DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R47 Speech disturbances, not elsewhere classified

  • Header · not billable

R47 is not billable. The category heads 7 billable codes in FY2027, grouped under 4 subdivisions.

Index → code

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R47-R49 Symptoms and signs involving speech and voice (R47-R49)
  3. R47 Speech disturbances, not elsewhere classified
Billable codes
7
Subdivisions
4
CC / MCC codes
1 / 0
HCC V28 codes
0
New FY2027
0
Index entries
23

Codes in R47

  1. R47.0
    Dysphasia and aphasia
    Header
  2. R47.01
    Aphasia
    BillableCC
    Excludes1 2

    Excludes1

    • aphasia following cerebrovascular disease (I69. with final characters -20) I69
    • progressive isolated aphasia (G31.01) G31.01
  3. R47.02
    Dysphasia
    Billable
    Excludes1 1

    Excludes1

    • dysphasia following cerebrovascular disease (I69. with final characters -21) I69
  4. R47.1
    Dysarthria and anarthria
    Billable
    Excludes1 1

    Excludes1

    • dysarthria following cerebrovascular disease (I69. with final characters -22) I69
  5. R47.8
    Other speech disturbances
    Header
    Excludes1 1

    Excludes1

    • dysarthria following cerebrovascular disease (I69. with final characters -28) I69
  6. R47.81
    Slurred speech
    Billable
  7. R47.82
    Fluency disorder in conditions classified elsewhere
    Billable
    Inclusion terms 1, Excludes1 3, Code first 2

    Inclusion terms

    • Stuttering in conditions classified elsewhere

    Excludes1

    • adult onset fluency disorder (F98.5) F98.5
    • childhood onset fluency disorder (F80.81) F80.81
    • fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23) I69

    Code first

    • underlying disease or condition, such as:
    • Parkinson's disease (G20.-) G20
  8. R47.89
    Other speech disturbances
    Billable
  9. R47.9
    Unspecified speech disturbances
    Billable

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At R47

Excludes1

  • autism (F84.0) F84.0
  • cluttering (F80.81) F80.81
  • specific developmental disorders of speech and language (F80.-) F80
  • stuttering (F80.81) F80.81

Notes that also apply

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Aphasia (amnestic) (global) (nominal) (semantic) (syntactic) → R47.01
  • Dysnomia → R47.01
  • Dysphasia → R47.02
  • Paraphasia → R47.02
  • Anarthria → R47.1
  • Dysarthria → R47.1
  • Slurred, slurring speech → R47.81
  • Impediment, speech → R47.9
  • Impediment, speechslurring → R47.81
  • Stutteringin conditions classified elsewhere → R47.82
  • Impediment, speechspecified NEC → R47.89
  • Problem (with) (related to)voice production → R47.89
  • Disorder (of)speech → R47.9
  • Disturbance(s)speech → R47.9
  • Problem (with) (related to)speech → R47.9
  • Speechdefect, disorder, disturbance, impediment → R47.9
  • Speechdefect, disorder, disturbance, impedimentslurring → R47.81
  • Disorder (of)fluencyin conditions classified elsewhere → R47.82
  • Defect, defectivespeechspecified NEC → R47.89
  • Disorder (of)speechspecified NEC → R47.89
  • Disturbance(s)speechspecified NEC → R47.89
  • Problem (with) (related to)speechspecified NEC → R47.89
  • Speechdefect, disorder, disturbance, impedimentspecified NEC → R47.89

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy