2026 ICD-10-CM Diagnosis Code R47Speech disturbances, not elsewhere classified
R47 is a non-billable ICD-10-CM category code for speech disturbances, not elsewhere classified, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R47.01, R47.02, R47.1, and R47.81. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.
Code Identity
Code Classification
Specific Coding for Speech disturbances, not elsewhere classifiedOverview
Non-specific codes like R47 require more characters. Use one of these billable codes instead:
R47.0 for Dysphasia and aphasia
Use R47.01 for Aphasia
Use R47.02 for Dysphasia
Use R47.1 for Dysarthria and anarthria
R47.8 for Other speech disturbances
Use R47.81 for Slurred speech
Use R47.82 for Fluency disorder in conditions classified elsewhere
Use R47.89 for Other speech disturbances
Use R47.9 for Unspecified speech disturbances
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- autism F84.0
- cluttering F80.81
- specific developmental disorders of speech and language F80
- stuttering F80.81
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 EducationClinical
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:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About R47Overview
Is R47 (Speech disturbances, not elsewhere classified) a billable code?
No. This is a category header that groups the codes for speech disturbances, not elsewhere classified, and headers cannot be submitted on claims. Claims for speech disturbances, not elsewhere classified need a more specific code from this category, such as R47.01, R47.02, and R47.1.
Can R47 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the speech disturbances, not elsewhere classified is established, that condition takes the principal position instead.
