Other intellectual disabilities
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F78 is a billable code used to indicate a diagnosis of other intellectual disabilities.
F78 encompasses a range of intellectual disabilities that do not fall under the more specific categories defined in the ICD-10. These disabilities are characterized by significant limitations in both intellectual functioning and adaptive behavior, which covers a variety of everyday social and practical skills. Individuals with F78 may experience developmental delays that affect their ability to learn, communicate, and interact socially. The severity of these disabilities can vary widely, necessitating tailored support and intervention strategies. Adaptive functioning may be impacted in areas such as self-care, social skills, and academic performance. The diagnosis of F78 is often made when a comprehensive evaluation reveals intellectual functioning below the average range, typically measured by standardized IQ tests, alongside documented challenges in adaptive behavior. It is crucial for healthcare providers to assess the individual's support needs, as these can range from minimal assistance to extensive support in daily living activities. Early intervention and ongoing support can significantly improve outcomes for individuals with F78, making accurate coding essential for appropriate resource allocation and care planning.
Detailed psychological evaluations, including IQ testing results and adaptive behavior assessments.
Assessment of children with suspected intellectual disabilities, management of behavioral issues related to intellectual disabilities.
Consideration of co-occurring mental health conditions and their impact on treatment.
Developmental milestones tracking, family history, and comprehensive physical examinations.
Routine developmental screenings, referrals for early intervention services.
Importance of multidisciplinary approaches for comprehensive care.
Used during routine evaluations for children suspected of having intellectual disabilities.
Documentation of the screening tool used and results.
Pediatricians should ensure developmental milestones are tracked.
F78 is used for other intellectual disabilities that do not fit into the specific categories of F70 (mild), F71 (moderate), F72 (severe), or F73 (profound). It encompasses a broader range of intellectual disabilities with varying levels of support needs.
