2017/18 ICD-10-CM Diagnosis Code R47

Speech disturbances, not elsewhere classified

Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R47. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • autism (
    ICD-10-CM Diagnosis Code F84.0

    Autistic disorder

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Autism spectrum disorder
    • Infantile autism
    • Infantile psychosis
    • Kanner's syndrome
    Type 1 Excludes
    • Asperger's syndrome (F84.5)
    F84.0
    )
  • cluttering (
    ICD-10-CM Diagnosis Code F80.81

    Childhood onset fluency disorder

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Cluttering NOS
    • Stuttering NOS
    Type 1 Excludes
    • adult onset fluency disorder (F98.5)
    • fluency disorder in conditions classified elsewhere (R47.82)
    • fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)
    F80.81
    )
  • specific developmental disorders of speech and language (
    ICD-10-CM Diagnosis Code F80
    • F80 Specific developmental disorders of speech an...
      • F80.0 Phonological disorder
      • F80.1 Expressive language disorder
      • F80.2 Mixed receptive-expressive language disorder
      • F80.4 Speech and language development delay due to ...
      • F80.8 Other developmental disorders of speech and l...
        • F80.81 Childhood onset fluency disorder
        • F80.82 Social pragmatic communication disorder
        • F80.89 Other developmental disorders of speech and l...
      • F80.9 Developmental disorder of speech and language...
    F80.-
    )
  • stuttering (
    ICD-10-CM Diagnosis Code F80.81

    Childhood onset fluency disorder

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Cluttering NOS
    • Stuttering NOS
    Type 1 Excludes
    • adult onset fluency disorder (F98.5)
    • fluency disorder in conditions classified elsewhere (R47.82)
    • fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)
    F80.81
    )
The following code(s) above R47 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R47:
  • R00-R99
    2018 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • 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)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Code History
Code annotations containing back-references to R47:
ICD-10-CM Codes Adjacent To R47
R46.1 Bizarre personal appearance
R46.2 Strange and inexplicable behavior
R46.3 Overactivity
R46.4 Slowness and poor responsiveness
R46.5 Suspiciousness and marked evasiveness
R46.6 Undue concern and preoccupation with stressful events
R46.7 Verbosity and circumstantial detail obscuring reason for contact
R46.8 Other symptoms and signs involving appearance and behavior
R46.81 Obsessive-compulsive behavior
R46.89 Other symptoms and signs involving appearance and behavior
R47 Speech disturbances, not elsewhere classified
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
R48 Dyslexia and other symbolic dysfunctions, not elsewhere classified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.