Diagnostic Codes Related to Family Infant Toddler (FIT) Program
International Classification of Disease, 10th Revision (ICD-10)
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
Revised October 2015
The following relevant diagnosis codes under the four Family Infant Toddler Program eligibility categories are taken
directly from the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM).
1 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
Introduction:
The following is a guide for Family Infant Toddler (FIT) Program providers to determine the whether the child’s medical diagnosis meets
eligibility under the “Established Condition” or “Medical / Biological Risk”, in accordance with the Requirements for Family Infant Toddler
Early Intervention Services (NMAC 7.30.8). This guide is also to be used to determine the diagnostic billing codes (ICD-10 International
Classification of Diseases) to be entered into FIT-KIDS (Key Information Data System) for any the FIT eligibility criteria.
This guide is categorized by four main categories of Developmental Delay, Established Condition, Medical/Biological Risk Condition, and
Environmental Risk Factors. All codes have been converted from the ICD-9 to ICD-10 mapping.
The categories of Established Condition, and Medical/Biological Risk Condition have their own subcategories of the following: Genetic
Disorders; Mental/Psychosocial Disorders (DC: 0-3 diagnosis are indicated in bold); Neurologic/Musculoskeletal; Perinatal Factors;
Physical Impairments; and Sensory Abnormalities.
Reminder: Eligibility determination in the categories of Medical/Biological Risk Condition and Established Condition shall be made by a
license Medical Practitioner.
The category of Environmental Risk Factors have subcategories of the following: Other personal history presenting hazards to health;
Family history of certain chronic disabling diseases; family history of certain other specific conditions; family history of other conditions;
health supervision of a child; housing, household, and economic circumstances; other family circumstances; and other psychosocial
circumstances.
Reminder: Eligibility determination in the category of Environmental Risk Factors shall be made using the Environmental Risk Assessment
(ERA) tool approved by the FIT program.
Any questions regarding conditions not on this guide must be directed to your FIT Manager who will work with a New Mexico
Department of Health Medical Director/Physician to determine whether a proposed condition will be recognized. Reminder that there are
100,000 more codes in the ICD-10 conversion which makes the mapping process take longer.
Family Infant Toddler (FIT) Providers may keep this document electronically and in print. Note, that the electronic version has the option to
find sections by clicking the table of contents (hyperlinks), diagnosis and ICD-10 Codes can also be found by clicking CTRL+F.
Note: for billing purposes through FIT-KIDS all codes that are not listed on the drop-down list may be entered in the Field/Box of “Other
ICD-10 Code”.
Please contact your FIT Program Manager if you have any questions.
2 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
Table of Contents
DEVELOPMENTAL DELAY ....................................................................................................................................................................................................................................................................... 5
ESTABLISHED CONDITION: GENETIC DISORDERS ....................................................................................................................................................................................................................... 6
ESTABLISHED CONDITION: NEUROLOGIC/MUSCULOSKELETAL ......................................................................................................................................................................................... 10
ESTABLISHED CONDITION: PERINATAL FACTORS .................................................................................................................................................................................................................... 12
ESTABLISHED CONDITION: PHYSICAL IMPAIRMENTS ............................................................................................................................................................................................................. 13
ESTABLISHED CONDITION: SENSORY ABNORMALITIES ......................................................................................................................................................................................................... 14
MEDICAL/BIOLOGICAL RISK CONDITION: GENETIC DISORDERS........................................................................................................................................................................................ 17
MEDICAL/BIOLOGICAL RISK CONDITION: MENTAL/PSYCHOSOCIAL DISORDERS ....................................................................................................................................................... 22
MEDICAL/BIOLOGICAL RISK CONDITION: PERINATAL FACTORS ....................................................................................................................................................................................... 29
MEDICAL/BIOLOGICAL RISK CONDITION: PERINATAL FACTORS (CONTINUED) .......................................................................................................................................................... 30
MEDICAL/BIOLOGICAL RISK CONDITION: PHYSICAL IMPAIRMENTS................................................................................................................................................................................ 31
MEDICAL/BIOLOGICAL RISK CONDITION: SENSORY ABNORMALITIES ............................................................................................................................................................................ 32
MEDICAL/BIOLOGICAL RISK CONDITION: SENSORY ABNORMALITIES (CONTINUED) ............................................................................................................................................... 33
ENVIRONMENTAL RISK FACTORS: PERSONAL HISTORY PRESENTING HAZARD TO HEALTH ................................................................................................................................. 34
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Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ENVIRONMENTAL RISK FACTORS: FAMILY HISTORY OF CERTAIN CHRONIC DISABLING DISEASES ................................................................................................................... 34
ENVIRONMENTAL RISK FACTORS: FAMILY HISTORY OF OTHER CONDITIONS ............................................................................................................................................................. 35
ENVIRONMENTAL RISK FACTORS: HEALTH SUPERVISION OF INFANT OR CHILD ....................................................................................................................................................... 35
ENVIRONMENTAL RISK FACTORS: HOUSING, HOUSEHOLD, AND ECONOMIC CIRCUMSTANCES ......................................................................................................................... 36
ENVIRONMENTAL RISK FACTORS: OTHER FAMILY CIRCUMSTANCES .............................................................................................................................................................................. 36
ENVIRONMENTAL RISK FACTORS: OTHER FAMILY CIRCUMSTANCES (CONTINUED) ................................................................................................................................................. 37
ENVIRONMENTAL RISK FACTORS: OTHER PSYCHOSOCIAL CIRCUMSTANCES.............................................................................................................................................................. 37
4 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
Developmental Delay
A delay of 25% or more, after correction for prematurity, in one or more of the following areas of development:
cognitive; communication; physical/motor; social or emotional; or adaptive of the following:
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type ICD-10 Code
Condition/Diagnosis
Development
F70
Mild Intellectual Disabilities
Development
F71
Moderate Intellectual Disabilities
Development
F72
Severe Intellectual Disabilities
Development
F73
Profound Intellectual Disabilities
Development
F79
Unspecified Intellectual Disabilities
F80.1
Expressive Language Disorder
Development
F80.2
Mixed Receptive-Expressive Language Disorder
Development
F80.81
Childhood Onset Fluency Disorder
Development
F80.89
Other developmental disorders of speech and language
Development
F82
Specific Developmental Disorder of Motor Functions (Mixed Development Disorder)
F84.0
Autistic Disorder (DC 0-3 R: 710 Multisystem Development Disorder)
F84.9
Pervasive Development Disorder (PDD), Unspecified
Development
F88
Other disorders of psychological development Mixed Development Disorder
Development
F89
Other disorders of psychological development Other Specified Delays in Development
Development
Development
Development
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Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Genetic Disorders
A diagnosed physical, mental, or neurobiological condition that has a high probability of resulting in developmental
delay. The established condition shall be diagnosed by a health care provider and documentation shall be kept on file.
Established conditions include the following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early
Intervention Services.)
