ICD-10 Coding for Globus Sensation(F45.8, R09.89, I69.391, K21.9)
Complete ICD-10-CM coding and documentation guide for Globus Sensation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Globus Sensation
F45-F48Primary Range
Neurotic, stress-related and somatoform disorders
Primary range for psychogenic globus sensation without physical cause.
Other symptoms and signs involving the circulatory and respiratory systems
Used when globus sensation is idiopathic or not linked to a psychological cause.
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. |
|
| R09.89 | Other specified symptoms and signs involving the circulatory and respiratory systems | Use when globus sensation is idiopathic or physical causes are ruled out. |
|
| I69.391 | Dysphagia following cerebral infarction | Use when globus sensation occurs post-CVA with dysphagia. |
|
| K21.9 | Gastro-esophageal reflux disease without esophagitis | Use when globus sensation is linked 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 sensation
Essential facts and insights about Globus Sensation
Primary ICD-10-CM Codes for globus sensation
Decision Criteria
clinical Criteria
- Psychogenic origin confirmed
documentation Criteria
- Exclusion of physical causes documented
Applicable To
- Globus sensation as a somatoform disorder
Excludes
- Physical causes of globus sensation
Clinical Validation Requirements
- Psychiatric evaluation confirming somatoform disorder
- Exclusion of physical causes via diagnostic tests
Code-Specific Risks
- Potential denials if physical causes are not excluded
Coding Notes
- Ensure thorough documentation of psychiatric evaluation and exclusion of physical causes.
R09.89 - Other specified symptoms and signs involving the circulatory and respiratory systems
Use when globus sensation is idiopathic or physical causes are ruled out.
Applicable To
- Globus sensation with unspecified etiology
Excludes
- Psychogenic globus sensation
Clinical Validation Requirements
- Negative ENT and GI workup
- Persistent symptom without identified cause
Coding Notes
Document all negative findings to support idiopathic classification.
I69.391 - Dysphagia following cerebral infarction
Use when globus sensation occurs post-CVA with dysphagia.
Applicable To
- Globus sensation post-CVA with dysphagia
Excludes
- Globus sensation without dysphagia
Clinical Validation Requirements
- History of CVA
- Documented dysphagia
Coding Notes
Ensure CVA and dysphagia are documented.
K21.9 - Gastro-esophageal reflux disease without esophagitis
Use when globus sensation is linked to GERD.
Applicable To
- Globus sensation associated with GERD
Excludes
- Globus sensation without GERD
Clinical Validation Requirements
- pH study confirmation of GERD
- History of heartburn
Coding Notes
Document GERD confirmation via pH study.
Differential 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 Sensation 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 risk, Regulatory: Non-compliance with coding standards, Financial: Claim denials
Mitigation Strategy
Ensure comprehensive diagnostic workup, Document all negative test results
Impact
Reimbursement: Potential denials due to lack of supporting documentation, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate data representation of patient condition
Mitigation Strategy
Ensure thorough diagnostic workup to exclude physical causes before using F45.8.
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with sequencing rules, Data Quality: Misrepresentation of patient condition
Mitigation Strategy
Use I69.391 if dysphagia is present post-CVA.
Impact
High risk of audit if psychiatric evaluation is not documented for F45.8.
Mitigation Strategy
Ensure psychiatric evaluation is part of the patient record.
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 Sensation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Globus Sensation
Use these documentation templates to ensure complete and accurate documentation for Globus Sensation. These templates include all required elements for proper coding and billing.
Psychogenic Globus Sensation
Specialty: PsychiatryRequired Elements
- Patient history
- Psychiatric evaluation
- Exclusion of physical causes
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Idiopathic Globus Sensation
Specialty: OtolaryngologyRequired Elements
- Patient history
- Negative ENT and GI workup
- Symptom persistence
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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