ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F78.A9

Billable / Specific

Other genetic related intellectual disability

F78
Block
0
Synonyms
187
LCDs
7
Payer Policies
21
Linked CPTs

About ICD-10-CM F78.A9

ICD-10-CM code F78.A9 represents Other genetic related intellectual disability. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F78). The 2026 edition of ICD-10-CM F78.A9 became effective on October 1, 2025.

Coding Notes

Code Also

  • , if applicable, any associated disorders

Medicare LCD Coverage for F78.A9

Local Coverage Determinations (LCDs) from CMS MACs that list F78.A9 as a covered diagnosis.

187 LCDs

Showing top 10 of 187 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90899 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96146 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT G0176 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90837 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 96116 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90785 →
CMS LCD: Billing and Coding: Psychiatric Partial Hospitalization Programs
Article ID: 57053, Effective: 2026-03-26 00:00:00, 400 covered, 0 non-covered
CPT 90847 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F78.A9.

7 policies

5 Medicare

Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-57053
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

CPT Codes Commonly Billed with F78.A9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

21 linkages
  • 92571 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92568 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92620 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92588 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92572 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92579 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92582 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92576 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92621 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD
  • 92570 CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies CMS LCD

ICD-10 F78.A9, Billing FAQ

Is ICD-10 code F78.A9 billable? +

Yes, F78.A9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with F78.A9? +

Procedures frequently paired with F78.A9 include: 92571, 92568, 92620, 92588, 92572.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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