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v1.0.0
ICD-10 Guide
DiagnosesSpeech Delay

Speech Delay

ICD-10 Coding for Speech Delay(F80.4, F80.0, R62.0)

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

Diagnosis Overview

What is Speech Delay?
Essential facts and insights about Speech Delay

Key Clinical Considerations:

  • Delayed speech development compared to peers
  • Inability to form sentences by age-2
  • Limited vocabulary for age

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's age and developmental milestones
  • Speech assessment results
  • Family history of speech/language disorders

Coding Guidelines

Usage Guidelines & Examples

  • Use F80.1 for expressive delays, F80.2 for mixed delays.
  • Common errors include misclassifying the type of delay.

Code Exclusions

Important Exclusions

  • Hearing impairments
  • Autism spectrum disorders

Related ICD-10 Codes

Primary Codes
F80.1
Expressive language disorder
F80.2
Mixed receptive-expressive language disorder
Ancillary Codes
H90.3
F80.4
to specify the type of hearing loss.
Differential Codes
F80.0
F80.0
for phonological disorders without hearing loss.
F80.4
F80.4
if hearing loss is confirmed.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Pediatrics

Specialty Applications

  • Children aged 2-5 years
  • Pediatric clinics and speech therapy settings

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

Documentation requirements?

Include developmental history and assessment results.

Billing considerations?

Ensure proper coding to reflect the specific type of speech delay.