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2025 ICD-10-CM code R47.82

Stuttering or fluency disorder in conditions classified elsewhere.

Code first the underlying condition. Use additional codes to identify manifestations.

Medical necessity is established by the presence of a documented underlying medical condition causing the fluency disorder.

Documenting the underlying condition responsible for the fluency disorder and ensuring appropriate referrals for speech therapy if necessary.

In simple words: This code signifies a problem with speech fluency, like stuttering, that occurs because of another health condition.It's important to also diagnose and code the underlying condition causing the speech problem.

Fluency disorder in conditions classified elsewhere. Stuttering in conditions classified elsewhere. Code first underlying disease or condition, such as Parkinson's disease (G20.-). Excludes1: adult onset fluency disorder (F98.5), childhood onset fluency disorder (F80.81), fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23).

Example 1: A patient with Parkinson's disease (G20) experiences stuttering as a symptom of the disease. R47.82 is used as a secondary code to G20., A patient with multiple sclerosis experiences a new onset of stuttering. The MS is coded first, and R47.82 is added to specify the stuttering., A patient recovering from a traumatic brain injury exhibits stuttering. The TBI is coded as the primary diagnosis, with R47.82 as a secondary code for the speech disturbance.

Documentation should clearly link the fluency disorder to the underlying medical condition. Details of the speech impairment, including its severity and impact on communication, should be noted.

** This code helps to specify the nature of the speech disturbance but does not replace the need for coding the underlying etiology.

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