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ICD-10 Coding for Dysarthria(R47.1, I69.X22)

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

Also known as:

Speech disorderMotor speech disorder

Related ICD-10 Code Ranges

Complete code families applicable to Dysarthria

R47-R49Primary Range

Speech disturbances

This range includes codes for various speech disturbances, with R47.1 specifically for dysarthria.

Sequelae of cerebrovascular disease

Used for dysarthria resulting from cerebrovascular events, requiring specific I69 codes.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R47.1Dysarthria and anarthriaUse when dysarthria is not related to a cerebrovascular event.
  • Speech assessment indicating articulation impairment
  • Neurological examination linking to non-cerebrovascular cause
I69.X22Dysarthria following cerebrovascular diseaseUse when dysarthria follows a cerebrovascular event.
  • History of cerebrovascular event
  • Speech assessment 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 dysarthria

Essential facts and insights about Dysarthria

The ICD-10 code for dysarthria is R47.1, used when the condition is not related to a cerebrovascular event.

Primary ICD-10-CM Codes for dysarthria

Dysarthria and anarthria
Billable Code

Decision Criteria

clinical Criteria

  • Dysarthria not linked to a cerebrovascular event

Applicable To

  • Speech articulation disorder

Excludes

  • Dysarthria due to stroke (I69.X22)
  • Dysarthria with autism (F84.0)

Clinical Validation Requirements

  • Speech assessment indicating articulation impairment
  • Neurological examination linking to non-cerebrovascular cause

Code-Specific Risks

  • Incorrectly using R47.1 for post-stroke dysarthria

Coding Notes

  • Ensure documentation specifies the non-cerebrovascular cause of dysarthria.

Ancillary Codes

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

Cerebral palsy, unspecified

G80.9
Use with R47.1 when dysarthria is related to cerebral palsy.

Differential Codes

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

Dysarthria following cerebrovascular disease

I69.X22
Use when dysarthria is a result of a stroke or similar event.

Dysarthria and anarthria

R47.1
Use when dysarthria is not related to a cerebrovascular event.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dysarthria to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R47.1.

Impact

Clinical: Inaccurate diagnosis representation., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Always document the cause of dysarthria., Use specific ICD-10 codes for underlying conditions.

Impact

Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use I69.X22 for dysarthria following a cerebrovascular event.

Impact

Using R47.1 instead of I69.X22 for post-stroke dysarthria.

Mitigation Strategy

Educate coders on proper code selection and documentation requirements.

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

Documentation Templates for Dysarthria

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

Neurology Consultation for Dysarthria

Specialty: Neurology

Required Elements

  • Patient history
  • Speech assessment results
  • Neurological examination findings
  • Link to underlying condition

Example Documentation

Patient presents with dysarthria secondary to ALS. Speech assessment shows spastic dysarthria with reduced intelligibility.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has slurred speech.
Good Documentation Example
Patient exhibits spastic dysarthria with hypernasality secondary to ALS.
Explanation
The good example provides specific speech characteristics and links to the underlying condition.

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

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