{"h1":"SNOMED CT Concept for Selective Mutism","faq":[{"a":"Selective Mutism is represented by the SNOMED CT clinical finding concept \"Selective mutism (disorder)\", SCTID 31588003, classified under disorders of psychological development and childhood-onset emotional/behavioural findings.","q":"What is the SNOMED CT concept and SCTID for Selective Mutism?"},{"a":"ICD-11 represents the condition as 6B06 Selective mutism within anxiety and fear-related disorders. SNOMED CT is used to encode clinical records, while ICD-11 is used for classification, statistics and reporting.","q":"How does this relate to ICD-11?"},{"a":"No. It is conceptualised as an anxiety-related presentation in which language competence is intact but speech is consistently withheld in specific social situations. It should be differentiated from expressive/receptive language disorder and autism-related communication differences.","q":"Is selective mutism a speech disorder?"}],"lang":"en","slug":"what-is-the-snomed-ct-concept-for-selective-mutism","title":"SNOMED CT Concept for Selective Mutism","entity":{"key":"selective-mutism","kind":"condition","name":"Selective Mutism","slug":null},"lenses":[{"kind":"stakeholder","label":"Doctor","value":"doctor"},{"kind":"domain","label":"Emotional","value":"emotional"},{"kind":"intent","label":"Definition","value":"definition"},{"kind":"lifecycle","label":"Screen","value":"screen"},{"kind":"route","label":"Speech-Therapy","value":"speech-therapy"},{"kind":"empowerment","label":"Early Clarity","value":"early_clarity"}],"parent":{"key":"conditions","label":"Conditions"},"related":[{"lang":"en","slug":"what-are-the-known-contributing-factors-for-selective-mutism-in-early-childhood","title":"Contributing Factors for Selective Mutism"},{"lang":"en","slug":"what-is-selective-mutism","title":"What is Selective Mutism?"},{"lang":"en","slug":"what-early-indicators-of-selective-mutism-should-a-paediatrician-watch-for","title":"Early Indicators of Selective Mutism for Paediatricians"},{"lang":"en","slug":"what-is-selective-mutism-and-what-are-its-icd-11-features-in-early-childhood","title":"What is Selective Mutism, and what are its ICD-11 features in early childhood?"},{"lang":"en","slug":"which-standardised-tools-are-used-to-assess-selective-mutism-in-early-childhood","title":"Standardised tools for assessing Selective Mutism in early childhood"},{"lang":"en","slug":"what-is-the-icd-11-classification-for-selective-mutism","title":"What is the ICD-11 classification for Selective Mutism?"}],"summary":"Selective Mutism maps to the SNOMED CT clinical finding concept \"Selective mutism (disorder)\", SCTID 31588003, and to ICD-11 6B06 Selective mutism under anxiety and fear-related disorders. SNOMED CT encodes the record; ICD-11 classifies it. Diagnosis is always clinician-led.","answer_md":"*Clean terminology mapping is the quiet backbone of every shared care record — so let's pin down where Selective Mutism actually sits.*\n\n## In short\nSelective Mutism is represented in **SNOMED CT** by the clinical finding concept **\"Selective mutism (disorder)\"**, SCTID **31588003**, which sits under disorders of psychological development and childhood-onset emotional/behavioural conditions. In **ICD-11** the corresponding entity is **6B06 Selective mutism**, within anxiety and fear-related disorders — the framing now favoured clinically over older \"childhood disorder\" placements. For interoperable records, SNOMED CT is your encoding terminology; ICD-11 is your classification for statistics, reporting and case definition.\n\n## The clinical picture, briefly\nSelective mutism is characterised by a **consistent failure to speak in specific social situations** (typically school or with unfamiliar people) despite speaking normally in others (usually at home), persisting beyond a month and not limited to the first month of schooling. It is conceptualised as an **anxiety-related** presentation, not a speech-production or language disorder per se — hence the ICD-11 placement under anxiety and fear-related disorders (6B06). When coding, distinguish it from communication disorders, expressive/receptive language disorder, and autism-related communication differences, and confirm the child has age-appropriate language competence in comfortable settings before applying the concept.\n\n## When to refer\nRefer when reduced or absent speech in select settings persists **beyond the first month of school** and interferes with education or social functioning. Co-assessment with speech-language pathology and child mental-health input is appropriate, and screen for co-occurring social anxiety, language difference, and hearing.\n\n## The Pinnacle way\nDevelopmental measurement supports care planning; diagnosis requires an appropriately qualified healthcare professional., under qualified clinician care — never from an online form or terminology lookup. Accurate concept mapping supports the record; the clinician interprets the child. Explore our [speech therapy pathway](https://www.pinnacleblooms.org/top-speech-therapy-center-india-proven-improvement-rate), understand [how the AbilityScore is established](/ask/what-is-the-abilityscore-and-how-is-it-calculated), and see the wider [network and approach](/).\n\n## Trusted sources\nWHO ICD-11 entity 6B06 Selective mutism (icd.who.int); SNOMED International concept model for clinical findings; ASHA guidance on selective mutism and speech-language assessment (asha.org).\n\n**Next step —** Partner with Pinnacle for structured assessment and SNOMED/ICD-aligned reporting — [connect with our clinical team](/).\n\nThis is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.","canonical":"https://pinnacleblooms.org/ask/what-is-the-snomed-ct-concept-for-selective-mutism","editorial":{"reviewed_at":"2026-06-11T20:12:18.613642+00:00","reviewed_by":null,"developed_by":"SETU Consortium · Pinnacle Blooms Network"},"alternates":[{"href":"https://pinnacleblooms.org/ask/what-is-the-snomed-ct-concept-for-selective-mutism","lang":"en","indexable":true},{"href":"https://pinnacleblooms.org/ask/what-is-the-snomed-ct-concept-for-selective-mutism-te","lang":"te","indexable":true}],"dimensions":[{"key":"conditions","label":"Conditions"}],"meta_title":"SNOMED CT Concept for Selective Mutism","meta_robots":"index, follow, max-image-preview:large","everyday_tip":"When encoding, confirm age-appropriate language in comfortable settings before applying the concept — and differentiate from language disorder and autism-related communication differences.","published_at":"2026-06-10T11:41:40.493798+00:00","reading_paths":[{"key":"understand","items":[{"lang":"en","slug":"what-is-selective-mutism-and-what-are-its-icd-11-features-in-early-childhood","title":"What is Selective Mutism, and what are its ICD-11 features in early childhood?","reason":"Linked from this 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speech-language assessment"},{"url":"https://www.who.int/","label":"World Health Organization"}],"last_reviewed_at":"2026-06-10T11:41:40.493798+00:00","meta_description":"Selective Mutism maps to SNOMED CT 'Selective mutism (disorder)' (SCTID 31588003) and ICD-11 6B06. Concept, placement and coding guidance for clinicians.","related_materials":[],"related_techniques":[]}