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ICD-10 Coding for Hiccough(R06.6)

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

Also known as:

HiccupSingultus

Related ICD-10 Code Ranges

Complete code families applicable to Hiccough

R00-R99Primary Range

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

This range includes codes for symptoms and signs, such as hiccough, that are not classified elsewhere.

Key Information: ICD-10 code for hiccough

Essential facts and insights about Hiccough

The ICD-10 code for hiccough is R06.6, used when no underlying condition is identified.

Primary ICD-10-CM Code for hiccough

Hiccough
Billable Code

Decision Criteria

clinical Criteria

  • Hiccoughs persisting >48 hours without identifiable cause

coding Criteria

  • No definitive diagnosis established

Applicable To

  • Idiopathic hiccough

Excludes

  • Hiccough due to underlying condition

Clinical Validation Requirements

  • Duration of hiccoughs >48 hours
  • No definitive diagnosis established
  • Symptom persists despite treatment of underlying condition

Code-Specific Risks

  • Using R06.6 as primary when an underlying condition is present

Coding Notes

  • Ensure documentation supports the absence of an underlying condition when using R06.6 as primary.

Ancillary Codes

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

Personal history of pneumonia

Z87.01
Use to indicate history of pneumonia if hiccoughs persist post-resolution.

Differential Codes

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

Gastro-esophageal reflux disease without esophagitis

K21.9
Use when hiccoughs are due to GERD.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hiccough to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R06.6.

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or audits.

Mitigation Strategy

Ensure comprehensive documentation of all symptoms., Use structured templates for consistency.

Impact

Reimbursement: May lead to denials if used incorrectly., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.

Mitigation Strategy

Do not code for self-limited episodes.

Impact

Risk of audit if used when an underlying condition is present.

Mitigation Strategy

Always document and code underlying conditions first.

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

Documentation Templates for Hiccough

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

Emergency Department Note

Specialty: Emergency Medicine

Required Elements

  • Onset: [Exact date/time]
  • Frequency: [Episodes/hour]
  • Duration: [Total hours/days]
  • Associated: [Nausea/Vomiting/Weight loss]
  • Exacerbating: [Food/Position/Medication]
  • Palliative: [Valsalva/Pharyngeal stimulation]
  • Workup: [CBC/Electrolytes/Chest imaging]
  • Therapeutic Response: [Drug/Dose/Effect]

Example Documentation

Hiccoughs occurring 8-10x/minute for 72 hours, associated with epigastric distention.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has hiccups.
Good Documentation Example
Intractable hiccoughs (12/min) persisting 96 hours post-esophagectomy, associated with nausea.
Explanation
The good example provides detailed context and associated symptoms, aiding in accurate coding.

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

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