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ICD-10 Coding for Articulation Disorder(F80.0)

Complete ICD-10-CM coding and documentation guide for Articulation Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Speech Sound DisorderPhonological Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Articulation Disorder

F80-F89Primary Range

Pervasive and specific developmental disorders

This range includes developmental speech and language disorders, with F80.0 specifically for articulation disorders.

Key Information: ICD-10 code for articulation disorder

Essential facts and insights about Articulation Disorder

The ICD-10 code for articulation disorder is F80.0, used for phonological disorders with specific speech sound errors.

Primary ICD-10-CM Code for articulation disorder

Phonological disorder
Billable Code

Decision Criteria

clinical Criteria

  • Presence of consistent sound errors not typical for age.

documentation Criteria

  • Detailed description of sound errors and their impact.

Applicable To

  • Articulation disorder

Excludes

Clinical Validation Requirements

  • Persistent sound substitutions/omissions inconsistent with developmental norms
  • Standardized test scores below the 7th percentile

Code-Specific Risks

  • Misclassification if not differentiated from apraxia or dysarthria

Coding Notes

  • Ensure documentation specifies the sounds affected and the impact on communication.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dysarthria

R47.1
Use if dysarthria is present alongside articulation disorder.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Apraxia

R48.2
Characterized by inconsistent errors and groping movements.

Dysarthria

R47.1
Characterized by slurred speech and abnormal pitch/rhythm due to neurological causes.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Articulation Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F80.0.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Use specific language to describe errors, Include standardized test results

Impact

Reimbursement: Claims may be denied due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.

Mitigation Strategy

Use F80.0 when specific articulation errors are documented.

Impact

Risk of audits due to use of unspecified codes.

Mitigation Strategy

Ensure detailed documentation supports the use of specific codes.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Articulation Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Articulation Disorder

Use these documentation templates to ensure complete and accurate documentation for Articulation Disorder. These templates include all required elements for proper coding and billing.

Pediatric Speech Evaluation

Specialty: Speech-Language Pathology

Required Elements

  • Error sounds and consistency
  • Functional impact
  • Stimulability testing results

Example Documentation

Child exhibits consistent substitution of /r/ with /w/ in all word positions, impacting intelligibility.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Child has speech errors.
Good Documentation Example
Consistent gliding of /l/ to /w/ in initial position, 90% occurrence.
Explanation
The good example provides specific error patterns and frequency, essential for accurate coding.

Need help with ICD-10 coding for Articulation Disorder? Ask your questions below.

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