2026 ICD-10-CM Diagnosis Code R47.89Other speech disturbances

ICD-10-CM Codes›R00–R99›R47-R49›R47

ICD-10-CM R47.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R47.89 is a billable ICD-10-CM diagnosis code for other speech disturbances. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Nervous system signs and symptoms.

Code Identity

ICD-10-CM Code
R47.89
Billable Status
Yes — Valid for Submission
Code Describes
Other speech disturbances
Short Description
Other speech disturbances
Same as the full description in the CMS dataset.
Parent Code
R47.8
Other speech disturbances

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR47-R49Symptoms and signs involving speech and voice
CategoryR47Speech disturbances, not elsewhere classified
This CodeR47.89Other speech disturbances

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Aprosodic speech
  • Articulatory defect
  • Articulatory defect due 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 velaric airstream for speech
  • Does not use words
  • Dyspraxia of velopharynx
  • Embololalia
  • Explosive speech
  • Facial grimacing
  • Final consonant deletion
  • 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 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 consonant vowel 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 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 vowels
  • Finding related to ability to use velaric airstream for speech
  • Finding related to ability to use words
  • Foreign accent syndrome
  • 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
  • Motor skill disorder
  • Motor speech disorder
  • Nasal and facial grimacing associated with speaking
  • Nasal grimacing
  • 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
  • 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
  • Volubility
  • Word salad

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Defect, defective
      • speech
        • specified NEC
    • Disorder(of)
      • speech
        • specified NEC
    • Disturbance(s)
      • speech
        • specified NEC
    • Impediment, speech
      • specified NEC
    • Problem(with) (related to)
      • speech
        • specified NEC
    • Problem(with) (related to)
      • voice production
    • Speech
      • defect, disorder, disturbance, impediment
        • specified NEC

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM010
Nervous system signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Convert R47.89 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
784.59 Speech disturbance NEC
Approximate The match is approximate rather than exact.
ICD-9-CM
V41.4 Voice production problem
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R47.89Overview

Is R47.89 (Other speech disturbances) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other speech disturbances on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can R47.89 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other speech disturbances is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R47.89?

Under the General Equivalence Mappings, other speech disturbances converts to ICD-9-CM 784.59 (speech disturbance NEC) and V41.4 (voice production problem). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.