F94.1 is the ICD-10 code for Reactive attachment disorder of childhood. It is a four-character subcategory of F94 (Disorders of social functioning with onset specific to childhood and adolescence), the most specific level in the WHO edition. It belongs to the block F90–F98 (Behavioural and emotional disorders with onset usually occurring in childhood and adolescence) in Chapter V, Mental and behavioural disorders.
- Code type
- Subcategory (4 characters)
- Chapter
- V · F00–F99
- Classification
- WHO ICD-10, 2019 version
Definition
Starts in the first five years of life and is characterized by persistent abnormalities in the child's pattern of social relationships that are associated with emotional disturbance and are reactive to changes in environmental circumstances (e.g. fearfulness and hypervigilance, poor social interaction with peers, aggression towards self and others, misery, and growth failure in some cases). The syndrome probably occurs as a direct result of severe parental neglect, abuse, or serious mishandling.
What F94.1 excludes
Conditions that look similar but belong under another code.
- Asperger syndrome F84.5
- disinhibited attachment disorder of childhood F94.2
- maltreatment syndromes T74.-
- normal variation in pattern of selective attachment
- sexual or physical abuse in childhood, resulting in psychosocial problems Z61.4-Z61.6
Coding notes
- Use additional code, if desired, to identify any associated failure to thrive or growth retardation.
F94.1 in national editions
Countries report with their own edition of ICD-10. Most keep the WHO code and add more specific codes beneath it.
F94.1Reaktiv störning i känslomässig bindning under barndomen
F94.1Reaktiv tilknytningsforstyrrelse i barndommen
DF941Reaktiv tilknytningsforstyrrelse i barndom
F94.1Lapsuuden kiintymyssuhteiden reaktiivinen häiriö
F94.1Reaktive Bindungsstörung des Kindesalters
F94.1Trouble réactionnel de l'attachement de l'enfance
F94.1reactieve hechtingsstoornis op kinderleeftijd
F94.1Reactive attachment disorder of childhood
Based on the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), 2019 version, and the national editions published by each country’s health authority. This page is a reference, not coding advice; follow your national coding rules when you report.
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