ICD-10 Coding for Expressive Receptive Language Disorder(F80.2)
Complete ICD-10-CM coding and documentation guide for Expressive Receptive Language Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Expressive Receptive Language Disorder
F80.0-F80.9Primary Range
Specific developmental disorders of speech and language
This range includes codes for developmental language disorders, including expressive and receptive language disorders.
Key Information: ICD-10 code for mixed expressive-receptive language disorder
Essential facts and insights about Expressive Receptive Language Disorder
Primary ICD-10-CM Code for expressive receptive language disorder
Decision Criteria
clinical Criteria
- Both receptive and expressive language scores below 77 on standardized tests
coding Criteria
- Exclusion of CAPD and ASD through appropriate testing
Applicable To
- Deficits in both language comprehension and expression
Clinical Validation Requirements
- Standardized testing (e.g., CELF-5) showing scores below 77 in both receptive and expressive language
- Normal hearing confirmed by audiogram
- Exclusion of ASD through DSM-5 criteria
Code-Specific Risks
- Incorrectly coding without confirming both receptive and expressive deficits
- Failure to exclude other conditions like CAPD or ASD
Coding Notes
- Ensure comprehensive documentation of both receptive and expressive deficits, including standardized test scores.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Expressive Receptive Language Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F80.2.
Impact
Clinical: Misdiagnosis can lead to inappropriate treatment plans., Regulatory: Non-compliance with ICD-10 coding guidelines., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Include audiology reports confirming normal hearing., Document any differential diagnosis processes.
Impact
Reimbursement: May lead to denied claims if documentation is insufficient., Compliance: Non-compliance with coding guidelines can result in audits., Data Quality: Inaccurate data entry affects patient records and treatment plans.
Mitigation Strategy
Ensure standardized testing confirms deficits in both areas before coding.
Impact
Inadequate documentation of both receptive and expressive language deficits.
Mitigation Strategy
Use standardized tests and document specific scores and observations.
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 Receptive Language Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Expressive Receptive Language Disorder
Use these documentation templates to ensure complete and accurate documentation for Expressive Receptive Language Disorder. These templates include all required elements for proper coding and billing.
Pediatric Language Assessment
Specialty: Speech-Language PathologyRequired Elements
- Receptive language test scores
- Expressive language test scores
- Audiology report
- Exclusion of ASD
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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