ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F80.1

Billable / Specific

Expressive language disorder

F80
Block
1
Synonyms
403
LCDs
16
Payer Policies
20
Linked CPTs

About ICD-10-CM F80.1

ICD-10-CM code F80.1 represents Expressive language disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F80). The 2026 edition of ICD-10-CM F80.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under F80.1. Per CMS ICD-10-CM Tabular 2026.

  • Developmental dysphasia or aphasia, expressive type

Type 1 Excludes

Pure excludes, these codes can never be coded together with F80.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • mixed receptive-expressive language disorder (F80.2)
  • dysphasia and aphasia NOS (R47.-)

Type 2 Excludes

Not included here, the excluded code is not part of F80.1, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • acquired aphasia with epilepsy [Landau-Kleffner] (G40.80-)
  • selective mutism (F94.0)
  • intellectual disabilities (F70-F79)
  • pervasive developmental disorders (F84.-)

Medicare LCD Coverage for F80.1

Local Coverage Determinations (LCDs) from CMS MACs that list F80.1 as a covered diagnosis.

403 LCDs

Showing top 10 of 403 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F80.1.

16 policies

1 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542

5 Medicare

Billing and Coding: Speech-Language Pathology
Policy ID: ART-52866
Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937

CPT Codes Commonly Billed with F80.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

20 linkages
  • 95857 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92512 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92617 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92520 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92630 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92612 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92606 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92618 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 92650 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD
  • 31579 CMS LCD: Billing and Coding: Outpatient Speech Language Pathology CMS LCD

Convert F80.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F80.1 31531 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F80.1, Billing FAQ

Is ICD-10 code F80.1 billable? +

Yes, F80.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to F80.1? +

ICD-10 F80.1 includes: Developmental dysphasia or aphasia, expressive type.

What codes are Type 1 Excludes for F80.1? +

Type 1 Excludes (never code together with F80.1): mixed receptive-expressive language disorder (F80.2); dysphasia and aphasia NOS (R47.-)

What codes are Type 2 Excludes for F80.1? +

Type 2 Excludes (may be coded together when both conditions exist): acquired aphasia with epilepsy [Landau-Kleffner] (G40.80-); selective mutism (F94.0); intellectual disabilities (F70-F79)

What CPT codes are commonly billed with F80.1? +

Procedures frequently paired with F80.1 include: 95857, 92512, 92617, 92520, 92630.

What ICD-9 codes does F80.1 map to? +

Per CMS GEMs, F80.1 maps to ICD-9 codes: 31531. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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