Symptoms and signs involving speech and voice (R47-R49)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

• Use of symptom codes (page 75)
• Use of a symptom code with a definitive diagnosis code (page 75)
• Combination codes that include symptoms (page 75)
• Repeated falls (page 76)
• Coma (page 76)
• Functional quadriplegia (page 76)
• SIRS due to Non-Infectious Process (page 77)
• Death NOS (page 77)

Read Section I.C.18 (page 75), 1 more topics

All codes under R47-R49

R47-R49 can't be used on a claim. Pick a billable code below; grey headings group them.

• R47Speech disturbances, not elsewhere classified
• R47.0Dysphasia and aphasia
• R47.01Aphasia
• R47.02Dysphasia
• R47.1Dysarthria and anarthria
• R47.8Other speech disturbances
• R47.81Slurred speech
• R47.82Fluency disorder in conditions classified elsewhere
• R47.89Other speech disturbances
• R47.9Unspecified speech disturbances
• R48Dyslexia and other symbolic dysfunctions, not elsewhere classified
• R48.0Dyslexia and alexia
• R48.1Agnosia
• R48.2Apraxia
• R48.3Visual agnosia
• R48.8Other symbolic dysfunctions
• R48.9Unspecified symbolic dysfunctions
• R49Voice and resonance disorders
• R49.0Dysphonia
• R49.1Aphonia
• R49.2Hypernasality and hyponasality
• R49.21Hypernasality
• R49.22Hyponasality
• R49.8Other voice and resonance disorders
• R49.9Unspecified voice and resonance disorder

R47-R49 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.