2019 ICD-10-CM Diagnosis Code R47.01

Aphasia

    2016 2017 2018 2019 Billable/Specific Code
  • R47.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM R47.01 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of R47.01 - other international versions of ICD-10 R47.01 may differ.
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 R47.01. 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.
  • aphasia following cerebrovascular disease (
    ICD-10-CM Diagnosis Code I69

    Sequelae of cerebrovascular disease

      2016 2017 2018 2019 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 -20)
  • progressive isolated aphasia (
    ICD-10-CM Diagnosis Code G31.01

    Pick's disease

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Primary progressive aphasia
    • Progressive isolated aphasia
    G31.01
    )
The following code(s) above R47.01 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 R47.01:
  • R00-R99
    2019 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 2019 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
Approximate Synonyms
  • Akinetic mutism
  • Aphasia conductive
  • Aphasia, expressive (difficulty speaking)
  • Aphasia, expressive and receptive
  • Aphasia, receptive
  • Aphasia-angular gyrus syndrome
  • Conduction aphasia
  • Expressive dysphasia
  • Global aphasia
  • Psycho-sensory aphasia
Clinical Information
  • A cognitive disorder marked by an impaired ability to comprehend or express language in its written or spoken form. This condition is caused by diseases which affect the language areas of the dominant hemisphere. Clinical features are used to classify the various subtypes of this condition. General categories include receptive, expressive, and mixed forms of aphasia.
  • Aphasia is a disorder caused by damage to the parts of the brain that control language. It can make it hard for you to read, write, and say what you mean to say. It is most common in adults who have had a stroke. Brain tumors, infections, injuries, and dementia can also cause it. The type of problem you have and how bad it is depends on which part of your brain is damaged and how much damage there is. There are four main types:
    • expressive aphasia - you know what you want to say, but you have trouble saying or writing what you mean
    • receptive aphasia - you hear the voice or see the print, but you can't make sense of the words
    • anomic aphasia - you have trouble using the correct word for objects, places, or events
    • global aphasia - you can't speak, understand speech, read, or write
    some people recover from aphasia without treatment. Most, however, need language therapy as soon as possible.
  • Cognitive disorder marked by an impaired ability to comprehend or express language in its written or spoken form; caused by diseases which affect the language areas of the dominant hemisphere; general categories include receptive, expressive, and mixed forms of aphasia.
  • Partial or complete impairment of language comprehension, formulation, or use due to brain damage.
ICD-10-CM R47.01 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 091 Other disorders of nervous system with mcc
  • 092 Other disorders of nervous system with cc
  • 093 Other disorders of nervous system without cc/mcc

Convert R47.01 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to R47.01:
  • Type 1 Excludes: F80.0
    ICD-10-CM Diagnosis Code F80.0

    Phonological disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Dyslalia
    • Functional speech articulation disorder
    • Lalling
    • Lisping
    • Phonological developmental disorder
    • Speech articulation developmental disorder
    • Speech-sound disorder
    Type 1 Excludes
    • speech articulation impairment due to aphasia NOS (R47.01)
    • speech articulation impairment due to apraxia (R48.2)
    Type 2 Excludes
    • speech articulation impairment due to hearing loss (F80.4)
    • speech articulation impairment due to intellectual disabilities (F70-F79)
    • speech articulation impairment with expressive language developmental disorder (F80.1)
    • speech articulation impairment with mixed receptive expressive language developmental disorder (F80.2)

Diagnosis Index entries containing back-references to R47.01:
  • Aphasia (amnestic) (global) (nominal) (semantic) (syntactic) R47.01
  • Dysnomia R47.01

ICD-10-CM Codes Adjacent To R47.01
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
R48.0 Dyslexia and alexia
R48.1 Agnosia

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