AHA Coding Clinic® for ICD-9 - 2010 Issue 4; VOLUMES 1 & 2 NEW/REVISED CODES
Fluency Disorder
Effective October 1, 2010, code 315.35, Childhood onset fluency disorder, has been created to distinguish this condition from adult onset fluency disorder. The title for code 307.0 has been revised from “stuttering†and is now used to classify “adult onset fluency disorder.†Historically, code 307.0, Stuttering, was the default. Cluttering NOS and stuttering NOS are classified to code 315.35. In addition, a new code (784.52) has been created to identify fluency disorder in conditions classified elsewhere. All of the new codes are excluded...
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Article Overview
This article covers ICD-9-CM coding changes for fluency disorder, including revisions to existing diagnosis categories, creation of new codes, and exclusion relationships among related speech and neurologic conditions. It is intended for coding professionals, compliance staff, and clinicians who need to understand how the terminology and classification structure changed effective October 1, 2010. The article also provides general clinical context for fluency disorder and highlights the affected code groupings within the ICD-9-CM framework.
Why This Topic Matters
Accurate recognition of the revised fluency disorder categories is important for diagnosis coding consistency, record abstraction, and alignment with the ICD-9-CM update effective date. The article helps readers understand which broad speech-disorder terms were reassigned, added, or excluded within the updated classification structure.
What You Will Learn
- The scope of ICD-9-CM updates related to fluency disorder
- How fluency disorder is broadly characterized clinically
- Which diagnosis categories were revised or added in the ICD-9-CM update
- How exclusion relationships are organized among related speech disorder codes
- The general context for distinguishing childhood and adult onset fluency disorder
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Health information management staff
- Clinicians documenting speech disorders
Codes Discussed
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