2025 ICD-10-CM code R41.83
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms, signs and abnormal clinical and laboratory findings - Other symptoms and signs involving cognitive functions and awareness Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Borderline intellectual functioning, characterized by an IQ score between 71 and 84.
Medical necessity for diagnosing borderline intellectual functioning would typically involve the presence of significant impairments in cognitive skills that interfere with the individual's ability to function effectively in daily life. A comprehensive assessment is required to differentiate this from other intellectual disabilities or related conditions.
The clinical responsibility for diagnosing and managing borderline intellectual functioning typically involves a comprehensive assessment by a psychologist or other qualified healthcare professional skilled in cognitive testing and evaluation. This may include administering IQ tests, evaluating adaptive functioning, and ruling out other potential underlying conditions.
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R41.83 is under the broader category R41 (Other symptoms and signs involving cognitive functions and awareness) which falls under Chapter 18 (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified).
In simple words: This code means a person has borderline intellectual functioning.Their IQ is between 71 and 84, which is lower than average but not considered an intellectual disability.
R41.83, Borderline intellectual functioning, signifies a level of cognitive ability where an individual's intelligence quotient (IQ) falls within the range of 71 to 84. This classification is distinct from intellectual disabilities (F70-F79), representing a milder form of cognitive impairment.It excludes conditions like dissociative disorders (F44.-) and mild cognitive impairment of uncertain etiology (G31.84).
Example 1: A 25-year-old presents for a psychological evaluation due to difficulties in academic performance and job retention.Testing reveals an IQ of 78, consistent with borderline intellectual functioning. The clinician documents R41.83., A 16-year-old student struggles with complex problem-solving in school, requiring significant support.An educational psychologist assesses the student and determines an IQ of 75, leading to a diagnosis of R41.83, which informs their educational plan., A 40-year-old individual seeks vocational rehabilitation services after job loss.Cognitive testing reveals an IQ of 82, consistent with borderline intellectual functioning. This finding assists in developing an individualized vocational plan.
Documentation should include the results of a standardized IQ test administered by a qualified professional, a comprehensive history detailing the individual's cognitive abilities and adaptive functioning across various domains (academic, social, and occupational), and a clinical assessment that rules out other possible underlying conditions.
** While R41.83 describes borderline intellectual functioning,a thorough clinical evaluation should always be conducted to consider additional factors affecting the individual's overall cognitive profile and functional abilities.
- Payment Status: Active
- Specialties:Psychology, neuropsychology, psychiatry, education
- Place of Service:Office, Outpatient Hospital, Hospital Inpatient, Educational Setting