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F81.0

Billable

Specific reading disorder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A specific learning disorder affecting reading ability, where a child has persistent difficulty learning to read despite adequate instruction and normal intelligence. Decoding and reading fluency are impaired.

Coding Tips

  • Require psychoeducational or educational testing results documenting the reading deficit and ruling out other causes
  • Ensure the disorder is not better explained by sensory impairment, intellectual disability, or lack of educational opportunity

Excludes 1 — Do NOT code together

Code Hierarchy

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