R47

Non-Billable
ChapterR00–R99
Rankcategory
Official Description

Speech disturbances, not elsewhere classified

Metadata & Insights
  • 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. Code separately if applicable.)
  • 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. Use a different code.)
  • autism (F84.0)
  • cluttering (F80.81)
  • specific developmental disorders of speech and language (F80.-)
  • stuttering (F80.81)

Clinical Hierarchy

BillableHas subcodes
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 classifiedNot billable
R47.0Dysphasia and aphasiaSubcodes
R47.1Dysarthria and anarthriaBillable
R47.8Other speech disturbancesSubcodes
R47.9Unspecified speech disturbancesBillable

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

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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