Severe intellectual disabilities
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F72 is a billable code used to indicate a diagnosis of severe intellectual disabilities.
Severe intellectual disabilities, classified under ICD-10 code F72, represent a significant impairment in cognitive functioning and adaptive behavior. Individuals with this condition typically exhibit an IQ score below 20-25, which severely limits their ability to perform daily activities and engage in social interactions. These disabilities often manifest in early childhood and can be associated with various developmental delays, including speech and motor skills. Adaptive functioning is profoundly affected, leading to challenges in self-care, communication, and social skills. Individuals may require extensive support and supervision throughout their lives, often necessitating specialized educational programs and therapeutic interventions. The etiology of severe intellectual disabilities can be multifactorial, including genetic syndromes, prenatal exposure to toxins, and perinatal complications. Early diagnosis and intervention are crucial for improving outcomes and enhancing the quality of life for affected individuals and their families.
Detailed developmental history, cognitive assessments, and adaptive behavior evaluations.
Assessment of developmental milestones in children, referral for early intervention services.
Consideration of co-occurring conditions such as autism spectrum disorder or cerebral palsy.
Comprehensive mental status examinations and psychosocial assessments.
Management of behavioral issues associated with severe intellectual disabilities.
Need for ongoing evaluation of mental health status and support needs.
Used for assessing developmental milestones in children suspected of having intellectual disabilities.
Document the screening results and any referrals made.
Pediatric specialists should ensure comprehensive developmental assessments are included.
F72 is used for severe intellectual disabilities with an IQ typically between 20-25, while F73 is for profound intellectual disabilities, where the IQ is below 20. The distinction is important for determining the level of care and support needed.
