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ICD-10 Coding for Delayed Speech(F80.4, F80.0, R62.0)

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

Also known as:

Speech DelayLanguage Delay

Related ICD-10 Code Ranges

Complete code families applicable to Delayed Speech

F80-F89Primary Range

Pervasive and specific developmental disorders

This range includes specific codes for speech and language disorders, including delayed speech.

Lack of expected normal physiological development

Used for general developmental delays when specific conditions are not identified.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F80.4Speech and language development delay due to hearing lossUse when hearing loss is confirmed as the cause of speech delay.
  • Audiogram confirming hearing loss
  • Speech testing showing delay
F80.0Phonological disorderUse for speech delay with phonological errors and no hearing loss.
  • Phonological process analysis
  • Standardized speech test scores
R62.0Delayed milestonesUse when no specific speech disorder is identified.
  • Developmental assessment showing delay

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for delayed speech

Essential facts and insights about Delayed Speech

The ICD-10 code for delayed speech due to hearing loss is F80.4, while F80.0 is used for phonological disorders without hearing loss.

Primary ICD-10-CM Codes for delayed speech

Speech and language development delay due to hearing loss
Billable Code

Decision Criteria

clinical Criteria

  • Audiogram shows hearing loss

documentation Criteria

  • Speech delay documented as secondary to hearing loss

Applicable To

  • Speech delay due to hearing impairment

Excludes

  • Hearing loss without speech delay

Clinical Validation Requirements

  • Audiogram confirming hearing loss
  • Speech testing showing delay

Code-Specific Risks

  • Misidentifying the cause of delay

Coding Notes

  • Ensure hearing loss is documented as the primary cause.

Ancillary Codes

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

Sensorineural hearing loss, bilateral

H90.3
Use to specify the type of hearing loss contributing to speech delay.

Differential Codes

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

Phonological disorder

F80.0
Use F80.0 if no hearing loss is present but phonological errors are.

Speech delay due to hearing loss

F80.4
Use F80.4 if hearing loss is the confirmed cause.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Delayed Speech to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F80.4.

Impact

Clinical: Inaccurate diagnosis of speech delay cause, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Ensure audiogram is conducted and results documented, Verify documentation before coding

Impact

Reimbursement: May lead to incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Use specific codes like F80.0 or F80.4 when applicable.

Impact

Using R62.0 for specific speech disorders

Mitigation Strategy

Educate coders on specific vs. general 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 Delayed Speech, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Delayed Speech

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

Pediatric Speech Evaluation

Specialty: Pediatrics

Required Elements

  • Developmental history
  • Audiogram results
  • Phonological process analysis

Examples: Poor vs. Good Documentation

Poor Documentation Example
Child has speech delay.
Good Documentation Example
Standardized testing (PLS-5) revealed 18-month expressive language skills in 30-month-old child.
Explanation
The good example provides specific test results and age comparison.

Need help with ICD-10 coding for Delayed Speech? Ask your questions below.

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