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ICD-10 Coding for Choking Episode(T17.92XA, J69.0)

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

Also known as:

Airway ObstructionForeign Body Aspiration

Related ICD-10 Code Ranges

Complete code families applicable to Choking Episode

T17.2-T17.9Primary Range

Foreign body in respiratory tract

This range includes codes for foreign bodies causing choking and asphyxiation.

Aspiration pneumonia

Used when aspiration pneumonia develops as a complication of choking.

Other specified symptoms and signs involving the circulatory and respiratory systems

Used for symptoms like choking sensation without confirmed obstruction.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
T17.92XAFood in respiratory tract causing asphyxiation, initial encounterUse when choking is due to food in the respiratory tract and confirmed by imaging.
  • Imaging or endoscopy confirming retained food
J69.0Aspiration pneumoniaUse when pneumonia develops following aspiration.
  • CXR showing infiltrates
  • History of aspiration event

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 choking episode

Essential facts and insights about Choking Episode

The ICD-10 code for a choking episode due to food in the respiratory tract is T17.92XA.

Primary ICD-10-CM Codes for choking episode

Food in respiratory tract causing asphyxiation, initial encounter
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of food in respiratory tract confirmed by imaging

Applicable To

  • Choking on food

Excludes

  • Gastric contents causing asphyxiation

Clinical Validation Requirements

  • Imaging or endoscopy confirming retained food

Code-Specific Risks

  • Incorrect use without imaging confirmation

Coding Notes

  • Ensure imaging confirms the presence of a foreign body.

Ancillary Codes

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

Choking sensation

R09.89
Use for symptoms without confirmed obstruction.

Differential Codes

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

Gastric contents in respiratory tract, subsequent encounter

T17.910D
Use when choking is due to gastric contents, not food.

Pneumonia, unspecified organism

J18.9
Use when the cause of pneumonia is not aspiration.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Choking Episode to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T17.92XA.

Impact

Clinical: Inaccurate representation of patient's condition, Regulatory: Potential non-compliance with coding guidelines, Financial: May affect reimbursement if not coded correctly

Mitigation Strategy

Always document the cause of dysphagia, Use appropriate codes for underlying conditions

Impact

Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.

Mitigation Strategy

Confirm the presence of a foreign body with imaging and use T17 codes.

Impact

Incorrect sequencing of principal diagnosis can lead to audit issues.

Mitigation Strategy

Ensure documentation clearly supports the chosen principal diagnosis.

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 Choking Episode, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Choking Episode

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

Choking Episode with Aspiration Pneumonia

Specialty: Pulmonology

Required Elements

  • Event timing
  • Type of aspirate
  • Interventions performed
  • Residual effects

Example Documentation

Patient choked on steak, requiring Heimlich maneuver. Developed aspiration pneumonia confirmed by CXR.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient choked; resolved with back blows.
Good Documentation Example
Choking episode on chicken with laryngospasm, requiring bronchoscopy for meat fragment removal.
Explanation
The good example provides specific details about the choking event and interventions.

Need help with ICD-10 coding for Choking Episode? Ask your questions below.

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