ICD-10-CM Code R49.8

Other voice and resonance disorders

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R49.8 is a billable code used to specify a medical diagnosis of other voice and resonance disorders. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R49.8 might also be used to specify conditions or terms like ability to produce appropriate voice volume - finding, ability to produce appropriate voice volume - finding, ability to produce appropriate voice volume - finding, abnormal pitch, abnormal vocal flexibility, abnormal vocal intensity, 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:R49.8
Short Description:Other voice and resonance disorders
Long Description:Other voice and resonance disorders

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 R49.8 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:

  • Ability to produce appropriate voice volume - finding
  • Ability to produce appropriate voice volume - finding
  • Ability to produce appropriate voice volume - finding
  • Abnormal pitch
  • Abnormal vocal flexibility
  • Abnormal vocal intensity
  • Abnormal vocal quality
  • Amphoric voice
  • Autosomal recessive Charcot-Marie-Tooth disease with hoarseness
  • Breathy voice quality
  • Breathy whispered-intermittent group
  • Buccal voice
  • Cry of Down's syndrome
  • Difficulty coordinating airflow and voice onset
  • Difficulty imitating vocalization
  • Difficulty producing appropriate pitch
  • Difficulty producing appropriate voice quality
  • Difficulty producing appropriate voice volume
  • Difficulty producing voice
  • Difficulty producing voice/voiceless combinations
  • Difficulty producing voiced sounds
  • Difficulty speaking
  • Difficulty using phonological processes
  • Difficulty using respiratory support for voice
  • Difficulty using vocal tunes and phonetic units
  • Diphonia
  • Diplophonia
  • Does not coordinate airflow and voice onset
  • Does not imitate vocalization
  • Does not produce appropriate pitch
  • Does not produce appropriate voice quality
  • Does not produce appropriate voice volume
  • Does not use phonological processes
  • Does not use vocal tunes and phonetic units
  • Dysprosody of
  • Egophony
  • Esophageal voice
  • Eunuchoid voice
  • Excessively low pitch
  • Finding of type of voice production
  • Finding of type of voice production
  • Finding of type of voice production
  • Finding of type of voice production
  • Finding of type of voice production
  • Finding of type of voice production
  • Finding of type of voice production
  • Finding related to ability to coordinate airflow and voice onset
  • Finding related to ability to coordinate airflow and voice onset
  • Finding related to ability to coordinate airflow and voice onset
  • Finding related to ability to imitate vocalization
  • Finding related to ability to imitate vocalization
  • Finding related to ability to imitate vocalization
  • Finding related to ability to produce appropriate pitch
  • Finding related to ability to produce appropriate pitch
  • Finding related to ability to produce appropriate pitch
  • Finding related to ability to produce appropriate voice quality
  • Finding related to ability to produce appropriate voice quality
  • Finding related to ability to produce appropriate voice quality
  • Finding related to ability to produce voice/voiceless combinations
  • Finding related to ability to produce voice/voiceless combinations
  • Finding related to ability to produce voiced sounds
  • Finding related to ability to produce voiceless sounds
  • Finding related to ability to use phonological processes
  • Finding related to ability to use phonological processes
  • Finding related to ability to use phonological processes
  • Finding related to ability to use vocal tunes and phonetic units
  • Finding related to ability to use vocal tunes and phonetic units
  • Finding related to ability to use vocal tunes and phonetic units
  • Fistula voice
  • Harsh voice quality
  • High pitched cry
  • High pitched voice
  • High-pitch group
  • High-pitched crowing
  • Hoarse
  • Husky-breathy whispered-continuous group
  • Hyperphonia
  • Hypophonia
  • Increased vocal resonance
  • Involuntary vocalization
  • Localization of sound source - finding
  • Localization of voice - finding
  • Localization of voice impaired
  • Mixed nasality
  • Mutational falsetto
  • Nasal emission on pressure consonants
  • Nasal resonatory disorder
  • Neurologic voice disorder
  • Nonspecific distress cry
  • O/E - hoarseness
  • O/E - pectoriloquy
  • O/E - vocal resonance
  • Organic voice tremor
  • Pharyngeal voice
  • Post-laryngectomy voice - finding
  • Post-laryngectomy voice - finding
  • Post-laryngectomy voice - finding
  • Post-laryngectomy voice - finding
  • Post-laryngectomy voice - finding
  • Psychogenic voice disorder
  • Screaming
  • Screaming attack
  • Senile voice
  • Short stature, unique facies, enamel hypoplasia, progressive joint stiffness, high-pitched voice syndrome
  • Strained-strangled voice
  • Tracheoesophageal voice
  • Transsexual voice
  • Unable to coordinate airflow and voice onset
  • Unable to imitate vocalization
  • Unable to produce appropriate pitch
  • Unable to produce appropriate voice quality
  • Unable to produce appropriate voice volume
  • Unable to produce voice
  • Unable to produce voice
  • Unable to produce voice
  • Unable to produce voice/voiceless combinations
  • Unable to produce voiceless sounds
  • Unable to use phonological processes
  • Unable to use vocal tunes and phonetic units
  • Ventricular band phonation
  • Virilized pitch of voice
  • Vocal abuse in children
  • Vocal fatigue
  • Vocal resonance finding
  • Vocal resonance finding
  • Voice abuse
  • Voice associated with deafness
  • Voice cluster
  • Voice cluster
  • Voice cluster
  • Voice cluster
  • Voice disorder due to psychosexual conflict
  • Voice misuse
  • Voice tremor
  • Voice tremor group
  • Weak cry
  • Weak pressure consonants
  • Weakness of vocal cord
  • Wet voice
  • Whispering pectoriloquy

Diagnostic Related Groups

The ICD-10 code R49.8 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 154 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
  • 155 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
  • 156 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Convert R49.8 to ICD-9

  • 784.49 - Voice/resonance dis NEC (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)
      • Voice and resonance disorders (R49)

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


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.

Many things we do can injure our vocal cords. Talking too much, screaming, constantly clearing your throat, or smoking can make you hoarse. They can also lead to problems such as nodules, polyps, and sores on the vocal cords. Other causes of voice disorders include infections, upward movement of stomach acids into the throat, growths due to a virus, cancer, and diseases that paralyze the vocal cords.

Signs that your voice isn't healthy include

  • Your voice has become hoarse or raspy
  • You've lost the ability to hit some high notes when singing
  • Your voice suddenly sounds deeper
  • Your throat often feels raw, achy, or strained
  • It's become an effort to talk

Treatment for voice disorders varies depending on the cause. Most voice problems can be successfully treated when diagnosed early.

NIH: National Institute on Deafness and Other Communication Disorders


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