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

ICD-10 F79

Billable / Specific

Unspecified intellectual disabilities

F79
Block
2
Synonyms
93
LCDs
5
Payer Policies
21
Linked CPTs

About ICD-10-CM F79

ICD-10-CM code F79 represents Unspecified intellectual disabilities. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F79). The 2026 edition of ICD-10-CM F79 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F79. Per CMS ICD-10-CM Tabular 2026.

  • Mental deficiency NOS
  • Mental subnormality NOS

Medicare LCD Coverage for F79

Local Coverage Determinations (LCDs) from CMS MACs that list F79 as a covered diagnosis.

93 LCDs

Showing top 10 of 93 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96130 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96132 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96133 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96137 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96139 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96138 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT G0451 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92620 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F79.

5 policies

1 Aetna

Allergy and Hypersensitivity - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0038

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

3 Medicare

Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361
Billing and Coding: Vestibular and Audiologic Function Studies
Policy ID: ART-57434
Billing and Coding: Psychological and Neuropsychological Tests
Policy ID: ART-57780

CPT Codes Commonly Billed with F79

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

Convert F79 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F79 319 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F79, Billing FAQ

Is ICD-10 code F79 billable? +

Yes, F79 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to F79? +

ICD-10 F79 includes: Mental deficiency NOS; Mental subnormality NOS.

What CPT codes are commonly billed with F79? +

Procedures frequently paired with F79 include: 92571, 92568, 92620, 92588, 92572.

What ICD-9 codes does F79 map to? +

Per CMS GEMs, F79 maps to ICD-9 codes: 319. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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