F90.2: Attention-deficit hyperactivity disorder, combined type
Billable ICD-10-CM code, FY2027
What ICD-10-CM says
Includes
- Attention-deficit/hyperactivity disorder, combined presentation
Notes at F90, Attention-deficit hyperactivity disorders (they apply to every code under it)
Includes
- attention deficit disorder with hyperactivity
- attention deficit syndrome with hyperactivity
Excludes2 (not part of F90.2; both may be coded)
- anxiety disorders (F40.-, F41.-)
- mood [affective] disorders (F30-F39)
- pervasive developmental disorders (F84.-)
- schizophrenia (F20.-)
What F90.2 covers
F90.2 is for attention-deficit hyperactivity disorder when both inattentive and hyperactive-impulsive symptoms are present. The tabular includes the DSM wording, ADHD combined presentation, here. Which presentation fits is the clinician's call.
Pediatrics, psychiatry and behavioral health use it most, though the F90 codes are not limited to children. The other presentations are F90.0 (predominantly inattentive), F90.1 (predominantly hyperactive), F90.8 (other type) and F90.9 (unspecified type).
Billing and coding notes
The F90 category has an excludes2 list: anxiety disorders (F40.-, F41.-), mood disorders (F30-F39), pervasive developmental disorders (F84.-) and schizophrenia (F20.-). Excludes2 means those can be reported alongside F90.2 when the clinician documents both.
The presentation can change over time, so the code should follow the current documentation, not the original diagnosis. If the note only says ADHD, the code is F90.9.
Related codes under F90
Questions about F90.2
What is the difference between F90.2 and F90.0?
F90.0 is ADHD, predominantly inattentive type. F90.2 is combined type, where both inattentive and hyperactive-impulsive symptoms are documented.
Can F90.2 and F84.0 be coded together?
Yes. Pervasive developmental disorders (F84.-) are an excludes2 under F90, so ADHD and autism spectrum disorder can both be reported when both are diagnosed.
ICD-10-CM in CloudMedico
In CloudMedico, a visit's diagnoses come from the current ICD-10-CM list. For US practices, the visit flags a code that isn't billable on its date, and a superbill made from an invoice carries the visit's diagnoses.
Try CloudMedico free for 30 days