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F80.4 ICD-10-CM Code: Speech and language development delay due to hearing loss

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 code-also instruction

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 886 — BEHAVIORAL AND DEVELOPMENTAL DISORDERS (MDC 19)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F80.4 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Code Also

Additional codes that may be required to fully describe the encounter.

  • type of hearing loss (H90.-, H91.-)

Coder workflow for F80.4

MedCoder structured workflow — derived from this code’s own official record

Before you code F80.4

  1. F80.4’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Code Also — related condition(1 note)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewH90, H91

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is F80.4 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse F80.4 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of F80.4 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • F80.9— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Developmental disorder of speech and language, unspecified” takes F80.9; specificity in the record moves it back here.

    Full comparison: F80.4 vs F80.9 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Speech and language development delay due to hearing loss is a billable ICD-10-CM diagnosis code (F80.4).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name F80.4 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes across 2 chapters: R47 — Speech disturbances, not elsewhere classified (via F80.-), Z55 — Problems related to education and literacy (via F80.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Excludes2 notes: F80.0 — Phonological disorder, F94.0 — Selective mutism (via F80.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 2 Use Additional Code instructions: Q87.87 — Hao-Fountain Syndrome (via F80.-), Q87.88 — CTNNB1 syndrome (via F80.-).

These codes instruct coders to additionally report this code when it applies.

Referenced by 2 Code Also instructions across 2 chapters: G93.45 — Developmental and epileptic encephalopathy (via F80.-), Z15.1 — Genetic susceptibility to epilepsy and neurodevelopmental disorders (via F80.-).

These codes suggest coding this condition alongside when both are present.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 886 (MDC 19).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):EAR004 — Hearing loss (default); MBD014 — Neurodevelopmental disorders.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Hearing loss, Neurodevelopmental disorders).

F71 — Moderate intellectual disabilities, F72 — Severe intellectual disabilities, F73 — Profound intellectual disabilities, F78 — Other intellectual disabilities, F78.A1 — SYNGAP1-related intellectual disability, F78.A9 — Other genetic related intellectual disability, F79 — Unspecified intellectual disabilities, F80.0 — Phonological disorder, F80.1 — Expressive language disorder, F80.2 — Mixed receptive-expressive language disorder, F80.81 — Childhood onset fluency disorder, F80.82 — Social pragmatic communication disorder, F80.89 — Other developmental disorders of speech and language, F80.9 — Developmental disorder of speech and language, unspecified, F81.0 — Specific reading disorder, F81.2 — Mathematics disorder, F81.81 — Disorder of written expression, F81.89 — Other developmental disorders of scholastic skills, F81.9 — Developmental disorder of scholastic skills, unspecified, F82 — Specific developmental disorder of motor function, +71 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Delay, delayed”; these codes share that main term but sit in a different category of the Tabular List.

E30.0 — Delayed puberty (puberty), F52.32 — Male orgasmic disorder (ejaculation), F81.0 — Specific reading disorder (development, reading), F81.81 — Disorder of written expression (development, spelling), F81.9 — Developmental disorder of scholastic skills, unspecified (development, learning), F84.9 — Pervasive developmental disorder, unspecified (development, pervasive), F88 — Other disorders of psychological development (development, global), G47.21 — Circadian rhythm sleep disorder, delayed sleep phase type (sleep phase syndrome), I45.9 — Conduction disorder, unspecified (conduction), K30 — Functional dyspepsia (gastric emptying), N91.0 — Primary amenorrhea (menstruation), O63.2 — Delayed delivery of second twin, triplet, etc. (delivery, second twin, triplet, etc), O63.9 — Long labor, unspecified (birth or delivery NOS), O66.9 — Obstructed labor, unspecified (any plane in pelvis, complicating delivery), P28.9 — Respiratory condition of newborn, unspecified (primary respiration), P29.38 — Other persistent fetal circulation (closure, ductus arteriosus), P76.0 — Meconium plug syndrome (passage of meconium), P96.82 — Delayed separation of umbilical cord (separation of umbilical cord), R62.0 — Delayed milestone in childhood (milestone), R62.50 — Unspecified lack of expected normal physiological development in childhood (development), +1 more

Contextual Map

Every relationship of F80.4 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F80.4 with these 10 related codes in Claim Check

Hierarchy

Code Also

Referenced by Excludes1 notes

Referenced by Excludes2 notes

  • F80.0 — Phonological disorder[Excludes2]: “speech articulation impairment due to hearing loss (F80.4)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • F94.0 — Selective mutism[Excludes2](via F80.-): “specific developmental disorders of speech and language (F80.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Use Additional Code instructions

  • Q87.87 — Hao-Fountain Syndrome[Use Additional Code](via F80.-): “developmental speech disorder (F80.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • Q87.88 — CTNNB1 syndrome[Use Additional Code](via F80.-): “developmental disorder of speech and language (F80.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Code Also instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 19 — Mental Diseases and Disorders[MDC crossing]: “Mental Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Delay, delayed, development, language, due to hearing loss[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Delay, delayed, development, speech, due to hearing loss[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (9)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F80.4 — Speech and language development delay due to hearing loss." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/f80.4-speech-and-language-development-delay-due-to-hearing-loss

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Speech and language development delay due to hearing loss

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F80.4 in its code family, with their registry titles.

View all codes in the F80 family