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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
Common Modifiers

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.

Related Billing Guides

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