Is R49.2 a billable ICD-10-CM code?

No. R49.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R49.2 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 R49.2?

R49.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R49.2 (R49) and apply to it just the same.

R49.2

R49.2 — Hypernasality and hyponasality

Non-billable headerICD-10-CM

R49.2 is a non-billable header ICD-10-CM code for hypernasality and hyponasality. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above R49.2

These are not written on R49.2, but they bind it: a note on a category applies to every code beneath it. Billing R49.2 with anything listed here is a denial.

Written on R49 — Voice and resonance disorders

psychogenic voice and resonance disorders (F44.4)

Risk adjustment

R49.2 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 history

R49.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead R49.2

2 child codes. Green means billable.

Related codes at this level

Codes that share R49. If R49.2 is not quite right, the correct code is usually one of these.

Questions about R49.2

Is R49.2 a billable ICD-10-CM code?: No. R49.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R49.2 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 R49.2?: R49.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R49.2 (R49) and apply to it just the same.