Version 2024
No Valid Principal Dx

2024 ICD-10-CM Diagnosis Code R47

Speech disturbances, not elsewhere classified

ICD-10-CM Code:
R47
ICD-10 Code for:
Speech disturbances, not elsewhere classified
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    (R00–R99)
    • Symptoms and signs involving speech and voice
      (R47-R49)
      • Speech disturbances, not elsewhere classified
        (R47)

R47 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of speech disturbances, not elsewhere classified. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

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.

Specific Coding Applicable to Speech disturbances, not elsewhere classified

Non-specific codes like R47 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for speech disturbances, not elsewhere classified:

  • R47.0 for Dysphasia and aphasia - NON-BILLABLE CODE

  • Use R47.01 for Aphasia - BILLABLE CODE

  • Use R47.02 for Dysphasia - BILLABLE CODE

  • Use R47.1 for Dysarthria and anarthria - BILLABLE CODE

  • R47.8 for Other speech disturbances - NON-BILLABLE CODE

  • Use R47.81 for Slurred speech - BILLABLE CODE

  • Use R47.82 for Fluency disorder in conditions classified elsewhere - BILLABLE CODE

  • Use R47.89 for Other speech disturbances - BILLABLE CODE

  • Use R47.9 for Unspecified speech disturbances - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • autism F84.0
  • cluttering F80.81
  • specific developmental disorders of speech and language F80
  • stuttering F80.81

Patient Education


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:

  • Hearing disorders and deafness
  • Voice problems, such as dysphonia or those caused by cleft lip or palate
  • Speech problems like stuttering
  • Developmental disabilities
  • Learning disabilities
  • Autism spectrum disorder
  • Brain injury
  • Stroke

Some speech and communication problems may be genetic. Often, no one knows the causes. By first grade, about 5% of children have noticeable speech disorders. Speech and language therapy can help.

NIH: National Institute on Deafness and Other Communication Disorders


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.