CPT 90853 + ICD-10 F94.1: Reactive attachment disorder of childhood
Group psychotherapy billed with Reactive attachment disorder of childhood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90853
Group psychotherapy
ICD-10 Code
F94.1
Reactive attachment disorder of childhood
Compatibility Notes
Group therapy for RAD is uncommon in standard outpatient settings but may occur in residential or day treatment programs serving children with attachment disorders. Per-participant billing required. The childhood-onset diagnosis requirement applies. Pathogenic care history must be documented per participant.
Documentation Required
- ✓Per-participant attendance and RAD diagnosis
- ✓Pathogenic care history per participant
- ✓Child age and developmental level
- ✓Attachment-based group therapy approach
- ✓Caregiver involvement in treatment plan per participant
Common Denial Reasons
- ✗Adult patient coded with childhood-onset diagnosis
- ✗Pathogenic care history absent per participant
- ✗Group billed as single claim
Applicable Modifiers
Reimbursement Notes
OON UCR $50-$90 per participant. RAD group therapy is rare; document program structure and specialist credentials clearly.
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