Question 1

What is ICD-10 code F80.2?

Accepted Answer

F80.2 is the ICD-10-CM diagnosis code for mixed receptive-expressive language disorder. A language disorder affecting both understanding (receptive) and expressing (expressive) language. The child has difficulty both comprehending what is said and producing speech. F80.2 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering pervasive and specific developmental disorders (f80-f89).

F80.2 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code indicates deficits in both receptive and expressive domains; if only one domain is affected, use F80.1 or appropriate receptive code.

Question 2

Is F80.2 an HCC code?

Accepted Answer

No. F80.2 is a billable ICD-10-CM code but does not map to any payment HCC category under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can still be reported on Medicare Advantage encounter data submissions, but it does not contribute to the beneficiary's Risk Adjustment Factor (RAF) score and therefore does not affect the risk-adjusted capitation payment to the plan. V28 reached 100% phase-in for payment year 2026.

Question 3

Is F80.2 billable?

Accepted Answer

Yes. F80.2 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F80.2 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

What is the V28 vs V24 difference for F80.2?

Accepted Answer

F80.2 does not map to a payment HCC under either the CMS-HCC V28 risk adjustment model or the older V24 model. V28 reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Because neither model rewards F80.2 with a risk adjustment factor, it contributes zero to a Medicare Advantage beneficiary's RAF score in either version. Coders should check whether provider documentation supports a more specific child code that does map to a payment HCC.

Question 5

What should coders know when reporting F80.2?

Accepted Answer

This code indicates deficits in both receptive and expressive domains; if only one domain is affected, use F80.1 or appropriate receptive code Obtain speech-language pathology evaluation results to document the mixed nature of the disorder

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F80.2

Is F80.2 an HCC code?

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F80.2 ICD-10-CM Code: Mixed receptive-expressive language disorder

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F80.2

Is F80.2 an HCC code?

Get the V28 RAF + MEAT cheat sheet

What This Code Means

Coding Tips

Excludes 1, Do NOT code together

Excludes 2, Not included here, may code separately

Child Codes

Code Hierarchy

Work F80.2 in HCC Buddy