Condition Type
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
ICD-10 Code
A81.1
Condition/Diagnosis
Subacute Sclerosing Panencephalitis
D33.2
E70.20
E70.21
E70.29
E70.8
Benign Neoplasm of Brain, Unspecified
Disorder of tyrosine metabolism, unspecified
Tyrosinemia, Type I (Tyrosinosis) and Type II (Richner-Hanhart Syndrome)
Disorder of tyrosine metabolism, unspecified
Other disorders of aromatic amino-acid metabolism (Waardenburg's Syndrome, Type I)
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
E70.9
E72.03
E75.23
E75.29
E75.3
E760.1
E760.2
E760.3
E77.1
E77.8
E77.9
E79.1
E83.00
E83.01
F84.2
G31.81
Disorder of aromatic amino-acid metabolism, unspecified
Lowe's Syndrome or (Oculocerebrorenal Syndrome)
Krabbe's Disease
Other sphingolipidosis (Canavan Disease)
Sphingolipidosis, unspecified
Hurler Syndrome
Hurler-Scheie syndrome
Scheie's syndrome
Defects in Glycoprotein Degradation (Mannosidosis)
Other disorders of glycoprotein metabolism
Disorder of glycoprotein metabolism, unspecified
Lesch-Nyhan Syndrome
Disorder of copper metabolism, unspecified Menkes' Syndrome (Kinky Hair Disease)
Wilson's Disease
Rett’s Syndrome
Alper's Disease
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Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Genetic Disorders (Continued)
Condition/Diagnosis
Condition Type ICD-10 Code
Leigh’s Disease
Genetic Disorders G31.82
Myasthenia Gravis, without (acute) exacerbation (Familial Infantile)
Genetic Disorders G70.00
Congenital Myopathies
Genetic Disorders G71.2
Obstructive Hydrocephalus
Genetic Disorders G91.1
Acquired clawhand, right hand
Genetic Disorders M21.511
Acquired clawhand, left hand
Genetic Disorders M21.512
Acquired clawhand, unspecified hand
Genetic Disorders M21.519
Acquired clubhand, right hand
Genetic Disorders M21.521
Acquired clubhand, left hand
Genetic Disorders M21.522
Acquired clubhand, unspecified hand
Genetic Disorders M21.529
Acquired clawfoot, right foot
Genetic Disorders M21.531
Acquired clawfoot, left foot
Genetic Disorders M21.532
Acquired clawfoot, unspecified foot
Genetic Disorders M21.539
Acquired Clubfoot, Right Foot
Genetic Disorders M21.541
Acquired Clubfoot, Left Foot
Genetic Disorders M21.542
Acquired Clubfoot, Unspecified Foot (Paralytic Clubbed Foot)
Genetic Disorders M21.549
Acquired clawhand, right hand
Genetic Disorders M21.511
Atresia of foramina of Magendie and Luschka Dandy Walker Syndrome
Genetic Disorders Q03.1
Congenital hydrocephalus, unspecified
Genetic Disorders Q03.9
Congenital malformations of corpus callosum
Genetic Disorders Q04.0
Other Reduction Deformities of Brain (Polymicrogyria)
Genetic Disorders Q04.3
Congenital Absence of Unspecified limbs
Genetic Disorders Q72.10
Phocomelia, unspecified limb(s)
Genetic Disorders Q73.1
Other Reduction Defects of Unspecified Limb(s)
Genetic Disorders Q73.2
Congenital Anomalies of Skull and Face Bone, unspecified (Goldenhar)
Genetic Disorders Q75.9
Spondyloepiphyseal dysplasia Dyggve-Melchior-Clausen Syndrome (D-M-C Dwarfism)
Genetic Disorders Q87.89
Osteogenesis Imperfecta
Genetic Disorders Q78.0
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Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Genetic Disorders (Continued)
Condition Type
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
ICD-10 Code
Q80.8
Q85.1
Q85.8
E78.72
Q87.89
Q87.89
Q87.1
Q87.2
Q87.2
Q87.89
Q90.0
Q90.1
Q90.2
Q90.9
Q91.0
Q91.1
Q91.2
Q91.3
Q91.4
Q91.5
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Condition/Diagnosis
Other congenital ichthyosis Sjogren-Larsson Syndrome
Tuberous Sclerosis
Other Phakomatosis, not elsewhere classified (Sturge-Weber Syndrome)
Congenital malformation syndromes predominantly associated with short stature: (PraderWilli Syndrome)
Congenital malformation syndromes predominantly associated with short stature:
(DeLange’s Syndrome)
Congenital malformation syndromes predominantly associated with short stature:
(Dubowitz Syndrome)
Congenital malformation syndromes predominantly associated with short stature: (SmithLemli-Opitz Syndrome)
Congenital malformation syndromes predominantly involving limbs:
(Caudal Regression Syndrome-Sirenomelia)
Congenital malformation syndromes predominantly involving limbs:
(Rubinstein-Taybi Syndrome)
Other specified congenital malformation syndromes, not elsewhere classified
Zellweger/Cerebrohepatorenal Syndrome
Trisomy 21, nonmosaicism (meiotic nondisjunction)
Trisomy 21, mosaicism (mitotic nondisjunction)
Trisomy 21, translocation
Down Syndrome, Unspecified
Trisomy 18, nonmosaicism (meiotic nondisjunction)
Trisomy 18, mosaicism (mitotic nondisjunction)
Trisomy 18, translocation
Trisomy 18, Unspecified (Edward's, E3)
Trisomy 13, nonmosaicism (meiotic nondisjunction)
Trisomy 13, mosaicism (mitotic nondisjunction)
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Genetic Disorders (Continued)
Condition Type
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
ICD-10 Code
Q91.6
Q91.7
Q93.4
Q93.5
Q99.9
Q99.2
R47.01
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Condition/Diagnosis
Trisomy 13, translocation
Trisomy 13, Unspecified (Patau's, D1)
Deletion of short arm of chromosome 5(Cri Du Chat or Cat's Cry)
Other deletions of part of a chromosome (Angelman's Syndrome)
Other
deletions from the autosomes Williams Syndrome
Fragile X Syndrome For Boys
Aphasia
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Neurologic/Musculoskeletal
A diagnosed physical, mental, or neurobiological condition that has a high probability of resulting in developmental
delay. The established condition shall be diagnosed by a health care provider and documentation shall be kept on file.
