2027 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 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R49: its own notes plus those printed at 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.

  • psychogenic voice and resonance disorders (F44.4)

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.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Notes

General instructions on how these codes are used.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • 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.

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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About R49Overview

What is the ICD-10 code for voice and resonance disorders?

R49 is the ICD-10-CM category for voice and resonance disorders, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

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.

Can R49 be reported with F44.4?

Not as a rule. The Excludes1 note on R49 lists "psychogenic voice and resonance disorders (F44.4)". 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).