F80.0
F80.0: Phonological disorder
Billable / specific codeICD-10-CM
F80.0 is a billable, specific ICD-10-CM code for phonological disorder. It is valid for submission on a claim.
Check F80.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- speech articulation impairment due to hearing loss (F80.4)
- speech articulation impairment due to intellectual disabilities (F70-F79)
- speech articulation impairment with expressive language developmental disorder (F80.1)
- speech articulation impairment with mixed receptive expressive language developmental disorder (F80.2)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Dyslalia
- Functional speech articulation disorder
- Lalling
- Lisping
- Phonological developmental disorder
- Speech articulation developmental disorder
- Speech-sound disorder
Other codes that can never be billed with F80.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R47Speech disturbances, not elsewhere classified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F80.0 is named in 15 Medicare coverage policies: 13 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A52866Billing and Coding: Speech-Language Pathology
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Alphabetic index entries that lead here
- Dyslalia(developmental)
- Idioglossia
- Lalling
- Lisping
- Disorder›speech-sound
- Disorder›developmental›phonological
- Disorder›speech›articulation(functional) (specific)
- Disorder›developmental›speech›articulation
Code history
Unchanged in every release from FY2024 to FY2027.