Established conditions include the following:
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
ICD-10 Code
Condition/Diagnosis
Paralysis, Other Specified
Neurologic/Musculoskeletal A80.39
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeltal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
10 | Page ICD-10 Codes
G06.2
G11.9
G24.1
G25.3
G31.89
G60.9
G71.0
G71.11
G71.12
G71.2
G80.0
G80.1
G80.2
G80.3
G80.4
G80.8
G80.9
G82.20
G82.50
G83.0
Extradural and Subdural Abscess, Unspecified (Hemiplegia (Hemiparesis)
Hereditary Ataxia, Unspecified (Spinocerebellar Disorders)
Genetic Torsion Dystonia (Dystonia Musculorum Deformans)
Myoclonus
Other Specified Degenerative Diseases of Nervous System
Hereditary and Idiopathic Neuropathy, Unspecified
Muscular Dystrophy
Myotonic Muscular Dystrophy
Myotonia Congenita (Thomsen's Disease)
Congenital Myopathies
Spastic quadriplegic cerebral palsy
Spastic Diplegic Cerebral Palsy (Congenital Diplegia, Paraplegia)
Spastic hemiplegic cerebral palsy (Congenital Hemiplegia) (Infantile Postnatal
NOS) (Spastic Infantile Paralysis)
Athetoid cerebral palsy
Ataxic cerebral palsy
Other cerebral palsy
Cerebral palsy, unspecified
Paraplegia, unspecified Paralysis of Both Lower Limbs (Paraplegia)
Quadriplegia, unspecified Paralysis of All Four Limbs (Quadriplegia,
Quadriparesis,)
Diplegia of upper limbs Paralysis of Both Upper Limbs (Diplegia)
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Neurologic/Musculoskeletal (Continued)
Condition Type
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
11 | Page ICD-10 Codes
ICD-10 Code
G83.9
G93.0
G93.5
G93.40
G93.49
P11.5
P90
P91.60
P94.2
Q00.0
Q01.9
Q02
Q04.2
Q04.3
Q04.6
Q05.8
Q05.9
Q07.00
Q07.01
Q07.03
Q76.49
Condition/Diagnosis
Monoplegia of lower limb affecting unspecified side Paralysis of One Lower Limb
(Monoplegia)
Monoplegia of upper limb affecting unspecified side Paralysis of One Upper Limb
(Monoplegia)
Paralytic syndrome, unspecified
Cerebral Cysts
Compression of Brain
Encephalopathy, unspecified
Other encephalopathy
Birth injury to spine and spinal cord
Convulsions in newborn
Hypoxic ischemic encephalopathy [HIE], unspecified
Congenital hypotonia
Anencephaly
Encephalocele, Unspecified
Microcephaly
Holoprosencephaly
Other reduction deformities of brain Lissencephaly
Congenital cerebral cysts Cortical Dysplasia
Sacral spina bifida without hydrocephalus (Meningomyelocele, Meningocele)
Spina Bifida, Unspecified
Sacral Spina Bifida Without Hydrocephalus
Arnold-Chiari Syndrome with Spina Bifida
Arnold-Chiari syndrome with spina bifida and hydrocephalus
Other congenital malformations of spine, not associated with scoliosis (Sacral Agenesis)
Please refer to your
medical professional
Traumatic Brain Injury
G83.10
G83.20
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Perinatal Factors
A diagnosed physical, mental, or neurobiological condition that has a high probability of resulting in developmental
delay. The established condition shall be diagnosed by a health care provider and documentation shall be kept on file.
Established conditions include the following:
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
Perinatal Factors
ICD-10 Code
P07.22
Condition/Diagnosis
Extreme immaturity of newborn, gestational age 23 completed weeks
Perinatal Factors
P07.23
Extreme immaturity of newborn, gestational age 24 completed weeks
Perinatal Factors
P07.24
Perinatal Factors
P07.25
Extreme immaturity of newborn, gestational age 25 completed weeks
Extreme immaturity of newborn, gestational age 26 completed weeks
Perinatal Factors
P07.26
Extreme immaturity of newborn, gestational age 27 completed weeks
Perinatal Factors
P07.31
Preterm newborn, gestational age 28 completed weeks
Perinatal Factors
P35.0
Congenital rubella syndrome
Perinatal Factors
P39.9
Infection specific to the perinatal period, unspecified
Perinatal Factors
P84
Perinatal Factors
P91.0
Other Problems with Newborns (birth asphyxia NOS, Severe)
Neonatal cerebral ischemia
Perinatal Factors
Perinatal Factors
P91.1
Acquired periventricular cysts of newborn
P91.2
Neonatal cerebral leukomalacia
Perinatal Factors
P91.4
Neonatal Cerebral Depression
Perinatal Factors
P91.5
Neonatal Coma
Perinatal Factors
P96.1
Neonatal withdrawal symptoms from maternal use of drugs of addiction
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Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Physical Impairments
A diagnosed physical, mental, or neurobiological condition that has a high probability of resulting in developmental
delay. The established condition shall be diagnosed by a health care provider and documentation shall be kept on file.
Established conditions include the following:
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
ICD-10 Code
Condition/Diagnosis
Malignant neoplasm of right conjunctiva (Retinoblastoma)
Physical Impairments
C69.01
Physical Impairments
Physical Impairments
C69.02
H33.001
Malignant neoplasm of left conjunctiva (Retinoblastoma)
Unspecified retinal detachment with retinal break, right eye
Physical Impairments
Q11.1
Other Anophthalmos
Physical Impairments
Q11.2
Microphthalmia
Physical Impairments
Q13.1
Absence of Iris (Aniridia)
Physical Impairments
Q13.89
Other congenital malformations of anterior segment of eye
Physical Impairments
Q16.1
Congenital absence, atresia and stricture of auditory canal (external)
Physical Impairments
Q17.2
Microtia
Physical Impairments
Physical Impairments
Q17.8
Other specified congenital anomalies of ear
Q67.8
Other congenital deformities of chest
Physical Impairments
Q74.9
Unspecified Congenital Malformation of Limb(s)
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Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Sensory Abnormalities
A diagnosed physical, mental, or neurobiological condition that has a high probability of resulting in developmental
delay. The established condition shall be diagnosed by a health care provider and documentation shall be kept on file.
