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ICD-10-CM 2027 diagnosis code

F98.21Rumination disorder of infancy and childhood

✓ Billable / specific

F98.21 is a valid, billable ICD-10-CM code for rumination disorder of infancy and childhood. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About F98.21

F98.21 is the ICD-10-CM diagnosis code for rumination disorder of infancy and childhood. It belongs to category F98 (other behavioral and emotional disorders with onset usually occurring in childhood and adolescence), block F90-F98 (behavioral and emotional disorders with onset usually occurring in childhood and adolescence) and chapter 5 (mental, Behavioral and Neurodevelopmental disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within F98.2 (other feeding disorders of infancy and childhood), F98.21 is specifically for rumination disorder of infancy and childhood. Related codes cover other feeding disorders of infancy and early childhood (F98.29).

Don't report F98.21 together with the conditions in its Excludes1 note: rumination disorder in adults (F50.84).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 882 (Neuroses Except Depressive, relative weight 0.9952), in MDC 19 (Mental Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2025 (title revised).

Before ICD-10, this condition was coded in ICD-9-CM as 307.53 (rumination disorder).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Rumination disorder in infancy or childhood, in remission
Excludes1Not coded here — never report together with this code
  • rumination disorder in adults (F50.84)

Notes that apply from higher levels

Instructions written at a parent level also apply to F98.21.

› From F98.2 Other feeding disorders of infancy and childhood
Excludes2
  • anorexia nervosa and other eating disorders (F50.-)
  • feeding difficulties (R63.3-)
  • feeding problems of newborn (P92.-)
  • pica of infancy or childhood (F98.3)
› From F98 Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence
Excludes2
  • breath-holding spells (R06.89)
  • gender identity disorder of childhood (F64.2)
  • Kleine-Levin syndrome (G47.13)
  • obsessive-compulsive disorder (F42.-)
  • sleep disorders not due to a substance or known physiological condition (F51.-)

Broader instructions also apply from F90-F98 Behavioral and emotional disorders with onset usually occurring in childhood and adolescence and Chapter 5: Mental, Behavioral and Neurodevelopmental disorders.

Alphabetic index entries

4 entries

Terms in the official ICD-10-CM index that lead to F98.21.

Codes whose notes reference F98.21

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 19 · Mental Diseases and Disorders

ICD-9-CM equivalent

Converter →
  • 307.53Rumination disorderapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2025 (effective 10/1/2024): Title revised — was “Rumination disorder of infancy”

Common questions about F98.21

Is F98.21 billable?

Yes. F98.21 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can F98.21 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict F98.21 as a principal diagnosis.

Is F98.21 a CC or MCC?

No. F98.21 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does F98.21 group to?

F98.21 is used in the MS-DRG v44.0 logic for MS-DRG 882 (Neuroses Except Depressive). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for F98.21?

The CMS General Equivalence Mappings map F98.21 to ICD-9-CM 307.53.