ICD-10 R49
Non-Billable HeaderVoice and resonance disorders
About ICD-10-CM R49
ICD-10-CM code R49 represents Voice and resonance disorders. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R49). The 2026 edition of ICD-10-CM R49 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 R49. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- psychogenic voice and resonance disorders (F44.4)
Medicare LCD Coverage for R49
Local Coverage Determinations (LCDs) from CMS MACs that list R49 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 R49.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R49 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R49
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 R49
Other codes in section R47-R49 (Symptoms and signs involving speech and voice).
ICD-10 R49, Billing FAQ
Is ICD-10 code R49 billable? +
No, R49 is a non-billable header code. Use a more specific child code from block R49 when submitting claims.
What codes are Type 1 Excludes for R49? +
Type 1 Excludes (never code together with R49): psychogenic voice and resonance disorders (F44.4)
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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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