ICD-10 · PDGM grouping
R47 Speech disturbances, not elsewhere classified
All 7 codes in the R47 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
7
Can lead a claim
0
Cannot lead a claim
7
What CMS assigns to R47
None of the 7 codes is assigned a clinical group. None of the 7 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 1 of the 7.
Code first
CMS grouper convention 159, on R47.82. Code first:
- Parkinson's disease (G20.-)
- underlying disease or condition, such as:
Every code in R47
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| R47.0 Dysphasia and aphasia | ||||
| R47.01 | Aphasia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R47.02 | Dysphasia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R47.1 | Dysarthria and anarthria | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R47.8 Other speech disturbances | ||||
| R47.81 | Slurred speech | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R47.82 | Fluency disorder in conditions classified elsewhere | Cannot lead a claimManifestation code is not reportable as principal diagnosis | None | None |
| R47.89 | Other speech disturbances | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R47.9 | Unspecified speech disturbances | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue