2026 ICD-10-CM Diagnosis Code R49Voice and resonance disorders

ICD-10-CM Codes›R00–R99›R47-R49›R49

ICD-10-CM R49
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R49 is a non-billable ICD-10-CM category code for voice and resonance disorders, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R49.0, R49.1, R49.21, and R49.22. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.

Code Identity

ICD-10-CM Code
R49
Billable Status
No — Non-Billable Category
Code Describes
Voice and resonance disorders
Short Description
Voice and resonance disorders
Same as the full description in the CMS dataset.
Chapter
R47-R49
Symptoms and signs involving speech and voice

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR47-R49Symptoms and signs involving speech and voice
CategoryR49Voice and resonance disorders
This CodeR49Voice and resonance disorders

Specific Coding for Voice and resonance disordersOverview

Non-specific codes like R49 require more characters. Use one of these billable codes instead:

  • Use R49.0 for Dysphonia

  • Use R49.1 for Aphonia

  • R49.2 for Hypernasality and hyponasality

  • Use R49.21 for Hypernasality

  • Use R49.22 for Hyponasality

  • Use R49.8 for Other voice and resonance disorders

  • Use R49.9 for Unspecified voice and resonance disorder

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • psychogenic voice and resonance disorders F44.4

Patient EducationClinical

Voice Disorders

Voice is the sound made by air passing from your lungs through your larynx, or voice box. In your larynx are your vocal cords, two bands of muscle that vibrate to make sound. For most of us, our voices play a big part in who we are, what we do, and how we communicate. Like fingerprints, each person's voice is unique.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

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 R49Overview

Is R49 (Voice and resonance disorders) a billable code?

No. This is a category header that groups the codes for voice and resonance disorders, and headers cannot be submitted on claims. Claims for voice and resonance disorders need a more specific code from this category, such as R49.0, R49.1, and R49.21.

Can R49 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the voice and resonance disorders is established, that condition takes the principal position instead.