ICD-10 · PDGM grouping
F78 Other intellectual disabilities
All 2 codes in the F78 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
2
Can lead a claim
2
Cannot lead a claim
0
What CMS assigns to F78
All 2 codes group to Behavioral Health. All 2 count toward the Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities comorbidity subgroup. Every code can lead a claim.
- Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities: counts toward the high comorbidity tier only in an interaction pair.
Every code in F78
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F78.A Other genetic related intellectual disabilities | ||||
| F78.A1 | SYNGAP1-related intellectual disability | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F78.A9 | Other genetic related intellectual disability | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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