ICD-10 Coding for Pharyngeal Dysphagia(R13.13)
Complete ICD-10-CM coding and documentation guide for Pharyngeal Dysphagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pharyngeal Dysphagia
R13.1-R13.19Primary Range
Dysphagia
This range includes codes for different phases of dysphagia, with R13.13 specifically for pharyngeal phase dysphagia.
Sequelae of cerebrovascular disease
Used as primary codes for post-stroke dysphagia, with R13.13 as secondary.
Key Information: ICD-10 code for pharyngeal dysphagia
Essential facts and insights about Pharyngeal Dysphagia
Primary ICD-10-CM Code for pharyngeal dysphagia
Decision Criteria
clinical Criteria
- Pharyngeal residue >10% on VFSS
documentation Criteria
- Detailed report of pharyngeal phase findings
Applicable To
- Impaired pharyngeal constriction
- Delayed laryngeal vestibule closure
Excludes
- Esophageal dysphagia (K22.2)
Clinical Validation Requirements
- VFSS showing pharyngeal residue
- FEES showing coating on pharyngeal walls
Code-Specific Risks
- Incorrect use without instrumental confirmation
Coding Notes
- Ensure documentation includes specific pharyngeal findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sequelae of cerebrovascular disease
I69.3Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Esophageal dysphagia
K22.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pharyngeal Dysphagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R13.13.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Potential for audit and compliance issues., Financial: Reduced reimbursement due to unspecified coding.
Mitigation Strategy
Ensure detailed documentation of swallowing phase., Use instrumental evaluations to confirm findings.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query for specific phase documentation.
Impact
Using unspecified codes when specific phase is documented.
Mitigation Strategy
Always verify and document the specific phase of dysphagia.
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 Pharyngeal Dysphagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pharyngeal Dysphagia
Use these documentation templates to ensure complete and accurate documentation for Pharyngeal Dysphagia. These templates include all required elements for proper coding and billing.
Acute Care Evaluation
Specialty: Speech-Language PathologyRequired Elements
- Subjective swallowing complaints
- Objective instrumental findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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