ICD-10 Coding for Globus Pharyngeus(F45.8, K21.9)
Complete ICD-10-CM coding and documentation guide for Globus Pharyngeus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Globus Pharyngeus
F45-F48Primary Range
Neurotic, stress-related and somatoform disorders
Includes functional disorders like globus pharyngeus when psychogenic in origin.
Diseases of esophagus, stomach and duodenum
Includes GERD, which can be a cause of globus sensation.
Symptoms and signs involving speech and voice
Includes voice and resonance disorders that may accompany globus sensation.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F45.8 | Other somatoform disorders | Use when globus sensation is determined to be psychogenic after excluding organic causes. |
|
| K21.9 | Gastro-esophageal reflux disease without esophagitis | Use when globus sensation is due to GERD. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for globus pharyngeus
Essential facts and insights about Globus Pharyngeus
Primary ICD-10-CM Codes for globus pharyngeus
Decision Criteria
clinical Criteria
- Absence of structural abnormalities on imaging
coding Criteria
- Presence of psychological factors
documentation Criteria
- Documented normal laryngoscopy
Applicable To
- Psychogenic dysphagia
- Globus hystericus
Excludes
- Sleep-related teeth grinding (G47.63)
Clinical Validation Requirements
- Normal imaging studies
- Psychological factors present
- No structural abnormalities
Code-Specific Risks
- Misclassification if organic causes are not ruled out
Coding Notes
- Ensure psychological assessment is documented to support F45.8.
K21.9 - Gastro-esophageal reflux disease without esophagitis
Use when globus sensation is due to GERD.
Clinical Validation Requirements
- Abnormal pH monitoring
- Response to PPI treatment
Coding Notes
Ensure GERD is documented as the cause of globus.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other voice and resonance disorders
R49.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Globus Pharyngeus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F45.8.
Impact
Clinical: Misdiagnosis of the condition, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Include psychological assessment in documentation
Impact
Reimbursement: Potential denials due to lack of supporting documentation, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Ensure all structural causes are excluded before using F45.8.
Impact
Lack of documentation supporting psychogenic diagnosis can lead to audit issues.
Mitigation Strategy
Ensure thorough documentation of psychological factors and normal test results.
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 Pharyngeus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Globus Pharyngeus
Use these documentation templates to ensure complete and accurate documentation for Globus Pharyngeus. These templates include all required elements for proper coding and billing.
Functional Globus in Primary Care
Specialty: Primary CareRequired Elements
- Patient history
- Normal physical exam
- Psychological factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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