ICD-10 code for alcohol use disorder
As a speech-language pathologist, you’ll be familiar with finding the right ICD-10 codes for dysarthria.
This article provides an overview of the dysarthria ICD-10 code, including the diagnostic criteria, differential diagnoses, and other important diagnosis codes related to speech, language, and swallowing disorders.
Using the correct ICD-10 codes for diagnosis and treatment planning can avoid unnecessary delays with insurance companies. However, it can be challenging to keep track of every single diagnosis code, especially with regular revisions of diagnostic and coding information.
Bookmark this article as a reference to use next time you need to access the ICD-10 codes for dysarthria and other speech, language, and swallowing disorders codes.
What is the ICD-10?
The International Classification of Diseases, Tenth Revision (ICD-10) is a guide published by the World Health Organization (WHO) that uses standard diagnostic language.
In the United States, clinicians use two variations of these coding guides:
The American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), which also contains ICD-10 codes
The ICD-10-Clinical Modification (CM), an adapted version used to classify medical diagnoses in the U.S.
Using the same ICD-10 code for dysarthria allows clinicians and statisticians to better measure and track health information and enables greater specificity in identifying health conditions.
What is the ICD-10 code for dysarthria?
ICD-10 codes are used to record diagnoses, accompany assessments, and bill insurance payers.
There are several dysarthria ICD-10 codes under the section R47 “Speech disturbances, not elsewhere classified” and subheading R47.1 “Dysarthria and anarthria.”
The specific ICD-10 code for dysarthria is R47.1.
Synonyms for the dysarthria ICD-10 diagnosis code include:
Dysarthria
Dysarthria, flaccid
Dysarthria, lingual
Dysarthria, spastic
Flaccid dysarthria
Lingual dysarthria
Spastic dysarthria
There is no specific spastic dysarthria ICD-10 code, or ataxic dysarthria ICD-10 code as they both fall under the R47.1 code.
However, the CVA with dysarthria ICD-10 code is different. In cases of dysarthria following very specific conditions, like an intracerebral hemorrhage or cerebrovascular disease, use a different set of ICD-10 codes, such as:
Dysarthria ICD-10 codes for dysarthria following::
cerebral infarction I69.322
cerebrovascular disease I69.922
specified disease NEC I69.822
intracerebral hemorrhage I69.122
nontraumatic intracranial hemorrhage NEC I69.222
subarachnoid hemorrhage I69.022
Dysarthria ICD-10 diagnosis criteria
The American Speech Language Hearing Association (ASHA) specifies that the ICD-10 dysarthria code is to be used for the diagnosis of a speech condition caused by muscle weakness, which may occur with other speech and language disorders.
According to ASHA, dysarthria refers to a group of neurogenic speech disorders characterized by “abnormalities in the strength, speed, range, steadiness, tone, or accuracy of movements required for breathing, phonatory, resonatory, articulatory, or prosodic aspects of speech production.”
An assessment for dysarthria uses a perpetual method of classification. ASHA advises when diagnosing dysarthria to rely primarily on auditory perceptual attributes of speech to pinpoint the underlying pathophysiology.
The assessment should identify and describe:
Impairments in body structure and function, including strengths and weaknesses in speech production and verbal/nonverbal communication.
Limitations in activity and participation, including functional status in communication, interpersonal interactions, self-care, and learning.
Contextual factors that serve as barriers or protective factors related to successful communication and life participation.
The impact of communication impairments on quality of life and functional limitations relative to the individual’s premorbid social roles and abilities individually and within their community.
There are specific signs and symptoms of dysarthria, which vary by dysarthria type.
ASHA states that dysarthria can alter speech intelligibility and/or speech naturalness by impacting one or more of the five speech subsystems:
Respiration: Short phrases, reduced loudness, excessive loudness variation, loudness decay, monoloudness, forced expiration/inspiration.
Phonation: Pitch level (higher or lower than baseline), monopitch, pitch breaks, audible inhalation/inhalatory stridor, atypical voice quality (roughness, breathiness, strain, harshness, hoarseness), vocal flutter, diplophonia, voice tremor, reduced control of voice onset and offset, devoicing.
Articulation: Distorted vowels, imprecise consonants, articulatory blurring, irregular articulatory breakdown.
Resonance: Hypernasality, audible nasal emission/nasal snort, denasality or hyponasality.
Prosody: Atypical rate, reduced stress, short rushes of speech, atypical intonation, prolonged intervals, excessive and equal stress, atypical silences.
Physical signs and symptoms may affect the articulatory structures (such as the head, jaw, lip, or tongue) and include:
Abnormal muscle tone at rest
Mucosal membrane changes
Muscle wasting
Decreased muscular range of motion
Fasciculations
Tremors
Weakness
Involuntary movements
Abnormal reflexes
Other diagnosis codes related to speech, language, and swallowing disorders
Even though clients may meet some criteria for using the dysarthria ICD-10 code, there may be a more appropriate diagnosis, such as:
Phonological disorder (F80.0)
Childhood onset fluency disorder (F80.81)
Dysphagia unspecified (R13.10)
Dysphagia, oral phase (R13.11)
Dysphagia, oropharyngeal phase (R13.12)
Dysphagia, pharyngeal phase (R13.13)
Dysphagia, pharyngoesophageal phase (R13.14)
Other dysphagia (R13.19)
Apraxia (R48.2)
Dysarthria related to cerebrovascular disease I69.922
Mixed receptive expressive language disorder (F80.2)
Feeding difficulties (R63.3)
Other symbolic dysfunctions (F48.8)
Expressive language delay due to hearing loss (F80.4)
How to find the ICD-10 code for dysarthria
You can find the ICD-10 codes for dysarthria, and more specific diagnostic information in the following digital ICD-10 and ICD-10-CM formats:
ICD-10 Data, a searchable ICD-10 database containing the CM adaptations.
The WHO’s version of the ICD-10 in section R47-R49 “Symptoms involving speech and voice,” under the subheading R47 “Speech disturbances, not elsewhere classified”
American Speech Language Hearing Association (ASHA)’s ICD-10 CM diagnosis codes related to speech, language and swallowing disorders
Sources
American Speech-Language-Hearing Association. (n.d.). Dysarthria in adults [Practice portal].
American Speech-Language-Hearing Association. (2023). ICD-10-CM Diagnosis Codes Related to Speech, Language, and Swallowing Disorders.
Practice management software for SLPs
Streamline your business with SimplePractice’s easy, efficient, and time-saving speech therapy practice management software that includes SLP billing, appointment scheduling, telehealth, online intake forms, and more.
You can trySimplePractice EHR and practice management software for SLPswhen yousign up for a free 30-day trial. No credit card needed.
