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F81.2

F81.2Mathematics disorder

Billable / specific codeICD-10-CM

F81.2 is a billable, specific ICD-10-CM code for mathematics disorder. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • arithmetical difficulties associated with a reading disorder (F81.0)
  • arithmetical difficulties associated with a spelling disorder (F81.81)
  • arithmetical difficulties due to inadequate teaching (Z55.8)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Developmental acalculia
  • Developmental arithmetical disorder
  • Developmental Gerstmann's syndrome
  • Specific learning disorder, with impairment in mathematics

Risk adjustment

F81.2 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.

Medicare coverage

F81.2 is named in 15 Medicare coverage policies 13 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
  • A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
  • A52866Billing and Coding: Speech-Language Pathology
  • A53064Billing and Coding: Outpatient Occupational Therapy

How F81.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F81.2.

  • Acalculiadevelopmental
  • Dyscalculiadevelopmental
  • Gerstmann's syndromedevelopmental
  • Developmentdelayedarithmetical skills
  • Disorderdevelopmentalarithmetical skills
  • Disorderlearningmathematics
  • Disorderspecificarithmetical
  • Disorderdevelopmentallearningarithmetical
  • Disorderlearningspecifiedwith impairment inmathematics

Related codes at this level

Codes that share F81. If F81.2 is not quite right, the correct code is usually one of these.

Questions about F81.2

Is F81.2 a billable ICD-10-CM code?
Yes. F81.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F81.2 sit in the tabular list?
Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Pervasive and specific developmental disorders (F80-F89).
What cannot be coded together with F81.2?
F81.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.