2017/18 ICD-10-CM Diagnosis Code R47.82

Fluency disorder in conditions classified elsewhere

ICD-10-CM Coding Rules
Applicable To
  • Stuttering in conditions classified elsewhere
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease or condition, such as:
  • Parkinson's disease (
    ICD-10-CM Diagnosis Code G20

    Parkinson's disease

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Hemiparkinsonism
    • Idiopathic Parkinsonism or Parkinson's disease
    • Paralysis agitans
    • Parkinsonism or Parkinson's disease NOS
    • Primary Parkinsonism or Parkinson's disease
    Type 1 Excludes
    • dementia with Parkinsonism (G31.83)
    G20
    )
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 R47.82. 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.
  • adult onset fluency disorder (
    ICD-10-CM Diagnosis Code F98.5

    Adult onset fluency disorder

      2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    • childhood onset fluency disorder (F80.81)
    • dysphasia (R47.02)
    • fluency disorder in conditions classified elsewhere (R47.82)
    • fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)
    • tic disorders (F95.-)
    F98.5
    )
  • childhood onset fluency disorder (
    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
    )
  • fluency disorder (stuttering) following cerebrovascular disease (
    ICD-10-CM Diagnosis Code I69

    Sequelae of cerebrovascular disease

      2016 2017 2018 Non-Billable/Non-Specific Code
    Note
    • Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition
    Type 1 Excludes
    • personal history of cerebral infarction without residual deficit (Z86.73)
    • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
    • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
    • sequelae of traumatic intracranial injury (S06.-)
    I69
    . with final characters -23)
The following code(s) above R47.82 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 R47.82:
  • 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
  • R47
    ICD-10-CM Diagnosis Code R47

    Speech disturbances, not elsewhere classified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • autism (F84.0)
    • cluttering (F80.81)
    • specific developmental disorders of speech and language (F80.-)
    • stuttering (F80.81)
    Speech disturbances, not elsewhere classified
  • R47.8
    ICD-10-CM Diagnosis Code R47.8

    Other speech disturbances

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • dysarthria following cerebrovascular disease (I69. with final characters -28)
    Other speech disturbances
ICD-10-CM R47.82 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert R47.82 to ICD-9-CM

Code History
Code annotations containing back-references to R47.82:

Diagnosis Index entries containing back-references to R47.82:

ICD-10-CM Codes Adjacent To R47.82
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
R48.0 Dyslexia and alexia
R48.1 Agnosia
R48.2 Apraxia
R48.3 Visual agnosia
R48.8 Other symbolic dysfunctions
R48.9 Unspecified symbolic dysfunctions
R49 Voice and resonance disorders

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