2027 ICD-10-CM Diagnosis Code F80.4Speech and language development delay due to hearing loss

ICD-10-CM Codes›F01–F99›F80-F89›F80

ICD-10-CM F80.4
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F80.4 is a billable ICD-10-CM diagnosis code for speech and language development delay due to hearing loss. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 886. Coders also document this condition as articulatory defect due to conductive hearing loss. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hearing loss and Neurodevelopmental disorders.

Code Identity

ICD-10-CM Code
F80.4
Billable Status
Yes — Valid for Submission
Code Describes
Speech and language development delay due to hearing loss
Short Description
Speech and language development delay due to hearing loss
Same as the full description in the CMS dataset.
Parent Code
F80
Specific developmental disorders of speech and language

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF80-F89Pervasive and specific developmental disorders
CategoryF80Specific developmental disorders of speech and language
This CodeF80.4Speech and language development delay due to hearing loss

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Articulatory defect due to conductive hearing loss
  • Disorder of speech and language development
  • Speech and language developmental delay due to hearing loss

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F80.4: its own notes plus those printed at Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F80.4, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming F80.4: they are not reported together with it, unless the two conditions are unrelated.

  • R47 Speech disturbances, not elsewhere classified
    specific developmental disorders of speech and language (F80.-) names F80.-, which includes this code
  • Z55 Problems related to education and literacy
    disorders of psychological development (F80-F89) names F80-F89, which includes this code

Excludes2 2

These codes carry an Excludes2 note naming F80.4: its condition is not part of those codes, and both may be reported when the patient has both.

  • F80.0 Phonological disorder
    speech articulation impairment due to hearing loss (F80.4)
  • F94.0 Selective mutism
    specific developmental disorders of speech and language (F80.-) names F80.-, which includes this code

Use Additional Code 2

These codes say to use an additional code from the note, and F80.4 is one of the codes named.

  • Q87.87 Hao-Fountain Syndrome
    developmental speech disorder (F80.-) names F80.-, which includes this code
  • Q87.88 CTNNB1 syndrome
    developmental disorder of speech and language (F80.-) names F80.-, which includes this code

Code Also 2

These codes say F80.4 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • G93.45 Developmental and epileptic encephalopathy
    developmental disorder of speech and language (F80.-) names F80.-, which includes this code
  • Z15.1 Genetic susceptibility to epilepsy and neurodevelopmental disorders
    developmental disorder of speech and language (F80.-) names F80.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EAR004
Hearing loss
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR MBD014
Neurodevelopmental disorders
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Speech and Communication Disorders

Many disorders can affect our ability to speak and communicate. They range from saying sounds incorrectly to being completely unable to speak or understand speech. Causes include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F80.4 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
315.34 Speech del d/t hear loss
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F80.4Overview

What is the ICD-10 code for speech and language development delay due to hearing loss?

The ICD-10-CM code for speech and language development delay due to hearing loss is F80.4 (sometimes written as F804). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F80.4 (Specific developmental disorders of speech and language) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report speech and language development delay due to hearing loss on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F80.4 group to?

When speech and language development delay due to hearing loss is the principal diagnosis on an inpatient stay, it groups to MS-DRG 886 (behavioral and Developmental Disorders), which carries a relative weight of 1.6455. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F80.4?

Under the General Equivalence Mappings, speech and language development delay due to hearing loss converts to ICD-9-CM 315.34 (speech del d/t hear loss). The mapping is a direct match.