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ICD-10 Coding for Flushing(R23.2)

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

Also known as:

Excessive BlushingAbnormal Flushing and Sweating

Related ICD-10 Code Ranges

Complete code families applicable to Flushing

R20-R23Primary Range

Symptoms and signs involving the skin and subcutaneous tissue

This range includes codes for various skin symptoms, including flushing.

Key Information: ICD-10 code for flushing

Essential facts and insights about Flushing

The ICD-10 code for flushing is R23.2, used when flushing is a symptom without a specific underlying condition.

Primary ICD-10-CM Code for flushing

Flushing
Billable Code

Decision Criteria

clinical Criteria

  • Presence of flushing without a definitive underlying condition

coding Criteria

  • Flushing as a symptom, not a primary condition

Applicable To

  • Excessive blushing
  • Abnormal flushing and sweating

Excludes

  • Flushing due to menopause (N95.1)
  • Flushing due to carcinoid syndrome (E34.0)

Clinical Validation Requirements

  • Documentation of triggers and duration
  • Associated symptoms like sweating or erythema

Code-Specific Risks

  • Using as a principal diagnosis when an underlying condition exists

Coding Notes

  • Ensure to document the underlying cause of flushing if known.

Ancillary Codes

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

Encounter for antineoplastic chemotherapy

Z51.11
Use when flushing occurs during chemotherapy sessions.

Differential Codes

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

Menopausal and female climacteric states

N95.1
Use when flushing is due to menopause.

Carcinoid syndrome

E34.0
Use when flushing is due to carcinoid syndrome.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Flushing to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R23.2.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Can result in coding audits and compliance issues., Financial: Potential for claim denials due to lack of specificity.

Mitigation Strategy

Use detailed templates for documentation., Ensure all relevant clinical details are captured.

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: May trigger audits for improper coding., Data Quality: Leads to inaccurate clinical data representation.

Mitigation Strategy

Always code the underlying condition first.

Impact

Using R23.2 as a principal diagnosis when an underlying condition exists.

Mitigation Strategy

Educate coders on proper sequencing rules and documentation requirements.

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

Documentation Templates for Flushing

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

Flushing in Endocrinology

Specialty: Endocrinology

Required Elements

  • Onset and duration
  • Triggers
  • Associated symptoms
  • Laboratory findings

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient reports flushing.
Good Documentation Example
Patient exhibits episodic erythema of face/neck lasting 15-20 minutes, triggered by alcohol consumption.
Explanation
The good example provides specific details about the flushing episodes, including triggers and duration.

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

Ask about any ICD-10 CM code, or paste a medical note

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