Other speech disturbances
ICD-10 R47.89 is a billable code used to indicate a diagnosis of other speech disturbances.
R47.89 encompasses a variety of speech disturbances that do not fall under more specific categories. These disturbances can manifest as difficulties in articulation, fluency, or voice quality, and may be indicative of underlying neurological, psychological, or developmental conditions. Common symptoms include slurred speech, stuttering, or abnormal pitch and volume. Clinical findings may include observable speech patterns that deviate from normal, as well as patient-reported difficulties in communication. Abnormal lab findings may not be directly associated with speech disturbances but could indicate underlying conditions such as neurological disorders or metabolic imbalances. Accurate diagnosis often requires a multidisciplinary approach, including speech-language pathology assessments, neurological evaluations, and psychological assessments to determine the root cause of the disturbances.
Detailed patient history, including onset and duration of symptoms, and any associated medical conditions.
Patients presenting with speech disturbances secondary to stroke, multiple sclerosis, or other systemic illnesses.
Consideration of comorbid conditions that may affect speech, such as cognitive impairment or psychiatric disorders.
Acute assessment of speech disturbances, including neurological examination and any immediate interventions.
Acute stroke presentations where speech disturbances are a primary symptom.
Rapid assessment and documentation are critical for timely intervention and coding accuracy.
Used when a patient receives therapy for speech disturbances.
Documentation must include the type of therapy provided and the patient's response.
Speech-language pathologists must provide detailed notes on progress and treatment goals.
R47.89 can be used for a variety of speech disturbances that do not fit into more specific categories, including slurred speech, stuttering, and other abnormalities in speech production.
Accurate coding requires thorough documentation of the patient's symptoms, the clinical context, and any assessments performed. Always consider whether a more specific code may apply.