Established conditions include the following:
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
Sensory Abnormalities
ICD-10 Code
H26.009
Condition/Diagnosis
Unspecified Infantile and Juvenile Cataract, Unspecified Eye
Sensory Abnormalities
H27.03
Aphakia Bilateral
Sensory Abnormalities
H27.03
Aphakia. Bilateral
Sensory Abnormalities
H33.009
Unspecified Retinal Detachment with Retinal Break, Unspecified eye
Sensory Abnormalities
H35.029
Exudative Retinopathy, Unspecified Eye
Sensory Abnormalities
H35.119
Retinopathy of Prematurity, Stage 0, Unspecified Eye
Sensory Abnormalities
H35.129
Retinopathy of Prematurity, Stage 1, Unspecified Eye
Sensory Abnormalities
H35.139
Retinopathy of Prematurity, Stage 2, Unspecified Eye
Sensory Abnormalities
H35.149
Retinopathy of Prematurity, Stage 3, Unspecified Eye
Sensory Abnormalities
H35.159
Retinopathy of Prematurity, Stage 4, Unspecified Eye
Sensory Abnormalities
H35.169
Retinopathy of Prematurity, Stage 5, Unspecified Eye
Sensory Abnormalities
H35.179
Retrolental Fibroplasia, Unspecified Eye (ROP)
Sensory Abnormalities
H35.52
Sensory Abnormalities
H47.039
Pignentary Retinal Distrophy (RP)
Dystrophies Primarily Involving the Retinal Pigment Epithelium/Leber’s Congenital
Amaurosis
Optic Nerve Hypoplasia, Unspecified Eye
Sensory Abnormalities
H47.20
Unspecified Optic Atrophy
Sensory Abnormalities
H47.619
Cortical Blindness, Unspecified Side of the Brain (Disorders of visual cortex)
Sensory Abnormalities
H53.40
Unspecified Visual Field Defects
Sensory Abnormalities
H53.469
Homonomymous Bilateral Field Defects, Unspecified Side
Sensory Abnormalities
14 | Page ICD-10 Codes
H35.54
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Sensory Abnormalities (continued)
Condition Type
Sensory Abnormalities
ICD-10 Code
H53.47
Condition/Diagnosis
Heteronymous Bilateral Field Defects
Sensory Abnormalities
H53.51
Achromatopsia
Sensory Abnormalities
H54.7
Cortical Visual Impairment (CVI) (Unspecified Visual Loss)
Sensory Abnormalities
H54.8
Blindness
Sensory Abnormalities
Sensory Abnormalities
H55.00
Unspecified nystagmus
H55.01
Congenital nystagmus
Sensory Abnormalities
Sensory Abnormalities
H55.09
H90.3
Sensory Abnormalities
H90.41
Sensory Abnormalities
H90.42
H90.5
Other Forms of Nystagmus
Sensorineural Hearing Loss, Bilateral
Sensorineural Hearing Loss, Unilateral, Right Ear, with Unrestricted Hearing on the
Contralateral Side
Sensorineural Hearing Loss, Unilateral, Left Ear, with Unrestricted Hearing on the
Contralateral Side
Unspecified Sensorineural Hearing Loss
H90.8
Mixed Conductive and Sensorineural Hearing Loss, Unspecified
H90.6
Mixed conductive and sensorineural hearing loss, bilateral
H90.71
Mixed conductive and sensorineural hearing loss, unilateral, right ear, with
unrestricted hearing on the contralateral side
H90.72
Mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted
hearing on the contralateral side
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
H91.90
Sensory Abnormalities
H91.91
Unspecified Hearing Loss, Unspecified Ear
Unspecified hearing loss, right ear
Sensory Abnormalities
H91.92
Unspecified hearing loss, left ear
15 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ESTABLISHED CONDITION: Sensory Abnormalities (continued)
Sensory Abnormalities
H91.93
Unspecified hearing loss, bilateral
Sensory Abnormalities
Q15.0
Congenital Glaucoma
Sensory Abnormalities
Q16.9
Congenital Malformations of Ear Causing Impairment of hearing, Unspecified
Sensory Abnormalities
Q89.8
Other Specified Congenital Malformations
16 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Genetic Disorders
A diagnosed physical, mental, or neurobiological condition. The biological or medical risk condition shall be
diagnosed by a health care provider and documentation shall be kept on file. Biological and medical risk conditions
include the following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
*Questions Regarding conditions not on this list shall be directed to your FIT Manager who will work with a
Department of Health Physician to determine whether a proposed condition will be recognized.
Condition Type
Genetic Disorders
ICD-10 Code
D82.1
Di George's Syndrome
Genetic Disorders
E00.9
Congenital iodine-deficiency syndrome, unspecified
Genetic Disorders
E70.0
Classical phenylketonuria
Genetic Disorders
E70.30
Albinism, unspecified
Genetic Disorders
E71.0
Maple Syrup Urine Disease
Genetic Disorders
E71.110
Isovaleric Acidemia
Genetic Disorders
Genetic Disorders
E71.121
Methylmalonic Aciduria
E71.522
Adrenomyeloneuropathy
Genetic Disorders
E72.09
Other disorders of amino-acid transport (Fanconi (-de Toni) (-Debre) Syndrome)
Genetic Disorders
E72.11
Homocystinuria
Genetic Disorders
E72.22
Argininosuccinic Aciduria
Genetic Disorders
E72.51
Non-ketotic hyperglycinemia
Genetic Disorders
E74.02
Pompe's Disease
Genetic Disorders
Genetic Disorders
E74.21
Galactosemia
E75.02
Tay-Sachs disease
Genetic Disorders
E77.0
Defects in Post Translational Modification of Lysosomal Enzymes
17 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Genetic Disorders (continued)
Condition Type
Genetic Disorders
ICD-10 Code
E75.19
Other gangliosidosis
Genetic Disorders
Genetic Disorders
E75.22
Gaucher’s Disease
E75.240
Niemann-Pick disease type A
Genetic Disorders
E75.25
Metachromatic Leukodystrophy
Genetic Disorders
E75.4
Neuronal Ceroid Lipofuscinoses
Genetic Disorders
E75.01
Sandhoff disease
Genetic Disorders
F19.939
Other psychoactive substance use, unspecified with withdrawal, unspecified
Genetic Disorders
G11.3
Cerebellar ataxia with defective DNA repair
Genetic Disorders
G12.0
Infantile Spinal Muscular Atrophy Werdnig-Hoffman Disease,
Genetic Disorders
G60.9
Hypertrophic Interstitial Neuritis
Genetic Disorders
G90.1
Familial Dysautonomia (Riley-Day Syndrome, HSAN III)
Genetic Disorders
I67.9
Cerebrovascular Disease, Unspecified
Genetic Disorders
Q79.6
Cutis laxa senilis
Genetic Disorders
L94.0
Linear scleroderma
Genetic Disorders
P02.8
Newborn (suspected to be) affected by other abnormalities of membranes
Genetic Disorders
P35.1
Congenital cytomegalovirus infection
Genetic Disorders
P35.1
Congenital cytomegalovirus infection
18 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Genetic Disorders (continued)
Condition Type
Genetic Disorders
ICD-10 Code
G93.89
Other Conditions of the Brain
Genetic Disorders
Q06.2
Diastematomyelia
Genetic Disorders
Q26.2
Total anomalous pulmonary venous connection
Q87.40
Other specified congenital musculoskeletal deformities
(Beals-Hecht Syndrome)
Genetic Disorders
Q74.8
Other specified congenital malformations of limb(s) Larsen's Syndrome
Genetic Disorders
Q77.0
Achondrogenesis
Genetic Disorders
Q77.4
Achondroplasia
Genetic Disorders
Q77.5
Diastrophic Dysplasia
Q79.9
Other osteochondrodysplasia with defects of growth of tubular bones and spine Kniest's
Syndrome (Metatrophic Dwarfism II)
Genetic Disorders
Q78.8
Other Specified Osteochondrodysplasia (Acrodysplasia I)
Genetic Disorders
Q78.9
Osteochondrodysplasia, unspecified
Genetic Disorders
Q79.6
Ehlers-Danlos Syndrome
Genetic Disorders
Q80.9
Congenita Ichthyosis, Unspecified (Harlequin Fetus)
