F81.89 ICD-10-CM Code: Other developmental disorders of scholastic skills
F81.89 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Pervasive and specific developmental disorders (F80-F89)
F81.89
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther developmental disorders of scholastic skills
This code describes learning difficulties that affect a person's ability to develop academic skills, such as problems with reading, writing, or math that are not classified as specific dyslexia or dyscalculia. These are developmental disorders that typically emerge during school years and impact educational performance.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for F81.89 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F81.89 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F81.89 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F81.89 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F81.89 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F81.89 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F81.89 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F81.89 an HCC code?
No. F81.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- F81.89
- Description
- Other developmental disorders of scholastic skills
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
F81.89 is the ICD-10-CM diagnosis code for other developmental disorders of scholastic skills. This code describes learning difficulties that affect a person's ability to develop academic skills, such as problems with reading, writing, or math that are not classified as specific dyslexia or dyscalculia. These are developmental disorders that typically emerge during school years and impact educational performance. F81.89 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering pervasive and specific developmental disorders (f80-f89).
F81.89 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only after more specific scholastic skill disorders (F81.0-F81.81) have been ruled out, as it is a catch-all category for other unspecified learning disorders.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F81.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only after more specific scholastic skill disorders (F81.0-F81.81) have been ruled out, as it is a catch-all category for other unspecified learning disorders
- •Ensure documentation clearly describes the specific academic skill affected and that the condition is developmental in nature rather than acquired from injury or illness

