Coding and coverage · ICD-10-CM

F79 Unspecified intellectual disabilities

BillableNo payment HCCChapter 5

Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

Section F70-F79

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • borderline intellectual functioning, IQ above 70 to 84 (R41.83)
Code firstSequence the underlying condition first.
  • any associated physical or developmental disorders

This code

Inclusion terms
  • Mental deficiency NOS
  • Mental subnormality NOS

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F70-F79 Intellectual Disabilities (F70-F79)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.