Profound intellectual disabilities
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F73 is a billable code used to indicate a diagnosis of profound intellectual disabilities.
Profound intellectual disabilities (ID) is characterized by significantly impaired cognitive functioning and adaptive behavior, typically with an IQ score below 20-25. Individuals with profound ID require extensive support in all areas of daily living, including communication, self-care, and social skills. Developmental delays are evident from early childhood, with challenges in motor skills, language acquisition, and social interaction. These individuals often exhibit co-occurring conditions such as physical disabilities, sensory impairments, and behavioral issues. The severity of their condition necessitates a multidisciplinary approach to care, involving special education, occupational therapy, and behavioral interventions. Support needs are lifelong, and caregivers play a crucial role in facilitating daily activities and promoting quality of life. Understanding the unique challenges faced by individuals with profound ID is essential for providing appropriate interventions and support systems.
Detailed developmental history, assessment of adaptive functioning, and evidence of multidisciplinary interventions.
Assessment of developmental milestones, management of co-occurring conditions, and planning for educational support.
Documentation should include input from various specialists to provide a comprehensive view of the child's needs.
Comprehensive psychiatric evaluation, including cognitive assessments and behavioral observations.
Management of behavioral issues, assessment of mental health needs, and coordination with educational services.
Psychiatric evaluations should clearly outline the impact of intellectual disabilities on mental health.
Used for assessing developmental milestones in children with profound ID.
Documentation of the screening process and results.
Pediatric specialists should ensure comprehensive assessments are included.
Profound intellectual disabilities represent the most severe level of impairment, requiring extensive support in all areas of life, while other levels may allow for more independence and less intensive support.
