F78.A9
F78.A9: Other genetic related intellectual disability
Billable / specific codeICD-10-CM
F78.A9 is a billable, specific ICD-10-CM code for other genetic related intellectual disability. It is valid for submission on a claim.
Check F78.A9 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, any associated disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F78.A9 is named in 9 Medicare coverage policies: 7 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A57052Billing and Coding: Psychiatric Inpatient Hospitalization
- A57053Billing and Coding: Psychiatric Partial Hospitalization Programs
Alphabetic index entries that lead here
- Disability, disabilities›intellectual›autosomal dominant
- Disability, disabilities›intellectual›autosomal recessive
- Disability, disabilities›intellectual›genetic related
- Disability, disabilities›intellectual›specified level NEC
- Disability, disabilities›intellectual›X-linked(syndromic) (Bain type)
- Disability, disabilities›intellectual›genetic related›specified NEC
- Disability, disabilities›intellectual›in›autosomal dominant mental retardation
- Disability, disabilities›intellectual›in›autosomal recessive mental retardation
- Disability, disabilities›intellectual›in›SATB2-associated syndrome
- Disability, disabilities›intellectual›in›SETBP1 disorder
- Disability, disabilities›intellectual›in›STXBP1 encephalopathy with epilepsy
- Disability, disabilities›intellectual›in›X-linked mental retardation(syndromic) (Bain type)
Code history
Unchanged in every release from FY2024 to FY2027.