Slurred speech
ICD-10 R47.81 is a billable code used to indicate a diagnosis of slurred speech.
Slurred speech, or dysarthria, is characterized by unclear or poorly articulated speech that can result from various neurological conditions affecting the muscles involved in speech production. This symptom may present as a result of conditions such as stroke, multiple sclerosis, amyotrophic lateral sclerosis (ALS), or intoxication from substances like alcohol or drugs. Patients may exhibit difficulty in pronouncing words, a slow or irregular speech rate, and changes in voice quality. The clinical context of slurred speech is critical, as it can indicate acute neurological events requiring immediate medical attention or chronic conditions that may need long-term management. Accurate identification of slurred speech is essential for appropriate diagnosis and treatment, as it can significantly impact a patient's communication abilities and quality of life.
Detailed patient history, including onset, duration, and associated symptoms; neurological examination findings.
Patients presenting with slurred speech due to transient ischemic attacks (TIAs) or chronic conditions like multiple sclerosis.
Consideration of comorbidities that may contribute to slurred speech, such as diabetes or hypertension.
Immediate assessment of neurological status, including the use of stroke scales (e.g., FAST), and documentation of vital signs.
Acute presentations of slurred speech in patients with suspected stroke or intoxication.
Rapid identification of life-threatening conditions and appropriate coding for acute care interventions.
Used when a patient presents with slurred speech and requires immediate evaluation.
Document the patient's presenting symptoms, vital signs, and any interventions performed.
Emergency medicine providers should ensure rapid assessment and coding for acute conditions.
Document the patient's history, onset, duration, and any associated symptoms, as well as the results of any neurological examinations or imaging studies.
