ICD-10-CM Code R47.89

Other speech disturbances

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R47.89 is a billable code used to specify a medical diagnosis of other speech disturbances. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R47.89 might also be used to specify conditions or terms like aprosodic speech, articulatory defect, articulatory defect secondary to dental defect, circumlocution, compensatory phonatory substitution, comprehension dysprosody, etc

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.

ICD-10:R47.89
Short Description:Other speech disturbances
Long Description:Other speech disturbances

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R47.89 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Aprosodic speech
  • Articulatory defect
  • Articulatory defect secondary to dental defect
  • Circumlocution
  • Compensatory phonatory substitution
  • Comprehension dysprosody
  • Difficulty imitating speech sounds
  • Difficulty making movements for speech
  • Difficulty making speech sounds
  • Difficulty producing voiceless sounds
  • Difficulty using blended sounds
  • Difficulty using clicks in speech
  • Difficulty using consonant vowel combination
  • Difficulty using consonant vowel consonant combination
  • Difficulty using consonant vowel consonant vowel combination
  • Difficulty using glottalic airstream for speech
  • Difficulty using multisyllabic words
  • Difficulty using pragmatics in communication
  • Difficulty using pulmonic airstream for speech
  • Difficulty using respiratory support for speech
  • Difficulty using semantics in communication
  • Difficulty using single consonant
  • Difficulty using single vowels
  • Difficulty using sounds in isolation
  • Difficulty using the elements of language
  • Difficulty using velaric airstream for speech
  • Difficulty using words
  • Disruptive behavior
  • Disruptive vocalization
  • Disturbance in speech rhythm
  • Does not articulate clearly
  • Does not articulate words
  • Does not imitate speech sounds
  • Does not make movements for speech
  • Does not make speech sounds
  • Does not use blended sounds
  • Does not use clicks in speech
  • Does not use consonant vowel consonant vowel combination
  • Does not use glottalic airstream for speech
  • Does not use multisyllabic words
  • Does not use pragmatics in communication
  • Does not use pulmonic airstream for speech
  • Does not use respiratory support for speech
  • Does not use secondary articulation
  • Does not use semantics in communication
  • Does not use the elements of language
  • Does not use the elements of language
  • Does not use velaric airstream for speech
  • Does not use words
  • Dyspraxia of velopharynx
  • Embololalia
  • Explosive speech
  • Final consonant deletion
  • Finding of intelligibility of articulation
  • Finding of intelligibility of articulation
  • Finding of intelligibility of articulation
  • Finding related to ability to articulate clearly
  • Finding related to ability to articulate words
  • Finding related to ability to imitate speech sounds
  • Finding related to ability to imitate speech sounds
  • Finding related to ability to imitate speech sounds
  • Finding related to ability to make movements for speech
  • Finding related to ability to make movements for speech
  • Finding related to ability to make movements for speech
  • Finding related to ability to produce voiceless sounds
  • Finding related to ability to use clicks in speech
  • Finding related to ability to use clicks in speech
  • Finding related to ability to use clicks in speech
  • Finding related to ability to use consonant vowel combination
  • Finding related to ability to use consonant vowel combination
  • Finding related to ability to use consonant vowel consonant combination
  • Finding related to ability to use consonant vowel consonant combination
  • Finding related to ability to use glottalic airstream for speech
  • Finding related to ability to use glottalic airstream for speech
  • Finding related to ability to use glottalic airstream for speech
  • Finding related to ability to use pulmonic airstream for speech
  • Finding related to ability to use pulmonic airstream for speech
  • Finding related to ability to use pulmonic airstream for speech
  • Finding related to ability to use secondary articulation
  • Finding related to ability to use single consonant
  • Finding related to ability to use single consonant
  • Finding related to ability to use single vowels
  • Finding related to ability to use single vowels
  • Finding related to ability to use velaric airstream for speech
  • Finding related to ability to use velaric airstream for speech
  • Finding related to ability to use velaric airstream for speech
  • Finding related to ability to use words
  • Finding related to ability to use words
  • General finding of language and communication
  • General finding of language and communication
  • Immature sound system
  • Impairment of speech form
  • Impairment of voice production
  • Incoherent speech
  • Lack of direction in speech
  • Lack of fluency in speech
  • Limited enunciation
  • Logorrhea
  • Mimmation
  • Mirror speech
  • Motor dysprosody
  • Nasal and facial grimacing associated with speaking
  • Oral dyspraxia
  • Oral-verbal dyspraxia
  • Paraphrasia
  • Poverty of speech
  • Pressure of speech
  • Prolixity
  • Rambling speech
  • Reduced intraoral pressure
  • Repetition failure
  • Repetition of phrases
  • Repetition of words
  • Scanning speech
  • Specific speech impairment
  • Speech babble
  • Speech block
  • Speech limited
  • Speech problem
  • Speech problem
  • Staccato speech
  • Stock words
  • Tongue tip dyspraxia
  • Unable to imitate speech sounds
  • Unable to make movements for speech
  • Unable to make speech sounds
  • Unable to use blended sounds
  • Unable to use clicks in speech
  • Unable to use consonant vowel combination
  • Unable to use consonant vowel consonant combination
  • Unable to use glottalic airstream for speech
  • Unable to use pulmonic airstream for speech
  • Unable to use respiratory support for speech
  • Unable to use single consonant
  • Unable to use single vowels
  • Unable to use sounds in isolation
  • Unable to use velaric airstream for speech
  • Unintelligible articulation
  • Velar dyspraxia
  • Verbal dyspraxia
  • Verbal repetition
  • Verbalizes no understanding
  • Verbalizes partial understanding
  • Verbigeration
  • Vocalization
  • Vocalization
  • Volubility
  • Word salad

Convert R47.89 to ICD-9

  • 784.59 - Speech disturbance NEC (Approximate Flag)
  • V41.4 - Voice production problem (Approximate Flag)

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


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 percent of children have noticeable speech disorders. Speech and language therapy can help.

NIH: National Institute on Deafness and Other Communication Disorders


[Learn More]