A clinical scheme for assessing the patient with word-finding difficulty, particularly in the context of degenerative disease. The scheme is organized as a ‘grid’ in which each column represents a key step in the clinical assessment, and each row represents a speech or language syndrome.
In the degenerative diseases, in contrast to many of the other conditions associated with word-finding difficulty, the cause of the word-finding problem may not be obvious or it may be the presenting complaint: accurate diagnosis therefore depends on detailed characterization of the language deficit.
Conversely, patients with a primary word-finding difficulty and their carers often describe their symptoms in terms of memory failure (they may say that they ‘forget’ the names of people or things) or a perceptual defect (impaired speech comprehension is not uncommonly ascribed to ‘deafness’ by the patient's family).
Speech problem ICD-10-CM R47.9 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 091 Other disorders of nervous system with mcc 092 Other disorders of nervous system with cc
ICD-10 code R47. 01 for Aphasia is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
R47. 01 - Aphasia | ICD-10-CM.
ICD-10 Code for Other specified cognitive deficit- R41. 84- Codify by AAPC.
R46. 89 - Other symptoms and signs involving appearance and behavior | ICD-10-CM.
A 'word retrieval difficulty' or 'word finding problem' is when a person knows and understands a particular word, but has difficulty retrieving it and using it in their speech. This is similar to when we feel that a word (for example a name) is on the tip of our tongue.
A child with receptive language disorder has difficulties with understanding what is said to them. The symptoms vary between children but, generally, problems with language comprehension begin before the age of three years. Children need to understand spoken language before they can use language to express themselves.
ICD-9-CM Diagnosis Code 780.93 : Memory loss.
ICD-10 Code for Mild cognitive impairment, so stated- G31. 84- Codify by AAPC.
Mild cognitive impairment (MCI) is an early stage of memory loss or other cognitive ability loss (such as language or visual/spatial perception) in individuals who maintain the ability to independently perform most activities of daily living.
ICD-10 code R41. 89 for Other symptoms and signs involving cognitive functions and awareness is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
R45. 89 - Other symptoms and signs involving emotional state. ICD-10-CM.
Code F41. 9 is the diagnosis code used for Anxiety Disorder, Unspecified. It is a category of psychiatric disorders which are characterized by anxious feelings or fear often accompanied by physical symptoms associated with anxiety.
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code F80.89 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code F80.89 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Many disorders can affect our ability to speak and communicate. They range from saying sounds incorrectly to being completely unable to speak or understand speech. Causes include
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code R47.89 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code R47.89 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Many disorders can affect our ability to speak and communicate. They range from saying sounds incorrectly to being completely unable to speak or understand speech. Causes include
Deficits of literacy skills are often accompanied by, or secondary to, deficits of visual perceptual or knowledge systems, in addition to any speech disorder. Conversely, performance on literacy tests must take into account any specific longstanding limitation, such as developmental dyslexia.
The comprehension of grammar involves a number of different procedures (including determination of tense and number, interpretation of pronouns and prepositions, analysis of word order and subject-object relations and parsing of clauses).
Primary word-finding difficulty may occur as an isolated language disturbance or may occur as part of a more extensive cognitive or behavioural syndrome. Secondary word-finding difficulty occurs when a deficit within another cognitive domain interferes with the function of a more or less intact language system.
Although word-finding is central to normal communication, word-finding difficulty should not be equated with aphasia. Problems with word-finding may develop in the setting of otherwise normal language as a result of a problem in another cognitive domain.
This is such a common phenomenon that there’s a clinical name for it: “tip-of-the-tongue (TOT) state.” This occurs when parts of your brain temporarily don’t work together to retrieve the word you’re looking for, leaving you feeling a bit like a deer stuck in…ah, what’s the word?
Stroke: This is the most common cause of word-finding difficulty in adults. Difficulties with word retrieval are usually associated with an acquired language disorder known as aphasia.
It may be normal for it to be harder to find that word on the tip of your tongue as we age, but that doesn’t mean there’s nothing you can do about it.
Read every day to increase your vocabulary. With an increased vocabulary, other parts of language such as word finding and fluency will improve.
Are you or a loved one experiencing tip-of-the-tongue moments more frequently? Ageility speech therapy may be able to help. Find an Ageility clinic near you to learn more.