R49.22 — Hyponasality
R49.22 is a billable, specific ICD-10-CM code for hyponasality. It is valid for submission on a claim.
Risk adjustment
R49.22 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
R49.22 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53052Billing and Coding: Home Health Speech-Language Pathology
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
How R49.22 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 R49.22.
- Hyponasality
Related codes at this level
Codes that share R49.2. If R49.22 is not quite right, the correct code is usually one of these.
Questions about R49.22
- Is R49.22 a billable ICD-10-CM code?
- Yes. R49.22 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R49.22 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).