ICD-10 Coding for Speech Therapy(R13.11, F80.2)
Complete ICD-10-CM coding and documentation guide for Speech Therapy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Speech Therapy
R47-R49Primary Range
Speech disturbances and voice disorders
This range includes codes for various speech and language disorders treated in speech therapy.
Pervasive and specific developmental disorders
This range includes developmental speech and language disorders often addressed in speech therapy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R13.11 | Dysphagia, oral phase | Use when videofluoroscopy confirms oral phase dysphagia. |
|
| F80.2 | Mixed receptive-expressive language disorder | Use for developmental language disorders without a medical cause. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for speech therapy
Essential facts and insights about Speech Therapy
Primary ICD-10-CM Codes for speech therapy
Decision Criteria
clinical Criteria
- Videofluoroscopy confirms oral phase dysphagia.
Applicable To
- Oral phase dysphagia
Excludes
- Dysphagia, unspecified (R13.10)
Clinical Validation Requirements
- Videofluoroscopy showing residue in oral cavity >10%
Code-Specific Risks
- Misclassification if phase is not specified
Coding Notes
- Ensure phase-specific documentation is available.
F80.2 - Mixed receptive-expressive language disorder
Use for developmental language disorders without a medical cause.
Applicable To
- Mixed receptive-expressive language disorder
Excludes
- Expressive language disorder (F80.1)
Clinical Validation Requirements
- Standardized test scores ≤7th percentile
Coding Notes
Ensure documentation includes standardized test results.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Speech Therapy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R13.11.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific terminology for each phase of dysphagia.
Impact
Reimbursement: Potential denial due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Query for specific phase documentation.
Impact
Risk of audit if dysphagia phase is not specified.
Mitigation Strategy
Ensure all dysphagia documentation specifies the phase.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Speech Therapy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Speech Therapy
Use these documentation templates to ensure complete and accurate documentation for Speech Therapy. These templates include all required elements for proper coding and billing.
Initial evaluation for speech therapy
Specialty: Speech-Language PathologyRequired Elements
- Medical Diagnosis
- PLOF
- Current Status
- Standardized Tests
- Goals
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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