ICD 10 CM F81.81 | Description & Clinical Information

ICD 10 F81.81 describes a condition in which an individual experiences a significant difficulty in communicating through writing, which is below the expected level based on their age, intellect, and education.

Official Description Of F81.81

The ICD 10 CM book defines ICD 10 code F81.81 as:

When To Use F81.81

The diagnosis describes by code ICD 10 CM F81.81 is a disorder of written expression. It is a condition that affects a patient’s ability to write coherently, effectively, and efficiently. It is more commonly known as developmental expressive writing disorder. The condition includes, but is not limited to, specific spelling disorder.

Patients with disorder of written expression present with various symptoms. They often have illegible handwriting, difficulty forming letters or numbers, and excessive spelling, punctuation, and grammar errors. Their writing lacks logical organization, and paragraphs and stories may have missing elements. These difficulties affect their academic performance significantly, and the impairment may cause distress or impairment in social, academic, or occupational functioning.

The diagnostic criteria for disorder of written expression is based on a comprehensive assessment of the patient’s writing skills. Clinical assessment and diagnostic evaluation of writing skills (DEWS) are two methods used to make the diagnosis. In addition, tests such as the Test of Early Written Language (TEWL) and the Test of Adolescent Language may also be used to evaluate the patient’s writing ability.

To make the diagnosis of disorder of written expression, the clinician follows the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders. The criteria include persistent difficulties in the acquisition and utilization of written language skills, and the difficulties significantly interfere with academic achievement or activities of daily living that require the use of written language.

Treatment for disorder of written expression aims to improve the patient’s writing skills through intense writing remediation. Remedial training for any concurrent learning disorders is also part of the treatment plan. While remediation of writing skills is essential, it is also necessary to identify and address any other learning difficulties that may be contributing to the patient’s condition. This may involve a multidisciplinary approach that involves other healthcare professionals such as speech pathologists and occupational therapists.

In conclusion, disorder of written expression is a challenging condition that can have a significant impact on a patient’s life. However, early recognition and intervention can lead to effective treatment and significant improvement in the patient’s writing skills. It is essential to get a proper diagnosis and to identify any concurrent learning difficulties and treat them accordingly. With the right treatment, patients can overcome their difficulties and improve their writing skills, which can significantly improve their academic, social, and occupational functioning.