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v1.0.0
ICD-10 Guide
DiagnosesSpeech Therapy

Speech Therapy

ICD-10 Coding for Speech Therapy(R13.11, F80.2)

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

Diagnosis Overview

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

Key Clinical Considerations:

  • Articulation disorders, language delays, fluency disorders, voice disorders
  • Speech and language assessments, standardized tests (e.g., CELF, GFTA)
  • Oral-motor examination, assessment of speech intelligibility, language comprehension

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history, assessment results, treatment plan, progress notes
  • ICD-10-CM codes, CPT codes for therapy sessions
  • Examples: 'Patient exhibits moderate expressive language delay' or 'Therapy focused on articulation improvement'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on the primary diagnosis and therapy focus.
  • Common errors: Incorrect coding for therapy duration or failing to document progress.

Code Exclusions

Important Exclusions

  • Conditions such as hearing impairment or neurological disorders that are not primarily speech-related
  • Alternative codes for non-speech-related communication disorders

Related ICD-10 Codes

Primary Codes
F80.0
Phonological disorder
F80.1
Expressive language disorder
F80.2
Mixed receptive-expressive language disorder
F80.81
Childhood-onset fluency disorder
R49.0
Dysphonia
Differential Codes
R13.10
R13.11
when the oral phase is specifically identified.
F80.1
F80.2
when both receptive and expressive language are affected.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Speech-Language Pathology

Specialty Applications

  • Pediatric and adult populations with speech and language disorders
  • Outpatient clinics, schools, rehabilitation centers

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?

Documentation must include patient history, assessment results, and treatment plans.

What are the billing considerations?

Ensure correct CPT codes are used for therapy sessions and that documentation supports the medical necessity.