Find information on Nonverbal Learning Disorder (NVLD or NLD) diagnosis, including clinical documentation, DSM-5 criteria, ICD-10 codes (F81.89, R48.8), and medical coding guidelines for healthcare professionals. Learn about NVLD assessment, neuropsychological testing, differential diagnosis considerations, and treatment options for children and adults with nonverbal learning disabilities. Explore resources for medical billing, coding compliance, and best practices in documenting NVLD in patient records.
Also known as
Other developmental disorders of scholastic skills
Covers other specified learning disorders like NVLD, not elsewhere classified.
Specific developmental disorders of motor function
Includes developmental coordination disorder, often comorbid with NVLD.
Other developmental disorders
May be used for unspecified developmental disorders impacting social/academic skills.
Other symbolic dysfunctions
Captures difficulties with nonverbal communication, sometimes related to NVLD.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the primary diagnosis Nonverbal Learning Disorder?
Yes
Is there an associated intellectual disability?
No
Do not code for Nonverbal Learning Disorder. Code the presenting diagnosis.
When to use each related code
| Description |
|---|
| Impaired nonverbal reasoning, visual-spatial, and social skills. |
| Persistent inattention, hyperactivity, and impulsivity. |
| Difficulties with social skills, communication, and repetitive behaviors. |
Using unspecified codes (e.g., F88.9) when more specific NVLD documentation exists, leading to inaccurate data and reimbursement.
Missing documentation and coding of common NVLD comorbidities (e.g., ADHD, anxiety) impacting care plans and revenue cycle.
Misdiagnosis or inaccurate coding differentiation between NVLD and Autism Spectrum Disorder (ASD) due to overlapping symptoms.
Patient presents with suspected Nonverbal Learning Disorder (NVLD or NLD), a neurodevelopmental disorder characterized by significant discrepancies between verbal and nonverbal abilities. Presenting concerns include difficulties with visual-spatial skills, motor coordination, social pragmatics, and executive functioning, while verbal skills are often average or above average. Specifically, the patient demonstrates challenges in interpreting nonverbal cues such as facial expressions and body language, leading to social difficulties and pragmatic language deficits. Fine motor skills are impaired, impacting handwriting and activities of daily living. Visual-spatial deficits are evident in tasks requiring spatial reasoning, such as puzzles or map reading. Difficulties with executive functions, including organization, planning, and problem-solving, are also noted. Academically, the patient may struggle with mathematics, particularly geometry and higher-level concepts requiring abstract thinking. Strengths are observed in verbal comprehension and reading decoding. Differential diagnosis includes Autism Spectrum Disorder, ADHD, and specific learning disabilities. Assessment included clinical interview, parent report, behavioral observations, and review of academic records. The current presentation aligns with DSM-5 criteria for NVLD, though it is not a formally recognized diagnosis in the DSM-5. Recommendations include referral for neuropsychological testing to further evaluate cognitive strengths and weaknesses, occupational therapy to address fine motor and visual-spatial deficits, and social skills training to improve pragmatic language and social interaction. Treatment plan focuses on developing compensatory strategies to address areas of weakness and leveraging existing verbal strengths. Prognosis is variable, and ongoing monitoring and support are crucial for optimal outcomes. ICD-10 code Z73.89 (Other specified behavioral and emotional problems with onset usually occurring in childhood and adolescence) may be considered for billing purposes, as there is no specific ICD-10 code for NVLD. Continued assessment and intervention will be provided to monitor progress and adjust the treatment plan as needed.