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v1.0.0
ICD-10 Guide
ICD-10 CodesR47

R47

Speech disturbances, not elsewhere classified

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 R47 is a used to indicate a diagnosis of speech disturbances, not elsewhere classified.

Key Diagnostic Point:

The ICD-10 Level 1 Category code R47 encompasses a range of speech disturbances that are not classified under other specific categories. This includes conditions such as dysarthria, which is characterized by slurred or slow speech due to muscle weakness, and other speech-related disorders that do not fit neatly into established diagnostic categories. Clinically, these disturbances can arise from various underlying causes, including neurological disorders, developmental issues, or psychological factors. Understanding the nuances of these conditions is critical for accurate diagnosis and treatment planning, as they can significantly impact a patient's communication abilities and overall quality of life.

  • In practice, R47 is utilized by healthcare providers when a patient presents with speech disturbances that cannot be attributed to a more specific diagnosis. This code is essential for capturing the complexity of speech disorders in clinical documentation and for ensuring appropriate reimbursement for services rendered. It is important for providers to be aware of the clinical significance of these disturbances, as they may require interdisciplinary approaches, including speech therapy and psychological support, to address the multifaceted needs of affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes
  • Need for interdisciplinary management
  • Potential overlap with other speech disorders

Audit Risk Factors

  • Inadequate documentation of speech disturbances
  • Misclassification of speech disorders
  • Failure to provide supporting evidence for the use of R47

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Speech-Language Pathology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

9 codes
R47.0
Dysphasia and aphasia
R47.01
Aphasia
R47.02
Dysphasia
R47.1
Dysarthria and anarthria
R47.8
Other speech disturbances
R47.81
Slurred speech
R47.82
Fluency disorder in conditions classified elsewhere
R47.89
Other speech disturbances
R47.9
Unspecified speech disturbances

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the R47 code category is significant, as it plays a crucial role in capturing the prevalence of speech disturbances within the healthcare system. Accurate coding and documentation of these conditions can influence quality measures and population health initiatives, as speech disturbances often correlate with broader health issues, including developmental delays and neurological disorders. By identifying and addressing these conditions, healthcare providers can improve patient outcomes and enhance communication abilities, which are essential for social integration and personal development.
From an administrative perspective, the use of R47 can affect healthcare trends by highlighting the need for specialized services and resources dedicated to speech therapy and rehabilitation. As awareness of speech disturbances grows, there may be increased demand for interdisciplinary approaches that involve speech-language pathologists, neurologists, and mental health professionals. This trend underscores the importance of comprehensive care models that address the multifaceted nature of speech disorders and their impact on patient health and well-being.

ICD-9 vs ICD-10

The clinical and administrative impact of the R47 code category is significant, as it plays a crucial role in capturing the prevalence of speech disturbances within the healthcare system. Accurate coding and documentation of these conditions can influence quality measures and population health initiatives, as speech disturbances often correlate with broader health issues, including developmental delays and neurological disorders. By identifying and addressing these conditions, healthcare providers can improve patient outcomes and enhance communication abilities, which are essential for social integration and personal development. From an administrative perspective, the use of R47 can affect healthcare trends by highlighting the need for specialized services and resources dedicated to speech therapy and rehabilitation. As awareness of speech disturbances grows, there may be increased demand for interdisciplinary approaches that involve speech-language pathologists, neurologists, and mental health professionals. This trend underscores the importance of comprehensive care models that address the multifaceted nature of speech...

Reimbursement & Billing Impact

reimbursement. Providers should document the specific nature of the speech disturbance, the interventions provided, and any assessments conducted. Common billing practices include using CPT codes for speech therapy services, such as 92507 for speech therapy evaluation and 92508 for group therapy sessions. It is also essential to keep abreast of payer-specific guidelines, as reimbursement policies may vary based on the insurer and the specifics of the patient's condition.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for R47

Coding & Billing References

  • •
    Official ICD-10 Guidelines for R47

Frequently Asked Questions

What conditions are included in R47?

R47 includes various speech disturbances such as dysarthria, speech sound disorders, and other unspecified speech issues that do not fall under more specific categories.

When should I use R47 codes?

R47 codes should be used when a patient presents with speech disturbances that cannot be classified under other specific ICD-10 codes, ensuring that the underlying cause is documented appropriately.

What documentation is required for R47?

Documentation for R47 should include a detailed description of the speech disturbance, any relevant medical history, and the results of any assessments conducted to evaluate the patient's speech capabilities.