AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 1; Ask the Editor

Encounter for Speech Therapy due to Autism

When a patient presents for speech therapy for a language disorder that is due to an underlying condition, which code is sequenced as the first-listed diagnosis? For example, a four-year-old diagnosed with autism presents for speech therapy for severe language and social pragmatic deficits, including echolalia. Should the autism be assigned as the first-listed diagnosis since it is the underlying condition, or are the speech and language disorders sequenced first since they are the reason for therapy? ...

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