ICD-9 Code 307.0
Adult onset fluency disorder
Not Valid for Submission
307.0 is a legacy non-billable code used to specify a medical diagnosis of adult onset fluency disorder. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
| ICD-9: | 307.0 |
| Short Description: | Adult onset flncy disord |
| Long Description: | Adult onset fluency disorder |
Convert 307.0 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
- F98.5 - Adult onset fluency disorder
Code Classification
-
Mental disorders (290–319)
-
Neurotic disorders, personality disorders, and other nonpsychotic mental disorders (300-316)
- 307 Special symptoms or syndromes, not elsewhere classified
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Neurotic disorders, personality disorders, and other nonpsychotic mental disorders (300-316)
Information for Medical Professionals
Synonyms
- Acquired stammering
- Adult onset stuttering
- Borderline stuttering
- Covert stuttering
- Idiopathic stammering
- Neurogenic stammering
- On examination - stammer/stutter
- Primary stuttering
- Psychogenic stammering
- Secondary stuttering
- Stuttering
Index to Diseases and Injuries
References found for the code 307.0 in the Index of Diseases and Injuries:
- Disorder SEE ALSO
See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Disease- fluency 315.35
- adult onset 307.0
- fluency 315.35
- Stuttering 315.35
- adult onset 307.0
Information for Patients
Stuttering
What is stuttering?
Stuttering is a speech disorder. It involves interruptions in the flow of speech. These interruptions are called disfluencies. They may involve:
- Repeating sounds, syllables, or words
- Stretching out a sound
- Suddenly stopping in the middle of a syllable or word
Sometimes, along with the stuttering, there may be nodding, rapid blinking, or trembling lips. The stuttering may be worse when you are stressed, excited, or tired.
Stuttering can be frustrating, because you know exactly what you want to say, but you have trouble saying it. It can make it difficult to communicate with people. This can cause problems with school, work, and relationships.
What causes stuttering?
There are two main types of stuttering, and they have different causes:
- Developmental stuttering is the more common type. It starts in young children while they are still learning speech and language skills. Many children stutter when they first start talking. Most of them will outgrow it. But some continue to stutter, and the exact cause is unknown. There are differences in the brains of people who continue to stutter. Genetics may also play a role, since this type of stuttering can run in families.
- Neurogenic stuttering can happen after someone has a stroke, head trauma, or other type of brain injury. Because of the injury, the brain has trouble coordinating the different parts of the brain involved in speech.
Who is at risk for stuttering?
Stuttering can affect anyone, but it is much more common in boys than girls. Younger children are most likely to stutter. About 75% of children who stutter will get better. For the rest, stuttering can continue their whole lives.
How is stuttering diagnosed?
Stuttering is usually diagnosed by a speech-language pathologist. This is a health professional who is trained to test and treat people with voice, speech, and language disorders. If you or your child stutters, your regular health care provider may give you a referral to a speech-language pathologist. Or in some cases, a child's teacher may make a referral.
To make a diagnosis, the speech-language pathologist will:
- Look at the case history, such as when the stuttering was first noticed, how often it happens, and in what situations it happens
- Listen to you or your child speak and analyze the stuttering
- Evaluate you or your child's speech and language abilities, including the ability to understand and use language
- Ask about the impact of stuttering on you or your child's life
- Ask whether stuttering runs in the family
- For a child, consider how likely it is that he or she will outgrow it
What are the treatments for stuttering?
There are different treatments that can help with stuttering. Some of these may help one person but not another. You need to work with the speech-language pathologist to figure out the best plan for you or your child.
The plan should take into account how long the stuttering has been going on and whether there are any other speech or language problems. For a child, the plan should also take into account your child's age and whether he or she is likely to outgrow the stuttering.
Younger children may not need therapy right away. Their parents and teachers can learn strategies to help the child practice speaking. That can help some children. As a parent, it's important to be calm and relaxed when your child is speaking. If your child feels pressured, it can make it harder for them to talk. The speech-language pathologist will probably want to evaluate your child regularly, to see whether treatment is needed.
Speech therapy can help children and adults minimize stuttering. Some techniques include:
- Speaking more slowly
- Controlling breathing
- Gradually working up from single-syllable responses to longer words and more complex sentences
For adults, self-help groups can help you find resources and support as you face the challenges of stuttering.
There are electronic devices to help with fluency, but more research is needed to see whether they really help over the long term. Some people have tried medicines that usually treat other health problems such as epilepsy, anxiety, or depression. But these medicines are not approved for stuttering, and they often have side effects.
NIH: National Institute on Deafness and Other Communication Disorders
[Read More]
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - 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.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.