Is ICD-10-CM code R47 billable?

No, R47 (Speech disturbances, not elsewhere classified) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code R47 belong to?

R47 belongs to Chapter 18 of the ICD-10-CM tabular list: R00–R99 (Symptoms, Signs and Abnormal Clinical and Laboratory Findings).

R47Not billable, use a more specific code below

Speech disturbances, not elsewhere classified

In Symptoms and signs involving speech and voice (R47-R49), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

7 billable codes under R47: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

autism (F84.0)
cluttering (F80.81)
specific developmental disorders of speech and language (F80.-)
stuttering (F80.81)

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

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

R47 MS-DRGs

As the principal diagnosis, all 7 billable codes under R47 group to MS-DRG 091, 092, or 093 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to R47

Notes on these codes point to R47.

F80.1 Excludes1: dysphasia and aphasia NOS (R47.-)
F80.2 Excludes1: dysphasia or aphasia NOS (R47.-)

About the condition

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

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:

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.