Genetic Disorders
Q82.1
Xeroderma Pigmentosum
Genetic Disorders
Genetic Disorders
Q85.01
Other Neurofibromatosis
Congenital malformation syndromes predominantly affecting facial appearance Apert's
Syndrome (Acrocephalosyndactyly I, ACS I)
Congenital malformation syndromes predominantly affecting facial appearance SaethreChotzen Syndrome (Chotzen's, Acrocephalosyndactyly III)
Genetic Disorders
Genetic Disorders
Genetic Disorders
Q87.0
Q87.0
19 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Genetic Disorders (Continued)
Condition Type
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
ICD-10 Code
Q87.0
Q87.5
Q87.89
Q87.1
Genetic Disorders
Q87.2
Genetic Disorders
Genetic Disorders
Genetic Disorders
Q87.2
Q87.2
Q87.2
Condition/Diagnosis
Congenital malformation syndromes predominantly affecting facial appearance Robin’s
Syndrome
Congenital malformation syndromes predominantly affecting facial appearance OralFacial-Digital Syndrome
Congenital malformation syndromes predominantly associated with short stature
Noonan's Syndrome
Congenital malformation syndromes predominantly associated with short stature Russell
(-Silver) Syndrome
Congenital malformation syndromes predominantly involving limbs
Holt-Oram (Cardiac-Limb) Syndrome (Atriodigital Dysplasia) (Klippel-Trenaunay-Weber
Syndrome) Otopalatodigital Syndrome
Congenital malformation syndromes predominantly involving limbs
Klippel-Trenaunay-Weber Syndrome
Congenital malformation syndromes predominantly involving limbs Otopalatodigital
Syndrome
Congenital malformation syndromes predominantly involving limbs Otopalatodigital
Syndrome
Genetic Disorders
Q87.2
Congenital malformation syndromes predominantly involving limbs VATER Syndrome
Genetic Disorders
Q87.2
Congenital malformation syndromes predominantly involving limbs VATER Syndrome
Q87.3
Congenital malformation syndromes involving early overgrowth Cerebral Gigantism
(Soto's Syndrome)
Q87.40
Marfan's Syndrome, Unspecified
Q87.89
Other specified congenital malformation syndromes, not elsewhere classified
Langer-Giedion Syndrome (Acrodysplasia V, Klingmuller's)
Q89.8
Other Specified Congenital Malformations CHARGE Syndrome (CHARGE Association)
Genetic Disorders
Genetic Disorders
Genetic Disorders
Genetic Disorders
20 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Genetic Disorders (Continued)
Condition Type
Genetic Disorders
ICD-10 Code
Q92.8
Other specified trisomies and partial trisomies of autosomes
Genetic Disorders
Q93.7
Deletions with other complex rearrangements
Genetic Disorders
Q93.81
Velo-cardio-facial Syndrome
Genetic Disorders
Q96.9
Turner's syndrome, unspecified
Genetic Disorders
Q97.8
Other specified sex chromosome abnormalities, female phenotype
Genetic Disorders
Q98.4
Klinefelter syndrome, unspecified
Genetic Disorders
Q98.8
Other specified sex chromosome abnormalities, male phenotype
Genetic Disorders
Q99.9
Chromosomal Abnormality, Unspecified, (Coffin-Lowry Syndrome)
Genetic Disorders
R62.7
Failure to thrive (child)
21 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Mental/Psychosocial Disorders
A diagnosed physical, mental, or neurobiological condition. The biological or medical risk condition shall be diagnosed by
a health care provider and documentation shall be kept on file. Biological and medical risk conditions include the
following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
*Questions Regarding conditions not on this list shall be directed to your FIT Manager who will work with a Department
of Health Physician to determine whether a proposed condition will be recognized.
Condition Type
Mental/Psychosocial Disorders
F40.10
Condition/Diagnosis
Major Depressive Affective Disorder Single Episode Unspecified (DC 0-3 R:
231 Type I Major Depression)
Episodic Mood Disorder Unspecified (DC 0-3 R: 231 Type II Depressive
Disorder)
Social Phobia, Unspecified (DC 0-3 R: 220's Anxiety Disorder Disorder)
Mental/Psychosocial Disorders
F40.8
Other Phobic Anxiety Disorders (DC 0-3 R: 220's Anxiety Disorder Disorder)
Mental/Psychosocial Disorders
F41.1
Generalized Anxiety Disorder (DC 0-3 R: 220's Anxiety Disorder Disorder)
Mental/Psychosocial Disorders
F41.9
Anxiety Disorder, unspecified (DC 0-3 R: 225 Anxiety Disorder NOS)
Post-traumatic stress disorder, unspecified (DC 0-3 R: 100 Post Traumatic
Stress Disorder)
Adjustment disorder, unspecified (DC 0-3 R: 300 Adjustment Disorder)
Adjustment disorder with depressed mood (DC 0-3 R: 210 Prolonged
Bereavement/Grief Reaction)
Adjustment disorder with anxiety (DC 0-3 R: 300 Adjustment Disorder)
Adjustment disorder with mixed anxiety and depressed mood (DC 0-3 R: 300
Adjustment Disorder)
Adjustment disorder with disturbance of conduct (DC 0-3 R: 400's Regulation
Disorder of Sensory Processing)
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
22 | Page ICD-10 Codes
ICD-10 Code
F32.0
F39
F43.10
F43.20
F43.21
F43.22
F43.23
F43.24
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Mental/Psychosocial Disorders (Continued)
Condition Type
ICD-10 Code
Mental/Psychosocial Disorders
F50.00
Mental/Psychosocial Disorders
F50.2
Condition/Diagnosis
Adjustment disorder with mixed disturbance of emotions and conduct (DC 03 R: 150 Deprivation /Maltreatment Disorder or DC 0-3 R: 900 Relationship
Disorder If PIR-GAS of 40 or below)
Anorexia Nervosa, Unspecified (DC 0-3 R: 600's Feeding Behavior Disorder)
Bulimia Nervosa (DC 0-3 R: 600's Feeding Behavior Disorder)
Mental/Psychosocial Disorders
F50.9
Eating disorder, unspecified (DC 0-3 R: 600's Feeding Behavior Disorder)
Mental/Psychosocial Disorders
F51.02
Adjustiment Insominia (DC 0-3 R: 500's Sleep Behavior Disorder)
Other insomnia not due to a substance or known physiological condition (DC
0-3 R: 500's Sleep Behavior Disorder)
F43.25
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
Mental/Psychosocial Disorders
23 | Page ICD-10 Codes
F51.09
F84.8
F93.0
F93.9
F43.29
F98.21
F98.29
F98.3
Other Specified Pervasive Developmental Disorder (DC 0-3 R: 710
Multisystem Development Disorder)
Separation anxiety disorder of childhood (DC 0-3 R: 220's Anxiety Disorder
Disorder)
Childhood emotional disorder, unspecified (DC 0-3 R: 240 Mixed Disorder of
Emotional Expressiveness)
Other childhood disorders of social functioning (DC 0-3 R: 300 Adjustment
Disorder)
Rumination Disorder of Infancy (DC 0-3 R: 600's Feeding Behavior Disorder)
Other feeding disorders of infancy and early childhood (DC 0-3 R: 600's
Feeding Behavior Disorder)
PICA of Infancy and Childhood (DC 0-3 R: 600's Feeding Behavior Disorder)
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Neurologic/Musculoskeletal
A diagnosed physical, mental, or neurobiological condition. The biological or medical risk condition shall be
diagnosed by a health care provider and documentation shall be kept on file. Biological and medical risk conditions
include the following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
*Questions Regarding conditions not on this list shall be directed to your FIT Manager who will work with a
Department of Health Physician to determine whether a proposed condition will be recognized.
