R49Voice disturbances
Code usage status
Primary diagnosis
Select a more specific code
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Do not use R49 directly
Use the most specific code supported by the record.
- Chapter XVIII
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- Group R47-R49
- Symptoms and signs involving speech and voice
- Official Vietnamese name
- Rối loạn giọng nói
- Additional WHO coding guidance
- Excl.: psychogenic voice disturbance (F44.4)
Related R49 codes
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.