Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesIntellectual DisabilitiesICD-10-CM f73-profound-intellectual-disabilities
    Ask Trek AI about this page

    ICD-10-CM Code For Profound Intellectual Disabilities: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group F73 includes profound intellectual disabilities, indicating severe global developmental delay and markedly impaired adaptive functioning across multiple domains. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving significant cognitive impairment, extensive support needs, and associated developmental or medical comorbidities. Accurate coding within the ICD-10-CM F73 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Profound Intellectual Disabilities: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM F73: Profound Intellectual Disabilities Overview

    The diagnoses in this group represent profound intellectual disabilities, a severe level of global cognitive impairment that affects adaptive functioning across multiple domains. These conditions target neurodevelopmental functioning and long-term cognitive and adaptive deficits. Accurate coding matters for appropriate clinical documentation and can affect reimbursement and care planning.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when clinical assessment documents a level of intellectual disability that meets criteria for profound severity with pervasive impairment in adaptive functioning. These codes apply when the diagnosis is confirmed by developmental history, standardized testing when available, and documentation of extensive support needs.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    F73Profound intellectual disabilities

    DRG Codes

    1 rows

    DRG CodeDescription
    884Organic Disturbances and Intellectual Disability

    Typical Clinical Scenarios

    • An adult patient with lifelong severe global delays presents to a primary care clinic for routine health maintenance and medication review; the patient is nonverbal, requires full assistance with activities of daily living, and demonstrates markedly limited adaptive functioning across social, conceptual, and practical domains. The visit documents baseline cognitive and adaptive deficits affecting care planning and coordination, so a diagnosis from this group is assigned to characterize the level of intellectual impairment. Typical codes: F73
    • A child with documented profound deficits in intellectual functioning is brought to the emergency department after a seizure; clinicians note minimal communication skills, dependence for feeding and mobility, and an inability to follow commands. The acute visit focuses on seizure management and assessment for potential injury, with the profound intellectual disability listed as a comorbidity that affects history-taking, consent, and discharge planning. Typical codes: F73
    • An adult resident of a long-term care facility with lifelong profound cognitive impairment is hospitalized for aspiration pneumonia; nursing staff report complete dependence for feeding, bathing, and toileting and require specialized behavioral and feeding plans. The profound intellectual disability is recorded to inform multidisciplinary care, risk assessments, and the need for ongoing support services after hospital discharge. Typical codes: F73

    Related Codes

    F70-MILD-INTELLECTUAL-DISABILITIES

    ICD-10-CM Code For Mild Intellectual Disabilities: Group Overview

    F71-MODERATE-INTELLECTUAL-DISABILITIES

    ICD-10-CM Code For Moderate Intellectual Disabilities: Group Overview

    F72-SEVERE-INTELLECTUAL-DISABILITIES

    ICD-10-CM Code For Severe Intellectual Disabilities: Group Overview

    F78-OTHER-INTELLECTUAL-DISABILITIES

    ICD-10-CM Code For Other Intellectual Disabilities: Group Overview

    F79-UNSPECIFIED-INTELLECTUAL-DISABILITIES

    ICD-10-CM Code For Unspecified Intellectual Disabilities: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.