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ICD-10 Coding for Globus Hystericus(F45.8)

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

Also known as:

Globus SensationGlobus PharyngeusPsychogenic Dysphagia

Related ICD-10 Code Ranges

Complete code families applicable to Globus Hystericus

F45-F48Primary Range

Neurotic, stress-related and somatoform disorders

This range includes somatoform disorders, under which globus hystericus is categorized.

Diseases of esophagus, stomach and duodenum

This range includes GERD, which can be an ancillary condition to globus hystericus.

Key Information: ICD-10 code for globus hystericus

Essential facts and insights about Globus Hystericus

The ICD-10 code for globus hystericus is F45.8, which falls under other somatoform disorders.

Primary ICD-10-CM Code for globus hystericus

Other somatoform disorders
Billable Code

Decision Criteria

clinical Criteria

  • Persistent sensation with normal diagnostic tests

documentation Criteria

  • Psychogenic etiology confirmed

Applicable To

  • Psychogenic dysphagia
  • Globus hystericus

Excludes

  • F44.- Dissociative disorders
  • F54 Psychological factors affecting medical conditions

Clinical Validation Requirements

  • Persistent throat lump sensation for ≥3 months
  • Normal imaging/endoscopy
  • Documented psychogenic etiology

Code-Specific Risks

  • Misclassification without proper documentation of psychogenic origin.

Coding Notes

  • Ensure documentation specifies psychogenic factors and rules out structural causes.

Ancillary Codes

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

Gastro-esophageal reflux disease without esophagitis

K21.9
Use if GERD is present alongside globus sensation.

Differential Codes

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

Other symptoms involving head and neck

R09.89
Use when psychogenic origin is not confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Globus Hystericus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F45.8.

Impact

Clinical: Misrepresentation of patient's condition., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.

Mitigation Strategy

Thorough psychiatric evaluation, Detailed patient history

Impact

Reimbursement: May lead to incorrect DRG assignment and lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure documentation includes psychogenic factors and normal diagnostic tests.

Impact

Risk of audits if psychogenic factors are not well-documented.

Mitigation Strategy

Ensure thorough documentation of psychiatric evaluations and normal diagnostic tests.

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

Documentation Templates for Globus Hystericus

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

Globus sensation with anxiety

Specialty: ENT

Required Elements

  • Patient history
  • Diagnostic test results
  • Psychogenic factors
  • Treatment plan

Example Documentation

34F c/o 4-month history of throat tightness, worse with stress. Normal laryngoscopy. Assessment: Globus hystericus (F45.8) secondary to anxiety (F41.1). Plan: CBT referral.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient reports lump in throat.
Good Documentation Example
Globus hystericus confirmed after normal esophageal manometry and negative pH monitoring, related to anxiety disorder.
Explanation
The good example provides specific diagnostic results and links to psychogenic factors.

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

Ask about any ICD-10 CM code, or paste a medical note

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