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ICD-10 Coding for Slurred Speech(R47.81, R47.1)

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

Also known as:

DysarthriaSpeech Impairment

Related ICD-10 Code Ranges

Complete code families applicable to Slurred Speech

R47-R49Primary Range

Symptoms and signs involving speech and voice

This range includes codes for speech and voice symptoms, including slurred speech and dysarthria.

Cerebrovascular diseases

This range includes codes for conditions like stroke, which can cause slurred speech.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R47.81Slurred speechUse as a secondary code when slurred speech is a symptom of another condition.
  • Neurological exam indicating speech disturbance
  • Imaging studies (e.g., MRI) showing underlying etiology
R47.1DysarthriaUse when dysarthria is the primary condition diagnosed.
  • Speech-language pathologist evaluation confirming dysarthria

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for slurred speech

Essential facts and insights about Slurred Speech

The ICD-10 code for slurred speech is R47.81, used as a secondary code when the underlying condition is known.

Primary ICD-10-CM Codes for slurred speech

Slurred speech
Billable Code

Decision Criteria

coding Criteria

  • Use R47.81 only as a secondary code.

Applicable To

  • Speech disturbance

Excludes

Clinical Validation Requirements

  • Neurological exam indicating speech disturbance
  • Imaging studies (e.g., MRI) showing underlying etiology

Code-Specific Risks

  • Incorrectly using as a primary diagnosis

Coding Notes

  • R47.81 should not be used as a principal diagnosis.

Ancillary Codes

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

Cerebral infarction, unspecified

I63.9
Use as a primary code when slurred speech is due to a stroke.

Parkinson's disease

G20
Use when dysarthria is secondary to Parkinson's disease.

Differential Codes

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

Dysarthria

R47.1
Use R47.1 when dysarthria is confirmed as the primary condition.

Slurred speech

R47.81
Use R47.81 when slurred speech is a symptom of another condition.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Slurred Speech to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R47.81.

Impact

Clinical: Incomplete clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Always identify and code the underlying condition, Review coding guidelines

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.

Mitigation Strategy

Always code the underlying condition as the principal diagnosis.

Impact

Using R47.81 as a primary diagnosis can lead to audits.

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 Slurred Speech, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Slurred Speech

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

Acute stroke with slurred speech

Specialty: Neurology

Required Elements

  • Patient history
  • Neurological examination
  • Imaging results
  • Speech assessment

Example Documentation

Patient presents with sudden-onset slurred speech and right-sided weakness. MRI confirms left MCA infarct. NIHSS score: 6.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has slurred speech.
Good Documentation Example
Patient exhibits slurred speech with irregular articulatory breakdowns, confirmed by MRI as secondary to left MCA infarct.
Explanation
The good example provides specific clinical details and links the symptom to an underlying condition.

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

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