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ICD-10 Coding for Dysphasia(R47.02)

Complete ICD-10-CM coding and documentation guide for Dysphasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

AphasiaSpeech Disturbance

Related ICD-10 Code Ranges

Complete code families applicable to Dysphasia

R47.0-R47.9Primary Range

Speech disturbances

This range includes codes for various speech disturbances, including dysphasia.

Sequelae of cerebrovascular disease

Used as primary codes when dysphasia is a result of a cerebrovascular event.

Key Information: ICD-10 code for dysphasia

Essential facts and insights about Dysphasia

The ICD-10 code for dysphasia is R47.02, used for language deficits.

Primary ICD-10-CM Code for dysphasia

Dysphasia
Billable Code

Decision Criteria

clinical Criteria

  • Presence of language deficits without motor speech involvement

coding Criteria

  • Use with I69 codes if related to stroke

Applicable To

  • Expressive dysphasia
  • Receptive dysphasia

Excludes

Clinical Validation Requirements

  • Documented expressive or receptive language deficits
  • Neuroimaging correlates if post-stroke

Code-Specific Risks

  • Confusion with dysphagia
  • Incorrect sequencing with cerebrovascular codes

Coding Notes

  • Ensure proper sequencing with cerebrovascular codes when applicable.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dysphasia following cerebral infarction

I69.391
Use as primary when dysphasia follows a stroke.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Aphasia

R47.01
Aphasia is often used interchangeably with dysphasia but may be coded separately based on specific clinical documentation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dysphasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R47.02.

Impact

Clinical: Lack of specificity in patient care., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use specific language assessments, Document detailed findings

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Sequence I69 code before R47.02

Impact

Incorrect sequencing of cerebrovascular and dysphasia codes.

Mitigation Strategy

Educate coders on proper sequencing rules.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Dysphasia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Dysphasia

Use these documentation templates to ensure complete and accurate documentation for Dysphasia. These templates include all required elements for proper coding and billing.

Post-stroke dysphasia

Specialty: Neurology

Required Elements

  • Language assessment
  • Stroke history
  • Neuroimaging results

Example Documentation

Patient exhibits expressive dysphasia with impaired naming and paraphasic errors following left MCA stroke.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has speech difficulties.
Good Documentation Example
Patient exhibits expressive dysphasia with impaired naming and paraphasic errors.
Explanation
The good example provides specific language deficits and context.

Need help with ICD-10 coding for Dysphasia? Ask your questions below.

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