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

ICD-10 F81.0

Billable / Specific

Specific reading disorder

F81
Block
4
Synonyms
375
LCDs
16
Payer Policies
20
Linked CPTs

About ICD-10-CM F81.0

ICD-10-CM code F81.0 represents Specific reading disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F81). The 2026 edition of ICD-10-CM F81.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F81.0. Per CMS ICD-10-CM Tabular 2026.

  • 'Backward reading'
  • Developmental dyslexia
  • Specific learning disorder, with impairment in reading
  • Specific reading retardation

Type 1 Excludes

Pure excludes, these codes can never be coded together with F81.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • alexia NOS (R48.0)
  • dyslexia NOS (R48.0)

Medicare LCD Coverage for F81.0

Local Coverage Determinations (LCDs) from CMS MACs that list F81.0 as a covered diagnosis.

375 LCDs

Showing top 10 of 375 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F81.0.

16 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Speech-Language Pathology
Policy ID: ART-52866
Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937

1 Aetna

Neuropsychological and Psychological Testing
Policy ID: CPB-0158

CPT Codes Commonly Billed with F81.0

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

20 linkages
  • 95857 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92512 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92617 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92520 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92630 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92612 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92606 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92618 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92650 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 31579 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD

Convert F81.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F81.0 31500 10000
F81.0 31502 10000

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

ICD-10 F81.0, Billing FAQ

Is ICD-10 code F81.0 billable? +

Yes, F81.0 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 F81.0? +

ICD-10 F81.0 includes: 'Backward reading'; Developmental dyslexia; Specific learning disorder, with impairment in reading, and 1 more clinical synonyms.

What codes are Type 1 Excludes for F81.0? +

Type 1 Excludes (never code together with F81.0): alexia NOS (R48.0); dyslexia NOS (R48.0)

What CPT codes are commonly billed with F81.0? +

Procedures frequently paired with F81.0 include: 95857, 92512, 92617, 92520, 92630.

What ICD-9 codes does F81.0 map to? +

Per CMS GEMs, F81.0 maps to ICD-9 codes: 31500, 31502. 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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