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F80.81 vs F98.5

F80.81 (Childhood onset fluency disorder) compared with F98.5 (Adult onset fluency disorder), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. F80.81 carries an Excludes1 note covering F98.5: “adult onset fluency disorder (F98.5)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. F98.5 carries an Excludes1 note covering F80.81: “childhood onset fluency disorder (F80.81)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F80.81Childhood onset fluency disorderF98.5Adult onset fluency disorder
Billing statusBillableBillable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionChildhood onset fluency disorder is a billable ICD-10-CM diagnosis code (F80.81).Adult onset fluency disorder is a billable ICD-10-CM diagnosis code (F98.5).
Includes
Cluttering NOS
Stuttering NOS

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources