F94.1 vs Z62.81
F94.1 (Reactive attachment disorder of childhood) compared with Z62.81 (Personal history of abuse in childhood), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. F94.1 carries an Excludes2 note covering Z62.81: “sexual or physical abuse in childhood, resulting in psychosocial problems (Z62.81-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F94.1Reactive attachment disorder of childhood | Z62.81Personal history of abuse in childhood | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Reactive attachment disorder of childhood is a billable ICD-10-CM diagnosis code (F94.1). | Personal history of abuse in childhood is a non-billable ICD-10-CM category code (Z62.81). |
| Includes | — | current and past negative life events in childhood current and past problems of a child related to upbringing Personal history of abuse in adolescence |
| Use additional code | code to identify any associated failure to thrive or growth retardation | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources