R47.89

R47.89: Other speech disturbances

Billable / specific codeICD-10-CM

R47.89 is a billable, specific ICD-10-CM code for other speech disturbances. It is valid for submission on a claim.

Check R47.89 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R47.89

A category’s note binds every code beneath it.

Written on R47.8: Other speech disturbances

dysarthria following cerebrovascular disease (I69. with final characters -28)

Written on R47: Speech disturbances, not elsewhere classified

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 R47.89

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

F80.1Expressive language disorder
F80.2Mixed receptive-expressive language disorder

Risk adjustment

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

Medicare coverage

R47.89 is named in 28 Medicare coverage policies: 28 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52866Billing and Coding: Speech-Language Pathology
A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
A53052Billing and Coding: Home Health Speech-Language Pathology
A54095Billing and Coding: Nerve Conduction Studies and Electromyography

Alphabetic index entries that lead here

Impediment, speech›specified NEC
Problem›voice production
Defect, defective›speech›specified NEC
Disorder›speech›specified NEC
Disturbance›speech›specified NEC
Problem›speech›specified NEC
Speech›defect, disorder, disturbance, impediment›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.