ICD-10 Coding for Oropharyngeal Dysphagia(R13.12)
Complete ICD-10-CM coding and documentation guide for Oropharyngeal Dysphagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Oropharyngeal Dysphagia
Key Information: ICD-10 code for oropharyngeal dysphagia
Essential facts and insights about Oropharyngeal Dysphagia
Primary ICD-10-CM Code for oropharyngeal dysphagia
Decision Criteria
clinical Criteria
- Presence of pharyngeal residue or aspiration during swallow
documentation Criteria
- VFSS or FEES results confirming oropharyngeal involvement
Applicable To
- Oropharyngeal dysphagia
Excludes
- Dysphagia due to other specified causes
Clinical Validation Requirements
- Instrumental confirmation via VFSS or FEES
- Documentation of pharyngeal residue or aspiration
Code-Specific Risks
- Incorrect sequencing with stroke-related codes
- Lack of instrumental test documentation
Coding Notes
- Ensure proper sequencing when related to stroke.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dysphagia following cerebral infarction
I69.391Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Oropharyngeal Dysphagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R13.12.
Impact
Clinical: Lack of specificity in treatment planning., Regulatory: Potential audit flags., Financial: Reduced reimbursement rates.
Mitigation Strategy
Ensure phase-specific documentation.
Impact
Reimbursement: May lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure VFSS or FEES results are documented.
Impact
Claims may be denied if instrumental tests are not documented.
Mitigation Strategy
Ensure all instrumental test results are included in the patient's 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 Oropharyngeal Dysphagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Oropharyngeal Dysphagia
Use these documentation templates to ensure complete and accurate documentation for Oropharyngeal Dysphagia. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Patient history
- Instrumental test results
- Phase-specific findings
- Link to etiology
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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