Is F80.82 a billable ICD-10-CM code?

Yes. F80.82 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does F80.82 sit in the tabular list?

Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Pervasive and specific developmental disorders (F80-F89).

What cannot be coded together with F80.82?

F80.82 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

F80.82

F80.82 — Social pragmatic communication disorder

Billable / specific codeICD-10-CM

F80.82 is a billable, specific ICD-10-CM code for social pragmatic communication disorder. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Asperger's syndrome (F84.5)
autistic disorder (F84.0)

Risk adjustment

F80.82 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

F80.82 is named in 9 Medicare coverage policies — 8 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A53052Billing and Coding: Home Health Speech-Language Pathology
A56850Billing and Coding: Psychiatric Partial Hospitalization Programs
A56868Billing and Coding: Outpatient Speech Language Pathology

How F80.82 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F80.82.

Disorder›communication›social pragmatic
Disorder›social›pragmatic

Related codes at this level

Codes that share F80.8. If F80.82 is not quite right, the correct code is usually one of these.

Questions about F80.82

Is F80.82 a billable ICD-10-CM code?: Yes. F80.82 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F80.82 sit in the tabular list?: Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Pervasive and specific developmental disorders (F80-F89).
What cannot be coded together with F80.82?: F80.82 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.