ICD-10-CM Codes
R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R47-R49 Symptoms and signs involving speech and voice
R47- Speech disturbances, not elsewhere classified
2020 ICD-10-CM Diagnosis Code R47.8

2020 ICD-10-CM Diagnosis Code R47.8

Other speech disturbances

2016

2017

2018

2019

2020

Non-Billable/Non-Specific Code

R47.8 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2020 edition of ICD-10-CM R47.8 became effective on October 1, 2019.
This is the American ICD-10-CM version of R47.8 - other international versions of ICD-10 R47.8 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 R47.8. 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.

dysarthria following cerebrovascular disease (
ICD-10-CM Diagnosis Code I69
Sequelae of cerebrovascular disease
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 -28)

The following code(s) above R47.8 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 R47.8:

R00-R99
2020 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
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

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
2020 (effective 10/1/2019): No change

ICD-10-CM Codes Adjacent To R47.8

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

R48.2 Apraxia

R48.3 Visual agnosia

R48.8 Other symbolic dysfunctions

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

2020 ICD-10-CM Diagnosis Code R47.8

Other speech disturbances

Sequelae of cerebrovascular disease

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

Speech disturbances, not elsewhere classified