Condition Type
ICD-10 Code
Condition/Diagnosis
A87.9
Viral meningitis, unspecified
Neurologic/Musculoskeletal
C72.9
Malignant neoplasm of central nervous system, unspecified
Neurologic/Musculoskeletal
G03.9
Meningitis, Unspecified
G40.001
Localization-related (focal) (partial) idiopathic epilepsy and epileptic
syndromes with seizures of localized onset, not intractable, with status
epilepticus
G40.009
Localization-related (focal) (partial) idiopathic epilepsy and epileptic
syndromes with seizures of localized onset, not intractable, without status
epilepticus
G40.011
Localization-related (focal) (partial) idiopathic epilepsy and epileptic
syndromes with seizures of localized onset, intractable, with status epilepticus
G40.019
Localization-related (focal) (partial) idiopathic epilepsy and epileptic
syndromes with seizures of localized onset, intractable, without status
epilepticus
G40.111
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with simple partial seizures, not intractable, with status epilepticus
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
24 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Neurologic/Musculoskeletal (continued)
Condition Type
ICD-10 Code
G40.109
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with simple partial seizures, not intractable, without status
epilepticus
G40.111
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with simple partial seizures, intractable, with status epilepticus
G40.011
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with complex partial seizures, not intractable, with status
epilepticus
G40.009
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with complex partial seizures, not intractable, without status
epilepticus
G40.019
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with complex partial seizures, intractable, with status epilepticus
G40.119
Localization-related (focal) (partial) symptomatic epilepsy and epileptic
syndromes with complex partial seizures, intractable, without status epilepticus
G40.301
Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with
status epilepticus
G40.309
Generalized idiopathic epilepsy and epileptic syndromes, not intractable,
without status epilepticus
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
25 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Neurologic/Musculoskeletal (continued)
Condition Type
ICD-10 Code
G40.A11
Generalized idiopathic epilepsy and epileptic syndromes, intractable, with
status epilepticus
G40.A19
Generalized idiopathic epilepsy and epileptic syndromes, intractable, without
status epilepticus
G40.821
Other generalized epilepsy and epileptic syndromes, not intractable, with status
epilepticus
G40.822
Other generalized epilepsy and epileptic syndromes, not intractable, without
status epilepticus
G40.823
Other generalized epilepsy and epileptic syndromes, intractable, with status
epilepticus
G40.824
Other generalized epilepsy and epileptic syndromes, intractable, without status
epilepticus
G40.801
Other epilepsy, not intractable, with status epilepticus
G40.802
Other epilepsy, not intractable, without status epilepticus
G40.803
Other epilepsy, intractable, with status epilepticus
G40.804
Other epilepsy, intractable, without status epilepticus
G40.812
Lennox-Gastaut Syndrome (Gastaut's Syndrome)
G40.901
Epilepsy, unspecified, not intractable, with status epilepticus
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
26 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Neurologic/Musculoskeletal (continued)
Condition Type
ICD-10 Code
Condition/Diagnosis
G40.909
Epilepsy, unspecified, not intractable, without status epilepticus
G40.911
Epilepsy, unspecified, intractable, with status epilepticus
G40.919
Epilepsy, unspecified, intractable, without status epilepticus
G40.B01
Juvenile myoclonic epilepsy, not intractable, with status epilepticus
G40.B09
Juvenile myoclonic epilepsy, not intractable, without status epilepticus
G40.B11
Juvenile myoclonic epilepsy, intractable, with status epilepticus
G40.B19
Juvenile myoclonic epilepsy, intractable, without status epilepticus
Neurologic/Musculoskeletal
G72.9
Myopathy Unspecified
Neurologic/Musculoskeletal
G83.89
Other Specified Paralytic Syndromes
Neurologic/Musculoskeletal
G95.0
Syringomyelia and syringobulbia
Neurologic/Musculoskeletal
G95.89
Other specified diseases of spinal cord
Neurologic/Musculoskeletal
H55.89
Other irregular eye movements (Kinsbourne Syndrome)
Neurologic/Musculoskeletal
I61.9
Nontraumatic intracerebral hemorrhage, unspecified
Neurologic/Musculoskeletal
P14.0
Erb’s Paralysis due to Birth Injury
Neurologic/Musculoskeletal
Q03.8
Other congenital hydrocephalus
Neurologic/Musculoskeletal
Q04.6
Congenital cerebral cysts
Q04.8
Other Specified Congenital malformations of brain
R56.9
Unspecified convulsions
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
27 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Neurologic/Musculoskeletal (continued)
Condition Type
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
ICD-10 Code
S14.3XXA
Injury of Brachial Plexus, Initial Encounter
S14.3XXD
Injury of Brachial Plexus, Subsequent Encounter
S14.3XXS
Injury of Brachial Plexus, Sequela Encounter
T56.0X1A
Toxic Effects of Lead and Its Compounds, accidental (Sequela), Initial
Encounter
T56.0X1A
Toxic Effects of Lead and Its Compounds, accidental (unintentional), Initial
Encounter
T74.4XXA
Shaken infant syndrome, initial encounter
T74.4XXD
Shaken infant syndrome, subsequent encounter
T74.4XXS
Shaken infant syndrome, sequela
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
Neurologic/Musculoskeletal
28 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Perinatal Factors
A diagnosed physical, mental, or neurobiological condition. The biological or medical risk condition shall be
diagnosed by a health care provider and documentation shall be kept on file. Biological and medical risk conditions
include the following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
*Questions Regarding conditions not on this list shall be directed to your FIT Manager who will work with a
Department of Health Physician to determine whether a proposed condition will be recognized.
