ICD-10 Coding for Expressive Speech Delay(F80.1, F80.2, F80.4)
Complete ICD-10-CM coding and documentation guide for Expressive Speech Delay. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Expressive Speech Delay
F80-F89Primary Range
Pervasive and specific developmental disorders
This range includes disorders of speech and language development, including expressive speech delay.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F80.1 | Expressive language disorder | Use when the child has expressive language deficits without receptive language issues. |
|
| F80.2 | Mixed receptive-expressive language disorder | Use when both receptive and expressive language deficits are present. |
|
| F80.4 | Speech and language developmental delay due to hearing loss | Use when speech delay is associated with documented hearing loss. |
|
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 speech delay
Essential facts and insights about Expressive Speech Delay
Primary ICD-10-CM Codes for expressive speech delay
Decision Criteria
clinical Criteria
- Child has expressive language delay with normal receptive skills.
documentation Criteria
- Include specific vocabulary count and MLU in documentation.
Applicable To
- Expressive speech delay
- Developmental expressive language disorder
Clinical Validation Requirements
- Vocabulary <50 words at 24 months
- Mean Length of Utterance (MLU) ≤1.5 at 36 months
- Normal receptive language skills
Code-Specific Risks
- Risk of using F80.9 if specific criteria for F80.1 are met.
Coding Notes
- Ensure documentation includes standardized test scores and language sample analysis.
F80.2 - Mixed receptive-expressive language disorder
Use when both receptive and expressive language deficits are present.
Applicable To
- Mixed receptive-expressive speech delay
Excludes
- Expressive language disorder (F80.1)
Clinical Validation Requirements
- Deficits in both receptive and expressive language skills
Coding Notes
Ensure both receptive and expressive deficits are documented.
F80.4 - Speech and language developmental delay due to hearing loss
Use when speech delay is associated with documented hearing loss.
Applicable To
- Speech delay due to hearing impairment
Excludes
- Expressive language disorder (F80.1)
Clinical Validation Requirements
- Documented hearing loss >25dB
Coding Notes
Link to audiological evaluation results in documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Expressive Speech Delay to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F80.1.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use standardized tests and language samples.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure documentation supports specific expressive or mixed language disorder codes.
Impact
Using unspecified codes when specific criteria are met.
Mitigation Strategy
Ensure documentation supports specific code selection.
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 Speech Delay, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Expressive Speech Delay
Use these documentation templates to ensure complete and accurate documentation for Expressive Speech Delay. These templates include all required elements for proper coding and billing.
Pediatric expressive language delay evaluation
Specialty: Speech-Language PathologyRequired Elements
- Current vocabulary count
- Mean Length of Utterance (MLU)
- Standardized test scores
- Hearing status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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