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

ICD-10 F80.82

Billable / Specific

Social pragmatic communication disorder

F80
Block
0
Synonyms
252
LCDs
8
Payer Policies
20
Linked CPTs

About ICD-10-CM F80.82

ICD-10-CM code F80.82 represents Social pragmatic communication disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F80). The 2026 edition of ICD-10-CM F80.82 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with F80.82. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • Asperger's syndrome (F84.5)
  • autistic disorder (F84.0)

Medicare LCD Coverage for F80.82

Local Coverage Determinations (LCDs) from CMS MACs that list F80.82 as a covered diagnosis.

252 LCDs

Showing top 10 of 252 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 92526 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 97551 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 92627 →
CMS LCD: Billing and Coding: Home Health Speech-Language Pathology
Article ID: 53052, Effective: 2025-10-01 00:00:00, 217 covered, 0 non-covered
CPT 96116 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F80.82.

8 policies

5 Medicare

Billing and Coding: Home Health Speech-Language Pathology
Policy ID: ART-53052
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-56850
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130

CPT Codes Commonly Billed with F80.82

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 F80.82 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
F80.82 31539 10000

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

ICD-10 F80.82, Billing FAQ

Is ICD-10 code F80.82 billable? +

Yes, F80.82 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for F80.82? +

Type 1 Excludes (never code together with F80.82): Asperger's syndrome (F84.5); autistic disorder (F84.0)

What CPT codes are commonly billed with F80.82? +

Procedures frequently paired with F80.82 include: 95857, 92512, 92617, 92520, 92630.

What ICD-9 codes does F80.82 map to? +

Per CMS GEMs, F80.82 maps to ICD-9 codes: 31539. 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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