R47

Non-Billable
ChapterR00–R99
Rankcategory
Official Description

Speech disturbances, not elsewhere classified

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99).

CH18 Parent Instructions

Excludes2(Not included here)
  • 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)

Instructional Notes

Excludes1(Not coded here)
  • autism (F84.0)
  • cluttering (F80.81)
  • specific developmental disorders of speech and language (F80.-)
  • stuttering (F80.81)

Clinical Hierarchy

CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R47-R49Symptoms and signs involving speech and voice (R47-R49)
R47Speech disturbances, not elsewhere classified
R47.0Dysphasia and aphasia
R47.1Dysarthria and anarthria
R47.8Other speech disturbances
R47.9Unspecified speech disturbances

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to R47:

chapterCH18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to R47. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

23 raw paths
Anarthria1 unique routes
Direct index entry→R47
Aphasia (amnestic) (global) (nominal) (semantic) (syntactic)1 unique routes
Direct index entry→R47
Defect, defective1 unique routes
speech
specified NEC→R47
Disorder (of)3 unique routes
fluency
in conditions classified elsewhere→R47
speech→R47(2 variants)
specified NEC→R47
Disturbance (s)2 unique routes
speech→R47(2 variants)
specified NEC→R47
Dysarthria1 unique routes
Direct index entry→R47
Dysnomia1 unique routes
Direct index entry→R47
Dysphasia1 unique routes
Direct index entry→R47
Impediment, speech3 unique routes
Direct index entry→R47
slurring→R47
specified NEC→R47
Paraphasia1 unique routes
Direct index entry→R47
Problem (with) (related to)3 unique routes
speech→R47(2 variants)
specified NEC→R47
voice production→R47
Slurred, slurring speech1 unique routes
Direct index entry→R47
Speech3 unique routes
defect, disorder, disturbance, impediment→R47(3 variants)
slurring→R47
specified NEC→R47
Stuttering1 unique routes
in conditions classified elsewhere→R47

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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