Is R47 a billable ICD-10-CM code?

No. R47 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R47 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving speech and voice (R47-R49).

What cannot be coded together with R47?

R47 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R47

R47 — Speech disturbances, not elsewhere classified

Non-billable headerICD-10-CM

R47 is a non-billable header ICD-10-CM code for speech disturbances, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Other codes that can never be billed with R47

These codes carry an Excludes1 note pointing at R47. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R47 alone.

F80.0Phonological disorder
F80.1Expressive language disorder
F80.2Mixed receptive-expressive language disorder
F80.81Childhood onset fluency disorder
F98.5Adult onset fluency disorder

Risk adjustment

R47 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R47

4 child codes. Green means billable.

Questions about R47

Is R47 a billable ICD-10-CM code?: No. R47 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R47 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving speech and voice (R47-R49).
What cannot be coded together with R47?: R47 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.