ICD-10 Coding for Expressive Aphasia(R47.02, F80.1)
Complete ICD-10-CM coding and documentation guide for Expressive Aphasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Expressive Aphasia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R47.02 | Non-fluent aphasia | Use for acquired expressive aphasia, typically post-stroke or brain injury. |
|
| F80.1 | Expressive language disorder | Use for developmental expressive language disorders in children. |
|
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 expressive aphasia
Essential facts and insights about Expressive Aphasia
Primary ICD-10-CM Codes for expressive aphasia
Decision Criteria
clinical Criteria
- Presence of non-fluent speech with intact comprehension
documentation Criteria
- Detailed speech assessment and neuroimaging results
Applicable To
- Broca's aphasia
- Expressive aphasia
Excludes
- Developmental expressive language disorder (F80.1)
Clinical Validation Requirements
- Effortful speech with agrammatism
- MRI showing left frontal lesion
- Boston Diagnostic Aphasia Examination results
Code-Specific Risks
- Confusing with developmental disorders
- Incorrect sequencing with etiology codes
Coding Notes
- Ensure detailed documentation of speech characteristics and underlying causes.
F80.1 - Expressive language disorder
Use for developmental expressive language disorders in children.
Applicable To
- Developmental expressive language disorder
Excludes
- Acquired aphasia (R47.02)
Clinical Validation Requirements
- Childhood onset with no neurological etiology
- Normal hearing assessment
Coding Notes
Ensure documentation of developmental milestones and exclusion of neurological causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Aphasia following cerebral infarction
I69.321Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Expressive Aphasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R47.02.
Impact
Clinical: Misdiagnosis of aphasia type., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use standardized speech assessments, Include detailed speech descriptions
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Use R47.02 for acquired aphasia in adults.
Impact
Incorrect sequencing of aphasia and underlying cause.
Mitigation Strategy
Train staff on proper sequencing rules.
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 Expressive Aphasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Expressive Aphasia
Use these documentation templates to ensure complete and accurate documentation for Expressive Aphasia. These templates include all required elements for proper coding and billing.
Acquired expressive aphasia post-stroke
Specialty: NeurologyRequired Elements
- Speech assessment
- Neuroimaging results
- Stroke history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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