2027 ICD-10-CM Diagnosis Code F94.0Selective mutism

ICD-10-CM Codes›F01–F99›F90-F98›F94

ICD-10-CM F94.0
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F94.0 is a billable ICD-10-CM diagnosis code for selective mutism. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 886. Coders also document this condition as adjustment disorder with anxious mood. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Anxiety and fear-related disorders.

Code Identity

ICD-10-CM Code
F94.0
Billable Status
Yes — Valid for Submission
Code Describes
Selective mutism
Short Description
Selective mutism
Same as the full description in the CMS dataset.
Parent Code
Disorders of social functioning with onset specific to childhood and adolescence

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF90-F98Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
CategoryF94Disorders of social functioning with onset specific to childhood and adolescence
This CodeF94.0Selective mutism

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Adjustment disorder with anxious mood
  • Anxiety disorder of adolescence
  • Childhood and adolescent disturbance with selective mutism
  • Does not speak
  • Does not use language
  • Finding related to ability to speak
  • Selective mutism
  • Selective mutism due to adjustment reaction

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F94.0: its own notes plus those printed at block F90-F98 and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Elective mutism

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On F94.0 itself
  • pervasive developmental disorders (F84.-)
  • schizophrenia (F20.-)
  • specific developmental disorders of speech and language (F80.-)
  • transient mutism as part of separation anxiety in young children (F93.0)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Notes

General instructions on how these codes are used.

From Block F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence applies to 33 codes
  • Codes within categories F90-F98 may be used regardless of the age of a patient. These disorders generally have onset within the childhood or adolescent years, but may continue throughout life or not be diagnosed until adulthood

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F94.0, its category, or a range that includes it.

Excludes2 2

These codes carry an Excludes2 note naming F94.0: its condition is not part of those codes, and both may be reported when the patient has both.

  • F80.1 Expressive language disorder
    selective mutism (F94.0)
  • F80.2 Mixed receptive-expressive language disorder
    selective mutism (F94.0)

Notes 1

These notes mention F94.0.

  • Block F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence
    Codes within categories F90-F98 may be used regardless of the age of a patient. These disorders generally have onset within the childhood or adolescent years, but may continue throughout life or not be diagnosed until adulthood names F90-F98, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR MBD005
Anxiety and fear-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Selective Mutism

    a persistent failure to speak in certain social situations (i.e., school) where speaking is expected, despite speaking in other situations.

Patient EducationClinical

Child Mental Health

It's important to recognize and treat mental illnesses in children early on. Once mental illness develops, it becomes a regular part of your child's behavior. This makes it more difficult to treat.

Read the full article at MedlinePlus

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

Convert F94.0 to ICD-9-CMHistory

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

ICD-9-CM
313.23 Selective mutism
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F94.0Overview

What is the ICD-10 code for selective mutism?

The ICD-10-CM code for selective mutism is F94.0 (sometimes written as F940). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F94.0 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report selective mutism on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F94.0 group to?

When selective mutism is the principal diagnosis on an inpatient stay, it groups to MS-DRG 886 (behavioral and Developmental Disorders), which carries a relative weight of 1.6455. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F94.0?

Under the General Equivalence Mappings, selective mutism converts to ICD-9-CM 313.23 (selective mutism). The mapping is a direct match.