R47Non-billable

Speech disturbances, not elsewhere classified

Symptoms, Signs and Abnormal Clinical and Laboratory Findings·Symptoms and signs involving speech and voice (R47-R49)·category·FY 2026

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

MS-DRG Classification

2026

No direct MS-DRG triggers identified.