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v1.0.0
ICD-10 Guide
DiagnosesExpressive Aphasia

Expressive Aphasia

ICD-10 Coding for Expressive Aphasia(R47.02, F80.1)

PRIMARY SPECIALTYNeurology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Expressive Aphasia?
Essential facts and insights about Expressive Aphasia

Key Clinical Considerations:

  • Inability to express thoughts verbally despite understanding language
  • Difficulty in forming grammatically correct sentences
  • Omission of small words (e.g., 'is', 'and') in speech

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history of language difficulties
  • Neurological examination results indicating expressive language impairment
  • Use of standardized language assessment tools

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding aphasia types to avoid misclassification.
  • Common errors include using non-specific codes or omitting relevant details.

Code Exclusions

Important Exclusions

  • Other types of aphasia (e.g., receptive aphasia)
  • Conditions like dysarthria or cognitive-communication disorders

Related ICD-10 Codes

Primary Codes
R47.01
Expressive aphasia
Ancillary Codes
I69.321
Differential Codes
R47.01
R47.01
for unspecified aphasia types when specific characteristics are not documented.
R47.02
R47.02
for acquired cases with neurological causes.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Neurology

Specialty Applications

  • Adults and children with neurological conditions affecting language
  • Outpatient and inpatient settings, including rehabilitation facilities

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document patient history, neurological exam findings, and results from language assessments.

What are the billing considerations?

Ensure accurate coding to reflect the severity and impact on daily functioning.