2027 ICD-10-CM Diagnosis Code R47.89Other speech disturbances
ICD-10-CM Codes›R00–R99›R47-R49›R47
- Billable — Valid for Submission
- Not Chronic
R47.89 is a billable ICD-10-CM diagnosis code for other speech disturbances. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 91 through 93. 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
Code Classification
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
- Foreign accent syndrome
- General finding of language and communication
- High volume speech
- 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
- Low volume speech
- 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
- Rapid rate of speech
- Reduced intraoral pressure
- Repetition failure
- Repetition of phrases
- Repetition of words
- Scanning speech
- Slow rate of 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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R47.89: its own notes plus those printed at R47.8, R47, and Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- dysarthria following cerebrovascular disease (I69. with final characters -28)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name R47.89, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming R47.89: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
speech See: Disorder, speech;
specified NEC R47.89
Disorder (of) See Also: Disease;
specified NEC R47.89
Disturbance (s) See Also: Disease;
specified NEC R47.89
Impediment, speech See Also: Disorder, speech; R47.9
specified NEC R47.89
defect, disorder, disturbance, impediment See: Disorder, speech; R47.9
specified NEC R47.89
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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
Code HistoryHistory
Questions About R47.89Overview
What is the ICD-10 code for other speech disturbances?
The ICD-10-CM code for other speech disturbances is R47.89 (sometimes written as R4789). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
What MS-DRG does R47.89 group to?
When other speech disturbances is the principal diagnosis on an inpatient stay, it groups to MS-DRG 91, 92, 93, with relative weights from 0.7783 to 1.7050 depending on complications. Higher weights mean higher Medicare reimbursement.
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.
Can R47.89 be reported with I69?
Not as a rule. The Excludes1 note at R47.8, which applies to R47.89, lists "dysarthria following cerebrovascular disease (I69. with final characters -28)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
