2026 ICD-10-CM Diagnosis Code F84.0Autistic disorder

ICD-10-CM CodesF01–F99F80-F89F84

ICD-10-CM F84.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F84.0 is a billable ICD-10-CM diagnosis code for autistic disorder. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 884. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 295 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neurodevelopmental disorders.

F84.0 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 for payment year 2026.

Code Identity

ICD-10-CM Code
F84.0
Billable Status
Yes — Valid for Submission
Code Describes
Autistic disorder
Short Description
Autistic disorder
Same as the full description in the CMS dataset.
Parent Code
Pervasive developmental disorders

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF80-F89Pervasive and specific developmental disorders
CategoryF84Pervasive developmental disorders
This CodeF84.0Autistic disorder

Medicare Risk Adjustment (HCC)Billing

F84.0 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 133 — Anxiety and Other Psychiatric Disorders
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Active infantile autism
  • ADNP-related multiple congenital anomalies, intellectual disability, autism spectrum disorder
  • Autism epilepsy syndrome due to branched chain ketoacid dehydrogenase kinase deficiency
  • Autism spectrum disorder due to AUTS2 deficiency
  • Autism spectrum disorder, epilepsy, arthrogryposis syndrome
  • Autistic disorder of childhood onset
  • Borderline psychosis of childhood
  • Developmental delay with autism spectrum disorder and gait instability
  • GRIN2B-related developmental delay, intellectual disability, autism spectrum disorder
  • High-functioning autism
  • Infantile autism
  • Infantile psychosis
  • Intellectual disability, autism, speech apraxia, craniofacial dysmorphism syndrome
  • Macrocephaly, intellectual disability, autism syndrome
  • Mental disorder in infancy
  • Pervasive developmental disorder of residual state
  • Psychosis in early childhood
  • Psychosis with origin in childhood
  • Residual childhood psychosis
  • Residual infantile autism
  • Symbiotic infantile psychosis

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Autism spectrum disorder
  • Infantile autism
  • Infantile psychosis
  • Kanner's syndrome

Type 1 Excludes

  • Asperger's syndrome F84.5

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD014
Neurodevelopmental disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Autistic Disorder

    a disorder beginning in childhood. it is marked by the presence of markedly abnormal or impaired development in social interaction and communication and a markedly restricted repertoire of activity and interest. manifestations of the disorder vary greatly depending on the developmental level and chronological age of the individual. (dsm-v)

Patient EducationClinical

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurological and developmental disorder that begins early in childhood and lasts throughout a person's life. It affects how a person acts and interacts with others, communicates, and learns. It includes what used to be known as Asperger syndrome and pervasive developmental disorders.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F84.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
299.00 Autistic disord-current
Approximate The match is approximate rather than exact.
ICD-9-CM
299.01 Autistic disord-residual
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F84.0Overview

What is the ICD-10 code for autistic disorder?

The ICD-10-CM code for autistic disorder is F84.0 (sometimes written as F840). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is F84.0 (Pervasive developmental disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report autistic disorder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F84.0 group to?

When autistic disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 884 (organic Disturbances and Intellectual Disability), which carries a relative weight of 1.6089. Higher weights mean higher Medicare reimbursement.

Is F84.0 a CC or MCC?

CMS lists F84.0 as a CC (complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 295 closely related codes in its exclusion list.

What is the ICD-9 equivalent of F84.0?

Under the General Equivalence Mappings, autistic disorder converts to ICD-9-CM 299.00 (autistic disord-current) and 299.01 (autistic disord-residual). The mapping is approximate, so confirm the match fits the documentation.

Does F84.0 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: F84.0 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 133 (Anxiety and Other Psychiatric Disorders).