MCMedicalCodingSoftware
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.

Check F80.82 with the rest of the claim: free scrubber

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)

Other codes that can never be billed with F80.82

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

F80.82 is named in 9 Medicare coverage policies: 8 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

  • 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

Alphabetic index entries that lead here

  • Disorder›communication›social pragmatic
  • Disorder›social›pragmatic

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under F80.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.