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ICD-11

ICD-11 Codes
for 6A00.4 - Disorder of intellectual development, provisional
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Provisional Intellectual Development Disorder

The ICD-11 code `6A00.4` represents a `Disorder of intellectual development, provisional`. This classification is applied when there is evidence indicating a disorder of intellectual development, but a definitive assessment cannot be completed at the present time. It falls under the broader category of `6A00 Disorders of intellectual development` within the International Classification of Diseases, 11th Revision (ICD-11) system, serving as a placeholder until a more thorough evaluation is possible.

When a Provisional Classification is Applied

A provisional diagnosis using ICD-11 code `6A00.4` is typically assigned in specific situations. This includes cases involving infants or young children, generally under the age of four, where a comprehensive evaluation of intellectual functioning and adaptive behaviour is not yet feasible. It is also applied when an individual has sensory impairments (such as blindness or pre-lingual deafness), motor or communication difficulties, severe behavioural challenges, or co-occurring mental and behavioural disorders that prevent a valid assessment. This provisional status acknowledges the suspected condition while awaiting a more complete evaluation.

Core Features and Associated Conditions

Disorders of intellectual development, including those classified provisionally, are characterised by significant limitations in intellectual functioning and adaptive behaviour that emerge during the developmental period. While `6A00.4` is a provisional designation, it is part of the `6A00` block for `Disorders of intellectual development`. It is important to note that these conditions often present with complex co-morbidities, which can include other mental, behavioural, neurodevelopmental, sensory, or physical disorders. Accurate diagnosis and management require a thorough assessment that considers these potential overlaps.

Official Terminology and ICD-11 Context

The official ICD-11 designation for code `6A00.4` is `Disorder of intellectual development, provisional`. This term signifies a temporary classification used when a definitive diagnosis of an intellectual development disorder is not yet possible. It is part of the broader ICD-11 classification of `Disorders of intellectual development` (6A00), which has replaced older terminology such as "mental retardation" in the ICD-10 system, reflecting a modern approach to these conditions.

Coding and Documentation in Healthcare

The ICD-11 code `6A00.4` serves as a specific identifier for provisional disorders of intellectual development. This code is crucial for accurate medical record-keeping and billing purposes. When documenting, healthcare professionals may use this provisional code when a full diagnostic assessment is pending due to the challenges mentioned, such as the patient's age or presence of impairments. The ICD-11 system's hierarchical coding structure allows for this provisional classification while further evaluation is undertaken, distinct from definitive diagnoses within the `6A00` block.

Seeking Expert Medical Advice

If you or a loved one exhibits signs suggestive of developmental challenges, or if an assessment is difficult due to age or other impairments, seeking professional medical advice is essential. Healthcare providers can assess the situation, determine if a provisional diagnosis like `Disorder of intellectual development, provisional` (ICD-11 code `6A00.4`) is appropriate, and outline the steps for a comprehensive evaluation and potential management strategies. Early consultation ensures appropriate support and planning.

Frequently asked questions

What is the purpose of the provisional category for Disorder of intellectual development in ICD-11?
The provisional category is assigned when there is evidence of a disorder of intellectual development, but a valid assessment of intellectual functioning and adaptive behaviour cannot be conducted due to the individual's age (infant or child under four) or specific impairments.
Under what circumstances is the ICD-11 code 6A00.4, Disorder of intellectual development, provisional, assigned?
This code is assigned when evidence of a disorder of intellectual development exists, but assessment is not possible because the individual is an infant or child under the age of four, or due to sensory or physical impairments, motor or communication impairments, severe problem behaviours, or co-occurring mental and behavioural disorders.
How does Disorder of intellectual development, provisional (6A00.4) fit within the ICD-11 classification?
Disorder of intellectual development, provisional (6A00.4) is a specific category within the broader chapter of Disorders of intellectual development (6A00) in ICD-11.
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