ICD-10 Coding for Esophageal Dysphagia(K22.2, K22.4, I69.391, R13.19)
Complete ICD-10-CM coding and documentation guide for Esophageal Dysphagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Esophageal Dysphagia
K22.2-K22.4Primary Range
Esophageal obstruction and dyskinesia
Covers structural and motility disorders causing esophageal dysphagia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K22.2 | Esophageal obstruction | Use for structural causes of esophageal dysphagia. |
|
| K22.4 | Dyskinesia of esophagus | Use for motility-related esophageal dysphagia. |
|
| I69.391 | Dysphagia following cerebral infarction | Use for dysphagia as a sequela of stroke. |
|
| R13.19 | Other dysphagia | Use when specific cause is not identified. |
|
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 esophageal dysphagia
Essential facts and insights about Esophageal Dysphagia
Primary ICD-10-CM Codes for esophageal dysphagia
Decision Criteria
clinical Criteria
- Confirmed structural abnormality on imaging
Applicable To
- Strictures
- Tumors
Excludes
- Achalasia (K22.0)
Clinical Validation Requirements
- Endoscopy showing stricture
- Barium swallow indicating obstruction
Code-Specific Risks
- Misclassification if not confirmed by imaging
Coding Notes
- Ensure structural cause is confirmed before coding.
K22.4 - Dyskinesia of esophagus
Use for motility-related esophageal dysphagia.
Applicable To
- Achalasia
- Diffuse esophageal spasm
Excludes
- Esophageal obstruction (K22.2)
Clinical Validation Requirements
- High-resolution manometry showing motility disorder
Coding Notes
Confirm motility disorder with appropriate tests.
I69.391 - Dysphagia following cerebral infarction
Use for dysphagia as a sequela of stroke.
Applicable To
- Post-stroke dysphagia
Clinical Validation Requirements
- History of stroke with swallowing difficulty
Coding Notes
Ensure proper sequencing with stroke codes.
R13.19 - Other dysphagia
Use when specific cause is not identified.
Applicable To
- Neurogenic esophageal dysphagia
Clinical Validation Requirements
- Exclusion of structural and motility causes
Coding Notes
Use only when other specific codes are not applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Esophageal Dysphagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K22.2.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Fails to meet documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Provide detailed symptom descriptions, Include diagnostic test results
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use K22.2 for structural causes like strictures.
Impact
Using general dysphagia codes without specifying phase.
Mitigation Strategy
Ensure documentation specifies the 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 Esophageal Dysphagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Esophageal Dysphagia
Use these documentation templates to ensure complete and accurate documentation for Esophageal Dysphagia. These templates include all required elements for proper coding and billing.
Esophageal stricture due to GERD
Specialty: GastroenterologyRequired Elements
- Patient history
- Endoscopy findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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