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F79
ICD-10-CM
Unspecified Intellectual Disability

Find information on Unspecified Intellectual Disability (Intellectual Developmental Disorder) including ICD-10 code F79, clinical features, diagnostic criteria, DSM-5 guidelines, and support resources. Learn about intellectual disability assessment, differential diagnosis, and best practices for healthcare documentation and medical coding for unspecified intellectual disability. This resource provides guidance for clinicians, healthcare professionals, and coders seeking accurate and comprehensive information on this diagnosis.

Also known as

Intellectual Disability NOS
Mental Retardation Unspecified

Diagnosis Snapshot

Key Facts
  • Definition : Significant limitations in intellectual functioning and adaptive behavior, with onset during the developmental period, without specific cause identified.
  • Clinical Signs : Difficulties with learning, problem-solving, communication, daily living skills, and social skills.
  • Common Settings : Educational settings, therapy clinics, community support services, and family homes.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC F79 Coding
F70-F79

Intellectual Disabilities

Covers various levels of intellectual disability, including unspecified.

F80-F89

Developmental Disorders

Includes conditions affecting psychological development, sometimes co-occurring with ID.

Z55-Z65

Problems related to education and literacy

Relevant for individuals with ID who face learning challenges.

Z70-Z76

Persons encountering health services

Codes related to seeking healthcare for conditions like intellectual disability.

Code-Specific Guidance

Decision Tree for

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

Is the intellectual disability confirmed?

  • Yes

    Is severity documented (mild, moderate, etc.)?

  • No

    Do not code intellectual disability. Consider coding for any signs/symptoms or further investigation needed.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Intellectual disability, unspecified severity
Mild intellectual disability (F70)
Moderate intellectual disability (F71)

Documentation Best Practices

Documentation Checklist
  • Intellectual disability diagnosis documented
  • Deficits in intellectual functions confirmed
  • Adaptive functioning impairments specified
  • Onset during developmental period noted
  • Unspecified severity or reason documented

Coding and Audit Risks

Common Risks
  • Unspecified Code Use

    Coding F70.9 without sufficient documentation to support a more specific ID diagnosis leads to inaccurate severity reflection and reimbursement.

  • Lack of Clinical Support

    Insufficient clinical data to justify the ID diagnosis can cause claim denials and compliance issues. Documentation must support functional impairment and IQ testing.

  • Missed Comorbidities

    Failing to code co-existing conditions like ADHD or autism alongside F70.9 impacts care plans and accurate resource allocation.

Mitigation Tips

Best Practices
  • Document specific adaptive deficits for accurate F7X coding.
  • Rule out known causes, genetic/medical, for improved CDI.
  • Standardized testing crucial for intellectual disability diagnosis compliance.
  • Track developmental milestones, delays aid severity ICD-10 specificity.
  • Interdisciplinary assessment strengthens Unspecified Intellectual Disability diagnosis.

Clinical Decision Support

Checklist
  • Confirm deficits in intellectual functions (e.g., reasoning, problem-solving).
  • Confirm deficits in adaptive functioning across multiple environments.
  • Onset during developmental period documented.
  • Severity level (mild, moderate, severe, profound) not specified or unknown.
  • Rule out specific intellectual disability diagnoses (e.g., Down syndrome, Fragile X).

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement and Quality Metrics Impact Summary: Unspecified Intellectual Disability (F79)
  • ICD-10-CM code F79 impacts reimbursement through DRG assignment affecting hospital payments.
  • Unspecified diagnosis (F79) may lower Case Mix Index (CMI), impacting hospital reimbursement.
  • Coding F79 instead of a more specific ID diagnosis affects quality reporting and data accuracy.
  • Precise ID documentation is crucial for accurate coding, maximizing reimbursement and reflecting true patient acuity.

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
  • Document IQ deficit, adaptive impairment
  • Rule out known genetic/medical causes
  • F79 diagnosed before age 18
  • Confirm significant deficits in adaptive skills
  • Use F79 if etiology unknown

Documentation Templates

Patient presents with unspecified intellectual disability (intellectual developmental disorder), exhibiting significant deficits in intellectual functioning confirmed by clinical assessment and standardized intelligence testing (IQ testing) revealing a score significantly below average.  Adaptive functioning deficits are also noted, impacting daily life skills across multiple domains, including conceptual, social, and practical skills, limiting independence in areas such as communication, self-care, and social participation.  The onset of these deficits occurred during the developmental period.  The specific etiology of the intellectual disability has not been identified despite comprehensive clinical evaluation, including genetic testing and metabolic screening, precluding a more specific diagnosis such as Down syndrome or Fragile X syndrome.  Differential diagnosis considered global developmental delay, but the patient's chronological age surpasses the typical age range for this diagnosis.  Treatment plan focuses on supportive therapies including special education services, speech therapy, occupational therapy, and behavioral interventions to maximize functional independence and improve adaptive skills.  Regular monitoring of developmental progress and ongoing assessment of needs will be conducted to adjust interventions as needed.  ICD-10 code F79 is used for this diagnosis, reflecting the unspecified nature of the intellectual disability.  The patient's prognosis is dependent on the severity of cognitive and adaptive impairments and the effectiveness of interventions.  Family education and support are integral components of the treatment plan to empower caregivers and facilitate optimal patient outcomes.
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