic care history
- ✗Notes do not distinguish DSED from RAD (the two can co-occur but have distinct clinical features)
Applicable Modifiers
Reimbursement Notes
OON UCR $130–$210. DSED is rare in typical outpatient practice; expect higher documentation scrutiny. Providers specializing in early childhood mental health or foster/adoptive family services bill this code most commonly.
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