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F80.82

Billable

Social pragmatic communication disorder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This condition involves difficulty with the social and practical aspects of communication, such as understanding social cues, taking turns in conversation, and using language appropriately in different social situations. People with this disorder may struggle to communicate effectively in social contexts even if their basic language skills are intact.

Coding Tips

  • Ensure documentation specifies that the communication difficulty is primarily related to social pragmatics rather than general language disorder or autism spectrum disorder, as these are distinct diagnoses
  • Verify that the condition is not better explained by another neurodevelopmental disorder, hearing loss, or intellectual disability before assigning this code

Excludes 1 — Do NOT code together

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

Code Hierarchy

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