Is F78.A a billable ICD-10-CM code?

No. F78.A is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does F78.A sit in the tabular list?

Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Intellectual Disabilities (F70-F79).

F78.A

F78.A — Other genetic related intellectual disabilities

Non-billable headerICD-10-CM

F78.A is a non-billable header ICD-10-CM code for other genetic related intellectual disabilities. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

F78.A does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead F78.A

2 child codes. Green means billable.

F78.A1SYNGAP1-related intellectual disability
F78.A9Other genetic related intellectual disability

Questions about F78.A

Is F78.A a billable ICD-10-CM code?: No. F78.A is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does F78.A sit in the tabular list?: Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Intellectual Disabilities (F70-F79).