Disorders of social functioning with onset specific to childhood and adolescence (F94)

The F94 ICD-10 codes cover disorders of social functioning with onset specific to childhood and adolescence, addressing conditions that affect how young individuals interact socially. These codes include specific diagnoses such as selective mutism and attachment disorders.

The ICD-10 code for selective mutism (F94.0) applies to children who consistently do not speak in certain social situations despite having the ability, also known as elective mutism. Codes F94.1 and F94.2 refer to reactive and disinhibited attachment disorders, respectively, which involve difficulties in forming secure emotional bonds, often related to early trauma or neglect. The F94.8 code is used for other specified childhood social functioning disorders, including anxiety and avoidant disorders during youth. When the social functioning disorder isn't otherwise classified, F94.9 serves as the unspecified category, encompassing general developmental delays in social skills. These codes help healthcare professionals accurately identify and report childhood social functioning challenges, improving clarity in diagnosis and treatment planning.

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Reactive Attachment Disorder

Markedly disturbed and developmentally inappropriate social relatedness that begins before age 5 and is associated with grossly pathological child care. The child may persistently fail to initiate and respond to social interactions in a developmentally appropriate way (inhibited type) or there may be a pattern of diffuse attachments with nondiscriminate sociability (disinhibited type). (From DSM-V)