Condition Type
Perinatal Factors
ICD-10 Code
A33
Perinatal Factors
E80.7
Perinatal Factors
Perinatal Factors
Perinatal Factors
O30.109
O30.129
Condition/Diagnosis
Tetanus neonatorum
Disorder of bilirubin metabolism, unspecified
Triplet pregnancy, unspecified number of placenta and unspecified number of amniotic
sacs, unspecified trimester
Triplet pregnancy with two or more monoamniotic fetuses, unspecified trimester
Perinatal Factors
P00.9
Triplet pregnancy, unable to determine number of placenta and number of amniotic sacs,
unspecified trimester
Newborn (suspected to be) affected by unspecified maternal condition
Perinatal Factors
P04.3
Newborn (suspected to be) affected by maternal use of alcohol
Perinatal Factors
P04.41
Newborn (suspected to be) affected by maternal use of cocaine
Perinatal Factors
P04.49
Newborn (suspected to be) affected by maternal use of other drugs of addiction
Perinatal Factors
P04.9
Newborn (suspected to be) affected by maternal noxious substance, unspecified
Perinatal Factors
P05.00
Perinatal Factors
P07.01
Newborn light for gestational age, unspecified weight
Extremely low birth weight newborn, less than 500 grams
Perinatal Factors
P07.02
Extremely low birth weight newborn, 500-749 grams
Perinatal Factors
P07.03
Extremely low birth weight newborn, 750-999 grams
Perinatal Factors
P07.10
Other low birth weight newborn, unspecified weight
Perinatal Factors
P07.14
Other low birth weight newborn, 1000-1249 grams
O30.199
29 | Page ICD-10 Codes
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Perinatal Factors (continued)
Condition Type
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
Perinatal Factors
ICD-10 Code
P07.15
P07.16
P07.32
P07.33
P07.34
P07.35
P07.36
P07.37
P09
P29.81
P52.0
P52.1
P52.21
P52.22
P52.3
P52.5
P61.9
P70.4
P84
P92.9
P93.8
P04.8
30 | Page ICD-10 Codes
Condition/Diagnosis
Other low birth weight newborn, 1250-1499 grams
Other low birth weight newborn, 1500-1749 grams
Preterm newborn, gestational age 29 completed weeks
Preterm newborn, gestational age 30 completed weeks
Preterm newborn, gestational age 31 completed weeks
Preterm newborn, gestational age 32 completed weeks
Preterm newborn, gestational age 33 completed weeks
Preterm newborn, gestational age 34 completed weeks
Abnormal findings on neonatal screening
Cardiac arrest of newborn
Intraventricular (nontraumatic) hemorrhage, grade 1, of newborn
Intraventricular (nontraumatic) hemorrhage, grade 2, of newborn
Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn
Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn
Unspecified intraventricular (nontraumatic) hemorrhage of newborn
Subarachnoid (nontraumatic) hemorrhage of newborn
Perinatal hematological disorder, unspecified
Other neonatal hypoglycemia
Other problems with newborn Intrauterine hypoxia
Feeding problem of newborn, unspecified
Other reactions and intoxications due to drugs administered to newborn
Newborn (Suspected to be) affected by other maternal noxious substances
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Physical Impairments
A diagnosed physical, mental, or neurobiological condition. The biological or medical risk condition shall be
diagnosed by a health care provider and documentation shall be kept on file. Biological and medical risk conditions
include the following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
*Questions Regarding conditions not on this list shall be directed to your FIT Manager who will work with a
Department of Health Physician to determine whether a proposed condition will be recognized.
Condition Type
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
Physical Impairments
31 | Page ICD-10 Codes
ICD-10 Code
M06.9
M41.20
Q68.0
Q35.9
Q36.0
Q36.9
Q37.9
Q71.60
Q71.61
Q71.62
Q71.63
Q73.8
Q74.3
Q74.9
Q75.0
Q75.4
Q79.0
Q79.3
Q79.4
Q79.8
Q87.0
Condition/Diagnosis
Rheumatoid arthritis, unspecified
Other idiopathic scoliosis, site unspecified
Congenital Torticollis
Cleft palate, unspecified
Cleft Lip, Bilateral
Cleft Lip, unilateral
Cleft Palate with Cleft Lip
Lobster-claw hand, unspecified hand
Lobster-Claw Right Hand
Lobster-Claw Left Hand
Lobster-Claw Hand, Bilateral
Other Reduction Defects of Unspecified Limbs
Arthrogryposis multiplex congenita
Unspecified Congenital Malformation of Limb(s)
Craniosynostosis
Mandibulofacial Dysostosis (Franschetti-Klein Syndrome)
Congenital Diaphragmatic Hernia
Gastronschisis
Prune Belly Syndrome
Other Congenital Malformations of Musculoskeletal System Poland’s Syndrome
Congenital Malformation Syndrome Predominantly Affecting Facial Appearance
Goldenhar’s Syndrome (Oculouriculoverterbral Dysplasia)0
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Sensory Abnormalities
A diagnosed physical, mental, or neurobiological condition. The biological or medical risk condition shall be
diagnosed by a health care provider and documentation shall be kept on file. Biological and medical risk conditions
include the following: (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
*Questions Regarding conditions not on this list shall be directed to your FIT Manager who will work with a
Department of Health Physician to determine whether a proposed condition will be recognized.
Condition Type
Sensory Abnormalities
F98.4
Condition/Diagnosis
Stereotyped Movement Disorder (Spasmus Nutans)
Sensory Abnormalities
H02.401
Unspecified ptosis of right eyelid
Sensory Abnormalities
H02.402
Unspecified ptosis of left eyelid
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
Sensory Abnormalities
H02.403
Unspecified ptosis of bilateral eyelids
H50.00
H50.10
H50.811
H50.812
H50.89
H51.9
H52.00
Esotropia Unspecified
Exotropia Unspecified
Duane’s Syndrome, Right Eye
Duane’s Syndrome, Left Eye
Other Specified Strabismus
Unspecified disorder of binocular movement
Hypermetropia, unspecified eye
Sensory Abnormalities
H52.01
Hypermetropia, right eye
Sensory Abnormalities
H52.02
Hypermetropia, left eye
Sensory Abnormalities
H52.03
Hypermetropia, bilateral
Sensory Abnormalities
H52.13
Myopia, Bilateral
Sensory Abnormalities
H52.10
Myopia, unspecified eye
32 | Page ICD-10 Codes
ICD-10 Code
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
MEDICAL/BIOLOGICAL RISK CONDITION: Sensory Abnormalities (Continued)
Condition Type
Sensory Abnormalities
ICD-10 Code
H52.11
Myopia, right eye
Sensory Abnormalities
H52.12
Myopia, left eye
Sensory Abnormalities
H53.001
Unspecified amblyopia, right eye
Sensory Abnormalities
H53.002
Unspecified amblyopia, left eye
Sensory Abnormalities
H53.003
Unspecified amblyopia, bilateral
Sensory Abnormalities
H53.009
Unspecified Amblyopia
Sensory Abnormalities
H53.8
Other visual disturbances
Sensory Abnormalities
Sensory Abnormalities
H53.9
H53.9
Sensory Abnormalities
H65.20
Unspecified Visual Disturbance
unspecified visual loss (Delayed Visual Maturation)
Chronic serous otitis media, unspecified ear
Sensory Abnormalities
Sensory Abnormalities
H65.21
Chronic serous otitis media, right ear
H65.22
Chronic serous otitis media, left ear
Sensory Abnormalities
H65.23
Chronic serous otitis media, bilateral
Sensory Abnormalities
H90.2
Conductive hearing loss, unspecified
Sensory Abnormalities
Sensory Abnormalities
Q10.0
Congenital ptosis
Q17.9
Congenital malformation of ear, unspecified
33 | Page ICD-10 Codes
Condition/Diagnosis
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ENVIRONMENTAL RISK FACTORS: Personal History Presenting Hazard to Health
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program.
