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ICD-10 Guide
ICD-10 CodesF81.8

F81.8

Billable

Other developmental disorders of scholastic skills

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F81.8 is a billable code used to indicate a diagnosis of other developmental disorders of scholastic skills.

Key Diagnostic Point:

F81.8 encompasses a range of neurodevelopmental disorders that affect a child's ability to acquire academic skills. These disorders can manifest as difficulties in reading, writing, mathematics, or other academic areas, which are not attributable to intellectual disabilities or other medical conditions. Children with these disorders may exhibit specific learning disabilities, such as dyslexia or dyscalculia, but do not fit neatly into the defined categories of more common learning disorders. The impact of these disorders can vary widely, with some children experiencing mild challenges while others may face significant barriers to academic success. Early identification and intervention are crucial, as they can help mitigate the long-term effects on educational achievement and self-esteem. Treatment often involves tailored educational strategies, speech and language therapy, and support from educational psychologists. Understanding the nuances of these disorders is essential for effective coding and ensuring appropriate resources are allocated for affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms and presentations
  • Overlap with other neurodevelopmental disorders
  • Need for comprehensive documentation
  • Potential for co-morbid conditions

Audit Risk Factors

  • Inadequate documentation of specific learning challenges
  • Failure to document co-morbid conditions
  • Misclassification of the disorder
  • Lack of evidence for educational interventions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed developmental history, educational assessments, and intervention plans.

Common Clinical Scenarios

Assessment of a child with academic difficulties who does not meet criteria for specific learning disorders.

Billing Considerations

Ensure comprehensive documentation of all assessments and interventions to support coding.

Psychology

Documentation Requirements

Psychological evaluations, cognitive assessments, and treatment plans.

Common Clinical Scenarios

Evaluation of a child presenting with academic underachievement and behavioral concerns.

Billing Considerations

Document the rationale for diagnosis and any co-occurring conditions.

Coding Guidelines

Inclusion Criteria

Use F81.8 When
  • According to ICD
  • 10 guidelines, F81
  • 8 should be used when a child's academic difficulties are not explained by other medical conditions or intellectual disabilities
  • Coders must ensure that documentation supports the diagnosis and that the child has undergone appropriate evaluations

Exclusion Criteria

Do NOT use F81.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96110CPT Code

Developmental screening, with interpretation and report

Clinical Scenario

Used when assessing a child for developmental disorders.

Documentation Requirements

Document the screening results and any follow-up recommendations.

Specialty Considerations

Pediatricians should ensure that developmental screenings are part of routine evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of developmental disorders, enabling better tracking of these conditions and improving the ability to provide targeted interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of developmental disorders, enabling better tracking of these conditions and improving the ability to provide targeted interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of developmental disorders, enabling better tracking of these conditions and improving the ability to provide targeted interventions.

Resources

Clinical References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Coding & Billing References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Frequently Asked Questions

What types of assessments are needed to support the use of F81.8?

Comprehensive educational assessments, including standardized tests and evaluations by educational psychologists, are essential to support the diagnosis of F81.8. Documentation should detail the child's specific learning challenges and any interventions that have been attempted.