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F79
ICD-10-CM
Intellectual Disability

Find information on intellectual disability, including clinical diagnosis criteria, DSM-5 codes (F70-F79), ICD-10 codes (F70-F79), intellectual developmental disorder, adaptive functioning deficits, support needs, and cognitive impairment. Learn about assessment, interventions, and documentation guidelines for healthcare professionals involved in diagnosing and managing intellectual disability. This resource offers guidance on medical coding and best practices for clinical documentation related to intellectual disability.

Also known as

ID
Mental Retardation (historical term)
mental retardation

Diagnosis Snapshot

Key Facts
  • Definition : Significant limitations in intellectual functioning and adaptive behavior, originating before age 18.
  • Clinical Signs : Difficulty with learning, problem-solving, communication, daily living skills, and social skills.
  • Common Settings : Schools, developmental centers, therapy clinics, and community support programs.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC F79 Coding
F70-F79

Intellectual Disabilities

Covers all classifications of intellectual disability.

F80-F89

Developmental Disorders

Includes conditions often comorbid with intellectual disability.

Q90-Q99

Chromosomal Abnormalities

Some chromosomal abnormalities can cause intellectual disability.

Z76-Z76

Persons encountering health services

Codes for reasons related to intellectual disability services.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Confirmed intellectual disability diagnosis?

  • Yes

    Severity documented (mild, moderate, severe, profound)?

  • No

    Do NOT code intellectual disability. Review documentation for alternative diagnosis.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Significant intellectual and adaptive deficits
Global Developmental Delay
Borderline Intellectual Functioning

Documentation Best Practices

Documentation Checklist
  • Intellectual disability diagnosis documentation checklist
  • ICD-10 F70-F79, DSM-5 319 confirmed
  • Deficits in intellectual functions (IQ testing)
  • Impaired adaptive functioning in multiple environments
  • Onset during developmental period documented

Coding and Audit Risks

Common Risks
  • Unspecified Severity

    Coding Intellectual Disability without specifying severity (mild, moderate, severe, profound) leads to inaccurate reimbursement and quality reporting.

  • Lacking Adaptive Deficits

    Diagnosis coding requires documentation of adaptive deficits (conceptual, social, practical) alongside IQ scores for accurate Intellectual Disability coding.

  • Age of Onset Overcoding

    Incorrectly coding age of onset for Intellectual Disability, especially during childhood developmental stages, impacts long-term care management and resource allocation.

Mitigation Tips

Best Practices
  • ICD-10 F70-F79, document adaptive deficits.
  • DSM-5 criteria, specify severity level for ID.
  • Standardized tests for cognitive, adaptive function.
  • Interdisciplinary assessment: medical, educational, social.
  • CDI: comprehensive history, avoid diagnostic ambiguity.

Clinical Decision Support

Checklist
  • Confirm deficits in intellectual functions (ICD-10 F70-F79)
  • Verify adaptive functioning deficits impacting daily life
  • Document onset during developmental period (DSM-5)
  • Assess severity level: mild, moderate, severe, profound
  • Review comorbid conditions impacting functioning

Reimbursement and Quality Metrics

Impact Summary
  • Intellectual Disability reimbursement hinges on accurate ICD-10-CM coding (F70-F79) impacting case mix index.
  • Coding specificity for Intellectual Disability severity and comorbidities affects payment and quality metrics.
  • Documented support for Intellectual Disability diagnosis impacts medical necessity reviews and reduces denials.
  • Accurate Intellectual Disability coding improves data integrity for hospital reporting and resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code F70-F79 Intellectual Disability
  • Document adaptive deficits
  • Specify severity level
  • Link to neurodevelopmental assessment
  • Review DSM-5 criteria

Documentation Templates

Patient presents with intellectual disability (intellectual developmental disorder), manifesting as significant limitations in both intellectual functioning and adaptive behavior.  Assessment reveals deficits in cognitive domains such as reasoning, problem-solving, abstract thinking, judgment, academic learning, and learning from experience.  Adaptive functioning deficits impact daily life skills across multiple environments, including communication, social skills, personal independence, and school or work functioning.  The onset of these limitations occurred during the developmental period.  Intellectual disability severity is currently classified as [mild, moderate, severe, or profound] based on adaptive functioning, which determines the level of supports needed.  Differential diagnosis considered global developmental delay, learning disability, borderline intellectual functioning, and autism spectrum disorder.  Standardized intelligence testing (e.g., Wechsler Intelligence Scale, Stanford-Binet Intelligence Scales) and adaptive behavior assessments (e.g., Vineland Adaptive Behavior Scales, Adaptive Behavior Assessment System) were administered to confirm the diagnosis and establish baseline functioning.  ICD-10 code F70-F79 is applicable.  Treatment plan includes referral to developmental pediatrician, special education services, occupational therapy, speech therapy, and behavioral therapy as indicated.  Prognosis and long-term functional outcomes depend on severity level, comorbid conditions, and access to appropriate interventions and supports.  Patient and family education regarding intellectual disability, available resources, and community support services was provided.  Follow-up appointments scheduled to monitor progress and adjust treatment plan as needed.