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

Their own Excludes1 notes name this code, so the conflict is not listed above.

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

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead R47

4 child codes. Green means billable.