ICD-10 · PDGM grouping
R47-R49 — Symptoms and signs involving speech and voice
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
19
No clinical group
19
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
None of the 19 codes in R47-R49 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in R47-R49
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in R47-R49
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| R4701 | Aphasia | None | Cannot lead a claim |
| R4702 | Dysphasia | None | Cannot lead a claim |
| R471 | Dysarthria and anarthria | None | Cannot lead a claim |
| R4781 | Slurred speech | None | Cannot lead a claim |
| R4782 | Fluency disorder in conditions classified elsewhere | None | Cannot lead a claim |
| R4789 | Other speech disturbances | None | Cannot lead a claim |
| R479 | Unspecified speech disturbances | None | Cannot lead a claim |
| R480 | Dyslexia and alexia | None | Cannot lead a claim |
| R481 | Agnosia | None | Cannot lead a claim |
| R482 | Apraxia | None | Cannot lead a claim |
| R483 | Visual agnosia | None | Cannot lead a claim |
| R488 | Other symbolic dysfunctions | None | Cannot lead a claim |
| R489 | Unspecified symbolic dysfunctions | None | Cannot lead a claim |
| R490 | Dysphonia | None | Cannot lead a claim |
| R491 | Aphonia | None | Cannot lead a claim |
| R4921 | Hypernasality | None | Cannot lead a claim |
| R4922 | Hyponasality | None | Cannot lead a claim |
| R498 | Other voice and resonance disorders | None | Cannot lead a claim |
| R499 | Unspecified voice and resonance disorder | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.
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