F90 vs R41.840
F90 (Attention-deficit hyperactivity disorders) compared with R41.840 (Attention and concentration deficit), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. R41.840 carries an Excludes1 note covering F90: “attention-deficit hyperactivity disorders (F90.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F90Attention-deficit hyperactivity disorders | R41.840Attention and concentration deficit | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Attention-deficit hyperactivity disorders is a non-billable ICD-10-CM category code (F90). | Attention and concentration deficit is a billable ICD-10-CM diagnosis code (R41.840). |
| Includes | attention deficit disorder with hyperactivity attention deficit syndrome with hyperactivity | — |
| Code first | — | the underlying condition, if known, such as: schizophrenia (F20.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources