ICD-10 R47
Non-Billable HeaderSpeech disturbances, not elsewhere classified
About ICD-10-CM R47
ICD-10-CM code R47 represents Speech disturbances, not elsewhere classified. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R47). The 2026 edition of ICD-10-CM R47 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R47. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- autism (F84.0)
- cluttering (F80.81)
- specific developmental disorders of speech and language (F80.-)
- stuttering (F80.81)
Medicare LCD Coverage for R47
Local Coverage Determinations (LCDs) from CMS MACs that list R47 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R47.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R47 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R47
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R47
Other codes in section R47-R49 (Symptoms and signs involving speech and voice).
ICD-10 R47, Billing FAQ
Is ICD-10 code R47 billable? +
No, R47 is a non-billable header code. Use a more specific child code from block R47 when submitting claims.
What codes are Type 1 Excludes for R47? +
Type 1 Excludes (never code together with R47): autism (F84.0); cluttering (F80.81); specific developmental disorders of speech and language (F80.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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