CPT 90853 + ICD-10 F94.2: Disinhibited social engagement disorder
Group psychotherapy billed with Disinhibited social engagement disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90853
Group psychotherapy
ICD-10 Code
F94.2
Disinhibited social engagement disorder
Compatibility Notes
Group therapy for DSED is very uncommon outside of specialized early childhood mental health programs. Per-participant billing required. Childhood-onset requirement applies. Provider expertise in early childhood and attachment disorders is expected by payers.
Documentation Required
- ✓Per-participant attendance and DSED diagnosis
- ✓Pathogenic care history per participant
- ✓Child age
- ✓Group therapeutic approach for disinhibited behaviors
- ✓Caregiver involvement
Common Denial Reasons
- ✗Adult patient coded with childhood-onset diagnosis
- ✗No pathogenic care history per participant
- ✗Group billed as single claim
Applicable Modifiers
Reimbursement Notes
OON UCR $50-$90 per participant. DSED group therapy is extremely rare; specialist credentials are essential.
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