R47 - Speech disturbances, not elsewhere classified

Version 2023
No Valid Principal Dx
ICD-10:R47
Short Description:Speech disturbances, not elsewhere classified
Long Description:Speech disturbances, not elsewhere classified
Status: Not Valid for Submission
Version:ICD-10-CM 2023
Code Classification:
  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving speech and voice (R47-R49)
      • Speech disturbances, not elsewhere classified (R47)

R47 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of speech disturbances, not elsewhere classified. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Specific Coding for Speech disturbances, not elsewhere classified

Non-specific codes like R47 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for speech disturbances, not elsewhere classified:

  • NON-BILLABLE CODE - R47.0 for Dysphasia and aphasia
  • BILLABLE CODE - Use R47.01 for Aphasia
  • BILLABLE CODE - Use R47.02 for Dysphasia
  • BILLABLE CODE - Use R47.1 for Dysarthria and anarthria
  • NON-BILLABLE CODE - R47.8 for Other speech disturbances
  • BILLABLE CODE - Use R47.81 for Slurred speech
  • BILLABLE CODE - Use R47.82 for Fluency disorder in conditions classified elsewhere
  • BILLABLE CODE - Use R47.89 for Other speech disturbances
  • BILLABLE CODE - Use R47.9 for Unspecified speech disturbances

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Patient Education


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:

Some speech and communication problems may be genetic. Often, no one knows the causes. By first grade, about 5% of children have noticeable speech disorders. Speech and language therapy can help.

NIH: National Institute on Deafness and Other Communication Disorders


[Learn More in MedlinePlus]

Code History