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ICD Hub / Mental, behavioural or neurodevelopmental disorders (F01–F99) / 6A01.22 - Developmental language disorder with impairment of mainly pragmatic language
ICD-11

ICD-11 Codes
for 6A01.22 - Developmental language disorder with impairment of mainly pragmatic language
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Synonyms and Alternative Terms

ICD-11 code 6A01.22 is officially known as Developmental language disorder with impairment of mainly pragmatic language. It is also commonly referred to as Social pragmatic communication disorder or Social communication disorder. These terms highlight the core difficulty in using language effectively within social interactions.

Clinical Overview of 6A01.22

Developmental language disorder with impairment of mainly pragmatic language (ICD-11 code 6A01.22) is a neurodevelopmental condition. It is characterised by persistent and marked difficulties in understanding and using language in social contexts. These challenges typically emerge during the developmental period and can significantly limit an individual's ability to communicate effectively in social settings. While pragmatic language skills are notably affected, other components of receptive and expressive language are generally considered relatively intact.

Identifying Symptoms of Pragmatic Language Disorder

Individuals with this condition may struggle with various aspects of social communication. Common symptoms include difficulties in making inferences, understanding verbal humour, and resolving ambiguous meanings in conversation. They might also find it challenging to adapt their language use based on the listener or situation, or to follow social rules for conversations, such as taking turns or staying on topic. These difficulties arise during the developmental period and impact communication.

Diagnosis and Assessment for 6A01.22

Diagnosing Developmental language disorder with impairment of mainly pragmatic language involves a comprehensive assessment by speech-language pathologists or other qualified professionals. The evaluation focuses on identifying persistent difficulties with the social use of language. It is crucial to differentiate this condition from Autism Spectrum Disorder (ASD) or other language impairments, ensuring that the pragmatic difficulties are not better explained by these other conditions. The assessment considers the individual's age and intellectual functioning to determine if pragmatic abilities are markedly below expected levels.

Treatment Strategies for Developmental Language Disorder

Management for 6A01.22 focuses on enhancing social communication skills. Treatment approaches are tailored to the individual's specific needs and may involve various therapeutic interventions. These strategies aim to improve the understanding and use of language in social contexts, helping individuals to communicate more effectively in everyday interactions. The goal is to support functional communication and participation in social situations.

Coding and Documentation for 6A01.22

For accurate medical records and billing, the ICD-11 code 6A01.22 should be used. The official description is Developmental language disorder with impairment of mainly pragmatic language. Clinicians may also use synonyms like Social pragmatic communication disorder or Social communication disorder in documentation to provide a fuller clinical picture. This code specifically applies to developmental conditions and should not be used for acquired pragmatic language impairments.

Frequently asked questions

What is the primary classification meaning of ICD-11 code 6A01.22?
ICD-11 code 6A01.22, Developmental language disorder with impairment of mainly pragmatic language, is classified under Developmental speech and language disorders. It is characterized by persistent and substantial difficulties in understanding and using language in social contexts, with other components of receptive and expressive language being relatively intact. These difficulties arise during the developmental period and significantly limit communication.
Under what circumstances should ICD-11 code 6A01.22 not be used?
ICD-11 code 6A01.22 should not be used if the pragmatic language impairment is better explained by Autism Spectrum Disorder or by impairments in other components of receptive or expressive language. The language deficits must not be better accounted for by a disorder of intellectual development, another neurodevelopmental disorder, a sensory impairment, or a disease of the nervous system.
What specific aspects of language use are affected in Developmental language disorder with impairment of mainly pragmatic language (6A01.22)?
The impairment in ICD-11 code 6A01.22 specifically affects the understanding and use of language in social contexts. This includes difficulties such as making inferences, understanding verbal humor, and resolving ambiguous meaning. Pragmatic language abilities are markedly below the expected level for the individual's age.
How does Developmental language disorder with impairment of mainly pragmatic language (6A01.22) relate to other developmental language disorders in ICD-11?
ICD-11 code 6A01.22 is a specifier under the broader category of Developmental language disorder (6A01.2). It is used when the primary deficit is in pragmatic language skills, with receptive and expressive language skills being relatively unimpaired. This distinguishes it from other specifiers such as 'with impairment of mainly expressive language' or 'with impairment of receptive and expressive language'.
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