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2025 ICD-10-CM code F80.1

Expressive language disorder, characterized by difficulty expressing thoughts and ideas clearly despite understanding language.

Use this code when the primary impairment is in expressing language, rather than understanding it. For mixed receptive-expressive language disorders, use F80.2.

Medical necessity is established by demonstrating that the child's expressive language difficulties significantly impact their ability to communicate effectively in daily life, including academic, social, and personal contexts.Documentation should clearly link the language impairment to functional limitations and the need for skilled intervention.

Diagnosis and treatment are typically managed by speech-language pathologists, who conduct language assessments and provide individualized therapy.Other professionals, such as audiologists, psychologists, and special educators, may also be involved in the assessment and intervention process. The diagnosis is made based on a comprehensive evaluation of the child's language abilities, including standardized tests, observation, and comparison to developmental milestones.

In simple words: Expressive language disorder is a condition where children have trouble expressing themselves, even though they understand what others are saying.They might struggle to find the right words, form sentences correctly, or tell stories.This isn't because they're not intelligent, but because they have difficulty putting their thoughts into words.

Expressive language disorder is a communication disorder primarily affecting children.Individuals with this condition have difficulty formulating and expressing their thoughts and ideas, both verbally and in writing, even though their language comprehension may be age-appropriate. They might struggle with word retrieval, sentence construction, grammar, and using language effectively in different social contexts. This can manifest as using shorter or simpler sentences, having a limited vocabulary, omitting grammatical elements, or having difficulty recalling words.

Example 1: A 5-year-old child understands stories read aloud but struggles to retell them, using short, grammatically incorrect sentences and demonstrating difficulty finding appropriate words., An 8-year-old student has difficulty writing complete sentences and organizing paragraphs, despite demonstrating good reading comprehension skills., A 6-year-old child uses gestures and simple phrases to communicate needs but avoids more complex verbal interactions, indicating a difficulty formulating longer utterances.

Documentation should include details of the child's language development history, standardized language assessment results, observations of communication in various settings, and evidence of functional limitations related to expressive language difficulties.Any relevant medical history, such as hearing tests or neurological evaluations, should also be included.

** Excludes1: mixed receptive-expressive language disorder (F80.2)dysphasia and aphasia NOS (R47.-)Excludes2: acquired aphasia with epilepsy [Landau-Kleffner] (G40.80-)selective mutism (F94.0)intellectual disabilities (F70-F79)pervasive developmental disorders (F84.-)

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