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F98.4 ICD-10-CM Code: Stereotyped movement disorders

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 inclusion term · 1 Excludes1 · 14 Excludes2
Risk adjustment
RxHCC V08 category 133

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 887 — OTHER MENTAL DISORDER DIAGNOSES (MDC 19)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F98.4 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on F98.4 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Stereotype/habit disorder

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Coder workflow for F98.4

MedCoder structured workflow — derived from this code’s own official record

Before you code F98.4

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with F98.4. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in F98.4’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewR25

Consider F98.4. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting F98.4(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with F98.4: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareR25

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of F98.4(14 notes)

    Coding workflow: The conditions named in this note are not included in F98.4. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareF42, F63.3, F98.8, F95, R06.89, F64.2

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition F98.4 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewR25

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Stereotyped movement disorders is a billable ICD-10-CM diagnosis code (F98.4).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (7)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name F98.4 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: R25 — Abnormal involuntary movements.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: F63.3 — Trichotillomania.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 887 (MDC 19).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD014 — Neurodevelopmental disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Neurodevelopmental disorders).

F84.3 — Other childhood disintegrative disorder, F84.5 — Asperger's syndrome, F84.8 — Other pervasive developmental disorders, F84.9 — Pervasive developmental disorder, unspecified, F88 — Other disorders of psychological development, F89 — Unspecified disorder of psychological development, F90.0 — Attention-deficit hyperactivity disorder, predominantly inattentive type, F90.1 — Attention-deficit hyperactivity disorder, predominantly hyperactive type, F90.2 — Attention-deficit hyperactivity disorder, combined type, F90.8 — Attention-deficit hyperactivity disorder, other type, F90.9 — Attention-deficit hyperactivity disorder, unspecified type, F94.8 — Other childhood disorders of social functioning, F94.9 — Childhood disorder of social functioning, unspecified, F95.0 — Transient tic disorder, F95.1 — Chronic motor or vocal tic disorder, F95.2 — Tourette's disorder, F95.8 — Other tic disorders, F95.9 — Tic disorder, unspecified, F98.5 — Adult onset fluency disorder, F98.8 — Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence, +24 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Spasm, spastic, spasticity”, “Hair”, “Body, bodies”; these codes share that main term but sit in a different category of the Tabular List.

A75.2 — Typhus fever due to Rickettsia typhi (Mooser's), B33.0 — Epidemic myalgia (diaphragm, epidemic), F44.4 — Conversion disorder with motor symptom or deficit (hysterical), F45.8 — Other somatoform disorders (nervous), F48.8 — Other specified nonpsychotic mental disorders (occupational), F52.5 — Vaginismus not due to a substance or known physiological condition (vagina, psychogenic), F63.3 — Trichotillomania (plucking), F95.0 — Transient tic disorder (tic, transient of childhood), F95.1 — Chronic motor or vocal tic disorder (tic, chronic), F95.9 — Tic disorder, unspecified (tic), G24.1 — Genetic torsion dystonia (torsion), G45.9 — Transient cerebral ischemic attack, unspecified (cerebral), G50.0 — Trigeminal neuralgia (nerve, trigeminal), G51.3 — Clonic hemifacial spasm (Bell's), H51.8 — Other specified disorders of binocular movement (conjugate), H52.53 — Spasm of accommodation (of accommodation), I20.1 — Angina pectoris with documented spasm (heart), I73.9 — Peripheral vascular disease, unspecified (artery), I87.8 — Other specified disorders of veins (vein NEC), J38.5 — Laryngeal spasm (glottis), +64 more

Contextual Map

Every relationship of F98.4 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F98.4 with these 9 related codes in Claim Check

Hierarchy

Excludes1

Excludes2 (9)

Referenced by Excludes1 notes

Referenced by Excludes2 notes

  • F63.3 — Trichotillomania[Excludes2]: “other stereotyped movement disorder (F98.4)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 19 — Mental Diseases and Disorders[MDC crossing]: “Mental Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Body, bodies, rocking[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Disorder (of), movement, stereotyped[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Disorder (of), stereotyped, habit or movement[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Hair, plucking, in stereotyped movement disorder[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Spasm, spastic, spasticity (s), nodding[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Spasmus nutans[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Stereotypies NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (10)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F98.4 — Stereotyped movement disorders." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/f98.4-stereotyped-movement-disorders

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Stereotyped movement disorders

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F98.4 in its code family, with their registry titles.

View all codes in the F98 family