ICD-10 · PDGM grouping
F98 Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence
All 9 codes in the F98 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
9
Can lead a claim
8
Cannot lead a claim
1
What CMS assigns to F98
8 of the 9 codes group to Behavioral Health; 1 is assigned no clinical group. None of the 9 is assigned a comorbidity subgroup. 8 of the 9 can lead a claim.
Every code in F98
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F98.0 | Enuresis not due to a substance or known physiological conditionCMS: Enuresis not due to a substance or known physiol condition | Can lead a claim | F | None |
| F98.1 | Encopresis not due to a substance or known physiological conditionCMS: Encopresis not due to a substance or known physiol condition | Can lead a claim | F | None |
| F98.2 Other feeding disorders of infancy and childhood | ||||
| F98.21 | Rumination disorder of infancy and childhood | Can lead a claim | F | None |
| F98.29 | Other feeding disorders of infancy and early childhood | Can lead a claim | F | None |
| F98.3 | Pica of infancy and childhood | Can lead a claim | F | None |
| F98.4 | Stereotyped movement disorders | Can lead a claim | F | None |
| F98.5 | Adult onset fluency disorder | Can lead a claim | F | None |
| F98.8 | Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescenceCMS: Oth behav/emotn disord w onset usly occur in chldhd and adol | Can lead a claim | F | None |
| F98.9 | Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescenceCMS: Unsp behav/emotn disord w onst usly occur in chldhd and adol | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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