R47.89 — Other speech disturbances
Is R47.89 billable?
Yes — R47.89 is billable for FY2027. R47.89 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R47.89 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R47.89 at a glance
| Code | R47.89 |
|---|---|
| Description | Other speech disturbances |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R47.89 group to?
R47.89 sits in MDC 01 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 091Other Disorders of Nervous System with MCCmedical
- 092Other Disorders of Nervous System with CCmedical
- 093Other Disorders of Nervous System without CC/MCCmedical
How is R47.89 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R47.89. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Impediment, speech › specified NEC
- Problem › voice production (with) (related to)
- Defect, defective › speech › specified NEC
- Disorder › speech › specified NEC (of)
- Disturbance › speech › specified NEC (s)
- Problem › speech › specified NEC (with) (related to)
- Speech › defect, disorder, disturbance, impediment › specified NEC
Excludes1 — never code together — inherited from R47
The conditions below can never be reported together with R47.89 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from R47.8
The conditions below can never be reported together with R47.89 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- dysarthria following cerebrovascular disease (I69. with final characters -28)
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R47.89, but a patient may have both at the same time. When documentation supports it, R47.89 and the excluded code may both be reported.
How long has R47.89 existed?
R47.89 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.