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R47.1

R47.1Dysarthria and anarthria

Billable / specific codeICD-10-CM

R47.1 is a billable, specific ICD-10-CM code for dysarthria and anarthria. It is valid for submission on a claim.

Excludes1 — never code together

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

  • dysarthria following cerebrovascular disease (I69. with final characters -22)

Risk adjustment

R47.1 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.

Medicare coverage

R47.1 is named in 36 Medicare coverage policies 36 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A52866Billing and Coding: Speech-Language Pathology
  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
  • A53052Billing and Coding: Home Health Speech-Language Pathology

How R47.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R47.1.

  • Anarthria
  • Dysarthria

Related codes at this level

Codes that share R47. If R47.1 is not quite right, the correct code is usually one of these.

Questions about R47.1

Is R47.1 a billable ICD-10-CM code?
Yes. R47.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R47.1 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 R47.1?
R47.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.