F81.9
F81.9: Developmental disorder of scholastic skills, unspecified
Billable / specific codeICD-10-CM
F81.9 is a billable, specific ICD-10-CM code for developmental disorder of scholastic skills, unspecified. It is valid for submission on a claim.
Check F81.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Knowledge acquisition disability NOS
- Learning disability NOS
- Learning disorder NOS
Other codes that can never be billed with F81.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R48Dyslexia and other symbolic dysfunctions, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F81.9 is named in 6 Medicare coverage policies: 5 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56937Billing and Coding: Psychiatry and Psychology Services
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
- A57480Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Learning defect(specific)
- Disability, disabilities›knowledge acquisition
- Disability, disabilities›learning
- Disorder›learning(specific)
- Problem›learning(developmental)
- Delay, delayed›development›intellectual(specific)
- Delay, delayed›development›learning
- Development›delayed›learning skill
- Disorder›developmental›learning
- Disorder›psychogenic NOS›learning
Code history
Unchanged in every release from FY2024 to FY2027.