ICD-10 Coding for Nonverbal Learning Disorder(F81.9)
Complete ICD-10-CM coding and documentation guide for Nonverbal Learning Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Nonverbal Learning Disorder
F80-F89Primary Range
Pervasive and specific developmental disorders
This range includes developmental disorders such as NVLD, which is coded under F81.9.
Key Information: ICD-10 code for Nonverbal Learning Disorder
Essential facts and insights about Nonverbal Learning Disorder
Primary ICD-10-CM Code for nonverbal
Decision Criteria
clinical Criteria
- Documented VIQ-PIQ discrepancy and absence of ASD traits
coding Criteria
- Use as secondary code if ASD is present
Applicable To
- Nonverbal Learning Disorder
Clinical Validation Requirements
- Psychoeducational testing showing a significant discrepancy between verbal and performance IQ
- Standardized tests like WISC-V and WIAT-IV
- Exclusion of hearing impairments
Code-Specific Risks
- Incorrectly using F81.9 as a principal diagnosis when ASD is present
Coding Notes
- Ensure documentation includes specific deficits and standardized test results.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Attention Deficit Hyperactivity Disorder, unspecified
F90.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Autism Spectrum Disorder
F84.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Nonverbal Learning Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F81.9.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific language and standardized test results, Ensure all relevant symptoms are documented
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate representation of patient conditions.
Mitigation Strategy
Use F84.0 as the principal code and F81.9 as secondary.
Impact
Incorrect sequencing of F81.9 and F84.0.
Mitigation Strategy
Review coding guidelines for developmental disorders.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Nonverbal Learning Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Nonverbal Learning Disorder
Use these documentation templates to ensure complete and accurate documentation for Nonverbal Learning Disorder. These templates include all required elements for proper coding and billing.
Neuropsychological Evaluation
Specialty: PsychologyRequired Elements
- Cognitive profile
- Functional impacts
- Rule outs
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Nonverbal Learning Disorder? Ask your questions below.