R47 - Speech disturbances, not elsewhere classified
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: |
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 ExcludesA 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:
- Hearing disorders and deafness
- Voice problems, such as dysphonia or those caused by cleft lip or palate
- Speech problems like stuttering
- Developmental disabilities
- Learning disabilities
- Autism spectrum disorder
- Brain injury
- Stroke
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
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)