Unspecified intellectual disabilities

This code signifies a diagnosis of intellectual disability where the specific severity level (e.g., mild, moderate, severe, profound) has not been determined or documented. It indicates a general cognitive impairment affecting adaptive functioning, but without further clinical specification of its degree.

Use this code when documentation clearly states "intellectual disability" or "mental retardation" but lacks any qualifying terms regarding severity. This is often seen in initial assessments or when a more precise diagnosis is pending further evaluation. It should be used only when no other, more specific intellectual disability code can be assigned.

• Avoid using this code if any level of severity (e.g., mild, moderate) is documented; instead, choose the appropriate specific code.
• Query the provider for clarification on the severity of intellectual disability if possible, to allow for more precise coding.
• This code should be considered a last resort when no other specific intellectual disability code can be supported by the medical record.