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
ICD-10 Code
Condition/Diagnosis
Contact with and (suspected) exposure to lead
Personal History Presenting Hazard to Health Z77.011
Other contact with and (suspected) exposures hazardous to
Z77.9
Personal History Presenting Hazard to Health
health
Personal history of adult physical and sexual abuse (e.g., sexual
Z91.410
Personal History Presenting Hazard to Health
abuse or rape)
Personal history of adult neglect (e.g., neglect)
Personal History Presenting Hazard to Health Z91.412
Other personal history of psychological trauma, not elsewhere
Z91.49
Personal History Presenting Hazard to Health
classified
Other specified personal risk factors, not elsewhere classified
Personal History Presenting Hazard to Health Z77.9
ENVIRONMENTAL RISK FACTORS: Family History of Certain Chronic Disabling Diseases
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program. (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
Family History of Certain Chronic Disabling Diseases
Family History of Certain Chronic Disabling Diseases
Family History of Certain Chronic Disabling Diseases
34 | Page ICD-10 Codes
ICD-10 Code
Z81.8
Z82.0
Z82.69
Condition/Diagnosis
Family history of other mental and behavioral
disorders
Family history of epilepsy and other diseases of the
nervous system
Family history of other diseases of the musculoskeletal
system and connective tissue
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ENVIRONMENTAL RISK FACTORS: Family History of Certain Other Specific Conditions
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program. (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
ICD-10 Code
Family History of Certain Other Specific Conditions Z81.0
Condition/Diagnosis
Family History of Intellectual Disabilities
ENVIRONMENTAL RISK FACTORS: Family History of Other Conditions
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program. (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
Family History of Other Conditions
Family History of Other Conditions
Family History of Other Conditions
Family History of Other Conditions
ICD-10 Code
Z82.1
Z82.2
Z82.79
Z84.89
Condition/Diagnosis
Family history of blindness and visual loss
Family history of deafness and hearing loss
Family history of other congenital malformations, deformations and
chromosomal abnormalities
Family history of other specified conditions
ENVIRONMENTAL RISK FACTORS: Health Supervision of Infant or Child
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program. (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
ICD-10 Code
Z76.2
Health Supervision of Infant or Child
35 | Page ICD-10 Codes
Condition/Diagnosis
Encounter for health supervision and care of other healthy infant and
child (e.g., supervision of healthy infant in cases of socioeconomic
adverse condition at home)
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ENVIRONMENTAL RISK FACTORS: Housing, Household, and Economic Circumstances
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program. (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
Housing, Household, and Economic Circumstances
Housing, Household, and Economic Circumstances
Housing, Household, and Economic Circumstances
Housing, Household, and Economic Circumstances
Housing, Household, and Economic Circumstances
Housing, Household, and Economic Circumstances
ICD-10 Code
Condition/Diagnosis
Z59.0
Homelessness (e.g., Social migrants, Transients)
Inadequate housing (e.g., Lack of heating, Restriction of
Z59.1
space)
Z59.6
Low income (e.g., Economic problem, Poverty)
Other problems related to housing and economic
Z59.8
circumstances
Z59.9
Unspecified housing or economic circumstance
Need for assistance at home and no other household
Z74.2
member able to render care
ENVIRONMENTAL RISK FACTORS: Other Family Circumstances
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program. (NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
Other Family Circumstances
Other Family Circumstances
Other Family Circumstances
Other Family Circumstances
Other Family Circumstances
36 | Page ICD-10 Codes
ICD-10 Code
Z62.898
Z63.6
Z63.72
Z62.891
Z69.010
Condition/Diagnosis
Other specified problems related to upbringing (e.g., Problem concerning
adopted or foster child)
Dependent relative needing care at home (e.g., Care of sick or handicapped
person in family or household)
Alcoholism and drug addiction in family
Other specified problems related to primary support group
Encounter for mental health services for perpetrator of parental child abuse
Counseling for parent-child problem, unspecified
Revised October 2015
Diagnostic Codes Related to Family Infant Toddler (FIT) Program
ENVIRONMENTAL RISK FACTORS: Other Family Circumstances (Continued)
Condition Type
ICD-10 Code
Condition/Diagnosis
Encounter for mental health services for victim of parental child abuse
Z69.020
Other Family Circumstances
Counseling for victim of child abuse
Encounter for mental health services for victim of spousal or partner abuse
Z69.11
Other Family Circumstances
(Counseling for victim of spousal and partner abuse)
Encounter for mental health services for perpetrator of spousal or partner
Z69.12
abuse (Counseling for perpetrator of spousal and partner abuse)
Other Family Circumstances
Other specified counseling (Counseling for marital and partner problems,
Z69.020
Other Family Circumstances
unspecified)
ENVIRONMENTAL RISK FACTORS: Other Psychosocial Circumstances
A presence of adverse family factors in the child’s environment that increases the risk for developmental delay in
children. Eligibility determination shall be made using the Environmental Risk Assessment (ERA) tool approved by
the FIT program.
(NMAC 7.30.8.10.9 Requirements for Family Infant Toddler Early Intervention Services.)
Condition Type
ICD-10 Code
Other Psychosocial Circumstances Z13.4
Other Psychosocial Circumstances
Z60.3
Other Psychosocial Circumstances Z63.9
Other Psychosocial Circumstances Z65.3
Other Psychosocial Circumstances
Z65.8
Z64.4
Other Psychosocial Circumstances
Other Psychosocial Circumstances Z65.9
37 | Page ICD-10 Codes
Condition/Diagnosis
Encounter for screening for certain developmental disorders in childhood
Acculturation difficulty (e.g., Cultural deprivation, Social isolation or
persecution)
Problem related to primary support group, unspecified
Problems related to other legal circumstances (e.g., Imprisonment)
Other specified problems related to psychosocial circumstances (e.g., Life
circumstance problems)
Other specified problems related to psychosocial circumstances
(Interpersonal problems, not elsewhere classified)
Problem related to unspecified psychosocial circumstances
Revised October 2015